- The biggest issue is posting to other cities for coverage to meet compliance. It causes fatigue, burnout, and frustration for all ambulance crews.
- Management at the end of the day needs to do what is best for the system and company, regardless of the situation. This means less than ideal decisions about operation guidelines sometimes.
- Other employees do not show very much compassion and it leads to a toxic workplace.
- While the pay has improved, it is still not as competitive as other systems locally.