I don't know about your hospitals, but our unit has not had a manager last more than 8 months.
The PTB keep hiring substandard managers.
Basically, our day charge RN has run the unit for more than 10 years.
EVERY manager we have experienced has come in, looked around, and has made such incredible changes along the lines of mandating the nurse charged with going to codes WRITTEN on the census board.
Oh, what a concept!
Is it our hospital, or do others share in hiring idiots to do a smart persons job?
All we want is a little leadership; we are a small community hospital, and would LOVE to have someone from the big city come in and make the changes necessary to help us do better.
\We know what to do, we just are not respecteds as experts without a "leader".
Aug 10, '06
Why not have the day charge RN do it? She seems to be the leader that the staff respects.
Aug 10, '06
I agree, hire from within...and typically the charge nurses are top line
! I would rather get somone in there that knows the needs of the unit/staff/pts and can work with everyone to improve vs someone that doesn't know and changes everything from the get go with no knowledge of how the unit/staff/pts typically work!
Community hospitals are so different from city hospitals in that regards. They have different needs, and that is why I like them! I think a person that knows the unit/facility would be a much better choice!
Also, having an administration that is clear about what needs to be done is essential! Some administrations are wishy washy about the details or exactly what really needs to be done (and half of it doesn't have a thing to do with nursing anyway..LOL!). Having an administration that understands the departments and clear goals in mind is the key! Usually when I see management changes in tandom...I think..hmmm what is going on with administration? Are the goals unclear or unreasonable? Are they throwing in someone with no real job outline or knowledge of what needs to be done? Do they have unrealistic goals that are overwhelming to the point of complete and utter confussion and low moral?
Just some things to consider
Aug 10, '06
Hiring from within is usually the ideal answer, but I have experienced a bad manager or two from that practice as well. These days it seems like we just have to cross our fingers and go with the flow when a management change happens. My last 4 have been NOTHING to brag about, lots of degrees but little experience in the real world of nursing.
Hope things get better.
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