screener

health screener

registered nurse

temperature screener

Grady Health System

I have had a love for Grady, the mission, and the patients for 37 years. As it overlooks the city and looms over I-75/85, Grady is a sleepless giant that is the predominate keeper of all Fulton & DeKalb County resident who are underpriviledged, underserved, poor, helpless, and homeless, and the premier Level One Trauma Center, in Atlanta.

The work is very hard as the resources available at other organizations are in a lesser supply at Grady. There are always  many more patients than thare are beds.The patients have so many co-morbidities, they have a a higher acuity level than those in other hospitals. The experience is great for all professionals who practice there because it is easy to become emersed in so much human illness and suffering, resulting in so many opportunities to learn and share your expertise with the patients/families who have invested in the growth of the healthcare teams. It is difficult to have the desire to learn and not excel at your craft in this rich environment.

The environment is like that of a family. While people care about each other and the patients, teamwork across the system could be and will get better, an issue than is being actively worked on. A much needed area of improvement for future Grady is Work/Life Balance. This is an issue expressed throughout the organization. 

Grady's Vision is to be "the leading public, academic healtcare system, in the United States". I can appreciate that for Grady's future. The executive leadership team has the vision necessary to make the organization the best for the brightest but there is so much to be done that it is not uncommon to violate what is known about change theory, in the quest to do it all immediately. The team does listen and make efforts to appreciate staff feedback but in certain areas sometimes it takes a while because Grady is a huge vessel, which makes it difficult to turn on a dime.With hard work and compliance on the part of all, Grady will get where it's going but it won't be ovenight.

The most enjoyable part of the job is that is that every day is a new adventure and it is definitely never dull and boring. There is so much to learn and the patients are great though sometimes difficult teachers.

I loved working with the patients, doctors, nurses, technicians and my colleagues at Grady, but the management was very disorganized and disrespectful. Everything that could have gone wrong did from the very beginning. The hiring from interview to acceptance was over two months, the acceptance software took ten days instead of the 4 hours promised, the CPR manikin malfunctioned, the software for assigning me an identity and email failed and over the course of nine months I received no training for one critical part of my job. I was hired to assess dual diagnosis patients in the ER for suicide/homicide/ability to care for self and to consult with the doctors to help them send only those needing further care to the psychiatric floor. That was the easy part. What was difficult was writing notes to justify the decision to discharge or send patients to the psychiatric floor on a 1013. My supervisors never trained me to write those notes and therefore put the patient at risk for lack of care or violation of his/her rights in being sent on a 1013; put my license at risk and put Grady at risk for litigation. I finally concluded that my supervisors did not know how to teach me and were not willing to learn, so I resigned the position. I’m the kind of person who learns no matter what the conditions, and what I learned especially in this lack of training was the necessity for these notes due to the current litigation and standards of care evolving from lawsuits due to suicides. Before going to Grady, I had become semi-retired as a private practice therapist, but when I saw the trends of litigation toward hospitals, doctors, therapists, ministers, life coaches and other caregivers through my extracurricular research, I opted to leave Grady and rejuvenate my private practice to devote my skills not only to persons prone to suicide, but also to the professionals who might face litigation due to ignorance of the changing standards of care. I felt confident at the time of my departure that Grady Hospital will soon officially be named the most effective teaching hospital for residents and am proud that I got to be a part of that institution for nearly a year, ten hours a day for four days a week.

To be honest, this is the best place I've ever worked. You can't get the surgical diversity any where else. We had a patient impaled by a tree and survive here! There is no typical day at Grady, every day will present new challenges and new opportunities to learn and hone your craft. And because it is a teaching environment, the surgeons are more laid back and willing to, you know, teach!  

The hardest part about my job here is being able adapt because there are no surgeon preference cards here. They've never been able to create an effective system for it other than to just know what your doing and hope your circulator knows too. At the same time, I enjoy the autonomy. You're forced to figure out for yourself and remember each surgeon's style.  And the only reason I gave the managment two stars because we are currently in transition so sometimes it seems like there isn't one in place. However, our team leaders and interim managers are doing the best they can. 

People kind of turn their noses up at Grady because of the location. However, I've never had a problem walking to and from the parking lot, and I work nights. Grady not only has a top notch security team (more like a police force) but Atlanta PD roll deep in this area plus Georgia State and Emory School of Medicine are in the surrounding buildings so their police force patrols the area. We may have some colorful personalites that inhabit the area, but I have never felt unsafe. (For example: some kids from GA State set up a barber shop across the street at the bus stop. They played music and gave hair cuts to the homeless. You'd never see that at Northside).

The Grady OR is no walk in the park.  But if you bring your A game and love surgery and taking care of patients, you'll love your job here.

For the most part, I love my job! As with every job (on top of COVID messing everything up), not everything is perfect! My biggest complaints would be the hourly pay is quiet offensive. After working for GMH for 2.5 years as well as having 7+ years experience as a nurse, management refused to increase my pay even though they were hiring LPN’s that had just graduated & passed the NCLEX $5+/hour more than my current pay rate. How I describe that is a literal slap in the face!! Also, their HR department is HORRENDOUS!!! And you can forget about getting any help from the “Office Nurses”. When COVID was at its peak, we had NO aides, bare minimum floor nurses, & way too many very sick patients for us to safely handle, we (Med/Surg nurses) would have been beyond thrilled if anyone had even offered to help! It made no sense that the hospital is full of licensed RNs and LPNs that work in the offices that are perfectly capable but could not be bothered with lifting a finger to help us when we were clearly drowning with no end/relief in sight. They could have at least sat with patients while we ate something or whatever. Long story short, there’s definitely ALOT of improvements that need to be made, but my awesome co-workers help to see past the flaws, for the most part. 

Working in EMS already doesn’t pay well, but when a janitor is paid more than you, the sting is real. It is an extremely high call volume system that pays less than the slower systems surrounding it. The only actual benefits are the attached EMS academy (which has a downside that I will mention later) and the health care benefits that come with working for a hospital system. They clearly don’t care about employee satisfaction or patient care and that became abundantly clear when they eliminated the critical call volume pay and encouraged faster call times and shorter patient interaction with bonuses. The new operations manager saw a turnover rate of around 90% in her first year and is incredibly two faced and does not listen to the employees nor does she pay attention to what actually works. Many long term employees quit because of the major shift in company politics and poor management from the top. The EMS academy is rated very high and is fantastic, but they advertise it as a “separate entity” but you can only do your clinical rotations at Grady facilities and ambulances, meaning if you are terminated for any reason, you are kicked from class regardless of merit and have to then pay the tuition. All that being said, the only thing Grady is good for is the experience you gain. My recommendation is work 1 summer and bail on them before they bail on you. 

A typical work day at grady is very busy,  a nurse's focus is to deliver optimal care to the patients; the team work well together. I was a float nurse working from the nursing pool staff department, so I worked throughout the building, as an lpn nurse some of my duties included: draw labs, run iv abt medication, monitor blood infusions, monitor vital signs, hour rounds on patients, intake and output, heparin drips, draw specimens and cultures, administer injections (ex) Im, sub q, suctioning, run feeding tubes, tracheal tubes, naso, endo, drainage tubes, 
 Foley tubes, monitor chest tubes drainage systems, do time out procedures with md surgeons, monitor/document lines and drains, intravenous administration, pain management, wound care, patient care, transfers patients' patient assessments. I have worked in the client pods, the burn unit, labor and delivery, med surge units, cancer unit, immunology units, renal clinic, cardiac, gastroenterology unit, orthopedic unit and respiratory unit. These are some of the things that I learned how to do. The management team was good, they always kept the nurse up to standards and compliance. The workplace culture was always a professional setting. The hardest part of the job was resigning in April 2014 so I could go to back to school for my rn degree. The most enjoyable part of work was honing my skills at GMH, giving my best effort, caring for my patients and helping the team.

Every shift is busy at Grady Mental Health. The patients are typically extremely mentally ill, and you see nearly every mental illness depicted in the DSM. 

It is not for the faint of heart. Some patients are aggressive/violent. 

There are some truly great individuals that work at Grady. Nearly all of the mental health clinicians are extremely knowledgeable and those on the crisis intervention side have been practicing for several years and are therefore a wealth of knowledge. Likewise, the substance abuse counselor on CIS is extremely knowledgeable and very skilled. At the same time, the majority of MHTs are very friendly and helpful. Unfortunately, some of the employees are apparently burned out and/or suffer from their own mental health problems. As far as management, the directors are very knowledgeable and have a lot of experience. In my opinion, one is much more approachable and easier to talk/work with.

The hardest part of the job: Not always having a working computer/place to work, disorganization/confusion, danger associated with patient population, a few "bad apples" in the employee pool

The most enjoyable part of the job is helping the most vulnerable/ill patients in Georgia. Ability to have a broad range of experiences, the majority of staff

Outstanding communication and interpersonal skills with superior accuracy in obtaining patient history, charting and order documents
	Adept at managing multiple and diverse task simultaneously
	Scheduled patients appointments and maintained physicians templates
	Self-motivated and focused; comfortable working independently with ability to balance priorities accurately while working under pressure 
	Solid administrative and referral experience including assessment, referral, treatment and healthcare education for patient
	Possess the ability to function effectively as a team player as well as work independently to achieve objectives
	Demonstrated proficiency in taking patient medical histories and vital signs as well in performing venipuncture’s, injections and various diagnostic procedures and ancillary test EKG’s chemistry, hematology, urinalysis and admission preparation 
	Verified and per-authorized procedures, exams, and surgeries for patients
	Assist physicians with flexible sigmoidoscopy 
	Perform Accuchecks and Clienttell for labs results
	Provide periodic emergency room support and assistance 
	Lead Clinical Assistant 
	Lead EKG Technician

A typical shift would be 12 hours to 13 hours and its all about multi-tasking meaning you have to answer phones, watch the logs on both screens for patients being admitted, making sure all information is complete in the chart in the system. Also, taking notes, messages, giving daily or nightly shift reports. Assigning doctor's team to each patient being admitted which means logging all data for each emergency doctor teams. I also assist in giving co-workers breaks for lunches by covering their stations on whatever floor their assigned to for the shift.
You learn to work as a team and to do all work assigned in your shift no matter the issues at hand. When issues come up you have to find a solution and apply it and rely on your hands on training as well as your common sense because there is no one to ask for help because the managers and supervisors don't know how to do the job, work the system for admitting teams and patients, and also managers don't train their employees. This company has special trainers for each department for each grade position that posts.
Each day and shift is different and nothing is the same except computer entry procedures for admissions of patients

i work night shift so a typical day at work is pretty systematic. the nurse patient ratio varied but i would arrive n the unit take bedside report on my assigned patients, introduce my self and discuss medical care goals of the patient and multidisciplinary team. I would then begin addressing any imediate needs of all my patient while rounding. after that review patients chart more in depth to verify all orders have been carried out and clarify any unclear orders for each patient. Everyday presents a new opportunity to learn. this was my first nursing job so i learned all the basics about being a nurse from policies and procedures to management of disease processes and critical patients. most of my co-worker were young were in my age group so we got along pretty good. lack of teamwork was never an issue on the floor. hardest part of the job was when the nurse patient ratio got extreme. 1:5 or 1:6 with 2 of thoses patients being of ICU status. the most enjoyble part of my job was the patients getting to know them and being able to help them.

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