I feel bad now, but I shouldn't. How could I have better responded to my LPN's the other night. I assigned a patient to one of them and she immediately yelled at me asking why she was getting the patient. I said to her, "Because it is your group's turn and we each have six patients." It wasn't good enough for her.
The other LPN made a snide remark about a float nurse passing my meds. It was earlier in the shift and we each had eight or nine patients and were one nurse short. The float nurse was told they didn't have to take a group by supervisor and told me they would pass meds and do admits. He just happened to start with my meds since they were the first rooms. I just blew that remark off.
Later, the same LPN told me she was leaving the floor to get a bite to eat and that she had paged a doc 30 minutes prior. I was running, running and asked her to give a quick report to one of us who wasn't so busy because I didn't have time to talk to her doc if he called. Or, I said, take your phone. She about lost her temper and walked away and didn't go eat after all. She's pregnant, but that's not my fault, is it?
I hate being charge!!! It seems like I can't ever do anything right and work myself to death and few of the others are ever happy. The times that I have taken on extra to appease their fussing, they were later sitting around all caught up and I continued to run crazy! I'm ready to quit my hospital, but I know it won't be better anywhere else. I'm ready to quit nursing, simply because I'm so sick of the co-workers crap!
May 5, '03
Originally posted by bbqchick
I would love to take fewer patients but we are not allowed to do that. And supposedly, all charge means in our unit is making bed assignments, but it always eats a lot or time because the staff expects us to do all the problem solving, helping the newbies, and orienting the agency nurses.
If I took fewer patients, they would call the house supervisor or write me up and I would be in trouble.
And, since they were already mad because they felt like I was being unfair, I imagine it would make things worse.
But, I agree with you, I feel that the charge nurse should have a smaller patient load. At some of the other area hospitals, the charge nurse takes no patients. And we are a busy heart floor.
It's very tiring to get no respect, esp. at a chore that I don't want anyway.
As charge and as the RN it IS your job to ADVOCATE. You are in charge. Take charge. You are allowing your LPNs to bully you. First you must advocate for your staff in explaining that you will be takeing fewer patients so that you can problem solve and orient new and agency staff, and so you can relieve your staff for breaks.
Being Charge is more than making out assignments. You do not get called charge nor the token charge pay to make out assignment sheets.
Part of doing assignments is insuring that the assignments work.
If you do not deal with your supervisor yourself you are correct in believing that your staff will.
Yes you are caught between a rock and a hard place. EVERYONE in a management or supervisory position is.
You know better than anyone what will and will not work. If you refuse to address this as it should be you will be taken advantage of by both staff and management.
I know I sound very harsh. I have been there and I care. The reality of being charge is harsh. You have what it take to do this and I do not thing you believe that.
Those nurse who have a hard time in this position are pleasers. They feel they must make nice. Keep your friendships for your personal life. It is not you job to please your staff. They may get mad. That is their decision. Right now they are getting mad as a way to manipulate you, because they found this works.
This is a very tough job. It is not easy and is not just doing assignments. If it were you would not be writing this. It requires you to use some different skills than those you use as a bedside nurse. You need to step out of your comfort zone and as a professional discuss it with your supervisor. Policies, routines, job discriptions can all be rewritten if necessary. The way that happens is if you, the person who is closest to the problem, approach this in a proactive manner. You can do this. It is solvable. It takes courage and you have it. Take a stand. Or be stood upon.
Last edit by Agnus on May 5, '03