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 Geriatrics, Rehab, Skilled, Memory Care, Case Mgmt.

This is your job. Step up or resign. 

Specializes in Pedi.
On 8/23/2021 at 10:26 PM, SilverBells said:

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 

If you can't cover for a colleague when it's part of your job to cover for them when they're on vacation then you shouldn't be in the role you're in.

People need to be able to go on vacation and trust that the work that can't wait is being handled when they're out.

Specializes in Psychiatry, Community, Nurse Manager, hospice.
On 8/28/2021 at 2:21 AM, SilverBells said:

Of note: It is not just the Care Conference or urostomy that is causing me anxiety.  It's the fact that there are EIGHTEEN to TWENTY discharges alone scheduled for next week.  We've never had this many discharges with the two of us around, let alone just one. Usually it is, at most, 10 between the two of us. Six of them are scheduled for one day. This also means the number of admissions will be unbearable. In fact, we have SIX admissions scheduled for Monday alone.  Our providers only see patients via telehealth, so I'll have to attend all of them as well. These alone can take upwards of 90 minutes out of each day.  There are at least 10 Care Conferences I'll be expected to attend.  All of this doesn't include all of the acute issues or staffing issues that will come up.  In reality, none of these tasks individually are that difficult.  However, when you add them all up, it becomes an overwhelmingly impossible workload, so yes, I do worry about making mistakes.  Even with excellent planning, it will be an extremely challenging week. 

That really does suck. Why is that happening? Did your coworker schedule some of that stuff during his vacay on purpose?

 

Specializes in Primary Care, Military.
On 8/26/2021 at 1:33 PM, hppygr8ful said:

SB! I got no words! Well I do but you're not going to like what I have to say. From the first time you posted you have admitted that you are not very good at nursing. You dislike, are not interested in bedside nursing and admit that you have never been good at bed side skills which makes you uncomfortable doing them. I suspect your assessment skills are lacking as you have very little insight into which conditions REQUIRE a resident to be sent to ER and which do not. Your inability to manage staff who run roughshod all over you makes you a poor manager at best. In fact the only actual qualification you have stated for being made a manager is that you write "Excellent SBARs" and an SBAR is only a basic interdiciplinary communication tool. You should be teaching all of your nurses to do this. What will happen when your other manager is on vacation and you are nowhere to be found and an SBAR needs to be written? You personal life is a mess and you have no ability or insight to even see any of it. You say you strive for perfection but nothing you do or says points to that. It just stymies me that you would consider leaving your facility and the residents you say you care for without any kind of mangerial support because you feel you are not up to the task of actually managing your facility.  You fish for complimants by saying you are incompetant (Which you clearly are) and when people don't respond the way you want you just start another attention seeking thread. A person could do a whole thesis on the disordered personality based on your posts alone. 

You are clearly intelligent from a book stand point but you belong no where in patient care until your mental health house is in order. I would suggest you look into a research position which would take advantage of your education and might even pay you a professional salary, but you should not attempt any career that asks you to work with people. Your willingness to abandon your residents as well as your organization in the face of an upcoming survey is unconscionable. Survey's while annoying are nothing to fear if your organization is doing the right thing. However the problems they will note is your inability to manage your staff, questionable transfers to the ER and very poor time management are things that will get you cited and put you on the radar.

Sorry to be so blunt but it had to be said - Good luck, take care!

Hppy

 

I, too, was heavily leaning toward Axis 2 territory (even if the DSM 5 doesn't really do the whole "axis" separation anymore). 

Specializes in Community health.
On 8/26/2021 at 1:33 PM, hppygr8ful said:

  You fish for complimants by saying you are incompetant (Which you clearly are) 

 

? I’ve worked with this type before. They think that if they play the victim and bat their eyelashes and say “Oh gosh I’m so sorry, I always mess this stuff up, thanks for teaching me!” that nobody will notice that they don’t do their job or don’t do it well. 

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
On 8/26/2021 at 12:33 PM, hppygr8ful said:

SB! I got no words! Well I do but you're not going to like what I have to say. From the first time you posted you have admitted that you are not very good at nursing. You dislike, are not interested in bedside nursing and admit that you have never been good at bed side skills which makes you uncomfortable doing them. I suspect your assessment skills are lacking as you have very little insight into which conditions REQUIRE a resident to be sent to ER and which do not. Your inability to manage staff who run roughshod all over you makes you a poor manager at best. In fact the only actual qualification you have stated for being made a manager is that you write "Excellent SBARs" and an SBAR is only a basic interdiciplinary communication tool. You should be teaching all of your nurses to do this. What will happen when your other manager is on vacation and you are nowhere to be found and an SBAR needs to be written? You personal life is a mess and you have no ability or insight to even see any of it. You say you strive for perfection but nothing you do or says points to that. It just stymies me that you would consider leaving your facility and the residents you say you care for without any kind of mangerial support because you feel you are not up to the task of actually managing your facility.  You fish for complimants by saying you are incompetant (Which you clearly are) and when people don't respond the way you want you just start another attention seeking thread. A person could do a whole thesis on the disordered personality based on your posts alone. 

You are clearly intelligent from a book stand point but you belong no where in patient care until your mental health house is in order. I would suggest you look into a research position which would take advantage of your education and might even pay you a professional salary, but you should not attempt any career that asks you to work with people. Your willingness to abandon your residents as well as your organization in the face of an upcoming survey is unconscionable. Survey's while annoying are nothing to fear if your organization is doing the right thing. However the problems they will note is your inability to manage your staff, questionable transfers to the ER and very poor time management are things that will get you cited and put you on the radar.

Sorry to be so blunt but it had to be said - Good luck, take care!

Hppy

 

How did I miss this post? Thank you for saying this so eloquently. I 1000% agree.

Specializes in retired LTC.
On ‎8‎/‎28‎/‎2021 at 10:31 AM, MPKH said:

Hopefully they’ll realize soon enough that SilverBells plays the role of a victim with insurmountable problems and that she has zero intentions or interests in changing her situation.

These genuine advice from well meaning posters might as well be them talking to a wall. 

HarleyvQ  & Community - sounds like Munchausen's to me. The focus point DOESN'T have to be a physical complaint. And when her desired outcome of 'pity poor me' doesn't garner the response she does (or does not) want from respondents, she pulls the 'ah but' (offering a reason for non-compliance why she can't. Or just outright avoidance). And then she's off to the next complaint (next post).

Wash, rinse, repeat cycle starts all over again.

There's some pathology afoot here. But I fear no responses from respondents here will change OP. She should most assuredly seek help. And as long as some newer arrival posters keep responding and feed into her posts, this will continue. I just don't want to too critical in this kind of situation.

Hope she takes care & keeps safe.

 

Specializes in Primary Care, Military.
6 hours ago, amoLucia said:

HarleyvQ  & Community - sounds like Munchausen's to me. The focus point DOESN'T have to be a physical complaint. And when her desired outcome of 'pity poor me' doesn't garner the response she does (or does not) want from respondents, she pulls the 'ah but' (offering a reason for non-compliance why she can't. Or just outright avoidance). And then she's off to the next complaint (next post).

Wash, rinse, repeat cycle starts all over again.

There's some pathology afoot here. But I fear no responses from respondents here will change OP. She should most assuredly seek help. And as long as some newer arrival posters keep responding and feed into her posts, this will continue. I just don't want to too critical in this kind of situation.

Hope she takes care & keeps safe.

 

Definitely hoping for safety and well-wishing. Even if there is a component of pathology involved, it doesn't take away from wishing someone well and hoping that things turn for the better in their lives. Some of the situations brought to us are those that sound common enough in workplaces while others leave me tilting my head while I read through it wondering. Either way, it is fascinating to observe both the poster and everyone's reaction to her. I always find it amusing when there is an attempt to redirect the poster to find the correct course of action, which she easily responds with, but then quickly posts the "yeah, but" response to afterward. It's a comical game. I had a patient when I worked inpatient psych that used to toy with the staff, leading many to become too frustrated or angry to be able to work with her. Attention is attention, though.

Specializes in retired LTC.

Harleyv - you & I agree. There's something there...

Have to admit, the topics are common enough and elicit some unique responses. Until we all again tire of her 'ah but' game rhetoric. (You called it 'yeah, but'.)

Wish her well & hopes she takes care.

Specializes in Psychiatry, Community, Nurse Manager, hospice.

This thread has definitely crossed the line from busting someone’s silver bells to bullying.

Hope SB really is taking a break from all nurses.

Cause we suck right now.

 

Specializes in ER.
1 hour ago, FolksBtrippin said:

This thread has definitely crossed the line from busting someone’s silver bells to bullying.

Hope SB really is taking a break from all nurses.

Cause we suck right now.

 

I agree. These endless pile on threads are not productive. They gather a strange momentum where someone even logs in after a year away from allnurses, to basically say what dozens of people have already said about poor Silverbells. 

Specializes in Hospice, corrections, psychiatry, rehab, LTC.
On 8/23/2021 at 7:57 PM, SilverBells said:

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.  

Yet you are talking about calling off when you aren't sick, and stating that your employer "can't prove it". You can't have it both ways. Either help yourself or don't. You seem to keep adding reasons to shirk the responsibility that you are being entrusted with, but are offering no real solutions.

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