Hospital nursing or bad management?

Nurses New Nurse

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I am 8 months into my nursing career. I started on a pretty heavy med surg floor at a large, well known hospital. Since starting this job in February, I have not once felt like the managers were professional. I would say 75% of the people on our floor do not like management. I am just curious if this is how hospital nursing is, or if there really is an issue with the way they run things. For example, they OBSESS over call light numbers, if we don't meet goal, our unit director will say things like "wow y'all suck!" even if we tell her we got slammed with admissions, etc. They are having us round at 3 am to purposefully wake our patients up and say things like "Let's go to the restroom while I am here." so they don't call out to go and make our call light numbers go up. (We already round, but they are wanting to us to wake up our patients up.) So much so, they have contacted Lab and told their manager to quit having the lab techs press the call light for us to pause the IV pump.

Other things they do is only schedule staff meetings or required meetings at 8 or 9 am. They will stop us in the hallway on our way out in the morning to do evaluations which causes us to stay late. It seems disrespectful to night shifters to keep them late consistently like they do. They will text you and call you during the day knowing you are sleeping from the shift before. From what I have heard from other float nurses is that we are the only floor out of about 12+ floors that does morning and evening huddles where both shifts are required to go. That in itself is not bad, but they will call you until you show up to huddle even if you are in the middle of doing something for your patients. The director and manager are there every morning in huddle and they typically last 25-35 minutes. So there will be nobody on the floor for 30 minutes in the mornings. Our evening huddles are a little shorter because the charge nurse runs it. Is this normal at at all?

Several other things occur on a daily basis. They will write you up for small things. Constant meetings and audits on everything you could possibly thing of. I could go on for days. It's very frustrating. I have worked at other hospitals as a PCT and even on my clinicals and when I have floated to other floors in the hospital, I have never seen things run this way. Float nurses will come to our floor and say they always hate coming here because we are the only floor that does things different, and they think our director is ridiculous, as well. Anyways, I am just fed up with walking on egg shells constantly. Sorry for the long post.

Specializes in Urgent Care, Oncology.

As a patient, I would be quite annoyed if you woke me up at 3 AM. I would hope someone would advocate for this policy to change on my behalf. I'm also the type of patient that fills out surveys if I receive them.

Specializes in Critical Care.

That just sounds bizarre worrying about how many times the call lights are used. Isn't that the purpose for the call lights. I would transfer to a different department, something is wrong with that director, who does not appear to be playing with a full deck! Ridiculous, wake someone up so they don't put the call light on. Really!

All the hospitals in my area do a 10 minute huddle, then hand off is done in the room in front of the patients. The 3am wake ups will stop as soon as the patient surveys come back. The keeping you to 8 or 9 will stop too as soon as the budget comes up. Since both involve money, I don't think you'll be dealing with either much longer. They are going to be asking the manager why people are staying late. You can't explain away an entire shift. Karma is good like that. :)

When a certain manager sent out an email to staff on appropriate behavior, I responded with a critique of this manager's specific inappropriate language during training sessions. I did not receive a reply but noted that the manager's language improved considerably thereafter.

Juevos Grandes

Specializes in Tele, ICU, Staff Development.

I would not want to be a patient on your unit. Your manager is doing things for all the wrong reasons.

Specializes in NICU.
Smile and nod when you're told to do stupid things, "forget" about meetings, turn your phone off while you're sleeping, don't answer their calls while you're awake either, agree with them when they say you suck, etc. None of what you're describing sounds particularly strange, although there are much better places out here.

Some eons ago due to mandatory OT many nurses had two phone numbers ,and give out only one to job and never answer that.Today it might not work because all your personal info is posted on many search engines.

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