registered nurse

medical assistant

care assistant

physician assistant

Marshall Medical Center

It is drilled in us that “patients come first”, but the company’s actions speak louder than their words. There is not enough staffing to be able to tend to the needs of all of our patients. Take care of employees first so that they can take care of patients. Otherwise, employees become patients and need leave of absences from overwhelm and burnout. Multiple upper management abruptly quitting and leaving existing management spread thin to oversee everything doesn’t make for a positive work morale, becoming dictators and micromanagers. This is not a place I would recommend working at. Outpatient clinics don’t experience the “work family” environment that is advertised as a perk working at the hospital. The CEO does not come to visit the outside clinics and management doesn’t care to really understand the workload. They will hire anyone off the street and treat employees like a number versus valuing them for their individual talents. The pay is not competitive and wages are at poverty level. That combined with the high cost healthcare premiums, many employees still qualify for Medi-Cal. The turnover rate is a statement in of itself as people come and go at high numbers. This is not a great place to work! 

I worked in both inpatient acute care and out patient services with a supervising clinician. I would arrive to the office around 8:30am, check the schedule for the day and prepare for out patient therapy. I conducted therapy for adults who experienced CVA's, TBI's, and various accident's that resulted in aphasia (both receptive and expressive), apraxia, cognitive disorders, and dysphagia. Therapy was 1 hour in duration. After my scheduled out patient appointments I would go to the hospital to conduct bedside swallow evaluations for initial assessments or for assessment of diet upgrades/down grades/management. Also I assessed cognition and language to determine a patients current status and compared it to their baseline. I worked with family members, doctors, nurses, and other professionals (OT, PT) to support the patient in recovery while maintaining proper documentation of services.

In the lab, all employees are prideful about providing excellent customer service in various ways. They do their best to decrease turn around times. They are polite, professional, patient, and thorough.   

Management is transparent when asked to be and does listen to employees. Management do commit to actions.  

Year round there are medical laboratory technician and clinical laboratory scientist students. The students keep the staff competent and kind. Once the students are competent, there is less supervision on their work helping with the lab workload. 

The work culture is united with minimal conflicts between the different shifts. Teamwork is highly encouraged and facilitated. Like all work places there are a few rotten eggs, but will focus on the work and stay professional.

To many negatives to counting to work for a greedy company who find loop wholes so they don’t have to give things to employees. Constant retaliation for being injured or sick. Not enough PTO given. PSL is looped into PTO so if you don’t have PTO no hours to use for PSL.when it comes to patients they want they absolute best care. When it comes to the individuals taken care of said patients they don’t treat them well enough to go above and beyond everyday. And the benefits suck if you go to an outside doctors office. Other than Marshall you pay very high co pays. If covered at all. They took away pensions or retirement I don’t recall. They are all about cutting corners to save money. And in turn screw their employees. They suffer that’s why I deceived to separate from this organization. It’s was once a great place to work now they can care less. 

In the 16 years of nursing I consider had advanced my self a lot, gained lots of knowledge, new tools  and to use , tests to perform on my pt, I do have strong back ground especially on wound care and the use of Wound Vac, my typical day start from office or log in remotely from home to know my schedule, i call my patients inform them with time frame visit, and drive from one to another, giving each patient the time it needed, perform medication teaching, wound care, vital sings  communicate with doctors as needed, very much I manage my work day, I do enjoy my profession, I found when I am under stress and over loaded with patients I perform better, wound care it is an art for me.  We do have monthly but lock, Holidays party, job atmosphere  was like family, all team members care for each other.

What is the best part of working at the company?
Some of the people there are very nice and have been there for a long time. Sadly, this is both good and bad as anyone could guess. 

What is the most stressful part about working at the company?
The benefits are horrible as is the administration who have all been in their roles forever with most of them not being qualified for the positions they are in. 

What is the work environment and culture like at the company?
Very toxic and full of nepotism. It’s a complete set up for failure for anyone new coming in from the outside. There’s no support. 

What is a typical day like for you at the company?
Putting out fires every second of every day and rushing around trying to stay compliant for basic quality patient care.

What is the best part of working at the company?
The best part of working for this company is that I work with a great Doctor. 

What is the most stressful part about working at the company?
The lack of communication and organization. Having to perform the tasks that should really require two people.

What is the work environment and culture like at the company?
Work environment is cliquey depending upon which department you work in. 

What is a typical day like for you at the company?
Busy but rewarding in regards to being able to provide the empathetic care that the patients deserve being as how this is mainly an elderly population that are being treated.

I love working for Marshall the opportunity for growth with supportive leadership has been key to my longevity. But there has been a shift in the wind and the air feels turbulent. I’m afraid loyal employees are getting the short end of the stick. I hope this passes and we can get back to singing kumbaya during team meetings soon. I respect our leadership to make the right decisions and begin to prioritize the boots on the ground staff that make things happen. Seeing our co-workers laid off, minimal pay raises, negative changes to retirement, and freezing PTO is giving major negative vibes and waving big red flags. How can we put patients first when we are worried about the future of our jobs. 

The employees are all hard working and have a 'can-do' attitude.
They push through diversity and issues to get the job done by going above and beyond.

Middle management is good.

Upper management could benefit by relinquishing control to their Directors.

Upper management should take more time to really listen to concerns and high risks brought to them and make executive decisions based on that feedback; instead of trying to interject themselves into the 'daily-process' in the attempt to "fix" the problem which only causes more disarray to the situation.

Marshall is unique in that it is the only company to service patients between El Dorado Hills and Lake Tahoe.  However, management is awful and the employees that have a good work ethic continue to get more work added to their pile while other employees get away with doing the bare minimum.  Working here was a high-stress toxic environment. Also, they finally gave company-wide pay raises but only to turn around and start work reducing employees. 

Top Job Titles	Average Salary
Registered nurse 6 salaries reported	$66.83 per hour
Medical assistant 4 salaries reported	$24.97 per hour
Care assistant 3 salaries reported	$21.33 per hour
Physician assistant 1 salary reported	$191,000 per year

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