registered nurse

nursing assistant

patient access representative

office assistant

logistics technician

Trinity Health-ND

Community Ambulance which is a division of Trinity Health has the potential to be a great EMS organization but it has many shortfalls by management and they refuse to address them. The turnover is very high. They hire many out of state applicants who do not stay very long once they arrive. There is an environment where “we don’t like outsiders” and” it’s not the way we do it around here.” The unwillingness to learn and to change is what holds this organization back. It all starts with the management. On my interview by Skype which lasted over an hour and 15 minutes. I was asked more questions about my personal life than I was about my background an experience. On my interview I was asked questions about my divorce and family which are highly inappropriate and shows the lack of professionalism by the management. I took a chance and came to North Dakota. The weather is cold and can be hard to deal with but the cold shoulder of the cliques that are present and the cold and unwillingness to change is what will really freeze you. Management spends hours gathering data from the KPI board and speaks constantly of change. They speak of a culture change but its just talk because there is no action, no forward thinking and no leadership with modern direction. The leadership is not current on what is going on in EMS. The staff is younger with many new-graduate Medics and of that staff many are lacking the knowledge to perform their duties. They are unaware of how to do procedures and do not know protocols. This lack of knowledge is due to a culture where education and knowledge takes a back seat to daily polices and rig maintenance. In meetings patient care and con ed is rarely talked about. They have a huge education department but the majority of that department is devoted to teaching EMT, Paramedic and providing education like ACLS, PALS and CPR for hospital staff. The only education I have seen is the bare bones needed to keep certification. There is no real continuing education and no mentoring program or Field Training Officer to mentor new staff. When education is attempted to be given to the staff it is shot down by management through obstacles and red tape. Management is out of the loop with what is going on with the staff. They have meeting after meetings lasting hours and are completely disconnected from the staff. Supervisors may be at the EMT level and try to dictate ALS care for which they are not authorized to do. There is a serious lack of leadership and the ones currently in charge are from the early days of EMS, on the verge of retirement and are trying to keep things the old way. 
My advice to anyone considering taking a Position with Community Ambulance is that you should reconsider. The nice sign on bonus and relocation is not worth the headache you will experience trying to make a difference. They are unwilling to change and that’s the reason for the high turn over. Just remember people don’t quit jobs they quit bosses.
My advice to Trinity- If you want CAS to be the place that it has the potential to be then clear house with management. Start at the top. New Ideas will never be birthed with old guard at the top. You need fresh blood with forward thinking who is actively involved in EMS and wants to move forward instead of just talking about it. Remove and trim down management and remove unnecessary positions. People in positions of authority should be ranked at a level to supervise them. EMTs should not manage Paramedics and this includes upper management. Make sure all of your upper management are medics. All of the staff in positions of authority should have the experience  and know how necessary to lead. You can’t get respect when you are in a position of authority and have little to no field experience, and have a limited resume. Qualified leadership is needed. Good people just like me will come in and they will run away if you continue down the path you are on. You have potential if you will remove the old way of thinking.

I enjoyed working at Trinity Medical Group. The scheduled hours were perfect and I adored the staff. I scheduled appointments via the hospital software (Cerner), answered the phone and took messages and relayed them accordingly whether by email or in person. I checked in patients and checked their information for correctness, checked insurance eligibility and collected insurance co-pays. I learned what it requires to work in this type position and what the front desk has to go through now to get patients registered and checked in. I am more appreciative because of it is time consuming and you have to be on your toes to make sure information is correct. The hardest part I think is dealing with very sick people and knowing that they are in pain and in need of your caring attitude and comfort and the very best you can do to eleviate their concerns of getting the care they need. The most enjoyable aspect of this position was interacting with the patients, putting a smile on their face and them telling you Thank you for all your help.  I really hated to leave this job, but my husbands job was transferred. The staff gave me a going away get together, made me feel special. I miss them, they were a great bunch to work with. Behind the scenes, we were friends that talked about our families, our concerns, and we joked and laughed a lot, which makes going to work all the more worthwhile.

Most people in town will not hesitate to tell you their dislike of Trinity, but, since it's the main hospital in town, there's little choice. They harp on and on about values, dress codes and the like. But taking a walk through the clinics and it isn't difficult to tell that they don't enforce it. They keep a good number of incompetent employees around which further decreases patient satisfaction. No one wants to deal with a receptionist or nurse that is uncompassionate or just doesn't understand you at all. 

As for management, they never know what is going on and will tell you multiple different things. You will voice your complaints about co-workers and they will say "I'll talk to them" and nothing changes. The person might get moved to a new department but that doesn't really change raise their competency level, does it? There are so many issues within Trinity that it is hard to target them all. 

For the most part, it's a decent place to work, but no one ever knows anything and you will have to re-do things because management will change their mind about it. 

Management and higher up are absolutely not good . This is probably the most dysfunctional hospital in the world to ever work at. The NURSES run the hospital and do no wrong in the eyes of management. Since they are so under staffed they lack at holding anyone responsible for their wrong doings. They do not handle complaints properly. They make everything about money and not being fined. They preach “equality” amongst the hospital but you can absolutely see the division between departments. Certain positions are held on a higher pedestal then others. Even though everyone plays a part in helping patients only certain departments and people get respect. They pretend to have an open opportunity platform to learn and excel however training is not good, they throw you in fire within your first week and if you haven’t had any schooling they treat you like a piece of … like your an idiot instead of helping you learn. This place is not genuine and they need to be stopped. This is not a place to grown unless you know someone or have family or friends that work here. 

A typical work day could depend on the provider you worked for.  I worked in an Orthopedic Clinic so it depended on the provider.  My provider was busy so we would prep his patients charts for the day (beforehand), get x-ray orders in for patients who needed imaging, and go through a routine office visit.  I did have the opportunity to really learn what to look for in imaging like x-rays, CT scans, and MRIs.  The workplace culture was interesting because it was mainly all nurses and like they just started bring CNA's in to assist with the work loads.  There was a lot of gossip amongst everyone who worked for different providers whether it pertained to work or personal lives.  The hardest part of the job was trying to get the patients back in a timely manner because working in an office with multiple providers and having so many rooms got tight sometimes.  The most enjoyable part of the job was being able to learn as much as I did and working with very knowledgeable people.

Any position under Trinity is subject to constant changes and problems with little to no help from the higher ups. A lot of positions are made up and a lot of the wrong people are hired for nepotism purposes. Most ideas and suggestions to fix anything and either shot down or dismissed by management before any real forethought is put towards any real solution. Your rights as an employee are not respected by almost all management. PTO requests won't even be looked at for months after putting them in. Your expected to make sacrifices from your family to benefit the company and are usually expected to work outside your assigned area to catch up on other workers full work loads. Rude customers are expected to be dealt with without the help of management or security. Trinity does not care about their employees.

Most of my day involves supervising staff and making sure our productivity levels stay high. I have taken every class I can to learn more about management and leadership skills. I attend regular meetings, operations meetings, forms committee, and departmental meetings. The hardest part of the job currently is keeping productivity up with very short staff. The area has an abundance of jobs, but not enough people to fill them. This was due to a natural disaster causing many people to move away and yet an increase in outsiders moving in because of a big oil boom in the area as well.

Training program is 1 year onsite and then you can work remotely from whatever state you came from just with out of network benefits--which was never disclosed at hire. In-network benefits were not good either. I'm not sure why I had to be onsite for a year as I counted a total of 20 hours 1 on 1 training. The rest was through email or on the phone. My coworkers were great and friendly as was everyone else training there from out of state. Most of the mangers were quite nice but mine was awful. It's definitely tolerable if you need to get your foot in the door for coding experience; you can make the best of it.

My typical day revolves around patient primary care at the clinic.  Every day is a learning experience.  Management is considerate of every need of the provider.  Co-workers are friendly and willing to obtain any information needed by the provider.  The hardest part of day is trying to obtain a speedy appointment with a referred provider.  The most enjoyable part of a FNP position is interaction with patients.

I loved my job learning different aspects from multiple doctors and their offices. I got to work in more then 9 differenlt offices. My least favorite thing about working was the management, From the time I started working there until I left. We went through three different managers. The company treated the employees like they were just some one else, not like a person trying to help patients or make a difference.

Top Job Titles	Average Salary
Registered nurse 3 salaries reported	$30.77 per hour
Nursing assistant 4 salaries reported	$16.86 per hour
Patient access representative 3 salaries reported	$18.49 per hour
Office assistant 3 salaries reported	$13.67 per hour
Logistics technician 3 salaries reported	$18.49 per hour

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