registered nurse

registered nurse - icu

registered nurse - emergency room

registered nurse - operating room

registered nurse - medical / surgical

Madera Community Hospital

A typical day at work involves me answering phones to schedule radiology procedures, address patient questions, as well as help correlate procedures with nurses/doctors and technologists. When there is an outpatient, I to the admitting department to retrieve their order and bring them back to the department to prepare them for their exam. I take that order, enter it into Meditech (the hospital's system), check for prior exams that can help the doctor when he reads it and print them out. I then take the orders, requisition for the exam, any previous exams of relevance, any other patient documents and scan them into the NOVAPACS system so the radiologists can read the images with all the patient documents. Apart from this, I am also a patient transporter for all inpatients,emergency room patients, and outpatients for the radiology department. This requires that I have knowledge of body mechanics, IV machines, chest tubes, NG tubes, oxygen delivery devices, and any other monitors and patient care devices. The knowledge of airborne and contact precautions is also needed when necessary. As an assistant, I also assist the radiologist and technologists with contacting our patients' doctors, as well as pull previous films for the radiologists as needed.

As an employee in radiology I have learned so much, from working a multi-line telephone to giving proper patient care and protocols for radiology. 

To be honest, the management to me is one of the harder and frustrating pats of the job. The director of my department has told myself and my fellow coworkers that also hold my position that we are underpaid, yet won't propose we get a raise. He also has told us on more than one occasion to look for other jobs because this position we have is not a good one pretty much. Its also frustrating too to see coworkers who have the same job title description as me, and not have to do the same tasks I do. 

My coworkers, along with the patients, are what get me through my day. Together we encourage each other and work together to get the job and tasks done for the most part (excluding those I mentioned above).


The hardest part of the job for me is seeing some patients in such pain and there's really nothing you can but comfort them.

The most enjoyable part of my job is knowing that your playing a small part in the overall care of a patient. Sometimes I'll see a patient I interacted with, be it on a transport or as an outpatient getting registered and they tell me that I made there experience at the hospital that much better, to me that makes my day.

Job Responsibilities.
Nursing assessment, med pass including start IV,gives IVmedication, GT feeding, treatment, Nursing care plan, nursing care, Tec care, giving breathing treatment, Check vital signs with O2 Set, care of Pickling, skin assessment, checklabs, drow labs, input and output, mandatory meetings, documentation, customer service, supervise co-work with CNA and other staff members, and admission and discharge teaching documents give Presentation during mandatory meeting, teamwork with other staff members, passing food tray during breakfast and lunch feeding to patent and help out to CNA.

Mother and Baby Responsibilities.
Mother of breast milk, teaching how frequently to feed the baby, check vital signs, giving medication like IV and PO to mothers, receiving C-section in OR, check lab results, treatment, attend preeclampsia, attend all classes as a work requirement, interprets for foreign language speaking patients, providing interpreters for patients that do not speak English, attend mandatory meetings, nursing care plan and documentation, help mother fill out birth certificate, customer service, supervise and co-work with CNA and other staff members, and admission and discharge teaching documents.

Baby: Assessment of babies, check vital signs, skin assessment for jaundice and other skin problems, check lab results and follow up as a protocol, assess baby during breast feeding, assess latch position, suck and swallow, monitor baby input and output, teach mother how to change diaper and how many diapers should be wet and dirty per day, IV for baby, IV medication, care of IV heparin lock, nursing care plan for baby and documentation, good communication with mother, admission for baby, teach about baby safety at home, take care of babies who’s mother who do not have prenatal care, and goes to mother when there is any problem and regular check up as protocol.

When i first started working it was a cold environment and individuals worked alone and for themselves. I was able to turn our shift and area around more team work and family environment and soon everyone wanted to work our shift. I would say in 7 years I worked here was my best work experience of my life. I left cause the raises were at 1% and the new management wanted people with no experience in patient care to care for patience with huge/dangerous issues and I felt unsafe and unsafe for patient. HR at this time was rude and unprofessional was basicly told get with programs do the unsafe stuff or leave so I opted to leave. Coverage is bare minimum always you may get called off if census is low. They will pay for schooling for advancement but you are contracted to work with them. They pay lowest wages in our area.

Management was horrible. I worked as a housekeeper for the night shift. I was trained but impartially because they were short staffed. I did not know how to do certain things and some staff did not want to help but were just being lazy and would rather things not get done. The manager would talk as if she wanted to increase communication but when we would have meetings they were practically ran in Spanish because most workers were Spanish speaking (except for myself and a few others) this is widely unprofessional. Spanish is supposed to be spoken to clients only. But I didn't understand a meeting I was in that is supposed to help me be better at my job because they were speaking Spanish with no regard to anyone else. The supervisor would also speak Spanish back to the staff so that didn't help. There is no way their interviews were in English.

I really liked this job at first until I was told to do things that weren’t in my job description for weeks straight and the majority of the weeks after that. Instead of hiring more people for the position needed, they utilize other workers that already have a job. Management doesn’t accommodate to part time/full time/per diem status changes, care for employees’ reasons for wanting to take a leave of absence, and will sometimes deny people their breaks. Some days are slow, some are busy, depending on patient acuity. Full time status felt like having no social life outside of work. 

I worked here for so long and I have really seen the culture of this place really go downhill. I was always really scared to lose my job so I always strive to do my best but it never mattered as you always feel like you are easily replaced. I infact did succeed and stayed working there for years and recently our department had a huge change in management. The work place became toxic and it seemed like it was us (coworkers) against management. Management always trying to please the Politics of Administration. When covid hit we got zero help. We had 10x the work with the same amout of staff, and we just had to make it work. Micromanagement became an issue and I had enough because we are so underpaid that it is truly embarrassing. 

Dont do it. 
The patients need this hospital and its services, unfortunately it is not worth risking your hard earned professional license over. Preceptors are travelers- who are generally knowledgeable but couldn't care less about this place or you. Not enough experienced staff to feel safe or able to ask questions as no one there will know the answer, and that includes most of the providers. Would not start there as a new grad, as many have, because you will be overwhelmed and poorly precepted leaving the patients and your license vulnerable. Majority of staff is cliquey and rude which helps the patients receive the best care how??  
Seriously, dont. 

A typical day at work is very stressful they expect you to do jobs that is not your duty. Poor communication. You only get higher pay if you are family of the head of the hospital. There is mostly family of the ceo that work altogether. And are the ones with higher pay regardless if certified or not. You get constantly write ups warning etc. The hospital needs new management. Left the job didn't like it after working for 3 years I left it. You will get in trouble for any little thing. There is nothing enjoyable working for this company. Employees don't work comftarble due to the pressure your in and the constant fear if your doing you job right or you get a little mistake done. GOOD LUCK IF YOU WORK FOR THIS MANAGEMENT.

The management as a whole is not very willing to assist the employee in advancement within the company. Employees are expected to be team players required to take on more tasks with no pay increase and as an opening comes available promotion from within is usually not available. Employees working in a department for years have been passed over as an available position is filled with an outsider.
The benefits are good and more than not the co-workers are great advocates for each other. The most enjoyable part of the job is the seasonal festivities which bring the facility together without departmental boundaries.

There was absolutely no introduction to the business and a very hostile workplace. There were obvious issues between the staff members that were voiced in the presents of patients. No training for positions. New hires were just given equipment and told to hit the floors running.
Hazardous materials were not handled correctly and infection control was a joke. Managers left the property during work hours to conduct personal business while on the clock and used phones for personal use as well.. There was no rhyme or reason what so ever.
There was actually a physical altercation between the lab supervisor and a tech in front of patients!!

Top Job Titles	Average Salary
Registered nurse 2 salaries reported	$50.50 per hour
Registered nurse - icu 3 salaries reported	$53.96 per hour
Registered nurse - emergency room 9 salaries reported	$54.04 per hour
Registered nurse - operating room 3 salaries reported	$52.78 per hour
Registered nurse - medical / surgical 3 salaries reported	$52.06 per hour

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