Re: RN vs. LPN the war continues Originally Posted by CapeCodMermaid
I'm the DNS of a small skilled facility. The nurse manager was hired long before I started. She is an LPN. I have no issues with LPNs in general, but given the choice, the acuity of the residents, and the CMS 5 star rating system which gives more stars to facilities with RNs, I would rather have as many RNs as possible. We have a newly created position. We are a union building and have to post every position. I have 2 people interested. One is a brand new LPN and the other is an experienced RN. The nurse manager doesn't like the RN and tries to find fault with everything she does. She loves the LPN (who has worked less than 10 shifts for us). She told me that she has decided to give the job to the LPN because she likes her. I told her I would rather have an RN for a variety of reasons. So now she's going around to the other staff and telling them she is 'over her' because I have a bad attitude about LPNs. I am at the end of my rope with this woman. She decides who she likes personally and who she doesn't and her personal opinions get in the way of everyone's work. The RN is not perfect (hmmm are you? am I?) but she has experience. Any ideas out there. I know it's a rambling post and no one can make this call but me, but are any of you going through anything similar?
Boy you can learn a lesson from my DNS, ( I am her ADNS) - NOONE talks about her behind her back, she would be all over that Nurse Manager like a wet blanket, IT is SO UNPROFESSIONAL to talk about you behind your back, if she cant be behind you and your decisions 100% she would be fired!!Decisions and the rational for them made by you are expected to be respected. SHe is seriously killing the morale in the building not to mention respect . If she is allowed to talk this way what is to stop the next CNA from talking about HER in that manner...
We have an experienced LPN who really massages the ego's of the administrator and his staff but is so totally unprofessional and would act like your nurse manager if given the chance, whenever a Head Nurse position is available, people expect her to get it but as my DON says, only people who can work with ME can get that position, and she is right.
CCM you are right about choosing an experienced RN for the position, you dont need us to tell you that, what you need to do is sit down with this nurse manager and have a serious talk, lay down the law about the professional behavior expected of her and the example she is to show the staff. You can tell her that you have heard the things she has said throughout the building, and you respect her opinion, but your decisions are made by looking at the big picture, if the RN has problems, she will help you reeducate her so the facility will benefit. You understand that she prefers the LPN and maybe another position will be made available at a later time for that as well. I would keep a synopsis of the meeting for her personal file and keep an eye out that she wont try to sabotage this new RN's standing and performance in your facility.
As DON isn't it your decision?
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