I am a DON, at least that is what my name pin tells me. I run a nursing department of approximately 70 employees and have 7 managers under me. My NHA is an RN who used to be in my position. I have been with my current company for just under 2 years but, am still the newbie since my management team has been there between 10-20+ years.
I have never liked firing people but, have become quite adept at doing it, 5 people in the last month alone, and because i have my documentation in place never lose an unemployment case.
I have been doing the majority of my own staffing as my last coordinator just couldn't get it, and now have a new person my NHA hired that only works 3 1/2 hours a day and won't shut up long enough to listen.
I have a medicare nurse that was continually behind with her RAPS (up to 6 months, 80+ of them). I rode her butt and wrote her up and gave her a deadline. She now handed in her resignation and will be gone in two weeks. I put an ad out but, everyone wants an RN that can do MDS's. My boss told me yesterday that I will have to do her job until I find someone.
The receptionist was complaining to me yesterday that the noc shift was parking in the emergency lane in front of the building. I told her to post a note at the timeclock, otherwise it is a $200 fine and they will just have their vehicles towed as I have told the noc shift already in the past. The receptionist called the NHA and told her the problem, now i am also the parking patrol.... don't even know who drives what.
I am on-call every night during the week and also every 7th weekend. I am now taking St. John's Wort and am about at my rope's end. Lots more issues, but it would take a book instead of this forum. AM looking for a consulting job within the two state area I live.