Explaining Absence During Colleague's Vacation

Nurses General Nursing

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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 Geriatrics.

Research the pts you don’t normally care for, have the EMR open when you plan on doing the conference. Talk with your CNAs and ask them plenty of questions, more often then not they know their pts very well. 
Know the “why” behind the placement of the urostomy. Research it if your not comfortable with it. Ask your LPN/LVN what their thoughts are. Being a successful manager means being immersed in the team. And we all know there is no I in TEAM. Good luck!

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
On 8/21/2021 at 3:33 PM, SilverBells said:

I guess a question might be:  Is it preferable to have (a) no manager around or (b) an unintelligent manager around? 

Thing is, I can be of good use if there is a second manager.   As a solo manager, I'm not such a good person to have around.  

It would be preferable for you to meet your obligation to cover for the other manager. But you have been told that already.

Good luck.

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
11 hours ago, SilverBells said:

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

OK you  have listed all the things you need to accomplish to meet your obligation to cover for the other manager. Now, get to it.

Or resign!

Best wishes.

I told myself I wouldn't answer these baiting posts anymore, but I am genuinely curious about something. 

Based on your own posts, you, your peers, your patients and their families all acknowledge you are incompetent at managing and leading a clinical team and a poor fit for your job. Why/how do you continue to hold a management position?

Also, can it actually be considered a management position when you lack the authority to discipline staff members and are still responsible for floor nursing?  Aren't you technically more of a charge nurse?  I'm curious about your actual job title (while also wanting to kick myself in the shins for getting roped into another one of these unlikely/fake posts).

Specializes in Oncology, ID, Hepatology, Occy Health.
22 hours ago, MPKH said:

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. 

Conciously or subconciously, she's playing a well recognised psychological game called "Why Don't You? Yes But" which is why I haven't responded to this thread thus far and have decided this is the very last time I will respond to a Silver Bells post.

Either she's attention seeking in which case the mods will eventually intervene, or she needs genuine help in which case we are only feeding her anxieties by responding and thus playing her game. If this were a forum with an "ignore poster" option she'd be on my ignore list.

There are far more interesting topics on AN more deserving of our attention.

Silver Bells, I'll say goodbye, and I sincerely hope you seek the help you need, which isn't going to come from an internet forum. Good luck.

Specializes in Physiology, CM, consulting, nsg edu, LNC, COB.

OK, you have already said you have some advance notice to prepare with him before he goes, plus you have some perfectly good scripts to use when you get asked a question you can't answer.

What part of those didn't you want to hear or do?

Still the diva.

Specializes in retired LTC.

DavidFR - I've never heard of that before, but I've long had my doubts too.

I have a dx suspicion, but I don't do psych. Just starting to do some reading and I'm finding interesting info.

I have heard of an 'ah but' line of reasoning. Might be the same as your suggestion.

I wish her well and that she would seek help. "ah but ..."

On 8/21/2021 at 6:33 PM, SilverBells said:

I guess a question might be:  Is it preferable to have (a) no manager around or (b) an unintelligent manager around? 

Thing is, I can be of good use if there is a second manager.   As a solo manager, I'm not such a good person to have around.  

You may actually surprise yourself with how well you end up handling being solo. Sometimes we are our own worse critic. Over analyzing what could go wrong-which is good because it keeps you from being cocky, which is dangerous, but is bad because it holds you back from professional growth and can also damage your career if you don’t face it.

I am one to do better if I’m just thrown into it. Sink or swim. Yes, I have vomited in the bathroom with dread, but in most cases, I did a lot better than I thought I would, and actually surprised some because they knew I wasn’t confident in myself normally. Now I’m fine but it took a good 18 months of self reflection to get there and have that confidence.

You will never know if you don’t at least TRY.

Specializes in Geriatrics.

Why don’t you cut back a little and drop down to PRN or just work the floor? Less stress. If a urostomy is freaking you out it might be better to take a break, for your own mental health and well-being. Did you start off in management? Or end up there ? Or is this a position you’ve wanted for awhile ? 
sounds like your workplace either knows there are deficits and proceeds anyway because they need a fall guy or they are unaware of the shortcomings that you yourself have pointed out. 
either way my thoughts are with you and I wish you nothing but the best. Good luck and take care! Maybe a day off would be good for you

Specializes in Critical Care.
On 8/21/2021 at 6:49 PM, SilverBells said:

Maybe for the patient with the urostomy, I could defer any education needs to their urologist.  If any clinical needs come up during that week happen to be ones that I cannot address, the patients could be sent to the ER. 

You can find alot of info about urostomy care on the internet.  The American Cancer Society has info and also lots of Youtube videos that you could review and learn for yourself and the patient.

Specializes in Physiology, CM, consulting, nsg edu, LNC, COB.

Alas, I'm not completely convinced that SB is really looking for constructive answers from eperienced nurses, because she routinely discounts or ignores them. I would be happy to be convinced otherwise, if only for the sake of internet hygiene.

Specializes in retired LTC.

Agreeing ^^^^^^^

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