Terminated without warning

Specialties LTC Directors

Published

Ive been terminated for the first time in my life and without warning or prior counseling.

Ill try to keep this as short as possible.

I am an RN with 10 years long-term care experience. I accepted my 1st DON position with a very rural community owned skilled facility with a census of 20 residents 3 months ago. A very challenging experience with very little guidance from the administrator or the ADON, i basically winged it . Everything was so disorganized, wasnt sure of my role, b/c the ADON would take over and just do them herself without taking the time to explain things, and since Im new didnt know the right questions to ask, so I basically read everthing I could get my hands on, eventually I developed my own routine whether or not is right everyone seemed pleased and the adm.would tell me I was doing such a great job census was picking up, risk assessments that were 1-2 years overdue were caught up, I developed a strong rapport with families, the medical director, the residents, and the staff knew they could come to me., when a problem would come up with CNAs ( which as often) I would promptly follow up.

The more I learned the more mistakes I was finding that the ADON was making e.g orders 2 weeks old that were not properly flagged and put back in the chart and critical lab values that were not called in but then i overheard her blame the charge nurse to the adm.

Scheduling was delegated to her (ADON) by the administrator when I started. She was doing the Dec. schedule right after thanksgiving. I scheduled myself off for X-mas., she calls me at home on x-mas eve and asked " are you going to work tomorrow?" I replied, No, I wasnt planning on it she proceeded to tell me there was no one to cover the floor, and said well Ill call you back. She never called me back.

Monday morning I arrive at work, make my rounds, get report, soon I hear " Can you come into my office?" there sits the ADON along with the Adm and I hear " We are qustioning your commitment to the facility, he proceeds to tell me that I need to work the floor when asked and that he was told that I refused to come in, I look over and the ADON is not saying a word, looking at the floor. Its my word against hers. then he stated I wasnt cut out to be a DON b/c I lose control to easy. he was referring to an incident that occured 2 weeks ago when a resident fell we all went running to the room except the ADM of course, we found her lying in a pool of blood, huge scalp lac. ,obvious fx arm . I instructed the charge nurse to call 911, while I held pressure along with other c0-workers, I felt so bad for her i made the mistake of allowing myself to show emotion by shedding a tear and telling this poor woman i was sorry, well this compassion i shown has turned into me losing control over the situation. I was told he would have to let me go. Im sorry this is so long winded but I am still in shock. Any thoughs on this would be greatly appreciated and thanks for reading.:angryfire

Specializes in Med Surg, Nursing Administration for SNF.

Am very sorry for the blow to your spirit, but maybe it was a blessing in disguise. As everyone else pretty much said, sometimes the DON is the sacrificial lamb so to speak. Often times the ED (or Admin) or corporate has to cover thier own butt and so . . . well you guessed it. My own DON (Im his ADON) is experiencing this and will be giving his resignation this wk prob. You can go to Career Builder or similar & see this first hand -the turnover for nsg admin in LTC is ridiculous. Sometimes I think we're set up to fail. Dont mean to sound neg tho, you dont need that. I am sure there are good buildings out there (I was in one once where I used to live). Problem is, they're like good husbands - not too many available coz noone leaves the good ones!! Good luck, you'll land on your feet I'm sure.

Specializes in Gerontology, Med surg, Home Health.

The average length of stay for a DNS in LTC is between 15 and 18 months. It's the stress, the stupid staff we sometimes have to deal with, families, the DPH, the ED at times...the list goes on and on. Some of us stay and keep trying or move to a different facility to keep trying because what we do matters.

Specializes in Geriatrics,hospice.

Just want to thank everyone for the good advice and support. I mentioned earlier that I have 10 years LTC experience, well that was working the floor, boy, whole other ball game now unh? I stated earlier that I thought I had another DON position lined sup... still waiting on that call, but i'm not giving up hope. If that doesnt turn out then it wasn't meant to be. I strongly feel I was meant to help take care of our old folks so I'm sure there is a company out there that appreciates that,and as I stated earlier I wont do anything different .....except...not be so naive:cool:

Specializes in ICU, CM, Geriatrics, Management.

Excellent advice from everyone.

The older I get the more I realize the truth with "when one door closes..."

Be glad you're out of that place. For sure, you'll find something better.

It's happened to me a few times.

Hold your head high. You're terrific, Lonestar!

Keep plugging away.

Specializes in medsurg/tele, mbu, LTC.

i had a very similiar experience...i have been in ltc for 10yrs and have been an rn for 2yrs. i was hired 3mos ago as don in a small facility. the previos don wanted to be the mds so she could work p.t. to spend time traveling with her retired husband. the admin. new me and called me for the position. he knew i have no experience as a don. anyways, as it turns out...he has no backbone, the mds/prior don runs the place and everything she says goes. the first 2 or 3 weeks were fine, but then i started to feel like she didn't want me there. she kept changing things...she would show me something one day and say that i need to do it. then a week later she would say that the medical records person should do it, then the following week she would say the nurses should do it. nontheless, i tried to keep up with the constant changes. then, she had me moved out of the office so she could have her space back, i was crammed into a small office with medical records. the office was originally a tub room. in there we could barely fit the two chart racks on one wall (one of the racks was behind the door) and on the other wall was our desks. i was constantly getting banged by people coming in and out to get to the charts. my back has been killing me. then without any complaints or warnings i was let go. i know that she wants to bring in one of her friends from her other job ( she has been working at another place for about a month, instead of traveling) and she decided she wants one of her friends to be the don. and since the admin has no backbone and she is always making me look bad, he believed her.

Specializes in MDS/Office.

Cali2007,

Your Scenario is pretty typical in LTC.

Think LTC is going to get MUCH Worse.....:confused:

Specializes in acute care and geriatric.
i had a very similiar experience...i have been in ltc for 10yrs and have been an rn for 2yrs. i was hired 3mos ago as don in a small facility. the previos don wanted to be the mds so she could work p.t. to spend time traveling with her retired husband. the admin. new me and called me for the position. he knew i have no experience as a don. anyways, as it turns out...he has no backbone, the mds/prior don runs the place and everything she says goes. the first 2 or 3 weeks were fine, but then i started to feel like she didn't want me there. she kept changing things...she would show me something one day and say that i need to do it. then a week later she would say that the medical records person should do it, then the following week she would say the nurses should do it. nontheless, i tried to keep up with the constant changes. then, she had me moved out of the office so she could have her space back, i was crammed into a small office with medical records. the office was originally a tub room. in there we could barely fit the two chart racks on one wall (one of the racks was behind the door) and on the other wall was our desks. i was constantly getting banged by people coming in and out to get to the charts. my back has been killing me. then without any complaints or warnings i was let go. i know that she wants to bring in one of her friends from her other job ( she has been working at another place for about a month, instead of traveling) and she decided she wants one of her friends to be the don. and since the admin has no backbone and she is always making me look bad, he believed her.

i am so sorry, i guess good riddance to bad rubbage, it was a bad situation and you are best out of it, just get the adm who knows you to write for you a good reference anyway if possible. you made a mistake in taking the position to begin with, never take don if the previous don is staying on...she will of course run the show and leave you looking bad.

Specializes in medsurg/tele, mbu, LTC.

thanks for your replies....i wish i knew this before. i started to suspect something was up when she started to talk about the other facility needs a don and said "not that im trying to get rid of you or anything" a few weeks ago. then when i was moved up front in that little office, i felt offended. but, i did not complain because i did not want to lose my job. it was her idea to move me there. then one week ago, she yelled at me 3 times in front of everyone. i was ready to leave that day...i came in the following monday and she was all of a sudden on vacation until friday. then on friday in our standup she made suggestions to move medical records to the linen closet so the don could be alone in that office, i knew she had one of her buddies in mind. and she could not let her buddy put up with getting bumped into every few minutes. she also is moving everyone from the other office to another closet and make that office to an employee break room....and the admin completely went along with all of it. then at the end of the day he called me to his office and said that i have one week of probation left and this is not working out and here is your check. i never had any complaints or warnings.....i worked very hard, stayed very late daily, and did everything asked of me......i feel so stupid and worthless.

Specializes in psychiatric, UR analyst, fraud, DME,MedB.

You might feel hurt right now, but you know something , there are always people like this..........I guess the smaller the place the more it gets to be a mom and pops business , and this is not really good because it becomes too "family" oriented and you will get the drama and the playing favorites. Maybe it is good to work in a bigger company specially for this kind of a specialty, where everything is run appropriately like a corporate?? those who work hard gets the kudos instead of the family friend or uncle that needs a job? I do not like groupies in a work place......they are a nuisance and gets in the way of progress. :nurse:

So, it is a blessing that you are out of this environment, and do not forget to tell administration your story...it is good for them to know what is going on .

Specializes in Peds/outpatient FP,derm,allergy/private duty.

quote=cali2007;4223765. . .

she made suggestions to move medical records to the linen closet so the don could be alone in that office, i knew she had one of her buddies in mind. and she could not let her buddy put up with getting bumped into every few minutes. she also is moving everyone from the other office to another closet and make that office to an employee break room....and the admin completely went along with all of it.

wow. . .it is so not you, cali2007. don't spend another minute feeling worthless. moving people into closets to make a break room? unreal. :mad: i know the lord says vengeance is his, but it sure would be good if someone moved her office into an andy gump out in the parking lot. grrrr

Specializes in geri, psych, med surg.

I'm sorry you got terminated, especially so unfairly. You're certainly not alone, if that's any consolation. Being a DON is very tough. In my state, the average tenure of a DON is 18 months. How well you do isn't entirely under your control, as you've just learned. I've been called by headhunters for DON positions, and told them I'd do it when hell freezes over. They said, "I hear that a lot."

Specializes in acute care and geriatric.
I'm sorry you got terminated, especially so unfairly. You're certainly not alone, if that's any consolation. Being a DON is very tough. In my state, the average tenure of a DON is 18 months. How well you do isn't entirely under your control, as you've just learned. I've been called by headhunters for DON positions, and told them I'd do it when hell freezes over. They said, "I hear that a lot."

Thats so true, the best part of being an ADON is not being the DON, although ours has lasted now 7 years...can you believe it? she has nerves of steel. Her career was from OR nurse to teaching nursing, DON for 10 years in a small hospital and now DON for a 200 bed LTCF.

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