poor leadership
no training
staff don't know how to do their jobs
high turnover
no accountability
hostile office environment between staff
payment does not compensate workload
no room for growth
outdated technology
unequal labor distribution
Other than the agency doctor and RNs, most staff are uneducated and difficult to work with. Staff cannibalize one another because no one in a position of authority know how to motivate employees or to mediate difficult situations that arise. Gossip and nasty rumors are prevalent.