hospice palliative metro - Registered Nurse Kaiser Permanente Employee Review

1.0
Jun 10, 2014
Recommend
CEO approval
Business Outlook

Pros

great patients, good benefits but you pay for them,

Cons

Management in hospice palliative is clearly disorganized and managers are clueless as to how much work a field nurse actually does. Hours on end are spent by nurses who work for free downloading patients to an archaic slow computer system, 15 min here 10 min here spent downloading patients one by one. 3 hours goes by. Supplies ordered by nurses! Outrageous! DME ordered by nurses! Outrageous! Hire a min wage worker to complete that time consuming misery ...nurses need time to take care of patients. Managers push the hardworking nurses around like camels....loading them up with impossible demands. FREE LABOR, wear and tear on car, gas costs...the wage looks decent but in reality it amounts to about 8 bucks an hour when purchasing new cars every few years because of the constant driving and all the free afterhours paperwork. Definite rip off. Managers think field hospice palliative nurses are out having fun and shopping they are clueless to how things go down in a patients home. A patient may have a large bout of diarrhea flowing all over the floor just after you finished an excellent assessment, ordered meds, supplies, reviewed and instructed caregiver of patients care plan....what are you going to do walk out on the sick patient and tell his 89 year old feeble wife to clean him up. Your will be there another 45minutes just cleaning the patient up.

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5.0
Apr 27, 2026
Recommend
CEO approval
Business Outlook

Pros

They have a great work culture, it's clear that people on every level truly care for the patients they serve.

Cons

There was no negotiation for my salary, though this is likely due to the temporary nature (this is not a full-time position)

4.0
Sep 9, 2015
Recommend
CEO approval
Business Outlook

Pros

Kaiser is a great place to work and build a career over time. In my experience salaries are above market for most positions, and the benefits are so good that many people become "lifers". The health coverage is extremely generous, and time off starts off adequate and gets better over time (18 days when you start, moving up to 33 after 15+ years - this does not include sick time). Employees truly believe in the mission of KP (at least, I do) and it's clear that this is a place where employees' contributions are valued. Although my role is not part of any of the unions, the fact that our workforce is predominantly unionized also places a positive role in KP's reputation as a good place for workers (although having unionized staff also presents many challenges). Overall, I enjoy working at KP and would recommend it to others, but understand that you are entering a big bureaucracy. A friendly, mission-driven bureaucracy, but still.

Cons

Cons: having lots of "lifers" means that innovative ideas and workflows are not always adopted without a fight. People have their roles deeply embedded here, and any threat to the status quo is seen as negative, even though we need to make some pretty radical changes given the new health care environment post-ACA. There's a lot of "not my job" attitudes here. It's hard to navigate the layers of bureaucracy, both in terms of personnel/HR/benefits, and in getting work done (there are often 4-5 departments at the regional and national KP levels working on similar areas, and no guidance on who does what.) Be aware that KP is not immune to reorganizations and layoffs -- they do make a good attempt to ensure workers are hired elsewhere in the organization, but there are no guarantees, and there can be a lot of turnover in certain departments. Benefits are currently generous but are always subject to downgrades in the future, so just be aware of that. Some changes to the pension and retiree medical benefits are about to hit, and with them a wave of Baby Boomers will be taking retirement, which should hopefully open up many new management opportunities for Millennials. Oh, and the biggest con of all: we still - STILL - use Lotus Notes for email. Shocking, I know, but true.

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