Our family just moved due to my husband's job. I have just spent a year working in a great ICU down south and then I walk into the doors of the ICU at my new hospital. This place is an utter train wreck! Management has changed hands at least 7 times in 5 years. There are no standing protocols for oh just about anything. Diprivan or pressors are not even kept on the floor, nor are controlled drips in lock boxes when hung in pt's rooms. I have seen 2, yes 2 lines labeled and dated my whole two weeks of orientation. The list just goes on. The manager told me when getting hired it was in a transition pd and she was working on improving it, but I had no idea it was this bad. Part of me doesn't want to continue the problem by just leaving, but on the other hand this place is a hot mess. They do have L&D positions across town posted which is really what I went to school wanting to do, but I really do love critical care too. I have given the manager my opinion on a lot of things that I think need to be worked on in a very nice way, but I don't know if any of it will actually happen. I am just very frustrated and very disappointed.
If your manager tells you this is a transition time, she acknowledges she needs help. Take that as a vote of confidence, esp as she knows you came from a great unit.
For starters, how about writing to your old manager and asking for copies of some of the most important policies and procedures and protocols you used there? Show them to your new manager and ask if these would be helpful. Talk is helpful, but she's overwhelmed too, and having something in hard copy in her hand will be helpful to her, because otherwise somebody (read: she) will have to write them or research them de novo. She might even like to call your old manager for some pointers. Especially if she's new at this job, she needs support too.
Get together with your unit educator, if there is such a thing, and the unit manager, and put together a plan. If there isn't one, see if your manager will let you do some of that role. This could be a great opportunity for all concerned.
Last edit by nurseprnRN on Feb 8, '13