Terrible management and training capabilities in the ED
Unclear, unorganized initial set ups by the hospital. Right hand doesn't know what the left hand is doing.
Told consistently that I was doing a great job, then told by management that I wasn't. Differing policies between hospitals not gone over and caused issues with patient care.
Inflexible training available, even for pt or casual staff. Of course, no benefits and little chance of advancing to fte.