registered nurse

registered nurse ii

patient services representative

patient access specialist

medical assistant

Onvida Health

The unit I worked on was labeled tele/obs but it was more than that, especially in the winter. This is the only hospital in Yuma, Arizona and the population in Yuma more than doubles when winter comes to the rest of North America as Yuma might have some chilly nights but generally the highs are in the 60-70's. Because of the influx of winter visitors  emergency room gets slammed with patients that have no primary care physician. The warm weather also welcomes the homeless, many of whom have psychiatric issues so during the winter season the tele/obs floor becomes a med/tele/psych/detox/obs/inpatient floor. A typical day has you admitting and discharging multiple patients. at times having multiple full team turn arounds.  The hospitalists are just as busy as the nursing staff so it is important to stay vigilant in regard to lab results etc because the doctors are counting on the nursing staff to catch any abnormal results. It was also necessary to stay on top of doctors for orders that are needed, especially when the hospital went live with EPIC and some orders were no longer automatic. Such as when a patient was admitted to tele/obs they were not placed on telemetry without a telemetry order. I don't know why the box wasn't check marked when the admit was for a telemetry bed.   When the winter visitors are scheduled to arrive the winter staff is scheduled to arrive. These are either Travel staff or Winter Workers and are generally the same staff that come back year after year and all are happy to see familiar faces.   The staff there are great. All are willing to give a helping hand when asked.  The most enjoyable part of my job was the job, the taking care of the patients. I loved working with other team members to ensure my patients received the best care possible. I loved floating to other floors. Hospital management take the responsibility of being the only hospital in that corner of the state seriously. Leading specialists have be brought into the city and treatment centers, such as the cardiac and oncology centers are cutting edge. Many hospitals have tuition reimbursement but I was impressed by the attitude at this hospital where so many of the staff took advantage of the program and helped each other out with classes. It was great to see people come in to start work at the hospital in entry level positions with few English speaking skills and slowly work their way up through the junior college to get their RN and be in the BSN programs. I have only one negative to say about my stay there. I think that directors should have to answer to someone especially when the medical director's response when discussing this person  is "stay away from her".  I have had two surgeries at YRMC and I think it is a good hospital to be a patient in and a good hospital to work in.

Needs to concentrate more on patient care and let personal issues go. They are minute compared to the job at hand. Accept people when they are good at a task, and not be negative towards what a person can do. If someone does not understand something? You teach them in a different way, not accuse them of trying to talk their way out of something. How does that benefit the patients? It doesn't!
Check yourself at the door no just for patients sake, but for the ability to work with co-workers as well so your personal dislikes don't stop one another from working together for the sake of patient care.

A typical day at work is taking care of 13-14 patients at once. The phones we had with us to call each other when needed was not always working or they never answered when needed. The management at the time was poor. If a negative situation happened between two employees, the supervisor would send one the persons to the other to talk it out with no supervision of the conversation. She never did her job correctly as a manager should have. There were many glitches in the EPIC system, and tech support was no help. I would sign in to my name and many times someone else would pop up. I unfortunately never realized it until too late. It would show my name when I signed in, then the computer changed to someone else's account . I tried many times reporting this, and got told that nothing can be done about this issue unless more then one person complains of a similar problem. They need to correct this line of thought.

On this Job, I did learn phlebotomy, how to remove IV's, Folley's, and take stool/urine samples. I also learned how to do finger sticks which is checking the glucose levels of a patient. I learned how to transport a patient from wheel chair to bed, gurney to bed, and the different ways to transport a patient from bed to bed.
There was also lunch breaks where I've had to watch the whole floor as a CNA while other CNA's went on break. A whole floor can count up to 30 patients. The hardest part was dealing with malfunctioned phones when communication was needed, dealing with uncooperative co-workers when help was needed, and having others disappear on you when after they said they could help you.

The most enjoyable part of the job was actually the patients, and lunch breaks. I also loved phlebotomy, and documenting. I also had learned many other skills while working there. I never got to turn in my skills check list, but I have learned these skills as mentioned and singed off on them.

Challenges: Highly dysfunctional organization. 5 CEO'S in 5 years; transitions between CEO'S led to multiple new Director positions being created expressly for specific staff members without the benefit of job postings or equitable opportunities for staff not on the "highly favored" list. This was (sadly) a deliberate strategy. In contrast, other staff must endure greuling interview "panels" for some roles. And this is all during a hiring "semi-freeze". Very inconsistent application processes.

All Vice Presidents are new in their role, and 80% came from outside this city prior to being named to the role...bringing more outside staff in to implement new processes. This is another example of appointing "who-you-know" to highly paid roles without benefit of due diligence and equity in opening those new positions for current qualified staff to be considered. Total disregard for standard Human Resources Best Practice: Know a Vice President at YRMC? Step right up to get a job created JUST for you...at a very nice salary!

Meanwhile, loyal, quality staff are told employee benefits and salaries represent a drain on the organization...and to focus on LEAN processes. Those same decision makers ensure there is no room for staff who choose Yuma full time (weekends included), whose families live here, (not out of town or out of state), who choose to make a real difference in their free time in the local community...with no fanfare, but because they are grounded here. With 1500 employees, surely there are some worthy of an opportunity...sadly, they will never be given the same level of support beyond "lip service".

Here is a thought: stop making up highly paid titles and job descriptions for your own minions! Evaluate / Analyze your current talent pool and make strategic decisions based on the experts you already employ, who are committed to the organization and local community.

A typical day at work:  Subjected to mal-treatment on a daily bases, they perform “witch hunts”, very retaliatory and prejudicial. Population is 99%  Hispanic, and they are very confrontational in front of patients, peers, family and visitors, if you are not core staff.  What I have learned:  Travel and Seasonal RN's can  easily be subjected to some form of license infringement, due to their "witch hunts).  Management:  Or the lack thereof, Unit Nurse Mgr, and Unit Charge nurses, are extremely corrupt, no professional courtesy or respect.  New graduate RNs with ONLY 1 yr experience is more than likely placed in Charge Nurse roles, and have no idea as how to Supervise or manage a unit, they act like children when questioned, and report to upper mgmt when they are asked to rationalize a decision they made, and report you for being difficult without as much as a discussion in regards to the situation at hand. The Unit Manager, same mind set.... doesn't give you an opportunity to state your side....the write up is already prepared, "JUST NEED YOUR SIGNATURE," unit mgr exclaims!
Workplace culture is very cliquey, clannish, and rigid.  The Seasonal or Travel  RN can be swamped with their patient load, which is always six with the highest acuity.  The hardest part of the job,
Charge Nurses (inexperienced) will not assist you themselves and allows the CNA's to blatantly refuse to help non-core staff, they will ABSOLUTELY  NOT intervene. Additionally, will verbally  reprimand and belittle you at the Nurses station, very accusatory without collecting facts.  Equal opportunity and fairness......not a chance if you are NOT of Hispanic decent. I really don't mind being corrected, scrutinized, or disciplined if warranted,  but do expect to be treated fairly, privately, and with respect. Everyone is so deserving of professional courtesy! 
The most enjoyable part of the job:  Excellent housing arrangement!

This was the worst places I have ever been employed, and I have worked as an RN at several hospitals in numerous states. The ER is a joke! New grad nurses are hired and poorly trained then allowed to be on their own to take care of patients and at times perform "life saving techniques" without supervision. The physicians for the most part are lazy and have some of the worst attitudes I have ever witnessed. They couldn't care about patients and leave it up to these brand new nurses to recognize when a patient is deteriorating. 

Management is a whole other issue. It's a disaster! Most of the management is more worried about their friends and taking lunch breaks than their staff. The level of unprofessionalism is astounding. If you stand up for yourself or aren't a "suck up" then you will most definitely be targeted. They ignore real issues with employees but will easily write someone up for some ridiculous charting error. I have never witnessed gossip and high school drama anywhere like I did at YRMC. 

If you were forced to work at this hospital I would never recommend anyone to work in the ER. You're putting your license and sanity at risk. They can lie about changes that are being made to better the environment and staffing issues but it will never change. You can build a new ER and make claims to improving patient to nurse ratios and staff attitudes and behaviors but bottom line is if you don't hold people accountable and set an example as a professional nothing will ever be improved. 

Please don't ever work at this place or take ANYONE you care about to that ER!

The numbers for covid are largely over- inflated. Most cases in Az come here from Mexico or California. Rule-outs and confirmed patient cases placed in close proximity (at times in same room) and staff encouraged to preserve PPE (gowns and face-shields) for multiple shifts, facilitating the spread of covid amongst all patients who come in contact with. YRMC makes every attempt to deny origin  of infection for staff that is infected with covid, in efforts of waving all liability from self and justifying denial of paid sick time off for staff the is infected. Patients who test positive are mismanaged medically, because government compensates hospital at higher rates if; covid dx on chart during admission, covid patient on ventilator, and covid reflecting as cause of death.Always budgeting and cutting employee benefits. Patient quality of care diminished, equivalent to a 3rd world slum hospital, do to always being understaffed and trying to always get by with the bare minimum- set up for failure with no acknowledgement from management in this area. Bedside staff encouraged to conduct unsafe, unsanitary practices (such as preserving same disposable tympanic prove cover for duration of hospital sta) placing patients at higher risk for aquiring hospital infections. onspreserving.tympanidEmployee pay incentives (peak/surge pay, shift differentials)  no longer offered

My typical  work started with educationg my self with the patient conditions on the floor and the staff that were scheduled with me. As a charge nurse and a floor nurse, I felt this was a vital step in the preparation of my shift. Having working with many coworkers for ling periods of time I was able to bank the knowledge of many staffs strengths and weaknesses. Just prior to arriving on the floor for shift change, our shift huddled. A quick 5 min briefing of what was going on, on the unit and the opprotunity for stafff to voice any concerns they may have had with the staffing, or their level of skill against their documented assignment. Most often changes were made, and made with all in agreement. That piece of being able to vocalize concerns prior to hitting the floor was vital in the productivity and moral of the shift as a whole. I have learned a vast bank of knowledge both professional and interpersonal, having the closeness of a unit atmosphere. The medical resources each individual brings to the table are so diverse, the wealth of knowledge from just exploited experience exchanges is wonderful. Then on top of all that, continuing education, provided by the facility was tops. The goal was to become a cutting edge, knowledgable facilty. For that to happen, the staff has to be educated ten fold. The opprotunities to learn were vast and well taken advantage of by all. My interaction with management was minimal one on one, with the exception of my unit director.

I don't normally work travel contract (I'm an RN), but a few years ago was forced to when I wrecked my car and needed some quick money.
I took a 13 week contract at Yuma.
WORST MISTAKE OF MY LIFE.
The doctors own the hospital, they couldn't care less how long patients wait, and they treat nurses like cattle.  Once patients are admitted, it's typically a 12 hour wait for a floor bed.  Since it's the ONLY hospital for 2 hours drive in any direction, the people in the area are FORCED to go there.
About 2 weeks into the contract I commented on a FB post, and people in Yuma didn't like what I had to say.  Enough people didn't like it that they complained to the Medical Center, thinking I worked there (I didn't mention who I worked for, but they assumed)... 
Within 8 hours, my contract was cancelled. But that wasn't the worst of it.
They released my NAME AND CONTACT INFO TO A REPORTER, who immediately wrote an online "expose" on me.
I quickly found myself unemployed by my regular job as the "expose" found its way to AZCentral.
Right to work state, they don't need a reason to fire you... except they don't like the fact that you have freedom of speech.
I understand THEY had the right to fire me... but they did one better. They TRIED TO RUIN MY CAREER.
They TRIED TO DESTROY MY ABILITY TO GET A JOB ANYWHERE, FOREVER.
Watch your back if you're considering working there for a single second. 
You may find it's the last time you work...
ANYWHERE.

Excellent customer service,Count, label and package prescriptions,Inventory control,Log copy processing,Maintain cleanliness of pharmacy,Ensured customer satisfaction, Worked in a fast-paced environment based on urgency, Operated Med Carousel and Rx Robot & Pyxis, Delivered Meds to entire Hospital (300 + beds), Credited & Returned medications from patients, Dispose of waste correctly,Charge sheets, Prepped and delivered PCA’s, Restocked crash carts, Pediatric crash carts, Intubation boxes and Eye care boxes

I learned to delegate responsibilities and work fast!

Management was great! They were very informative, flexible and fun to work around.

My co-workers were awesome as well! They informed me of tips, tricks, and methods to make my job easier and more fun!

The hardest part of my job was adjusting to the over night hours; however, I over came it and enjoyed it!

The most enjoyable part of my jobs was knowing I helped the patients in some way (just behind the scenes.)

Work is the cornerstone of human society, encompassing a vast array of activities undertaken to generate income, contribute to societal progress, and fulfill personal aspirations. It encompasses various sectors, from agriculture and manufacturing to technology and service industries. Work provides individuals with a sense of purpose, financial stability, and opportunities for personal growth and fulfillment. It plays a pivotal role in shaping identities, fostering social connections, and driving economic development. However, work can also pose challenges, including stress, burnout, and inequality. The nature of work is continually evolving, influenced by technological advancements, globalization, and shifting societal norms. As we navigate the complexities of the modern workplace, addressing issues such as work-life balance, diversity and inclusion, and the impact of automation becomes increasingly important. Ultimately, work remains an integral aspect of human existence, shaping both individual lives and the broader fabric of society.

Top Job Titles	Average Salary
Registered nurse 16 salaries reported	$44.71 per hour
Registered nurse ii 46 salaries reported	$51.06 per hour
Patient services representative 18 salaries reported	$18.40 per hour
Patient access specialist 20 salaries reported	$18.40 per hour
Medical assistant 18 salaries reported	$26.19 per hour

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