Unit Manager

catlady, BSN, RN · Feb 27, 2005

Heh...when I was a unit manager, my job description was *eleven* pages long. And the last item was the ubiquitous "and other duties as required." I don't think there were any duties left unmentioned.

I had to do all the MDS, PPS, care planning, resident care meetings, and run my unit. While the ADNS sat in the office doing her nails and planning her wedding. And paging me to tell me, "I need this....I need that."

LEL · Feb 27, 2005

Heh...when I was a unit manager, my job description was *eleven* pages long. And the last item was the ubiquitous "and other duties as required." I don't think there were any duties left unmentioned.
I had to do all the MDS, PPS, care planning, resident care meetings, and run my unit. While the ADNS sat in the office doing her nails and planning her wedding. And paging me to tell me, "I need this....I need that."

My DON is very top heavy on Administrative nurses. For 120 beds she has an ADON, a day Supervisor, 2 MDS nurses, 1 care plan nurse and a Restorative nurse all on day shift. No ones comes out to help with an admission. On 2nd shift the Supervisor works a unit so she can't help much. Most admissions are on 2nd shift.

The DON has also just informed the LPNs they can no longer do the bradn scale. I have written to the Board of Nursing to ask if this is true. I am waiting for their response.:angryfire

still-inspired · Mar 3, 2005

shoot i wanna come work for donmomofnine.

i am a unit manager and here is what i do

daily audits of mars and tars for med gaps and errors

daily snf and "hot rack" doccumentation reading including looking to ensure everything is done and doccumented for every situation,

from there written educations on what ever was found during the course of the above are gone over with whom ever needs it.

doccumenting on a QA report form for our daily QA meeting and so that everyone knows whats going on on my unit

taking suggestions from the QA meeting back to the floor and instuting all of those requests.

instuting RD requests,

monitoring physician visits, infection control logs and psychotropic medications and GDR requests,weekly weights and physician notification.

PPS meeting every monday wed, friday,

review all new orders with the tripple check system and ensuring everything is in order, transcribed correctly and on the calander for follow up, lab's drawn, transportation set up, family notified, you know ect ect.

daily staffing posting i also do the monthly schedule, requests for time off, on call every 3rd weekend but they call all the time, even when im not on call.

review of daily doccumentation of the restorative therapy personell along with revisions, auditing of the bath book and meal intake books.

peri care and hand washing audits 2 times monthly,

med cart and med room audits 2 times monthly,

all of the Nf and snf mds's raps care plans and updates

seriously i could add atleast 15 more tasks.

need i go on, im feeling tired just thinking about it, in fact im wondering if maybe im not doing more than that of a "unit manager" lord knows i have to put in alot of hours

this list is not all inclusive but you get the point.

some days im glad im a professional and have a healthy fear of reprecussions because i would otherwise ask to see what the DON's list looks like, i know the first thing on her list is

delegate to the unit managers.

autumneve · Mar 4, 2005

You know we have two nurses who do nothing but MDS,RAps,and care plans.Our unit manager is nursing and CNA supervisor also. Our unit manager is also our risk manager,wound care and anything else the don can "delegate" In addition to all you listed below and anything else anyone doesn't want to do.Basically a dumping ground for all the others don't have time or don't want to do.All the Don does is sits in the RCC room doing MDS,RAPS and care planning meetings snacking ,drin king sodas and having a great time.We can hear them out on the floor.Thanks for resonding.I think every reponse has felt like they were being used in this position.

donmomofnine · Mar 4, 2005

Still Inspired ~ WOW! :uhoh3: I read over that list and so many of the things that you are doing are done by staff, other than the unit managers, in my facility! I'd love to have you and I have a strong feeling you'd like it here!

autumneve · Mar 4, 2005

Oh I'm not the UM, I'm the charge nurse on the sub-acute unit b ut they offered me the posi:rotfl: tion because it is a new position at my facility and i turned it down.

CapeCodMermaid, RN · Mar 5, 2005

Heh...when I was a unit manager, my job description was *eleven* pages long. And the last item was the ubiquitous "and other duties as required." I don't think there were any duties left unmentioned.
I had to do all the MDS, PPS, care planning, resident care meetings, and run my unit. While the ADNS sat in the office doing her nails and planning her wedding. And paging me to tell me, "I need this....I need that."

I HAD to laugh after reading your post. I've been the UM of a busy sub-acute unit and got no help from the supervisor, ADON, or DON. Then I became the supervisor and was expected to help on the sub-acute unit all the time while the ADON delegated everything....now I'm the ADON and everyone still expects I'll be doing everything!! Sometimes it's who you are and not what your job description says.

autumneve · Mar 5, 2005

Been there, done that, don't wanna go back.Boy all of these comments sound so familar.I guess the problem is universal.Thanks for responding.Jean

autumneve · Mar 5, 2005

The Don came to me when she first started and asked me to do something for her and this was her comment."I was told,to get things done you go to the person who is the busiest and I brought this right to you". For about a half a minute I thought it was a compliment.DUH! And it hasn't stopped since.

catlady, BSN, RN · Mar 8, 2005

The Don came to me when she first started and asked me to do something for her and this was her comment."I was told,to get things done you go to the person who is the busiest and I brought this right to you". For about a half a minute I thought it was a compliment.DUH! And it hasn't stopped since.

I have a button that says, "The more you do, the more they expect." It is sooooo true. Incompetent, lazy people never get asked to do anything.

autumneve · Mar 8, 2005

I wish I had one of those! Thanks for the coment,Jean

:rotfl:

I have a button that says, "The more you do, the more they expect." It is sooooo true. Incompetent, lazy people never get asked to do anything.

nursetootsie · Mar 12, 2005

:rolleyes: Plus MDS/RAP's ! No wonder I'm always on the run....

shoot i wanna come work for donmomofnine.
i am a unit manager and here is what i do
daily audits of mars and tars for med gaps and errors
daily snf and "hot rack" doccumentation reading including looking to ensure everything is done and doccumented for every situation,
from there written educations on what ever was found during the course of the above are gone over with whom ever needs it.
doccumenting on a QA report form for our daily QA meeting and so that everyone knows whats going on on my unit
taking suggestions from the QA meeting back to the floor and instuting all of those requests.
instuting RD requests,
monitoring physician visits, infection control logs and psychotropic medications and GDR requests,weekly weights and physician notification.
PPS meeting every monday wed, friday,
review all new orders with the tripple check system and ensuring everything is in order, transcribed correctly and on the calander for follow up, lab's drawn, transportation set up, family notified, you know ect ect.
daily staffing posting i also do the monthly schedule, requests for time off, on call every 3rd weekend but they call all the time, even when im not on call.
review of daily doccumentation of the restorative therapy personell along with revisions, auditing of the bath book and meal intake books.
peri care and hand washing audits 2 times monthly,
med cart and med room audits 2 times monthly,
all of the Nf and snf mds's raps care plans and updates
seriously i could add atleast 15 more tasks.
need i go on, im feeling tired just thinking about it, in fact im wondering if maybe im not doing more than that of a "unit manager" lord knows i have to put in alot of hours
this list is not all inclusive but you get the point.
some days im glad im a professional and have a healthy fear of reprecussions because i would otherwise ask to see what the DON's list looks like, i know the first thing on her list is
delegate to the unit managers.