registered nurse

nursing assistant

registered nurse - emergency room

special procedures technician

registered nurse - catheterization lab

Henderson Hospital

The management in my department was amazing, they were very kind & accommodating. They were genuinely good people and really allow flexibility with schedules.

However, a lot of their processes are broken. Two/three techs are expected to run the lobby no matter the patient acuity, which can be nearly impossible and creates very long wait times for patients. And if you don’t get to the labs/EKGs fast enough, you’ll get scolded by the clinical supervisor when something goes wrong. If an EKG takes more than ten minutes to complete, from door to doctor, it’s the techs fault because “we didn’t complete it fast enough.” Their manning issue becomes your fault, and it’s your fault that they are not staffed appropriately for the patient acuity apparently. 

Another bad side is that emergency room techs just don’t get paid enough. Some of us had years upon years of experience and bring a lot to the table, but the pay does not reflect that. As a PRN tech, pay starts at $20/hr +$3 extra per hour as a per diem tech. Pretty sure Costco cashiers make $23/hr starting. With years of schooling under my belt and a lot of medical experience, $23/hr really just doesn’t cut it. We were always BUSY, all the time, and get ran into the ground.  Techs and nurses deserve better pay, especially with the rising cost of living in Las Vegas. 

There are nights when you can have great team work, but on the nights you’re not part of the “click”, you’re left to work without help and set up to fail. As a nurse, that’s the worst place to have that work environment. If you ask questions, because it’s the safest thing and the right thing to do, your coworkers talk about how dumb you are for asking. There aren’t any policies, just guidelines. The guidelines are for the hospital to throw you under the bus if you follow their guideline, but you should have done something different (like when the guideline isn’t current evidence based practice)
The hospital is constantly out of supplies. Not because of COVID, it’s been happening since it was only open for a year. Management wants you to tell elaborate lies to keep patients happy, because they don’t want to spend extra money. If you work extra to help your unit, management will find every loop hole to make sure you don’t get an incentive, but management will pay big bucks for travelers who don’t work nearly as hard. 
This place is a joke.

Three patients per nurse is practically a daily occurrence in the ICU. Nurses are left to provide full care to their patients and sometimes you have to beg another nurse who is just as busy to help you with tasks. Nursing assistants are nonexistent. Meal breaks are not scheduled, you have to count on a fellow nurse to watch your patients while you wolf down a whole meal in minutes. The medical staff here make questionable decisions regarding patient care. Staff can be cliquey, and favoritism is covertly practiced. Too many new grads without floor experience. Running out of basic supplies such as saline flushes is a commonplace occurrence.

Toxic work environment, upper management does not support anyone who thinks differently, or attempts to improve workflow, productivity, or communication within the facility. If you're the type that keeps your head down and doesn't speak up. This is a great fit for you. If you believe in a supportive, forward thinking, team-oriented environment, I'd say keep looking. HR is filled with a tyrannic approach to dealing with anyone. They are not interested in coaching, providing feedback or encouraging growth. Employees are viewed as expendable at the drop of anything they deem inconvenient. Staff are not treated equally. If they decide to like you, you're safe and can get away with anything.  If they don't like you based on biases. Even if you're a good employee-on time, does through work, and who helps improving things, you're history. High turnover.

The ICU as a whole is supportive and everyone looks after each other. Knowing that no job will ever be perfect, having the confidence that those you work with on a daily basis are there to assist in all aspects cannot be overlooked. The team first mentality that is always on display can directly be associated with the managers and clin sups who run the unit. They have created a work environment unparalleled to any other. With that being said, the biggest concern and hurdle is that of ratios, and how staff are often being overworked. This has led to losing some amazing nurses and a higher than average turnover rate. Should that be addressed and fixed, the retention of the most qualified RNs would surely come to fruition. Ultimately resulting in a better and safer unit for both staff and patient.

Pros:
Most of the staff on the floor truly tries to support each other under abysmal working conditions.
Ample parking space due to the hemorrhaging of staff.

Cons:
Everything and anything else.

I can't say enough how much this place has contributed to the deterioration of my mental and physical well-being. Constant 7:1 assignments with no charge nurse. Empty promises from administration. Low compensation. All the staff on the floor do their best to help you through it, but honestly none of them deserve the stress that they're being put through.

My advice? New grads: DO NOT sign that contract. Look elsewhere. Preferably somewhere unionized where you actually have some power. Nurses with experience? You will get paid much more handsomely pretty much anywhere else with much lower stress levels.

What is the best part of working at the company?
The HR department is expeditiously with the onboarding process. 

What is the most stressful part about working at the company?
Being hired for the primary floor but when you arrive for your shift, they float you to an unknown floor!!!

What is the work environment and culture like at the company?
A lot of cliques, favoritism and sadly discrimination and political issues towards employees. If you speak up, they try to terminate you 

What is a typical day like for you at the company?
Unfair. Teamwork isn't good. Night shift is never included within day shift activities. They make you CPR every 3 months, even though we're all certified.

Want to get tripled in ICU every day? Want one to be a crashing patient with j.e.s.u.s as the next presser and still have 2 other patients that you can't get to? No CNAs? Maybe a fall or two because you couldn't get to your other patients? How about 14 hour shifts with no lunch breaks? Would you like your urine to look like the color of tea at the end of your shift because you didn't even have time for a water break, then at the end of all of it, you get reprimanded because your charting isn't immaculate? Look no further! You have found the place! We will welcome you with open arms because we're so short staffed, while pick up bonuses are removed because we're "not all tripled yet". Can't wait to see ya (;

What is the best part of working at the company?
Charge Nurses,manager and Director are great, They are all working for the good of the department and most of all listens to my concerns.

What is the most stressful part about working at the company?
I don't see any stress on my job, all I know is I love going to work and I have so much passion on what I do. I look forward caring for patients.

What is the work environment and culture like at the company?
My work environment is full of staff that are nice, kind  and very diversified. I can say a very positive and satisfying environment .

What is a typical day like for you at the company?
Busy but working with nice people makes it an easy day.

We’ve had 3 DONs in 2 years, and our Department Manager just left abruptly. There is very little communication, especially if you work nights. Breaks are often missed because of staffing problems. Shifts are canceled last-minute, or staff is cut once they arrive, because no one followed through to cancel them ahead of time. Patients are unruly, and security is poorly staffed, poorly trained, and unarmed. It has been very chaotic through the pandemic.  It still is, even though census is normalizing. We’ve had injuries from patient assaults, sometimes because the management hasn’t backed up a nurse, even though she spent way-more time with the patient.  It’s not a very safe workplace, in my opinion.  

Top Job Titles	Average Salary
Registered nurse 17 salaries reported	$43.66 per hour
Nursing assistant 3 salaries reported	$17.00 per hour
Registered nurse - emergency room 6 salaries reported	$53.09 per hour
Special procedures technician 3 salaries reported	$48.10 per hour
Registered nurse - catheterization lab 2 salaries reported	$51.21 per hour

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