Chain of Command

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Can anyone tell me if a unit manager is over Resident Care Coordinator in the chain of command in long term care.Thank You, Jean

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Specializes in LTC, assisted living, med-surg, psych.

When I was a resident care coordinator, I WAS the unit manager.......the only people above me were the Director of Nursing and the administrator, and let me tell you, when we had a bad survey, guess who got left to twist in the wind?? :stone

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W here I am they are two separate positions.this was changed just recently because the RCC can't handle all of the work.Nurse manager is also Risk manager and Wound care nurse and takes care of infection control in addition to all of the managing of nurses and CNA's,is on the weight and restraint committee and attends all of the careplan meetings.She also has to go through all of the charts to make sure they are state ready.Did you have all of those responsibilities?Thanks,Jean

:rotfl: :balloons: :nurse:

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Specializes in LTC, assisted living, med-surg, psych.
W here I am they are two separate positions.this was changed just recently because the RCC can't handle all of the work.Nurse manager is also Risk manager and Wound care nurse and takes care of infection control in addition to all of the managing of nurses and CNA's,is on the weight and restraint committee and attends all of the careplan meetings.She also has to go through all of the charts to make sure they are state ready.Did you have all of those responsibilities?Thanks,Jean

:rotfl: :balloons: :nurse:

Whaddya mean, the RCC can't do it all? :chuckle I did.....MDS, RAPs, wound care, infection control, investigation of every stinkin' incident report, managing the unit and its personnel, all committee meetings, care plan meetings, and taking up the slack when other departments didn't/wouldn't complete their parts of the MDS and RAPs. Plus, I had to work the floor when there was a call-off. I lasted all of 15 months. :o

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In other words it's just too much for one person,huh?

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Specializes in LTC, assisted living, med-surg, psych.

Yes, I'd say so, but then I'm sort of biased......I was working 60-hour weeks and getting paid for 40, I was on-call 24/7, and I even had to bring work home most evenings. Needless to say, I got pretty close to burnout, and when I started showing signs and symptoms of it they kicked me to the curb. :angryfire

LTC management is a nightmare, and I wouldn't have that job again for all the gold in Fort Knox. Sorry I can't be more encouraging. :uhoh21:

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