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Discussion

Bad situation

I have an issue and I am in need of feedback on how to handle it in a constructive, professional way. I am a six-year RN, with a bachelors degree. I have worked in the hospital atmosphere in cardio, special procedures, have been a Summer camp nurse, wellness nurse, and an RN supervisor in home care, which I left to accept a position in a dementia/Alzheimer's independent living home. There are no skilled nursing task, just med pass, keep the residence safe, and offer guidance and compassion......easy for me because that's my forte. From day one of my start date things were a hot mess. The nurse manager that hired me was leaving the facility .........she hired me on as a staff nurse and the staff nurse I was replacing was going to become nurse manager. This new nurse manager was to train me. From day one of my training she has tried to sabotage me, first, by not giving me the proper training; 4 hours, that's hardly training. She has verbalized many times that she regrets giving up her job (that I now have) and accepting the position of the nurse manager. I took this job because it's a Monday-Thursday from 6 AM to 2 PM..I am ready for a more relaxed job with decent hours because I am 52 years old and will be retiring in 10 years. I forgot to mention that this nurse mgr is a 2 yr nurse and is a new grad of 6 mos. yesterday the administrator called me and asked me if I would be interested in this nurses position, as the nurse mgr, she said because I have the degree and experience for it and because this nurse has a nasty disposition and the new administrator that is coming in next week is not going to like her......... oh and btw she would like her position that I now have back. I declined the position because I don't want to work five days a week from 8 to 5 with a ton of responsibility plus weekend call .......I don't care how much more money it is. I had that position at my previous employment and even took a $4 an hour cut in pay to take this job. To me it's not about the $ but peace of mind and low stress. So i just know this new nurse, who is now nurse mgr is going to make my life a living hell ......she's already tried to point out every mistake and has tried to get me fired and I have only been there one week. She desperately wants her old position back. I'm not just gonna sit back and let this happen especially from a novice nurse. How can I handle this in professional manner? I'm new so I don't want to rock the boat but I am not going to walk away jobless at the age of 52....especially after have given up my previous job making more money.

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The nurse manager that hired me was leaving the facility .........she hired me on as a staff nurse and the staff nurse I was replacing was going to become nurse manager. This new nurse manager was to train me.

I forgot to mention that this nurse mgr is a 2 yr nurse and is a new grad of 6 mos.

She has only been at this facility 3 mos.

After reading your post I don't think that the difficulties you're currently experiencing with your nurse manager is your biggest problem. What kind of facility promotes a very recent graduate with three months (!) experience in said facility to a management position? In my opinion they are setting her up to fail.

I have only been there one week.

yesterday the administrator called me and asked me if I would be interested in this nurses position, as the nurse mgr, she said because I have the degree and experience for it and because this nurse has a nasty disposition and the new administrator that is coming in next week is not going to like her.........

This sounds like a dysfunctional facility all around. The administrator calls and tells you, an new employee who only started a week ago, that your manager has a nasty disposition!! This is extremely unprofessional.

If the manager says things like that behind your nurse managers' back, what does he/she and others say about you behind your back? The workplace culture seems rotten. And now they're hiring a new administrator? Staff turnover seems high.

I think that if I were you I'd just for the time being keep doing the job I was hired for well (since it is the position you are interested in), and continue to decline the offer of a promotion. If how the facility is managed doesn't improve significantly, I would most likely make searching for another position at a different facility a priority.

Good luck!

I have already met some new nurses with big heads in my short career. Unfortunately some RNs in nursing homes think they are the end all be all just because they have the title RN next to their name (no matter what their degree ASN or BSN). Something about working with LPNs gives them a superiority complex. Very annoying. I'd stop worrying about her. She'll take care of herself with her bad attitude. Shoot, I might just jump on the band wagon and say "I think she's a good fit for the position" and let her hang herself. Just keep doing what you're doing and say "I'm sorry I'm really not interested in that position. I like the position I have now" and let it be their problem.

You are experiencing a "Hostile Work Environment." There are US labor laws that address this and it's not only unpleasant, it is illegal. Document carefully and work through management (obviously not your persecutor). Most administrators would rather eliminate the problem (perhaps fire the problem person) than deal with the repercussions of such a complaint.

Wow. Just wow. Can you leave? That seems easiest! You have experience, and years of it elsewhere so having one short job won't kill you.

I left a hostile work environment. Never looked back. Served me well. I had to explain it away when I interviewed for my current position but I've been with my current employer for over 3 years so it's balanced out.

I dont don't feel six mos renders exp, unless you're in the counties where the movie "Deliverance" took place. She has only been at this facility 3 mos.

Sorry, I did not mean to imply that this particular person was qualified to manage. I was only responding to the post containing the blanket statement doubting that any ASN could be in a management position. My ASN program absolutely contained management classes.

Meanwhile, back to the thread...

Sorry, I did not mean to imply that this particular person was qualified to manage. I was only responding to the post containing the blanket statement doubting that any ASN could be in a management position. My ASN program absolutely contained management classes.

Meanwhile, back to the thread...

Agree with your point. I "only" have an ASN. My BA is in Psych. I've worked as NM and I've been offered plenty of positions as NM based on my experience.

OP, get out if you can. This sounds toxic.

Tough situation, and I wish you the best. I totally agree with the 'it's not about the money, it's about lower stress' at this point. I've got to work on that myself this year...

BSN programs are mostly liberal art courses not Management courses.

  • Expert

OP, is there any way you could sit down with your nurse manager and administrator and work something out for mutual benefit? She's in over her head, you're in over your head, the admin has a hot mess on her hands. Can you rearrange duties and hours so that you can still work the schedule you want, but help the NM with some things? In exchange for her not seeing you as the enemy, and having your back instead of stabbing it?

It seems if all three of you could get on the same page, everyone's stress level would go way down. And everyone has to observe ground rules about professional behaviour and presenting a united front.

I don't work there, so only you know if this is pie in the sky, or even worth a shot. Good luck, whatever you end up doing.

In the area where I live, many associate degree nurses serve as directors of nursing, unit managers, and assistant directors of nursing services.

In addition, many LPNs/LVNs serve as assistant DONs, directors of wellness, staff development coordinators, and unit managers in the post-acute setting.

Be careful of what you say, there are some in the nursing community that do not like the idea of having an Associate prepared nurse serve as a manager or director. Many academic faculty I have worked with in the past try to keep "lower" degree holders out of "leadership" positions. This is due to the idea that the more education and more letters you have in terms of education, the more prepared they are for directorship and management.

I never liked the way these types would shun associates nurses like me when I started out. I had to play their game by their rules to get anywhere in the organization. I do not believe just because someone holds a masters in leadership, that they can actually lead and inspire groups of people to work as one cohesive unit. There is a lot more to leadership than what is on paper.

Be careful of what you say, there are some in the nursing community that do not like the idea of having an Associate prepared nurse serve as a manager or director. Many academic faculty I have worked with in the past try to keep "lower" degree holders out of "leadership" positions. This is due to the idea that the more education and more letters you have in terms of education, the more prepared they are for directorship and management.

This is how my job is. ASN/ADN nurses are not even allowed to apply for clinical unit leader positions or manager positions - they don't meet the minimum qualifications, regardless of how many years of experience they have. They will hire BSNs in a pinch, but MSNs are preferred. My hospital is not associated with a university, for the record.

It is interesting how different things are in different parts of the country.

Is this an assisted living facility? Very different than acute care, very different than skilled care, and very different than a nursing home.

If you are in the memory care portion of this facility, there's state mandated training that needs to occur. Any number of duties are that of the CNA's. Sometimes under your oversight/direction.

As wellness nurse, you oversee some things. Mostly that the rules are being adhered to by the CNA's. The nurse administrator usually (again, assuming that this is assisted living) needs to be just an administrator, and not a nurse administrator. As wellness nurse, you would do the initial assessments and the monthly assessments that are needed for state documentation.

The new administrator may just dissolve this nurse's position to begin with, as sometimes your positions overlap a bit. You may need to do more focused tasks in your time there. Perhaps a per diem person for weekend call. However, any number of residents could have VNA involved in their care, and that coupled with policy of calling 911 for any emergency, and there may be no need for an on call person.

There are social workers who have an administrative position in assisted living. There are LPNs who have these positions. But usually there's an administrator, and one nurse/social worker who does assessments to be sure a person is right for AL and schedules the CNA's, makes sure that they take state training, and that is about it.

Biggest challenge? People who are oh so not assisted living, but remain in house anyways....AND that you may be responsible for documenting on. That part is the set up part. Goes against the "what would a prudent nurse do" part.

I would see if you could do part time at your old job. AL is nice in theory, but rarely ends up well. Too many grey areas.

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