Hi,
I too work for a hospital system. I work in Philadelphia. We have specific protections for LGBT. I work in facilities and with union skilled trades, construction workers and union building trades.
I am the 13th trans at work but first one to transition at work. Now there is a second, a nurse.
I told my Operations Manager and friend then set up a meeting with HR. HR was and is super supportive. We have an office of diversity and inclusion and they assisted.
I told my boss who is an EVP in the garden in front of one of our buildings. It was a lunch meeting (he was eating) and when I told him his mouth was open with food in it, I think for 5 seconds. He was speechless. He tried to be supportive but he was very awkward. The next day he came to my office and tried to talk me out of HRT.
I was stalled by my boss to come out at work by 6 months. Then I started telling people and telling my boss I told them. He said but everyone will find out. He realized he needed to get on-board or lose control of the situation. He told me at my evaluation last year he will never understand me being trans but he can work with me.
He, HR and I meet and set a date for me to come out. There was a team meeting and I was to meet with each segment of Facilities (8 meetings). HR and my Boss were to be with me. The day came and I went to each segment but HR and my boss did not show. I answered every question and did not hold back.
I gained a lot of respect and was told that many times by my coworkers. They were impressed I faced them and answered all their questions.
The oddest was when I was having a meeting with one segment. I was sitting next to an operator that is massive with no neck and bear paws for hands. He said you still like girls, right. I said I like guys and had guys as boyfriends. He could not grasp that. He kept asking, like he had a mental block with the answer. A group of operators chimed in and explained it in a more explicit way. He then said oh, ok.
When I came out I was told I could not use a Men's room. I could use a single stall bathroom or a Woman's room. I did not expect that, it never occurred to me. Anyhow, I am accepted in woman's rooms. I am greeted and spoken with. It is a very odd feeling to have a conversation between two stalls. Try that in a men's room.