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DON on cart

LTC Directors   (6,014 Views | 32 Replies)
by arainh20 arainh20 (New) New

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On 8/20/2018 at 4:06 PM, Neats said:

I occasionally work the floor (maybe 3-4 times annually) as the DON just to keep abreast of anything new, and to keep me current with my skills when I was doing this type of work. I once went into a troubled facility as the LNHA they had no ideal I was a nurse too. Usually the 3-4 times I do work the floor are when the nurses really could not find anyone for their floating holiday I allowed for nurses day. Most times the nurses find coverage.

I find it interesting that a DON will quit over working the floor. To me it is important to know what is going on in the facility and what better way.

As a LNHA I have asked a DON to work the floor 3 times that I can recall and they were all weather related. None had any issues with it.

 

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17 Posts; 155 Profile Views

You find it interesting that a DNS would quit over being asked to work the floor?

How about hiring enough staff, paying them their worth so that the DNS can do their own work? 

When the state is in your building and all hell breaks loose, the DNS is the one who gets asked " why weren't you on the ball?" 

Then you fire them for not getting a great survey and "wash, rinse and repeat " all over again!

Only an Administrator or Regional would say something like that! Good God ! What more do you want?

Edited by Nigelene
Grammatical error

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CapeCodMermaid has 30 years experience as a RN and specializes in Gerontology, Med surg, Home Health.

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5 hours ago, Nigelene said:

 

 

5 hours ago, Nigelene said:

You find it interesting that a DNS would quit over being asked to work the floor?

How about hiring enough staff, paying them their worth so that the DNS can do their own work? 

When the state is in your building and all hell breaks loose, the DNS is the one who gets asked " why weren't you on the ball?" 

Then you fire them for not getting a great survey and "wash, rinse and repeat " all over again!

Only an Administrator or Regional would say something like that! Good God ! What more do you want?

 

Interesting that the PP is an admin. I think the DNS should be the LAST person to take the cart

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17 Posts; 155 Profile Views

On 8/20/2018 at 4:06 PM, Neats said:

I occasionally work the floor (maybe 3-4 times annually) as the DON just to keep abreast of anything new, and to keep me current with my skills when I was doing this type of work. I once went into a troubled facility as the LNHA they had no ideal I was a nurse too. Usually the 3-4 times I do work the floor are when the nurses really could not find anyone for their floating holiday I allowed for nurses day. Most times the nurses find coverage.

I find it interesting that a DON will quit over working the floor. To me it is important to know what is going on in the facility and what better way.

As a LNHA I have asked a DON to work the floor 3 times that I can recall and they were all weather related. None had any issues with it.

 

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17 Posts; 155 Profile Views

I'm telling you , a free floating DNS and ADNS is a thing of the past 

Not only is the ADNS doing the Staff Development, IP or Wound nurse, they are also expected to be the day Supervisor or on the cart while the DNS the day Supervisor and may have to come in as 11p-7a Supervisor while on the cart. 

That's the reason for the nursing shortage. Not that we don't have enough graduates or they are all leaving the bedside or none of the bs they want us to believe. Oh, and add in the fact that some places are only paying $26-$29/hr. Check Indeed 

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Nurses-give has 23 years experience as a BSN, RN and specializes in Director of Nursing.

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The best DIrectors get out on the floor, they don’t just sit in their office. But on the other hand they are bogged down with important paper work that must be done. They still make time to ask the nurses “how are you doing?”, letting them now when they did a great job, pitching in even with little things, they don’t leave their nurses drowning.  They don’t allow or contribute to negative gossip. They never play favorites.  If they have close friends working with them, they kept it professional at the work place.  They choose the best candidate not their best friend.  They lead by example! 

They are far from perfect and hopefully you have one of these as your director.

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17 Posts; 155 Profile Views

I have a great DON. We do rounds and she pitches in when needed, and so does everyone else where I work, without a grumble.

However, I know of some jobs who would have the DON and ADNS as the Supervisor or even on the cart and still expect them to 

1) not take a comp day, they'll pay them if it's beyond the expected work hours 

2) handle their DON and ADON duties 

Remember, the DON is not in his/her office sipping wine or filling nails. They have to monitor allllll the other departments and most times the ADON is wearing two hats (as myself ADON and Staff Development)

Then when there is a state survey the company hires all the extra nurses forgetting they were riding the everyday nurse like a race horse...and God help you if they should get a tag. 

That's what I'm talking about

Edited by Nigelene
Grammatical error

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ocean.baby has 25 years experience and specializes in corrections and LTC.

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Unfortunately it is not working the cart occasionally.  The less you complain about it the easier it is to say, 'oh the DON will do it' instead of truly trying to find coverage.  A DON has far too much to do to also work the cart, even in an emergency.  The thing is that you will work the cart one or two days per pay period, or more, and that is one or two days that you are not doing your job.  Do your evaluations include how well you worked the cart?  Nope.  It includes how much of your work you did not get done, things you should have noticed but didn't, problem areas you didn't take care of in a timely manner all because you worked the cart too much.  Nobody cares.  Your job is to get your work done and prioritize your work.  There goes your eval.  How do I know?  Been there done that because 'I didn't mind helping out'. 

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kbrn2002 has 25 years experience as a ADN, RN and specializes in Geriatrics, Dialysis.

3,070 Posts; 29,685 Profile Views

I don't know how the management nurses are getting anything done about now. There have been so many call outs recently that there's been no option but for management to work the cart.

With all the extra infection control monitoring, trying to fill gaps in the supply chain with the PPE shortages  and other additional work with Covid-19 hitting nursing homes so hard I just don't know how they are keeping up with all the extra work.

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