Explaining Absence During Colleague's Vacation

Nurses General Nursing

Updated:   Published

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In a couple of weeks, my colleague will be out on vacation (and deservedly so).  This means, however, my workload will basically double.  Instead of overseeing 28 patients, I'll be responsible for 56. 

I don't forsee this as going successfully.  In my opinion, they're probably better off with no manager at all than having me there.  Patients are going to need things I can't give and families are going to have questions I can't answer.  There are going to be things that come up that my colleague is better suited to handle that will ultimately fall on me.  

One example would be is that there is a Care Conference scheduled for a patient that my colleague would normally oversee.  This patient has a new urostomy; I am anticipating the patient and/or family may have questions regarding this.  However, this is not one of my areas of expertise and something someone else should address.  In my opinion, this patient and family are better off having no nurse attend at all than having someone like myself there. I am tempted to not show up to work that day as a result.  

In fact, I've thought about simply not coming in at all that week.  I simply won't be successful in managing so many patients and strongly believe my coworkers, patients and family members will be better off if I am not there.  This obviously means no manager, but it's better than having me there.  

The trick, then, is how do I pursue not coming in that week? How do you excuse yourself from work, knowing fully well someone else is on vacation? 

Specializes in Pediatrics, Pediatric Float, PICU, NICU.

Sounds like your patients and coworkers are better off without you working permanently.
So long, take care, thoughts and prayers!

Specializes in Ambulatory Care, Community Health, HIV.

I second LibraNurse. This sounds like you need some mental health time off. Don't just call out though. Take a leave of absence or turn in your resignation. Then go to a therapist and spend some vital self-care time to reconnect with your strengths. No shame in doing this. I have had to take a couple leaves of absence in my time for the same reason. 

Specializes in Psychiatry, Community, Nurse Manager, hospice.

If you call out during the other manager’s vacation I’m calling you Silver Balls that week.

 

Specializes in retired LTC.

Half the respondents on AN could prob retire for all the postings on OP's numerous threads (about a year's worth) that suggest & recommend she seek prof counseling. 

But for everytime, she just 'yes, yes's us. Then she offer some reason she can't, and on it goes until the next topic. 

I don't ever want to kick someone if they're truly down, but I don't know about this one ...

Specializes in General Internal Medicine, ICU.
2 hours ago, amoLucia said:

Half the respondents on AN could prob retire for all the postings on OP's numerous threads (about a year's worth) that suggest & recommend she seek prof counseling. 

But for everytime, she just 'yes, yes's us. Then she offer some reason she can't, and on it goes until the next topic. 

I don't ever want to kick someone if they're truly down, but I don't know about this one ...

Which is why I’ve taken Klone’s lead and just responded with “good luck, take care, all the best!” in this thread. I do believe I’m going to respond the same way for all subsequent threads by SilverBells from now on. 

It’s quite clear that SilverBells isn’t seeking advice on this site. 

Specializes in ER.
3 hours ago, JadedCPN said:

Sounds like your patients and coworkers are better off without you working permanently.
So long, take care, thoughts and prayers!

In other words "Bless your heart!"?

Specializes in retired LTC.

MPKH - I think I'll  be following your lead.

I will make the comment that this post is a breath of fresh air from all those other posts on Trump/Biden politics, unvaccination and employer/staff choices on mandates.

Specializes in Rehab/Nurse Manager.
On 8/22/2021 at 8:15 PM, chare said:

If you are serious, and there is always doubt in my mind, this has got to he the most unprofessional suggested course of action I think I have ever heard.

If you're serious.

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Strikes colors and withdraws from field of battle.

I agree it is unprofessional.  Everyone deserves time off and the other manager should be able to have a week off without everything falling to pieces.  The other manager has covered for me, but only for one day.  One day is doable, but painful.  I'm just not sure it can be successfully done for 5 days in a row. I have low tolerance for failure 

Specializes in Pediatric Critical Care.

SilverBells, what advice would you give someone else if they had made this post?

Specializes in Rehab/Nurse Manager.
23 hours ago, LibraNurse27 said:

The sounds like depression to me, so I hope you are still receiving some mental health help. I know when I am depressed I also have a defeatist attitude, become negative and blow things out of proportion. I am sure it is stressful to be a manager, and the additional stress of your co-manager being out plus state survey does sound like a lot. What I am coming to terms with myself is if you can't perform the duties of a job due to mental health issues, and/or the job is causing or exacerbating your mental health issues, you may need to take a leave of absence and then decide if you need a different job. It's nothing to be ashamed of. As nurses we need to think about what's best for ourselves and for our patients. Good luck and I hope you are feeling better soon = )

Thanks.  I've thought about taking a LOA.  I just worry about taking it when I don't need it and not having it when I do.  But I need time to look at other job options and I can't really do that working Monday through Friday.  I also need time to exist outside of work.  

Specializes in Rehab/Nurse Manager.
29 minutes ago, Julius Seizure said:

SilverBells, what advice would you give someone else if they had made this post?

1. Prioritize.  Focus on the most important things such as acute issues,  care conferences, discharges and admissions.  Let go of issues that are more trivial or follow up only if able. 

2. Prepare for Care Conferences the same way you would with your own patients.  Review medications, interview staff for any concerning issues, bring any updates from provider, have weights/vitals/labs available, be aware of any upcoming appointments, anticipate any questions or educational needs, etc.  

3. Use resources such as Lippincott for any new medical conditions or procedures unfamiliar with. 

4. Ask more knowledgeable staff about any unfamiliar medical conditions prior to attending to patients with them

5.  Enlist the help of social worker, DON as needed.  Delegate as appropriate

Specializes in Rehab/Nurse Manager.

6. Don't overextend yourself any particular day you work.  Make sure you get enough rest to be energized for the next day.  Try and eat a substantial lunch,  even if in bits and pieces 

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