I have been in the same position for over 10 years and am staring to look for a change within the hospital.
Pros
It's a good Hospital with mostly caring people working here. For the area the pay is OK and the benefits are almost unbeatable. Of course when you work at a hospital, you expect good health insurance. But the other benefits are good also excellent PTO/vacation hours.A good support system if you are careful how you use it. I do work with mostly great people in my department and most of us who stay over a year stay for good. I have just begun to look at other other possibilities within the hospital because I'm tired of doing the same thing for over 10 years and would like to try my skills in another role.
Cons
On the other hand the policies of open communication are like politics anywhere-the policy states that there will not be repercussions for speaking out but it really is not true. Of course it depends on your department and your intermediate management. In my department there are a few positions that no one wants and so they are revolving door positions.