Whipping med surg nurses into shape - page 2
Have they done this at your hospital and mainly it is legal or is this harrassment? Our nurse manager and administration ( on med surg unit) has begun a new program of shadowing each nurse for... Read More
Aug 14, '03As if you don't already have ENOUGH stresssss...geeeeez!
OK..fine..shadow me for 3 days..and I'll do the same and follow you around for 3 days pointing out how YOU could use your time more wisely..starting with : If you have that much time on your hands (to follow somebody for 3 ******* days)I think you need some more duties.
Aug 14, '03Typical admin-speak. Blame the nurses for the problems, not the fact there is a horrendous shortage causing it.
I agree with the poster that said you CAN use this as an opportunity to show them WHAT IT IS LIKE to WORK LIKE YOU DO. But with a mindset like that, don't expect much. They are looking to pin the deficiencies and problems on NURSING, as usual, not on what the REAL ROOT CAUSE Of the problems are.
Aug 14, '03It would be my luck that my shadow would be with me on a day when census was down, the pt. load was lighter, though. Then they wouldn't know the average day as the nurses normally have it.
Aug 15, '03I had the opportunity to "shadow" my nurse manager yesterday. It wasnt an official thing - it just worked out that way - and at the end of 22 hours - yes 22 hours - I had to tell her how proud of & awed by her I was.
We went into disaster mode as soon as the blackout hit. My NM manages 3 critical care units - one being the ER - and an hour before my shift ended, she pulled me there to help her out. I was with her for another 10 hrs. With a walkie talkie in one hand & a hospital cell phone in the other, she didnt stop all night. People, even the VP of Nursing, were calling her for direction from all over the hospital and she handled it all, solved tons of logistical problems, managed all 3 units from the walkie talkie, kept her eye on the staff to make sure we were ok & got breaks, food and drink, kept things moving on all of her units & sent extra staff from the ER to help the floor nurses with admissions we were constantly sending up, kept things moving & kept the chaos controlled. And kept her cool, and her smile too. She started the day at the same time I did but I got to go home 22 hrs later - and she was still there.
I have a lot of respect for that lady. She did an amazing job.Last edit by -jt on Aug 15, '03
Aug 16, '03Wow JT- your NM sounds like a real trooper! It made me think about my NM and wonder if she would have handled that kind of situation so deftly, and I think she would. I have had bosses before that would've run home crying in such a situation, but the one I have now is pretty supportive of her staff. Thanks for your story- I'm going to call my NM on Monday and tell her how much I appreciate her and what she does for us.
Aug 16, '03Originally posted by P_RN
Those NM ought to be putting on the running shoes and HELPING or soon they won't have any NURSES to MANAGE
My asst NM gets right in there, takes an assignment or does charge, any shift if there is an urgent need, and she WORKS, man!
My NM yesterday did day charge.
It speaks volumes to me, I tell ya!
Aug 16, '03[i]I have a lot of respect for that lady. She did an amazing job. [/B]
Aug 16, '03most of our aministrators couldn't follow the nurses around.. they'd be totally lost. esp. med/surg. it's totally hectic. no way would the bean counters even have a clue what the nurses were supposed to do. to all of you who do med/surg, i must say i admire you. i know i could not do it. it was bad 13 years ago when i left and now probably 10x worse. i think you guys deserve a differential w/ all of the heavy pt. loads and various types of pt's you deal with.
Aug 16, '03WOW Hats off to both you and your NM. Great job in a very difficult time. My NM would have never left her office
Aug 16, '03ALL I CAN SAY IS ........ONLY IN CALIFORNIA......WHERE THEY TAKE IT TO THE EXTREME MY OH MY !!!!!!!!!!!!!!
Aug 16, '03originally posted by badbird
........................perhaps after you are all scrutinized you could shadow the nurse manager for 3 days each and critique his/her work.
Aug 16, '03The most likely reason for the "shadowing" exercise is to justify a planned change to your current staffing mix. First they will come up with a narrow definition of what a nursing duty is; then they will time those activities. Later the suits will return with a report which purports to prove that a large percentage of your work day is spent performing non nursing tasks. They will go on to say those duties should be performed by lesser trained staff which will free you up to "perform the activities which you were educated to do." Many of the nurses will find this appealing------until it's too late. Additional unlicensed workers will be hired to replace nurses; but at the wages the hospitals are willing to pay these workers, many of the positions will remain unfilled and turnover will be high so often times you will have to perform their work as well as your own. There will be no additional time allotted for supervision of these workers although you will, of course, be responsible for their performance. And their attendance and performance/attitude problems will become your problems.
With all due respect, any nurse who thinks they will have an opportunity to show these shadowers anything during the shadowing exercise are kidding themselves; nobody approved this activity in the hopes of increasing the cost of providing nursing services. Quite the opposite.
The only "justice" here is that while the very top administration positions will increase in number and/or compensation, the fate of many of the "shadowers" is equally bleak. The secret meetings where the managers, educators and administrators plan these cuts are often followed by administrative meetings where they plan how to eliminate or reduce manager and educator positions.
Aug 16, '03Originally posted by imenid37
most of our aministrators couldn't follow the nurses around.. they'd be totally lost. esp. med/surg. it's totally hectic. no way would the bean counters even have a clue what the nurses were supposed to do.
Send your NM to critique me...she'd be having chest pains trying to keep up with this Med/Surg/Telemtetry RN.