Pay ok but only based on years of experience from what i can tell. - RN Float Pool HCA Healthcare Employee Review

2.0
Feb 1, 2026
Recommend
CEO approval
Business Outlook

Pros

Very flexible scheduling- able to move shifts at a short notice because of float pool Less holidays than a regular floor nurse and you can pick dont have to work a certain one or rotate. One summer one winter Holidays are memorial day july 4th labor day thanksgiving xmas, xmas eve nye and new years So i only worked memorial day and nye, and im dayshift so that doesnt bother me. And i can work that every year if i want Decent amount of education if you want it. If youre icu you can learn open hearts in surgical, you can pick up to get certified to learn other unit’s equipment- like you can learn to take iabp impella and you can learn evds lumbar drains etc that may not be taken in your unit if you just want to learn AT LEAST 4 weeks of PTO a year. Full time is 36 hours/week- so you get 6 hours of pto per check at baseline, but if you work overtime its a certain amount of pto per hour so you can accumulate more the more OT you work Essentially unlimited OT if you want it, with premium pay on top of ot most times Theyre generally very good about cross training if you want it, just have to stay on top of your manager

Cons

Pay based on experience, so im ICU trained so can go anywhere in the hospital, but i make the same as an icu nurse with my same level of experience even though im float pool. You used to get 5-7 extra an hour for being in float pool. Patient load can be sketchy- i never felt unsafe in ICU, its rare to get 3 patients but if you do its never 3 actual icu patients, it could be one icu two stepdown, etc. or at least i never felt unsafe. All cardiac devices are generally 1:1 like iabp impella etc On other floors like pcu you usually have 5 patients. If in medical pcu where they take trach vents you are limited to 3 Medsurg you mostly take 6 but can have 7 at times but never less than 6 probably bc im ICU trained i cant handle the 7 personally. Pcu takes amio drips, cardene, cardizem, heparin post caths with q15 checks. These wouldnt be bad with 3 patients will extremely difficult with 5. We have a lot of core staff icu but much less in all the other units.

Explore other reviews about HCA Healthcare

5.0
May 28, 2026
Recommend
CEO approval
Business Outlook

Pros

Really strong culture and opportunities to grow in your carrer.

Cons

It is a BIG company and it is easy to get lost in the crowd.

1.0
May 4, 2026
Recommend
CEO approval
Business Outlook

Pros

Engagement across ITG is low. A significant portion of the workforce is coasting toward retirement, which creates a stagnant environment with little drive or initiative. Compensation is adequate but not compelling enough to offset the cultural inertia

Cons

Stability is an illusion here. Compensation and benefits are underwhelming. PTO starts at 14 days/year and stays there for your first five years. Benefits are below industry standard. No bonus structure to speak of. The deeper issue is structural. In May 2026, HCA posted $1.6 billion in net profit over a single quarter — and responded by laying off hundreds of employees because it was buthurt that Trump stopped the Covid subsidies Let that sink in: a billion-dollar quarter net profit triggered headcount reductions to reduce the payroll, Hundreds of good people lost their jobs overnight in 1 department. Individual performance is irrelevant. It does not matter how much you contribute or how consistently you deliver. A single cost-cutting decision at the C-suite level can eliminate your position overnight. There is no meritocracy here, just exposure to executive whim. If you are looking for career stability or a workplace that values retention, look elsewhere. The culture reflects the incentives — most employees have learned not to invest emotionally in the work, and you can't blame them. When leadership treats headcount as the first lever to pull every time earnings dip, people stop caring and start surviving.

4
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