I can understand everyone's point. I'm not a manager by no means, but what do you do when the HN and AHN caters to only one shift? It's always the day shift. I imagine it's because they are there for eight hours with them and they don't want to make any waves. Their decision making is always for the staff and not the pt. I work in a LTC facility. The pts aren't getting the care they need, the NAs go to lunch for an hour and a half at a time, (shopping at a near by food store) and I can't believe that they don't see this. If you have a complaint about ANYTHING their reply is, "It's up to you to take care of it not me, you're the team leader." I would think that if you're a HN or AHN you would want see that your staff is providing at least satisfactory pt care and if they aren't, you'd step in to find out why not. Our daytime NAs have a bit of a poor attitude to say the least, and many of them do not like to be told what to do. We have a few on other shifts too, but it seems that most of them are on the day tour. The nurses just can't do EVERYTHING, but it's a shame that the two top notches let this kind of thing just slide day in and day out. It could be that they are afraid of them for fear of retaliation? I'm not sure. I know one thing...they certainly do not have their unit under control and people are walking all over them. As long as there are no waves being made, everything is ok...for them. It's the residents who truely suffer. One of the qualities of a HN and AHN is that I think you CAN NOT be spineless. If your workers have any respect for you and your position, they will understand where that line is drawn between friendship and workship. You can't please everyone, but at least try to please the residents.
The other day, the HN comes into morning report and says, "The care being given here is disgusting!" Well, I'm thinking where have you been all this time??? Get out on your unit and check things out once and a while it might do a world of good...And have a staff meeting with each shift like other managers do and tell them what you expect of them. Then she says, "It's almost apraisal time!!!" And I'm thinking... For who??? LOL If we could give YOU an apraisal, things might be different ...hmmmm, now there's a thought.