registered nurse

nursing assistant

registered nurse - telemetry

patient access representative

unit secretary

San Antonio Regional Hospital

Although this hospital is extremely travel-friendly and provides adequate orientation, I advise you to proceed with caution before accepting a contract with this hospital.  Staff are friendly, helpful and welcoming, but I would not extend or renew a contract at this hospital based on my experience.

First, near the end of my contract, I discovered I had been shorted precisely 1/2 hour each week from my pay.  That is DOUBLE-TIME money that neither me or the travel agency has received.  It was frustrating and time-consuming to go back and compare my paystub to my timesheets to work through this mess to receive my correct pay.  BE SURE TO TAKE PHOTOS OF YOUR TIMESHEETS WHEN SIGNING IN AND OUT EVERYDAY - it will come in handy.

Second, I came to this hospital at a time where they were revamping their direct-observation unit and it is a disorganized mess at the moment.  I felt like each time I came to work there was a change and it was a lot to keep up with the ongoing changes.  What should be 23-hour and under patient stays become inpatient stays on an observation unit.  It will take time to work the kinks out with the changes and I do not see them being ironed out in the near future - - so please just be mindful if you're hired for their observation unit.  Patients who should be at a higher level of care end up on this floor.  I am not a CCU or ICU nurse and recently had a DOBUTAMINE drip.  This is a life-sustaining drip that requires a higher level of nursing care that this floor does not provide.  I felt several times that I was risking my license each shift.  Patients are extremely heavy and time-consuming for an observation unit.  Please be careful before considering a position here.

Third, I am a contracted travel nurse and had been treated as registry.  Contracted RNs are to float in turn with the other staff.  I was not. I was floated at least 2x each week.  It was in the last month of my contract that thankfully one of the charge nurses noticed that I had been floated way too much.  Coming into work and never knowing if you're to be floated or not wasn't right.  Check the charge book - it clearly states that contract floats in turn with staff, not every shift like registry does.

Watch out for nursing educators who will consistently lose your orientation modules and ask you to redo them.  This has happened to others as well.  I was recently told I'm missing 10 modules when I know I've turned everything in.  With the high volume of registry and travel at this hospital, it's time to find a better organization system so documents that are completed don't become lost.  I refuse to turn in 10 modules that I've already completed twice.  Not my fault.  Shame on educators for losing documents that travelers and staff took time to complete.  I will not be redoing them.  

Again, staff is welcoming and friendly for the most part. There is always the days/nights rivalry which I think is nonsense (we're all in this together), but there are those select few day nurses who try to challenge you and it's ridiculous.  Shift report takes at least 45 minutes.  I was lucky to be out of there by 0745 each morning.

This is by far the best hospital I have ever worked in to include clinical rotation during nursing school.   The floors are adequately staffed about 95% of the time, there are some times that things happen and people call off, but where doesn't that happen.  

The call off procedure is the way it should be.  No pressure to stay on the schedule, nobody guilting you into coming in, if you need the day off for some reason, then it is what it is.  Just don't make it a habit of course. You will be warned if you are getting close to the limit.  

Scheduling is great, because for the most part, you get to schedule yourself.  You of course work every other weekend, but even then you can trade off with someone willing to do so.  

Management is pretty much on top of things and they seem to care about your work/life balance.  They are very approachable and flexible and are willing to work with you to get your scheduling or vacation time the way you want/need it, you may have to do some footwork, but its worth it.   

The workplace environment is like your second home.  There is a family type of teamwork and camaraderie that you get when you work here, not click oriented like some places where you see smaller gossip groups.  From the nursing staff, CNAs, lab techs, even EVS, they all wear smiles. The new hires are treated like they have been there for a long time.  

Two words, unheard of anywhere else, according to my other medical system working friends:  MEAL BREAKER.  You will get that 30 minutes of uninterrupted, state mandatory meal break. 

Pay:  The pay is competitive.  Might not be as much as KP, but they get that money out of you.  There are on average 2 raises a year, your merit raise and a market adjustment, maybe not top dollar, but the low stress environment more than make up for it. 

For NOCS:  The cafeteria is open until 1230am, if I remember correctly, they have short order food at night, pretty good and a decent discount, you can even get your purchase taken directly out of your check if you don't like carrying money or cards.  The staff is super friendly. 

I once spoke to someone about getting a job here, they told me that this hospital doesn't even have a union, and a hospital without a union must have a bunch of happy people working there. Done deal!

I worked for this organization for a decade. I regret giving them so much loyalty, I wasted years that I'll never get back. The acuity here is high and so so many of the patients are non compliant and return worse and worse every time. The social workers don't follow through with anything post discharge. My department was the busiest in the hospital and we would always get worked till some people would literally cry. You will get worked to the bone and will always have little to show for it. It's a constant revolving door of trainees and new grads. You always have co-workers you can't count on and it creates a dangerous environment for patients. My own department management was terrible, they were always pushing for us to do more, faster and with less. The executive management was far worse though, they were constantly stripping away benefits without improving any pay. The best annual raise you could get is 3% and that would never happen because management was expected to provide detailed reasons for any raise above 2%. The health insurance was really expensive and had terrible coverage. When I left my new company offered me a 40% increase in pay with better benefits. Don't waste your time here, you can get experience and learn somewhere else. There is literally no future here and management makes it clear that they don't encourage longevity or loyalty.

In 2008 when I started working in Environmental Services at San Antonio this hospital was fully staffed and had a relaxing feel with no area unmanned and each department was under its own management. Now Housekeeping/ Environmental Services (EVS) is managed by and outside company. In addition, San Antonio has added another tower with 50+ private rooms and are unable to keep up with the demand of our patient flow.
EVS is one of these departments where this demand is lacking. The hiring process seems to take too long. Once hired to EVS, many employees don't stay mainly due to the rate of pay for the job description. The work load is enormous due to being under staffed! Many of the patients are in isolation rooms and the cleaning of these rooms can take up to one hour to properly clean/disinfect. 
This is just my own perception of EVS from the last 9 years.

people you work with are very nice however they are very understaffed and always overworked their employees to the point that we always missed our break in the afternoon. TOO MUCH SAMPLES or patients, BUT LESS staff  is the problem. Management has favoritism, too and only a few of the supervisors are willing to help and cover the bench when one needs to go on break. Having been here for 10years, nothing has changed or should i say, it became worse. Aside from that, they keep on pushing you to your limits to the extent that you feel very tired when you go home, or you are closer to making mistakes because you want to make it around your boss' turn around time and you dont feel like coming in to work the next day. They want a better turn around time, they should add more people and loosen the belt a bit with the turn around time. They should also make sure that their staff gets their break. This is not a place for retirement, you can feel at home with your co-workers but definitely not with the amount of workload they have and the compensation you get.

Great co-workers but very top heavy. It felt as if only admin get acknowledged with raises yet the actual worker gets worked until they can't give anymore with maybe a .50 to a dollar raise. I enjoyed the group of people I worked with, but the support only came from them, never my direct Manager. I had aquaintences who worked under a Director in P. Access. Very toxic environment yet nothing was done when brought to the right people for help.

PTO policy also seemed like you were getting jipped for sick pay. Since it was lumped together with PTO, you were REQUIRED to use it. It was very odd. CA law indicates you should be given 3 sick days in addition to your vacation. Here you had to use PTO for the 1st 3 Days then your sick leave would kick in. No PTO = No pay for those 3 days. So if you got sick 2x within a month, that's 6 days with No Pay. At San Anton, didn't feel as if PTO was being calculated right. 

They put you through the ringer to come a board, ask you to get references from past Managers that their own policies say they aren't allowed to provide themselves.
Director of Department nice, however doesn't have control of department, co workers think they run the place and complain about Director, however they whine about issues that are beyond the Directors controll, very juvenile, not all co workers are juvenile but most of them are. Spend too much time bossing other employees around, complaining about no time off, but spend most of the day talking and having inappropriate conversations, not convinced fellow co workers know exactly what HIPPA is. Co worker found patient chart left in Cafeteria confronted Employee quietly about leaving it there but didn't report it to our director. Not a good feeling about continuing to work here.

SARH will always value money and company first over employees. beginning of COVID they changed the isolations for covid patients based on supplies we had (low n95 amount, so surgicals are "ok") signage now still claims you do NOT need an N95. If you think you're sick or exposed EH will NEVER notify you. RN's lives are not valued. CNO has not been up to floors other than NICU in months and comes at most 1/year even pre-covid. Ratios changed even though acuities are higher on tele. Tele department manager hates having RN's grow into ER or ICU positions. Claimed they could not come onto covid floors cause they were not FIT tested. Profits over people is san antonio's game, however the people you work with are amazing. Most people are there 10+ years so relationships become why you stay. Pay is not great but benefits are. 

I do not want to deter anyone from working here, every hospital has its flaws. This is a good hospital just currently struggling with lack of strong/stable leadership as we went through some changes. I am hopeful in the next year or two changes will be made to improve and regain positive culture/ morale and therefore increase staff retention. I would have stayed with this hospital however I moved outside of a commutable distance. 3 stars is not horrible, i think it just means the hospital needs to get back on track as it used to be 4 stars in my opinion which is great. 5 stars is perfect and I have yet to experience that at any hospital in my career so far. 

I work the graveyard in the pharmacy. So my experience is much different than what the day shift employees experience. I work in a fast-paced environment especially during the flu season. At night there is no rest. There is currently no one there to break us, and we do not take a lunch. They are working on adding a second graveyard position in the near future. The best part of my job is when my coworkers are there. From 9 pm to midnight the swing shift technicians are the hardest working people that I know. I couldn't do it without them. The saddest part is that the management staff has the opportunity to fix much of what we dislike about our jobs. The job could be way less stressful and more efficient if they just took the time to look into the suggestions that are offered by the staff. Especially the technicians.

Top Job Titles	Average Salary
Registered nurse 84 salaries reported	$59.79 per hour
Nursing assistant 93 salaries reported	$25.06 per hour
Registered nurse - telemetry 86 salaries reported	$59.46 per hour
Patient access representative 25 salaries reported	$25.50 per hour
Unit secretary 36 salaries reported	$25.59 per hour

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