registered nurse

health screener

nurse practitioner

registered nurse - picu

registered nurse - operating room

Childrens Hospital Los Angeles

Training at the Children's Hospital in clinical nutrition was very dynamic and intense. Assessed children for risk level of malnutrition, Interviewed patient's for food allergies, food preferences and previous nutrition before admission. Reviewed charts for diet order and if met nutritional needs, laboratory tests, calculated anthropometric and plotted charts, nutrition intervention care to meet optimum nutrition, communicated with nutrition services department patient's food preferences. Created report in nutritionist's notes, billed patient's and refer to Registered Dietitian when level of acuity is 2 or 3. Follow up on patient's nutrition care. Mixing nutrition formulas accurately according to order to meet optimum nutrition. In Service meeting and Most enjoyable was to see the care provided helped patient to recuperate and the support of , hardest was to see such tiny patients being so sick.
As I started my Administration/Management rotation the new management was taking over the food service operation of the hospital. I was assigned to redesigned the Grill Station of the HBO CAFE, costing menu, training staff, monthly sanitation audit of kitchen, monitored sanitation and safety of food by stations, redesigned storage space, conducted evaluation, task analysis, scheduling, food display and customer service.
Hardest part of this is correcting staff doing their job for a long time without re training to upgrade their skills
The most enjoyable is to see the same team members develop their skills and grow to understand the benefit by seeing results.

I worked at CHLA for 6 months. It was the most stressful experience I've had in my career. So stressful that I actually went to the doctor and had a meltdown in the office. The management in the program I worked in is not supportive at all, this made being at work every day worse. The program was totally disorganized, waited until the last minute to complete projects and prepare for meetings. I was expected to work more than 40 hours a week- come in early and stay later than 5pm. 

The actual program I worked in is a great program and offers FREE services to those who participate in the program. It is very helpful to families who participate. This is the best part: ACTUALLY HELPING PEOPLE! 

I did not feel like I could trust anyone on the leadership team because everyone only cared about themselves, there was no real sense of a team. The rest of the team consisted of people who have known each other for a long time and were not friendly or welcoming to a new person. 

I asked for blinds for the window in my office because the sun came through in the morning for 2-3 hours and literally blinded me while I was trying to work on the computer. In 6 months, I was not granted this request. I had to use my own ergonomic keyboard because they would not provide one. Also, it took about 3 months to get me a permanent set of keys to the building and my office. This place is so disorganized. Also, I was told to reschedule mandatory hospital trainings several times in order to attend work related functions, but attending these trainings was part of the requirement to pass probation.

When I was first offered the position, I was so proud to work for such a distinguished organization, and I am so disappointed in the work ethic and environment.

Often times the work culture felt like it was management vs staff. They implemented policies without regard to staff considerations. Staff are required to wear uniforms and they only provide attire for 2 days. Management is a stickler if you run over 2-5 mins past your scheduled time either before start or after. They often have favoritism for those individuals who whistleblow frequently. You can advance to other roles based on who you know and not what you know. There are very few diamond in the roughs Managers who try to make the difference but are often told to limit staff. Pay is not up to par, starting roles even with experience are bare minimum $15/hour. HR looks out for the well-being of themselves and not its employees. You have to work twice as hard for annual performance rates which are less than .33 cents. They treat staff like robots, time every minute logged off phones, how long you took for restroom breaks, etc. You have to truly believe that you are there to make a difference and help families and patients. They won't say it to our face, but staff are trained to give extra care and favoritism to commercial payers type families.

Poor manager and Lead who prefer pointing fingers than fixing the issue, staff resigning in under 3 months, no accountability, lack of vision to improve department, do not know how to resolve internal conflict/issues amongst employees. Management are Bad listeners and lack of presence by not being in the office more frequently, always resistant to change & when you offer a suggestion you are automatically turned down or made to look stupid, fail to encourage team members and rather talk about them to other coworkers. Current employees are deemed as having poor performance but fail to realize short staffing, no balance in distribution of work and multiple call outs. Manager and Lead cant be trusted for the patient service reps. The nursing managers are exceptional, quick to resolve issues/conflict, always searching for ways for staff to be happy and motivated. The most enjoyable is the children/patients and the doctors who really care about them and their health. 

Currently working as Admitting Patient Representative I management does not care of the staff always short staffed. This new group of management that have been there for the last 5 years they came from another facility. This management has been hiring people that they worked with from their previous job. This monthly meetings are a joke, we have been telling management we are stressed short staffed they don't properly train staff and this new schedule that they come up with is a joke it makes no sense they overlap breaks this is why we feel discourage and when people speak up management gets upset and then those people that speak up get fired sadly this department (well management) is very toxic  there's favoritism. When we saw one of our leads leave that department it spoke volumes this lead had been in this department over 10 years on her last day this lead told us they would ask for input and when the input was given they would be upset. 

Union needed to protect the rights of hard-working staffers.  Managent does not value loyalty or years of service.  Executives are over-paid and perpetuate a cut-throat, back-stabbing culture. There is no respect for staffers and employees are subjected to an environment of hierarchical insensitivity.  High-stress environment.  Human Resources utilizes tactics that are ruthless and immoral and they manipulate complaints with intimidation and ignorance of the truth.  DO NOT TRUST anyone in their HR Dept.  Leadership rules with an iron fist and maintains a tight reign on the Board of Trustees, only telling them bits and pieces in an effort to keep them in the dark for damage control. The Board of Trustees would be shocked and disgusted if they knew how hard-working staffers were being treated.  It is a great children's hospital because of the dedicated doctors and nurses and their staffers who truly care about the children but executive leadership is horrible and only cares about the money.  The culture is toxic and very stressful.

When you work for Children's Hospital Of Los Angeles you do so for the families who go there and they are very worth it. I still consider the families I was able to serve there to be some of the most humble people I ever interacted with and considering what they are up against that is saying something.

Here are I learned some of the best skills and life lessons possible that helped shape the direction of my career and what I found to be my passion. I really do not think that my thirst or drive would have ignited better elsewhere and this place will put you through its' paces and you will know your mettle.

As for work culture, you really have to make the most of it how you choose too. Attitude and ingenuity are very key here.

The hardest part, and this is just my quirk, travelling to get here. You have the option of the Metro system or you can drive here. So 1) You will gain so many stories riding Metro and an appreciation for transportation or 2) Beware the 5 fwy on game day or special events.

My typical day at work was to manage the Audit Log and the Denial Appeal Log on a daily basis.

I would perform audits on scheduled accounts from the electronic medical record application from start to end and enter all audit findings into the account .  I was responsible for interacting with outside insurance agencies, patients and all hospital departments including the business office in regards to all disputed charges, hospital billing and charging problems.

In the afternoon I also reviewed all clinical denials received from Insurance companies and prepared all appeal letters accordingly.

Conducted a monthly Chart Audit Meeting with hospital department directors in order to keep compliance.

The hardest part of the job was the printing of all the medical records as attachments to the appeal letters. 

The most enjoyable part of the job was my team and the fact that I really enjoy the auditing career.

I love my job for the first time ever. The hardest part of my job is working with such critical kids, but that makes it the most rewarding too.  Amazing energy on the floor from playing with kids to singing in the hallways. As a nursing student, all of my nurses are always so eager to explain things when they have the time or let me observe and sometimes help with procedures. Management is always responsive to any issues and offers lots of opportunities such as Spanish courses that include medical terminology, the HeaRT program for staff emotional support and so many other programs. I literally tell everyone to apply if they can qualify. The only problem I've faced is being short-staffed (mostly a nursing issue, not so much for CPs) which causes a little bit more stress but is still doable. One thing I note, in the hiring process, make sure your references will complete the survey. They REQUIRE two references to fill out the survey before they will let you start, and WILL delay your start date. They don't tell you that.

•	Pick and fill all orders from pick tickets accurately and efficiently.
•	Deliver summited request forms sent by nursing staff. (equipment and product)
•	Front Desk knowledge continuously answering staff concerns on all product and equipment.
•	Check all received product and stock it into proper locations.
•	Prep warehouse for next shift by restocking, organizing, and maintaining all aisle clean.
•	Scan storage room locations for low or empty product in ICU, BMT, Clinics, and Cath Lab.
•	Summit Batch orders for picking.
•	Stock storage rooms up to PAR level issued by department.
•	Work with management on PARs with items that need to be removed or added due to concerns with nursing staff. 
•	Print item labels for billing, PAR’s, and Warehouse.
•	Use “People Soft” to issue supplies, confirm pick tickets, resolve locations errors, cycle counts, and Troubleshoot item quantity issues to keep accurate inventory.
•	Work with staff to locate supplies and equipment not found or depleted from warehouse.

Top Job Titles	Average Salary
Registered nurse 12 salaries reported	$57.58 per hour
Health screener 51 salaries reported	$38.79 per hour
Nurse practitioner 2 salaries reported	$92.57 per hour
Registered nurse - picu 7 salaries reported	$136,530 per year
Registered nurse - operating room 4 salaries reported	$136,086 per year

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