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I have been working at Town and Country Hospital full-time (More than 3 years)
The nurses aren't that good but they are learning. When mistakes are made, they try to get the education to keep them from making the same mistakes again.
They force patients to go to other hospitals when we can't do the surgeries or other things here. They have a transfer center and the transfer center (located in Miami) makes arrangements for a transfer, they ignore the patient's wishes and transfer to another HCA hospital "to keep the money in the company". A casemanager was fired because she disagreed with this policy.
Advice to Management
Start putting the patient first. We need quality not quantity.