Nurses eat their young - now I understand why. - page 13

I started working for a sub-acute LTC as the DSD last week. The DON and I hit it off because we have the same vision on what we need to do in order to solve the problems we current have. Early... Read More

  1. Visit  mmm333 profile page
    LTC/SNF whether post-acute or subacute has trouble attracting and then retaining the calibre of nurses that are able to work in hospitals. Despite the fact that turnover is considered expensive and unacceptable in most areas, SNFs must churn staff in order to keep themselves staffed and avoid giving raises. Sounds like your facility wants levels of expertise that it is not willing to pay for. Good leadership is built on respect for others. If you cannot respect applicants it will be hard to command their respect. And a manager should not get angry or indignant about stuff like this.

    Many new grads are so desperate to find work that they overdo it in interviews or commit faux pas. It's worth a chuckle, not worth a head full of seething frustration.
    Last edit by mmm333 on Oct 7, '12
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  3. Visit  mmm333 profile page
    Every floor nurse in most SNFs is called a "charge nurse" or "supervisor"- it's 1) to hang more liability on their shoulders, 2) trick families into thinking that they are speaking to someone in charge of or supervising the entire unit when they call demanding to talk to someone higher up ie "OK then, would you like to talk to the charge nurse?".

    BTW I've seen new grads become DSD or ADON in the SNF environment as their first nursing job, or after six months as a "charge nurse" of this sort. Again, they are looking for someone to shunt legal risk onto. new grads should not take these positions. "hitting it off" with the DON = you got stroked and cuddled in the beginning, but in the end you may find that you got more than you bargained for. You may find yourself wearing the blame for systemic problems that loosely fit into your very broad or worse, unwritten job description.
    Last edit by mmm333 on Oct 7, '12
    chevyv likes this.
  4. Visit  jrwest profile page
    you know, to put a different spin on things, my management is putting the new grads in positions like charge nurse, etc, and they either sink or swim. Another new grad, well less than 1 yr floor experience- is precepting students at the local college. Why??? Because they are letting her, and no one else is there to do the job. Nothing against new grads, but I am scared because i have seen the management throw them in to situations they shouldn't be thrown into, and make subsequent mistakes. It also goes back to management not caring about nurses, just that they have a warm body to fill the holes.
    nursemaddie and Psychtrish39 like this.

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