If you were a manager what things would you change?

  1. 0 If you had the authority to manage your unit, what would you change and what would you keep in place?
  2. Visit  tokmom profile page

    About tokmom, BSN, RN

    tokmom has '30' year(s) of experience and specializes in 'Certified Med/Surg tele, and other stuff'. From 'Somewhere in the USA'; Joined Aug '09; Posts: 4,385; Likes: 8,168.

    11 Comments so far...

  3. Visit  beeker profile page
    8
    I would staff appropriately.
    GM2RN, nrsang97, ChristineN, and 5 others like this.
  4. Visit  liveyourlife747 profile page
    5
    I would have stricter "on call" policies, better staffing, and would be sure everyone had a lunch break no matter what.
  5. Visit  MomRN0913 profile page
    9
    I had a short stint as a manager. I had all of these aspirations of making it easier and safer for nurses and patients with appropriate staffing.Impossible. Just when you think it's your managers fault its not. It's way upper management telling you " no way, that's not in the budget, here is your ratio"6 months and that was enough frustration for me. I tried to make it better, the CEO hated me for it and finally found a reason to fire me.
    Lev <3, CrufflerJJ, SandraCVRN, and 6 others like this.
  6. Visit  calliesue profile page
    3
    Respect the staff, never curse at or snap my fingers at staff. Not play favorites. Apply same rules to everyone.
    SandraCVRN, KelRN215, and tokmom like this.
  7. Visit  AnonRNC profile page
    2
    I would improve communication between management and staff.
    whichone'spink and tokmom like this.
  8. Visit  Nascar nurse profile page
    3
    Quote from MomRN0913
    I had a short stint as a manager. I had all of these aspirations of making it easier and safer for nurses and patients with appropriate staffing.Impossible. Just when you think it's your managers fault its not. It's way upper management telling you " no way, that's not in the budget, here is your ratio"6 months and that was enough frustration for me. I tried to make it better, the CEO hated me for it and finally found a reason to fire me.
    Ain't that the truth! Everyone should have to do a 6 month stint in management. Only then should they be allowed to gripe. You have no idea how hard management is until you've tried it.
    tokmom, itsmejuli, and RNsRWe like this.
  9. Visit  MN-Nurse profile page
    1
    Quote from beeker
    I would staff appropriately.
    You're fired. And since you aren't in the union anymore, you can't do anything about it.

    Needless to say, I'll never ever be a nurse manager.
    ChristineN likes this.
  10. Visit  RN beekeeper profile page
    1
    I have been a manager for 7 out of my 11 years as a nurse. I am currently responsible for approximately 60 people. There are always budgetary and regulatory constraints, but there is a lot that you can do to make things better. It is not for the faint of heart however.
    tokmom likes this.
  11. Visit  squatmunkie_RN profile page
    3
    I wouldn't take a patients word over the nurse. I understand the NM has to "save face" and make the patient and family feel better. But do not ever come to me after Ive been busting my ass for hours and ask me if I've seen the patient more than once in a 12 hour shift.
    tokmom, nrsang97, and iluvivt like this.
  12. Visit  dudette10 profile page
    3
    Be visible on the unit as an RN. My former manager wore biz clothes and was only on the unit once a day to do manager's rounds which then translated into a tongue- lapsing at the next unit meeting, despite our scores being the highest in the hospital. The manager of one of the units I float to wears scrubs, can be seen fetching water or emptying trash and plays educator for tasks that a nurse might have never done before. She is helpful on the day-to-day, and from what I've heard from permanent nurses on the unit, she is well-regarded.
    GM2RN, tokmom, and SandraCVRN like this.
  13. Visit  Bronte03 profile page
    1
    RESPECT staff - they are the people on the floor for the shift dealing with patients, NOT you.

    Always THANK them and mean it as they leave.

    If there is a complaint take the nurse aside preferably in your office and LISTEN to what they have to say without judement.

    COMMUNICATE the good, the bad and the endless ugly -staff want to know what is going on, rumours in nursing affect the nurses and the reason they are there - for patients not managers endless nonsense.

    Be AVAILABLE. 5 minutes of your time in the outcome of your shift can prevent a lot of misery for both you, your staff, patients and the dreaded management above you.

    Have an open door policy, never let a staff member be afraid of you. Your attitude can make or break your staff. They too, have a life and that life affects their behaviour both on and off the job.

    Like most jobs you will have a bully on staff at some stage, deal with it IMMEDIATELY. Don't lose staff because you cannot manage what is happening for your shift.

    Staff want to feel SECURE and SUPPORTED, not taking sickies because they can't cope.


    None of this really has anything to do with the management above you. It's you supporting your staff they come FIRST - without them you wouldn't have a job or patients.

    I work agency - different hospitals everyday. The best shifts are when I am thanked for turning up, providing help and endless support to both staff and managers even though I don't know them and knowing they trust me to look after their patients. The biggest thrill is having patients thank me and the nurse manager pulling me aside and asking me to put my name in to work permanently at the hospital.

    Sometimes I think wow, they really want me to do that. And others I think NO way in this world will I step into this hospital.. and it all comes down to - you guessed it the nurse manager and the respect/lack of her staff.
    tokmom likes this.


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