Pros
At Scottsdale Healthcare Rehab Hospital, the DON is for the most part a good advocate for the nursing staff. Administration is trying to adopt a more approachable method of leadership, so it's not uncommon to see the hospital CEO out on the floor (Scott Keen is a pretty cool guy). The staff-patient ration is intended to be very reasonable, 1:5 for nurses and 1:6 for CNAs.
Cons
Staff-patient ratios have been a joke. Day shift can expect to see 1:7 for nurses and 1:9 for CNAs. This wouldn't be so bad if we could go in and complete care per our time management (as you would in any other acute care), but administration and therapy complain that "the patients are in a rehab facility and need to do as much as they can for themselves." Ain't nobody got time fo' that, especially when half of those patients are max assist or total care and the rest are demented; the hospital routinely brings in patients that are clearly unrehabable. Many nursing staff have injured themselves just so we can have a full house. A note for CNAs: our raises are not performance-based and only happen once a year. That person who takes too long of breaks and doesn't answer call lights? Yeah, you get the same $0.10 raise a year they do. That's not an exaggeration.
