what do you like and don't like about your nurse manager? - page 2
Hi! I might get a job as a nurse manager in a nursing home so i wanted to know everyone's input about what makes a good nurse manager. My background is in Med-Surg, never worked in LTC before but... Read More
Jan 10, '12the two best managers i ever had were similar in three ways: they hired us because we knew more than they did at the job we did, they were not threatened by that, and they worked their tails off to give us everything we needed to do the best possible work. with both i could go in and say, "i had this idea about doing thusandsuch," and they would both say, "sounds good. let me know how it works out." very empowering. their staffs loved them, but more important, they did terrific work because of them.
Jan 10, '12Our Manager seems to be completely out of touch with what is going on on the unit.
For example - just recently, a nurse came running into the nsg station and said "Mrs A is on the floor". So about 5 of us head into her room. The Manager (I'll call her Jane) was present when this nurse came into the station, and was right behind us as we headed into Mrs A's room.
As most of us enter the room, Jane goes into the staff bathroom (which was next to Mrs A' room). She never came into the room to see if she could help, run for equipment, assist in accessing the pt, whatever. It ended up taking 5 nurses to get this pt off the floor and back into the bed, and then the nurse responsible had to initate our Falls Protacol which included taking Neruo Vitals q 15 minutes for the first hour.
Where was Jane? We never saw her again after she went into the staff bathroom She never checked to see if the pt was OK, if her staff was OK after getting this pt off the floor and so forth.
So - what I am trying to say is, I would like so my Manager be a little more in tune into what is happening on the unit. I do not expect her to try and lift a pt off the floor, but it would be nice for her to say - I'll do the vitals/ get the blood pressure machine or even ask "Are you OK?" after we lift a heavy pt off the floor!
Jan 10, '12I feel that the nm's are very approachable. However one of them just doesn't seem to "get it."
Jan 10, '12Quote from grnteathese managers should come run a workshop for managers at my facility. if i approach my manager and say "i have an idea about xyz" the response i get is basically "our way is right, 1+1=2, it's always been 2 and it's always going to be 2 so this is the way we have to do things so you shush."the two best managers i ever had were similar in three ways: they hired us because we knew more than they did at the job we did, they were not threatened by that, and they worked their tails off to give us everything we needed to do the best possible work. with both i could go in and say, "i had this idea about doing thusandsuch," and they would both say, "sounds good. let me know how it works out." very empowering. their staffs loved them, but more important, they did terrific work because of them.
Jan 11, '12well, i always do say "don't knock down the wall before you know why it was built," but if the rationale for the wall is no longer functional, that indicates that being open to new ideas is to be encouraged, not shushed.
i saw a great example once of a unit where every staffer was empowered to make changes without going thru a lot of hoops. it was a dementia unit, and one day the manager came in and noticed that somebody had painted the floor black in front of the doors. "what the heck....?" she said to herself, and went asking.
what she learned was that the nursing aides noticed that a similar tiled portion of floor elsewhere was something the dementia patients avoided-- apparently it looked to them like a barrier or a threat (maybe like a deep hole), and so they wouldn't cross it. sounded like a good idea to "erect" a similar "barrier" in front of the exit door, so one evening when the patients were in bed some of the aides painted the floor. brilliant.
can you imagine getting that through a formal approval process?
of course, other words i often live by are the classic jesuitical, "it's easier to ask forgiveness than seek permission.":d