define no call no show

[sasha2lady]

Ok heres the story. It snowed last night so a 3rd shift nurse didnt call or show up to work...she only texted the other 3rd shift nurse. When a 2nd shift nurse tried to call her...got no answer...talked to the Don about it who said that since an attempt was made to call that 3rd shift nurse it wasnt considered a no call no show. I say Bull****. its self explanatory. Our policy is that a no call no show is to be terminated.....which has never happened b/c mgmt is so lax on policies. The prn nurses that we have are just worthless.....we call them ...they never come in. I dont see the pt in even keeping them on the payroll! I think its just ridiculous to expect another nurse to stay over and then nothing be said or done to the nurse who was in the wrong! Not even a write up or nothing! I worked @ least a double a month last yr..sometimes more...sometimes 2 in a row and got absolutely nothing for it...no overtime...no incentive pay...not even a thank you. Ive suggested to mgmt multiple times that we get something in return for picking up others slack and that when they hire prn people to put them on an on call rotation 2 wks out of a month and rotate it btw at least 2 prn nurses and if they still dont come in.....terminate them. All they are is a name on a phone number list...thats it...nothing else. 9 out of 10 wont even answer the phone! And those of us who always have to stay over.....it becomes expected and like a guarantee to mgmt.. Their mind set is ....nurse x is on 2nd tonight so if theres a call in on 3rd then she'll stay...its automatic with them. This causes major burnout and frustration to those of us who are always there. We cant even get a day nurse to come in early so that they can relieve us from a full 16+ hrs. And a day nurse never stays when we are short a nurse. Our day crew is very very slack....they dont complete and alot of times wont even start an admission that comes in @ 11am...so @ 6 or 7pm is when we find it wasnt done on 2nd. They are chronic call ins too. They never chart what they should chart on....falls, incidents, new antibiotics etc...which are supposed to be done x 72hrs. They leave things in a mess...otc meds are unstocked, 0 insulin syringes, expired or d/c'd or changed meds are left on the carts for my shift to find and dispose of properly, the desk is always a mess with charts here and there and papers strewn about all over...they never call in labs...esp important ones like pt inrs....and after a while of going in to this day after day it gets old. The only reason I stay is b/c its very close to my home and Im accustomed to the chaos..plus...i love my residents. How does other facilities handle this kind of mess. Please share stories and suggestions.

[sasha2lady]

Well...I might could believe that she possibly had a call problem if not for the comments she has made about her snowy night...she said "well...everybody else does it..so can i"...which didnt go over well with some other nurses. I am satisfied it was done out of spite b/c over the past 3 mos we have all noticed a huge behavior and attitude change in this nurse...she comes in when she wants to...sometimes hours ahead and thinks that one of us on 2nd should go home and let her stay so that she can get unapproved OT...and the bosses come down on the rest of us for it yet say nothing to her @ all. she gets very snappy with other nurses..just downright hateful...she slams stuff around....whether its the phones or charts and gets really loud when someone tries to tell her something she doesnt care to hear. .....I dont know exactly what her problem is but I wish she'd just deal with it and move on already and not try to make the rest of us miserable with double shifts every freakin week.

[cmawrule]

regarding your last sentence,"wouldn't wanna be in her shoes when it catches up to her." If she's running the facility as badly as you say, is there someone over her you could call or talk to?

[sasha2lady]

well.....here a few mos back we were told that someone..actually 3 people had called anonymously to the employee hotline and voiced not so good feelings about the way things were being done and the boss.....well...the don said that if she found out who it was that called she'd fire them.....she thought that it was a nurse from 3rd shift...matter of fact the very one who was a ncns. ...none of us knew who it was but she told me that out of her own mouth shortly after we were made aware of the call. The whole pt to that hotline is to voice concerns without retaliation or being fired...the only thing i could tell her was that maybe the lines of communication needed to be unclogged...seems like when anyone tries to go above the big wigs they earn a huge target sign on them and before ya know it...that person is out of a job. I think overall....things would be better if the don would just be more open minded and listen to what her staff tells her and suggests to her...the majority of the staff is decent but its not like it was years back....the entire place was very family oriented....as far as coworkers went...it didnt matter what dept you were in or anything...if you needed something ..everybody pitched in til you got it...i cant tell you how many power bills we paid, diapers we bought, food we collected and clothes we gathered up for our coworkers who were in a time of need....that has since changed drastically....she doesnt believe in being family oriented..and its so hard to believe b/c she had 6 kids of her own...but she doesnt care if you're child is sick, if your mom just passed, whatever....she doesnt care....i think its a reflection of personal issues that are poured on over into the workplace that makes her demeanor so hard to bear at times. its her way or the highway and no one else is right about anything except her. ...its frustrating but i think me personally...ive become accustomed to her chaos and mass confusion....even our MD cant stand her..he told me that if we could get her off his back when he comes into the facility that he will take all the nurses out to eat anywhere we wanted to go....now thats bad lol.