The staff here made it so hard to leave! Everyone was welcoming and willing to show me the ropes on day 1. I stayed here for two contracts as a float. I made truly good friends here. However, because it is a rural hospital, resources are scarce… especially after business hours it can be really hard to contact an MD or on-call Radiology, lab, etc… coming from a Level 1 Trauma Center previously, it was frustrating to watch patients decline while we waited for resources. They also aren’t magnet, so things like foley care and CHG baths for patients with PICC and other invasive lines weren’t mandatory and were regularly skipped by other shifts, which was also frustrating. You have techs to take vitals and I/O’s but they can’t chart anything so they write it on a paper on the door and you chart it (you take the 8am vitals). Oncoming shift expects a thorough nursing note in Epic before accepting shift change report. Hospital isn’t unionized so breaks and ratios aren’t mandatory. Population is VERY old (80’s-90’s generally), but I love the elderly. The ER staff is amazing and the ER is much newer than the rest of the hospital, would definitely be worth coming here for an ER contract. The ICU is nice and new, too, but often struggles to meet enough occupancy to need staffing, so if you take an ICU contract be prepared to float. Med Surg and Tele need remodeling soon, and I’m not a fan of double occupancy rooms. I was also floated to mother-baby, and all the MD’s there are currently locum contracts. Again, rural is not my cup of tea but I wanted to try something new, and I cannot emphasize enough how great the staff here was. They were warmer than my full time staff at my last job. The location is great, too, only about an hour from Lake Tahoe. If Sacramento wasn’t offering $20 more an hour for a contract I would have considered staying on.

Undermining subordinates med surgery patients on L&D. Don't go there.