Baptist St. Anthony's Health System – “If you like the good ole gal system, you'll love it”

Pros

Growing hospital
Nice co-workers who do their best in a tough situation

Cons

Promotions given not based on excellent patient care - but who your girlfriends are...
Five different ER unit directors in as many years
Will not get rid of slow or incompetent RNs - just move them to plum desk jobs
ER design looked like a prison setting
Since only two hospitals in town - not enough competition to stir competitive wages for RNs - their attitude is take it or leave it.

Advice to Senior Management

Hire experienced talented RNs and PAY them. Design an ER that is staff-friendly with a good-sized break room.