registered nurse

clinical associate

nursing assistant

patient care technician

business intelligence developer

Carilion Clinic

The typical POA endures 12-hours of isolation tending to the needs/whims of institutional patients and family members in extreme emotional, physical, mental and/or societal debilitation. The primary function/mission of the POA is patient safety - POA's are indicated for patients who are considered to be a risk for self-harm or violence against others. These patients may be singularly, or any combination of; suicidal, homicidal, alcohol and drug dependent, demented, depressed, confused, post-operatvely anesthetized, stroke impaired, psychotic, schizophrenic, Traumatically Brain Injured, and a host of ailments you've never heard about, Hashimoto's Encephalopathy anyone?

Add to that list the poor wretches eeking out a living on the mean streets of any-town USA who want three-hots and a cot (along with pain meds and cable TV) for a few nights and you've got a pretty comprehensive dance card awaiting the POA. 

Now let's look at the POA's support system. In theory, each unit is fully staffed with Nurses and Nursing Assistants to provide "team coverage" for patient care. In reality, hands-on hospital staffing is at an all-time low. Nurses and NAs are overrun with demands, burnt out, and in many cases just 'over it.' They haven't the time nor the inclination to check on an unruly, non-compliant patient who already has what is colloquially called a 'sitter'.  As a POA, you're on an island - begging for breaks, cajoling patients into cooperation and finessing family members not to escalate emotions. 

POAs do everything from brushing teeth to cleaning colostomy bags. Depending on market, the pay is lower than fast food wage. Hospital culture is like the military, only harsher. Nurses do not manage, they rule - grudgingly. 

Inexpensive benefits are usually offered and Paid Time Off accrues quickly. 

In summation, the Patient Observation Assistant is an underpaid, thankless, stressfull occupation undertaken in almost total isolation save for the company of a fellow human being in extremis or, gaming the system. It is a zero-sum enterprise in which one is recognized only when mistakes are made.

I was hired in August of 2015 as an EMT-B. I felt respected, I felt valuable, and loved what i was doing. I enjoyed it so much, I went back to school for my paramedic. When I got my paramedic and bachelor degree, everything went south. I was given a $2 raise bringing me up to a whopping $15.99/hr while tuition had built up $60,000 in student debt and newly hired paramedics were coming in making $18-20/hr. I was told the "shift differential" would help me, then they proceeded to cut me from a 40 hour employee to a 36 hour so I would not accrue overtime if held over. The company then fired my manager who was the only person who fought for us. He was an advocate for the employees and seen as a threat. CCPT then got a new ground director who previously worked in Fire/EMS and therefore implements policies that reflect it, which is great and all, but we are strictly medical. We deal with routine transports and emergencies. His tactics have no place in medical transport. 

If you present to work with a negative attitude, feel you are being treated unfairly, or ask for a raise, they will tell you "if you don't like it, leave". Turnover is high, morale is at an all time low, and managers don't want to lead. Our new OMD who was seen as a welcomed change due to her superior's progressiveness in EMS, has restricted our practice. We are asked to jump though hoops to be cleared for tracheostomy suctioning for BLS providers, and ventilator management for ALS providers when it is a part of our scope of practice and a part of our education. 

I have been a loyal employee for 5 years at the time of this review, with no marks on my record. I no longer feel like I am a valued employee and seeking other employment.

Carilion in general is a greedy corporation that only values nurses, physician assistants, and physicians. 

I have had the privilege of working as a customer service representative at Carilion Clinic for several years, and I must say that it has been an incredibly rewarding experience. The organization places a strong emphasis on providing exceptional care not only to patients but also to their families and visitors.

One of the standout aspects of Carilion Clinic's customer service is the genuine compassion and empathy exhibited by the staff. Whether it's over the phone or in person, the team consistently goes above and beyond to ensure that individuals feel heard, valued, and supported during what can often be a stressful time.

Additionally, the training and development programs offered to customer service representatives are top-notch. Continuous education and skill-building are prioritized, ensuring that representatives are equipped to handle a wide range of inquiries with professionalism and accuracy.

The communication channels at Carilion Clinic are seamless, allowing for efficient coordination between various departments. This ensures that patients receive the comprehensive care they deserve, from scheduling appointments to navigating insurance inquiries.

Lastly, the culture of teamwork and collaboration is palpable within the organization. Every member, from the frontline staff to the leadership team, works together cohesively to provide the best possible experience for patients and their families.

In conclusion, Carilion Clinic sets a high standard for customer service in the healthcare industry. The dedication to compassionate care, ongoing training, effective communication, and a culture of teamwork make it a truly exceptional place to work and receive care.

I worked for this company for five years. Although I grew as a person this company tore me down as an individual. I have never felt so low in my life. This company will chew you up and spit you out. After transferring to three different departments I found that it’s not the department but the company as a whole. This company is great for the medical experience if you can tolerate people that think they are better than you and are willing to work for kibbles and bits. This is the only trauma care available here in small Roanoke, VA and after working here if I was on my last breath I would rather die than receive care here. After interacting with the emergency department staff to transport their patients, I seen their lack of care for not only team members but their view of patients as just a number to get you in and get you out. The pay is low and management expects you to work yourself to death. After being injured with a 600 lb bariatric patient due to lack of improper equipment I decided it was time to end my employment. Not only did this company put my health at risk and my coworkers but we were exposed to possible covid-19 patients without proper notice. All this company cares about is their fancy new building and cardiac patients. So please whatever you do stay far away unless you want to be low balled on pay and treated as if you are the scum off of a doctors shoe. Oh and they don’t even offer employee discounts at their expensive cafeteria. So they make your paycheck back when you go in there and purchase an $9 meal on your barely 30 minute lunch break during a 12 hour shift. Good luck! 

Very poor experience- management unprofessional to both full and part time employees. New hires treated poorly, and given poor orientation, with high expectations to fulfill caseload - new hires without experience told they will have orientation, and mentor guidance-told often they will need 6 months, to a year, to feel comfortable managing the expected caseload of two or three floors, but in reality you are often given 3 or 4 floors/units of patients which is essentially two FT jobs but you are only paid for one- actually given 30 days to prove competency. Staff get written up all the time if you are not in the "clique"; Management are often providing unprofessional treatment to employees who raise issues, or make complaints- former employees currently looking into compensation of this hospital- citing "bullying, demeaning contact,, and poor treatment"- there is never any appreciation for what a social worker/case manager does on a daily basis; dr's and nurses calling you every other minute demanding things that are often out of your control. Please do not waste your time applying or working here; please leave this often unprofessional, poorly managed hospital off your list, you have many other choices that are deserving of your license/expertise.

I am salaried, and I work the day-shift.  Compensation seems conservative, but fair for the region.  I have great co-workers, although that  feeling may be different for each department. I have a good amount of autonomy, and my manager is great to work with.  The culture is positive overall.  

Infrastructure needs some work, as existing buildings/facilities are older.  I feel some money needs to be spent in upgrading lab equipment.  Also, I would love if the higher-ups communicated more about the plans for future building upgrades, and construction plans.  Some information gets a little lost in the messaging.  There seems to be not enough resources to hire more people.  So, the workload can get heavy at times.  Also, I have had to move offices more often than others I know, which is very inconvenient.  Not much room for promotion within my field, although job openings do come up, but they would be more of a lateral move for me.

Content with my job overall, but since I'm looking for more money, better benefits, a better title, and managerial responsibilities, I have to look outside of the company.

I worked at Carilion for 3 yrs the first yr and a half was at the rehab building before the new facility opened. I liked my job as registration for the Trauma and Orthopedic Doctors. When the new facility opened management made the decision where you were going to work with NO input from the employee. They took me from registration, working with direct contact with patients and stuck me in the insurance precert team where I had no experience. I was working with the most 2 faced people I have ever had the unpleasant misfortune to meet. The Lead in our department was incompetent and never could answer a question w/o asking one of MY coworker who was very knowledgable first. Clicks developed which included the lead. Long story short , because I wasn't chatty and had a disability I was not trained properly , my coworkers were rude and did things to make it hard for me to get the job done right, blamed me for their short comings and on and on (Could write a book) supervisors and above management were a joke ! It was the worst experience of my 30 yrs of working in medical invironment!
I was fired for working off the clock... You got it cause I was early every day and just came in and started to work, I was written up first then when I truly wasn't working off the clock I was accused of doing so/ you get it by now! Awful Awful place to work

You stay busy on the ED floor as a tech, for the most part you can expect to be working on your feet the full 12 hours with little to no break, even on nights. Flip side, you STAY busy, you will see all the acuity and oddity western VA has to offer. Excellent place to learn and develop a cooler head for emergencies. Management doesn't really relate to the floor staff, and most don't try to. Despite that, if you keep your head down when UDs come by to crack the whip, you'll be fine. The floor staff are, by and large, really great people to work and learn with. Sometimes cliquish and suffers from nursing station gossip, better to avoid those sorts.

The hardest part of the job is the volume of work. You will never finish everything you need to do in a shift. All you can do is keep going and try to get as much done as you can.

The most enjoyable part of the job is the opportunity to make a genuine difference in your patients' lives. Cliche, but if you put in the effort, it can be immensely validating to see how you can truly help people.

What is the best part of working at the company?
I recently worked on 2W as a travel, interventional radiology, nurse it was a wonderful experience. I was very blessed to meet a lot of people who were very supportive. I never felt like I was working by myself. I was very grateful for all the help that I received I would absolutely go back in a heartbeat, I felt management was approachable and very kind and listened to my needs. I made a great deal of friends and I would love to go back. Had I’ve been living in the area where I just came from I would’ve definitely applied for a full-time job. CARILION was very good to me. Thank you.

What is the most stressful part about working at the company?
I did not find this job, stressful, unless we were shorthanded. however, this was rare my coworkers were outstanding.


What is the work environment and culture like at the company?
I felt the work environment was safe because of how it was run nurse patient ratio was very fair and people seemed satisfied.

What is a typical day like for you at the company?
we start early and just work together and this eases the burdens but we have the privilege of doing one on one getting patients prepared for their procedures so we do not have an overwhelming ratio

I came straight out of nursing school on to a Carilion floor unit. I initially really enjoyed my job. As the pandemic continued, it got harder and more stressful. There were several employees arguing constantly and fighting that made work difficult. I would hide from the nurse's station because it was so bad. The management was very poor and would not address anything because there was favoritism going on. My manager didn't sympathize with any of the issues I brought up and didn't listen to me when we would meet to talk. My unit was everyone's least favorite to work on when in resource pool. We were understaffed almost every night with no aides and a few nurses. 5:1 ration on a PCU. There was no accountability for patients. I was harassed multiple times and Carilion did nothing. Compensation is not adequate. Other hospitals in the area pay better. Carilion punishes employees if they contract COVID   unless it can be specifically traced to a patient. If you wear a surgical mask and goggles around a COVID patient, they won't pay you even if you're positive. You get blamed for getting sick even though we work in a hospital environment. It's hard to find a good floor unit that is enjoyable within Carilion. 

Top Job Titles	Average Salary
Registered nurse 6 salaries reported	$40.33 per hour
Clinical associate 4 salaries reported	$18.25 per hour
Nursing assistant 18 salaries reported	$14.53 per hour
Patient care technician 5 salaries reported	$17.23 per hour
Business intelligence developer 3 salaries reported	$75,000 per year

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