Pros

Salary. Pension after 5 years to be vested. Good inservicing program. Nurses supported by California Nurses' Assn. Union.

Cons

Kaiser keeps adding more and more responsibilities to the nurses job description. It is impossible to provide excellent nursing care AND excellent documentation. If you take the time to do your job well and document well they will tell you you have time management problems. Many managers and assistant managers do not have advanced education. When I was hired by Kaiser, I was told if you worked in a position for 6 months, you were eligible to apply for another position - and they would train you. In 3 1/2 years, I applied for over 20 transfers, but was never able to change my position. However, we had 5 managers come and go during that time. Kaiser rewards mediocracy. Most meds and patient care items are "generic", but they want nursing services to be "distinctive" while providing nurses substandard resources and support.

Advice to Senior Management

It is hard to build loyalty in your staff when you do not support nurses contributions. Patient safety and care is being compromised by cost-cutting and inadequate ancillary support for nurses.