We are understaffed and can't seem to get and KEEP good people. Part of the reason for lack of keeping people is the pay isn't competitive to keep them in the ER or nursing department compared to other positions where you don't need a degree. Trying to get PTO and getting a response back from your manager with questions is like pulling teeth sometimes. PTO scheduling needs some work, there were some cases where two people in the same shift would both have the same whole week off, but it seems that only one person per shift can have one day off. Some of the staff can have off-putting attitudes until you "prove yourself" to them which can be taken as annoyance and lack of acknowledgment to the new employee.