The only actual evaluations that I gave face-to-face were with the CNAs. I had input into everyone's evaluation, however. The DON would just hand me a blank evaluation form for each employee when theirs was due and ask me to fill in my comments. She actually did all the final evals. When I was a nurse manager later, I understood why. There are certain ways things need to be worded and there has to be documented backup when you are delivering poor ratings for certain things. I wouldn't know if the documentation existed on all things unless I had a pow-wow with the DON before discussing the evaluation with the employee. The nursing staff was pretty good about doing the monthly summaries, but I did have a card file where I kept track of which patient's was due and when, so I did check to make sure they were being kept up. My big thing was the monthly reconciliation of the MAR and TARs against the newly months printed orders that came back from the pharmacy service. This was a major project that consumed about a week to a week and a half of my time until the first day of the new month when these were placed into their notebooks for use. Because of my computer background I was very particular about making sure that the duplicate sheet that went back to the pharmacy had the changes on it that we wanted printed out on the next months set of MARs and TARs. I rewrote ambiguous orders, made sure the computers made administration time changes that the nurses wanted and made sure that we had those "special orders" on certain charts (DNR's, Tube feeding orders, special equipment for positioning or restraint, etc.) and faxed the doctors and wrote the telephone orders to go along with all them. At first it was a massive undertaking, but after a few months, the orders were in very good order and we had very limited problems with errors incurred due to carry-over orders. On the night of change-over I check every single chart to make sure we had picked up every single new doctor's order that might have been written in the past few days. I also gave special attention to the charts of new admissions coming back from the pharmacy service for the first time to look for any orders that might have gotten missed from the first few days of the patient's admission as this was a time when orders got messed up the most, particularly with Medicare Patients. Yes, I got my share of wearing the building manager hat.
We had an exit door that was sensitive to the wind which set off it's alarm at all hours of the day and night. We also had two actual fires in our basement while I was on duty at two separate times from exposed wires that resulted in moving patients to other wings of the facility. We actually had smoke coming up into the hallways with one of the fires. I never saw such scared looks on the aides faces as we had that night. We had one Christmas Day where 7 of our 10 scheduled nursing assistants called off sick and we had to regroup and decide what care we were and weren't going to do that day because we were so short staffed.
LTC--gotta love it. If you can charge nurse there, you can be a manager anywhere.