I am interested in a career involving administration in long term care. And, I wanted to hear first hand some of the biggest issues or problems that administrators have faced recently or over the course of their career?
First - you do realize that this is a DON subforum and you aren't likely to find many administrators here? Most, if not all of your responses will represent the nursing department and not necessarily the entire facility.
Now where in the heck to begin?????
1. Unrealistic expectations: From whom you ask?
- The families - No we really don't give 1:1 care here. No your Dr. will not be into see your loved one at the drop of a dime. No, your Mom is not necessarily the angel you think she is, she is manipulating you against the staff and you refuse to see it.
- The staff - I am a living person and can not make miracles happen. Yes staffing could be better but understand....I have a boss too. I have been very bluntly told "Here is your staffing budget. Keep it in line or I will find someone else who can". And there is also the constant staff bickering and I'm expected to be the referee and try and keep the peace. Somedays I just want to yell out my door "Grow the heck up people and just go take care of people instead of wasting time griping about what someone else didn't do...". My favorite (not) is when they finally bully someone into quitting then come crying because they are working short.
- The corporate aspect - Back to staffing budget. Would love to know what some of them make. Just where are all those profits going. (Along with their salaries, typically a good buildings profits are poured into the system to off set those sister facilities that are not doing well).
By the way...I had a great day at work today! I also want you to know that I love 90% of my residents, I love 90% of my nurses, I love about 75% of my aides and about 50% of the families. Heck, I even like those folks in the corporate office....they are just doing their jobs too. I love my job.
Last edit by Nascar nurse on Jan 2, '13