I am a BRAND NEW Unit Manager, I interviewed for a supervisors position, and got hired as a Unit Manager (big raise, and better hours, very supportive DON and ADONs) but very little in the way of orientation (more like try this, if you get it right I do not have to teach you anymore) and NO inhouse, mandatory inservice type orientation.
MDS are totally alien to me. I get told I need to have my staff document on this or that, but one week a really good note a week is ok, and others everyday is required. My RNAC is fairly petty and spiteful (by her own admission she holds a grudge forever) and after 2 months I only just translated her system for "on time" accuracy, before this as long as it was done by care conference it was good enough, and now I am putting the MDSes on the chart myself because she is not getting them there by the day they must be compleated, not even by the day of referance. She has told me all medicares are 10 page ones until quarterlies. at least I will not be missing anything using that rule.
for the most part I am consistant with the scaling, and it seems I am more accurate than my predecessor, but the RNAC is still totally dissatisfied with my work performance.
I am frustrated, ad would love advice!
*** May we all have the serenity to accept what we cannot change, and the determination to change what we cannot accept. ***