I realize that this is a broad hard to define question but any thoughts?
Currently I'm a ADON with responsibilites for CNA hiring firing, infection control, every other week being on call and dealing with the many behavioral problems we have with our LTC residents. I never really quite feel in control even though I have done this for quite some time. There always seems to be a complaint or problem that is not solved at the end of the day. Being responsible for the 40 CNA's is difficult as I take the grievances residents have with them personally.
Those of who have been a DON/ADON before MDS, do you feel like you have more control over your job? I'm sure there are stresses but in our particular building you are not a supervisor over anyone and you answer to the Administrator. Our current MDS Coordinator who was a DON for many years stated that "There are problems with MDS but no wildfires." She took a large pay cut to become a MDS Coordinator but she really enjoys it.
Sorry for the ramble