What's the weirdest thing management has said to you? - page 2
by monkeybug | 46,869 Views | 134 Comments
Based on the thank you card thread, what's the most bizarre thing said to you by management or administration? I can think of a few that will always stand out in my mind. When discussing our patient satisfaction surveys,... Read More
- 22Dec 12, '12 by Testa Rosa, RNWe had a really mean pt on our oncology unit. I was told she was a very intelligent and articulate woman who was in denial for a long time and who was now trying to blame the medical establishment for her life limiting cancer. She was leaving the unit for daily radiation tx. Lucky for me I never was assigned to her during her two or three brief stays with us. Next door to her was my sweet, simple pt--a frequent flier who had life limiting colon cancer. She was on heavy amounts of Dilauded and was a bit of a scatterbrained to begin with.
She would leave the unit frequently with IV pole in tow to visit the vending machines or people watch in the lobby. Upon returning, My scatter brain sweat-heart pt passed me by at the front desk establishing it would be another hour before she could have her PRN Dilauded/Benedryl combo. She left me and went out of sight down the hall where she settled into the wrong room, sitting on the edge of the bed of the mean pt who started to pitch a fit on the level you've never heard/seen before when she returned with her transport team who had already been yelled at several times for various things. Needless to say they disappeared as soon as they could so she leashed a full fury attack on my sweet pt--throwing racial slurs and just saying the meanest things.
My pt had barely sat down and didn't touch anything, still we remade the bed and obtained a new meal tray. We arranged for a flower delivery. We even wiped all surfaces down with Sani Wipes and called housekeeping to clean the restroom. Mean Lady berated me the whole time to her own nurse who she also treated badly.
While I and the other nurse attempted to do "service recovery" on the mean pt. (and I kindly asked the relief nurse to settle my crying pt into her own room and pull some Ativan early for her based on a phone order I had just obtained), my manager pulled me aside and said she would be writing me up for not preventing my pt from going into the wrong room. That I should have been rounding frequently enough to have noticed my pt was in the wrong room.
So tell me, I asked, how would I know my frequently ambulating/restless pt had settled into the room covered by another nurse? She told me that I should been a good enough nurse to have prevented the situation. Hmmm, I thought to myself, no amount of "good nursing" was going to prevent an honest mistake from happening that was totally unrelated to my nursing care. Am I right?
- 13Dec 12, '12 by SleeepyRNQuote from FLICURNChart. That. You. Charted??? Sorry, I had to repeat this slowly hoping it would make sense (sarcasm) Insanity I tell you!!!Our NIH policy is to do a handoff NIH with the on/off going nurse doing it together. THe NIH assessments had been Q4. The first NIH I did I charted the NIH scale. The next day I am in line to pick up my son from school and the hospital calls telling me I didn't complete the stroke charting and need to come back to finish it. I let the mgr know that I had in fact done the stroke scale. She's said she saw that, but I didn't write the note that I completed it. So my response was "So I have to chart that I charted?" Yup.... we now have to chart that we charted.... makes lots of sense to me! I guess they just want it recorded that the 2 nurses did it together??
- 22Dec 12, '12 by SleeepyRNQuote from monkeybug"No lunch"... we all know what would happen. The nurses would continuously have to write no lunch, overtime would have to be paid, then the threats would come about all the overtime so you go back to working for free. I would also like to point out the giant elephant. Writing "no lunch" and even getting paid for it does NOT SOLVE THE ISSUE, HR!!! We want our break! Not because we are lazy, but because it allows time to recharge which allows for better care of the patient. It allows for Reduced stress, increased mental health of staff....DuhI remembered another nutty thing the same manager said. At a staff meeting we were discussing the fact that 99% of the time we did not get a lunch break. At best, you might get to gulp down a few bites on the way through the nurses station. A nurse had finally gone to HR about it. HR told us to clock a "no lunch.". Manager said we should just think about a day when we didn't have a patient, or maybe got an entire hour, and "it would all even out." Excuse me, but it does not. I am not allowed to run to Target if I don't happen to have a patient. That time is not my own. I asked her what the Labor Board would say about her theory (it is such a pain when one of the nurses you are trying to screw is a lawyer!). We got an email shortly thereafter stating that we should write out a "no lunch" on the clocking error sheet.
- 7Dec 12, '12 by T-Bird78If you call out sick and don't have a note, even for just one day, you don't get to use PTO with it. If you go to a doc appointment and come in late/leave early and don't have a note, you don't get to use PTO for it. If the doc decides to close the office the day before a holiday you have to use your PTO or not get paid. I got yelled at nearly every pay period for going into OT--by less than 10 minutes--and once I reminded her that I was the only one who actually showed up on time every day. I got the usual earful about 0.10 hour of OT (6 minutes) on the same paycheck that was short 16 hours pay because I'd had a death in the family and couldn't use PTO for the funeral. When I pointed that out--my 6 minutes OT is much less than the 16 hours of no pay--I was told that was policy and if I didn't like it I knew where the door was. I had the early lunch and got yelled at because when I'd come back from lunch and let the other nurses know I was back, they'd take a few minutes to finish what they were doing then go to lunch. It was my fault that the other 3 didn't drop everything and run to the time clock, or if both providers were still seeing pts and I couldn't relieve both nurses at the same time, it was my fault. I asked my manager if she wanted me to clock back in and drag my other nurses to the timeclock and she said yes.
- 12Dec 12, '12 by NutmeggeRNWhen most of the residents in the LTC
need a hoyer or sit to stand...
and there is demented exit seeking man who could run circles around most of us,
in addition to a scabies out break...
we were told that when the residents or their families complain about the things not getting done due to short staffing (minimal scheduled plus a call in) that we were to smile and tell them "We are doing things a different way today"
Yup that was to be our mantra....trying to brainwash us/them? I'm not sure...all from an admininistrator who has never taken physical care of patients before....
Yup, we sure do things differently that what is promised when they pay ginormous amounts of $$ to enter this Residential/LTC facility.......Last edit by NutmeggeRN on Dec 12, '12 : Reason: posted before finished typing
- 3Dec 12, '12 by BluntForceTrauma[QUOTE=monkeybug;7067696]When discussing our patient satisfaction surveys, our manager told me in a staff meeting, "Monkeybug, a patient would much rather have a nice nurse than a smart one. They don't care how smart you are, it doesn't matter. The "little things" are what matter! In fact, a family probably wouldn't care if you killed a patient if you were a really sweet nurse." My reply was rather colorful, and culminated with me saying, "give me the smart ***** any day if I'm the patient."
The sad thing is that 80% of the time, this is true! Our management said the same thing to us when we received poor survey scores.Last edit by Esme12 on Dec 12, '12
- 10Quote from Sirius SquintAnd the all important, not-passing-out-due-to-hypoglycemia! One of our nurses delivered a beautiful baby girl with a suck blister on her hand. Nurse said, "It's because I NEVER got to eat lunch, my poor girl was starving in there!""No lunch"... we all know what would happen. The nurses would continuously have to write no lunch, overtime would have to be paid, then the threats would come about all the overtime so you go back to working for free. I would also like to point out the giant elephant. Writing "no lunch" and even getting paid for it does NOT SOLVE THE ISSUE, HR!!! We want our break! Not because we are lazy, but because it allows time to recharge which allows for better care of the patient. It allows for Reduced stress, increased mental health of staff....Duh
- 9I have one child, and I nursed him for 15 months. I did stop pumping at 12 months when I could supplement with cow's milk because it was too much trouble to try to get pump breaks on our unit. Even though it's my legal right and part of hospital policy, I got very little support. One 12 hour shift I had gone 8 hours without pumping and I was in agony. Every time we had a delivery and I heard a baby cry I would leak a bit more, and it hurt to even move. We were so busy that no one could give me a break. Our manager (the same weirdo I've referred to here numerous times) was sitting at the desk doing paperwork. We had centralized monitoring, so all patient fetal monitor strips could be viewed in real time at the desk. I told my manager how long it had been since I pumped, and asked if she could please just watch my patients for 15 minutes. I also pointed out that I hadn't had a lunch, but all I needed was to run go pump. She looked at me and sighed and said, "I mean, do you really have to?" NO, I could just undo my nursing bra and hose you down right here for some relief, but that would be a waste of resources. One of the 8 hour nurses on her way out literally threw her bags down, marched back to the time clock and clocked back in, slammed herself down into a chair and said, "Please go pump, I cannot watch a mother in pain, and I'm not leaving until you've had a break." Manager didn't say a word, and I got some relief. BUT, because of the lack of pumping breaks (or any breaks) my milk supply dwindled and I had to take Motillium to boost my supply, costing me money and undoing all my weight loss efforts (domperidone, Motillium, makes you HUNGRY all the time).
- 0Dec 12, '12 by Testa Rosa, RNAwe Monkeybug--so sad to hear about the reduced milk supply because you were unable to pump. I used Fenugreek myself when I started back at work to keep my supply up and then we shifted to night nursing which you know meant I was dead tired at work the next day. Sounds like you are a great Mamma and Nurse. Nurse Managers are LOCO