Lots of casual work with daily calls and overtime. The employees are really nice to work with except on the ortho units the nurses are way too rigid and controlling. The pay for registered nurses is low starting at 28 dollars an hour making 50 to 60 K a year, whereas on the mainland nurses are paid 43 dollars starting. But the care units on the mainland don't have care aids for nursing support on the floors, 4 care aids on AM care and 2 to 4 care aids on HS care like they do with Island Health. The ER in Island Health has care aids to help support care, but the lower mainland the nurses don't have care aids to support care here on the mainland. The cardiac and renal unit with VIHA is amazing like the ER because the staff are great!