Can easily work yourself into burnout Days off will be plagued with requests to cover (you can say no) 17+ hour days are common, especially at higher positions Position combines skill sets of nurse, janitor, counselor, taxi, chef, homemaker, and more. On top of this, prepare to learn how to fill out 50 types of paperwork and arbitrary rules that haven't made sense since 1990 Occasionally unreliable staff can make life miserable (getting 'stuck' in shift or on the job emergencies)