registered nurse

registered nurse - emergency room

registered nurse - critical care

registered nurse - medical / surgical

phlebotomist

Tennova Healthcare

Manager at a certain specialty clinic is like dealing with Jekyl and Hyde. You work the hours she gives you then she chews you out when you have overtime. There is no structure. The only thing you can count on is getting threatened with corporate. You are NOT allowed to ask questions to anyone outside the office to get clarity on what the actual policy/procedure is for anything. You are told one thing one day and something totally different the next. Nothing ever stays the same. Manager claims that the doctors talk bad about our job performance. There are so many mood changes from the manager, it’s almost like there are multiple personalities. Any time you are not as busy as she thinks you should be, she threatens that corporate is going to fire anyone they catch not busy enough. There is so much to do, there’s no time for idle hands so her threats are unwarranted. If one person isn’t doing their job correctly, she won’t address the problem. She sends a group email blaming everyone. Stay away from specialty on fourth floor professional building.

What is the best part of working at the company?
There really wasn’t a good part… no diversity, the call was horrible, and when you were on call the Drs would post so many cases and you would be there 16-20 hours easy, and still had to work an entire shift the next day…. The department isn’t managed well at all. The management is ran over by certain staff members… my experience was horrible 

What is the most stressful part about working at the company?
The call….. if you were on call, you were working… not emergent cases….scheduled cases… till 2-3- am and still had to work your 12 hr shift the next day

What is the work environment and culture like at the company?
This hospital works on the “good ole boy” network…… it’s like stepping back in time…. Drs have 0 respect for the staff

What is a typical day like for you at the company?
You may get lunch or you may not…. No one cared if you were hungry or not

6: 1 is the pt to nurse ratio. some very difficult patient, should be in critical care but still they put in floor. There is no transport staff, nurses and tech sending pt to dialysis, radiology, procedure etc.. There is no discharge nurse, sometimes ur doing discharge and somebody in ER is calling already to give report on admission. Hard to contact/call MD. Some have no coverage at night. Few old doctors still send patient as direct admit with unreadable doctors orders in hand and nurses have to put orders in the computer. You cannot use your 3o minutes break,  you have to bring your phone even if having a bath room break. The code blue team works in different dept so they sometimes resent it when you have a code blue or rapid response. There in no IV nurse, they don't have portable ultrasound for hard to stick patients.

The department was constantly short staffed because new hires were coming and going (as if it was a revolving door.) I rarely saw the actual manager. She was in a different area of the hospital on a different floor. The department was ran by a couple of young, immature girls who gossiped and created a toxic work environment. The job itself wasn’t too bad. I was simply registering patients in the Emergency Room. I entered their demographic and insurance information into the system and walked them through signing various forms. The hospital itself has a terrible reputation for patient care. The simplest diagnoses & injuries were often transferred out to hospitals in Chattanooga. In fact, there’s even a slogan known in town regarding how poor the patient care is: “Go to Tennova to be with Jehovah.” 

Early arrival for report and to chat with night shift staff. Learned about how smaller town hospitals and physicians had less leeway for a nurse-i.e.-few standing orders. Time consuming-was to call the physician office and wait for a call back to get a simple order. Not like a large teaching institution. Co-workers were great. Hardest part of the job was to drive all the way home, to be called and be told I needed to come back and work the night shift due to low staffing.
Most enjoyable was working with the staff side by side to assure they had what they needed to complete their jobs in a very timely fashion.

Tennova is a corporately owned, for-profit hospital. I would not say they are “all about the money” but it is obviously a huge focus. They are owned by CHS (Community health systems). My biggest issue is their sick day policy. You have to be out of work for 3 shifts before you are allowed to use sick days. So the sick days are pretty useless unless you are deathly ill. My direct manager is great but I really don’t feel supported or appreciated by upper management at all. They are giving big sign on bonuses but they should consider retention bonuses for the nurses who have stuck with them.  

tennova has the worst management i have ever worked for. very disorganized. not focused on patient safety. loved my coworkers but hated all other aspects of the job. they had hiring spells where there would be so many employees, you couldn’t even get your full time hours in. then a month later, they would all quit and we would be in mandatory overtime. manager told us if we didn’t take a lunch, it was still coming out of our check as there was no reason to not take a lunch. meanwhile there’s 1 CNA and 4 nurses for 32 patients who really needed to be on a step down unit for closer observation anyway. 

A typical day at work would be checking patients in as soon as they come through the E.R with the complaints, next would be paperwork and getting a wrist band on the patient. If the patient gets taken back quickly then we have to then go to the patients room and get our things done. After all paperwork is signed we proceed to verifying and gather all insurance information. 
The hardest part of the job is time management, there are days where their are 8 people lined up and you have 4 ambulances that just pulled in. You have to do your job as quickly and efficiently as possible as well as maintain accounts (pulling insurance and making sure all paperwork is signed) before the patent is discharged.

I enjoyed my job.  I did medical record review, and coding records. I met with teams and physicians. They had standards to be met.  I sent data and reports to the company. Most of the managers I had during my experience were good managers. The company provided great on the job education and I learned much on the job.  The hardest part was we had turnover in the management area and had to adjust to their style but I do not consider this to be a real negative.  The workplace culture was good. 
I had very good benefits.  My whole experience overall contributed to my enjoyment of the job.

Friendly work environment . Quality co-workers who are willing to pitch in and help anytime it is needed. Good communication with regularly scheduled department meetings. Knowledgeable staff to work with, and that includes the physicians, nurses, and other support staff. The Radiology team is focused on quality patient care in a safe environment. Excellent management; open to new ideas, suggestions, and employee input. Employees are empowered and given opportunities to make positive changes. It can get stressful at times, and we do need some new equipment; however, overall a great place to work with opportunities to make a real difference.

Top Job Titles	Average Salary
Registered nurse 15 salaries reported	$36.41 per hour
Registered nurse - emergency room 1 salary reported	$50.00 per hour
Registered nurse - critical care 7 salaries reported	$65.00 per hour
Registered nurse - medical / surgical 4 salaries reported	$48.75 per hour
Phlebotomist 4 salaries reported	$14.25 per hour

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