I Hate Managers!!

Published

What do these people really have to do with nursing??? Let me list a few complaints~they didn't all happen to me, but the sheer nerve of people...

1. I work Coumadin clinic sometimes to relieve the other nurse for lunch. One nurse in there does everything...the CoaguCheck to check PT and INR, may have to draw blood, schedules appointments, patient teaching, liason between provider and visiting nurse services, calls from Tele and Med-Surg to schedule patients, to name a few...with no help. When the PA wants a patient to be seen in the Medical Clinic, I have to take the patient over to the triage RN, or to the manager to have them open a visit there. Also, after taking the fingersticks or blood, walk the charts to the PA (just next door). When the PA is finished, he sends the patients back to our room for us to discharge them home with new appointments and teaching. The patients are so rude that they walk in even while you have someone in the room (HIPPA violation as far as I am concerned), and PLENTY of times, I am in the middle of trying to find a workable vein on a scared little old lady who is tired of being pricked, and then, I plenty of times, because of these people barging in, I make the mistake out of being startled by scraping the poor patient and having to start again. We are told that when we leave the room, we must shut the door so that patients are not encouraged to just walk in, see other medical records and get curious.

One day, I am asked to refer a patient to medical for pain meds, and when I finish making her appointment, I escort her out and have a whole bunch of patients surrounding the door like roaches. I closed the door behind me and took the patient to where she had to go and returned. I had an orientee with me and she was sitting with a patient, a huge woman, who says "I don't appreciate the way you slammed the door in my face! You are rude, inconsiderate and don't belong in health care...(called me a few (b)witches along the way)" I tell her that I didn't slam the door in her face, I closed the door behind me (I can see if I were behind the door and slammed it in her face, but it didn't happen that way). She continued to rant and rave like a lunatic and meanwhile, the phone is ringing, others are literally kicking the door in and it is a madhouse. I just walked away from her, because it was plain to see that she just wanted to start trouble. She then goes to our manager (not a nurse) and complains about me. Bimbo manager walks over, asks what happened and I told her. She says that the woman is crying her eyes out and wants me to come and clarify. When I get there, this woman is bawling like a 3 year old saying how I humiliated her, how rude I was, how afraid she is, that she doesn't want an appointment scheduled by me, because she is so devastated and shocked. My manager starts hugging her, caressing her face and telling her how much we need her, if it weren't for her, we would not be here, and she is then staring at me to say something. I am ******, because, while I know that customer service is important, this demon was rude, belligerent and arrogant, but is now acting like a punk!! I was so angry and my heart wouldn't let me apologize because I just know she wished to start trouble and use it to her advantage. I felt that the manager should have just handled this on her own, rather than draw me into a confrontation.

2. Triage nurse gets a call from pharmacy and they tell her that a patient received two medications from a doctor that together would render a negative cumulative effect. Nurse tells doctor involved, because she doesn't know off hand why it was prescribed (this is one of our few great doctors who prides in patient care). Patient speaks Haitian Creole, so, the doctor got one of the PCAs to translate a phone message to the patient directions on the medication. Bimbo manager then drags the PCA to the triage nurse and tells her that she has to write a note on the conversation between the PCA and the patient. Nurse says "I was not told by the doctor to do this, she initiated this action for the PCA to speak to the patient, and since I was not present, nor did I ask the PCA to do this, I will not write a note based on what you are telling me. How do I know this is true?? The doctor should document on what occurred, because SHE was present and requested this. I didn't even know that this happened". Bimbo tells her that "If you don't do it, then, I will tell the nursing administrator". (Now) Angry nurse tells her "Do what you want. You are NOT a nurse, and YOU do NOT rule my license".

3. Nursing administrator is a manipulative user who chooses to attack people and use others (such as Mr. Boy Toy who wore sneakers openly while I had to get a note for mine). She has something against the RN that was in charge for the day. We were mandated to attend an inservice this morning. When we do this, they will have a few agency RNs run the floor while we are gone. This is not a bad morning, because we have no clinic on Wednesday mornings. I walk in and see an LPN in the triage room, and at first, didn't think anything of it...I thought she was getting meds (fridge is there as well). I keep seeing her there. It is a known fact that LPNs cannot run triage-that is an RN function because we can't assess. Later, I see the charge nurse and asked her of this agency woman is a PN or RN, and she tells me that she is an LPN, but our ADN called and said that she is to assign the LPN to run triage while we are at inservice. RN tells her "I will not be responsible to inappropriately delegate this, because this is illegal". ADN then asked to speak to another RN who followed this order. How disrespectful! If something had happened to this LPN, she would have told WHO delegated this to her...and I would not have accepted this assignment as an LPN who knows better. But this agency chick wants more hours, wants to get hired, and eventually go to school for her RN on our tab, so she is trying to kiss the rears of those in power.

I HATE managers...:banghead::no::confused:

Specializes in floor to ICU.

Once I had to do the non-apology thing. I was seething because I did not feel I was in the wrong. A nurse has to prioritize and unfortunately that interferes with 'customer service' quite often.

It went like this, "I am sorry that you did not get the care you feel you deserved."

Specializes in LTC, office.

I can't imagine having a manager who isn't a nurse, that is a problem right there IMO.

I heard a saying recently: Managers are like pigeons. Swoop in, make a lot of noise, poop all over everything; and then leave. :lol2:

I have worked with some great NM, but my current one is clueless. I feel your pain.

Specializes in Community Health, Med-Surg, Home Health.

Well, basically, I viewed this in several ways on my way to work this morning. Most of us really wish to provide decent, comprehensive patient care, but the situations are impossible for many, so in spite of our best intentions, too many sensless distractions makes me unintentionally throw my good motives out of the window at times. We cannot always keep up with the image of nurses being the nurturing, sensitive advocates that are kind, selfless and loving 24/7/365. We are human. I am sure that the manager has needs to address, a job to protect as well. It is just that we have conflicting interests. And, the bottom line (as someone mentioned in another post), the nurse becomes the default person most of the time. We are human. And sometimes, it is nice when a patient can acknowledge just that...we are also people with feelings who get overwhelmed and stressed.

Specializes in med/surg, telemetry, IV therapy, mgmt.
what this post is was a vent, based on a series bad experiences i had with a particular person. when a person is venting, at times, the thought process is irrational. did you somehow take it personal?? even if it was titled that way (and it was), does this mean to you that you have to take on the burden of all managers in this world? it is one thing to offer a perspective of the other side, because it is true, i am not a manager, therefore would not have a clear concept of their duties and challenges. however, when you comment on "what kind of rational thinking is that" illustrates to me that you are looking for an argument as well, or condescending.

no, i was not taking this personally. however, the fact that you are responding to almost every reply to your vent would indicate that you are looking for an argument and not just letting off steam. there seemed to me to be some jealousy going on here. what else would explain such deep resentment of someone? either that, or it brings up a deep disdain and need to chastise another person because of acting in a similar way in the past and being punished for it.

now you've vented. referring to the first incident (the patient who complained about the way you treated her), looking back, calmer now, would you have done anything different? i learned a long time ago to be cautious about my interactions with people. we never know what another person's perceptions are of our words and actions. we can never know what experiences led up to their response to our actions. therefore, we can never summarily discount their behavior as being wrong until their fist hits our nose unless we take time to assess that information first. but who has the time? all we can do is try to understand and validate what they are experiencing which is what the manager who had more time was attempting to do.

Specializes in Community Health, Med-Surg, Home Health.
no, i was not taking this personally. however, the fact that you are responding to almost every reply to your vent would indicate that you are looking for an argument and not just letting off steam. there seemed to me to be some jealousy going on here. what else would explain such deep resentment of someone? either that, or it brings up a deep disdain and need to chastise another person because of acting in a similar way in the past and being punished for it.

[now you've vented. referring to the first incident (the patient who complained about the way you treated her), looking back, calmer now, would you have done anything different? i learned a long time ago to be cautious about my interactions with people. we never know what another person's perceptions are of our words and actions. we can never know what experiences led up to their response to our actions. therefore, we can never summarily discount their behavior as being wrong until their fist hits our nose unless we take time to assess that information first. but who has the time? all we can do is try to understand and validate what they are experiencing which is what the manager who had more time was attempting to do.

color=red]i would say that you are doing the same...where is jealousy?? annoyed at this manager, yes, but jealousy towards her or anyone that is posting here?? and, i do not see how i was looking for an argument from anyone here that responded. that may be what you choose to perceive, but not so. in fact, i had to re-read some of the posts that i responded to on this thread to try and see how you can relate or connect any of this to jealousy and i fail to connect the dots here.

being calmer, i can say that i would (and did) explain to the patient what actually occured, which was not an insult to her existence as a person. but, i do believe that you can do the same in your perception of what i posted. the same as i and the patient can and have misinterpeted each other, i sincerely believe that you have done an identical action by assuming that my venting is connected to jealousy, disdain or a need to chastise.

**to anyone that has believed that i was argumentative towards their response to my thread,-apologies- it was not meant to come across that way**

at this point, between you and i, let us just agree to disagree out of respect for the board and the moderators and leave it at that. at least, i intend to. enjoy the memorial day weekend.

Specializes in Home Care, Hospice, OB.

well, i know you won't like hearing this either, but this was handled wrong. i would have told you not to have argued back to the patient. it only aggravated the situation.

well, let's see...i am also an rn, with a bsn and a ba in business, and am a supervisor, and i have a question..

...what color is the sky on your planet???

in coumadin clinic, this idiot will be a weekly or monthly visitor, and better learn the limits in clinic asap!

secondly, i don't take abuse, nor do i expect my nurses to. the "customer" is not always right, and many are overbearing snots with no limits. pd didn't "aggrevate" anything--the bimbo did!!

Specializes in Community Health, Med-Surg, Home Health.

I worked there this afternoon and did place a sign for patients stating "Do Not Enter While Door Is Closed, Please Knock". I only relieve there for lunch, but decided to give it a shot. One, however, did STILL walk in without even a knock while I had a patient in there doing teaching. I told her that I CANNOT have two people in the room at the same time, because we owe the privacy to the one being currently counseled. She says " I know" and still went into her speel. I walked her out and explained again and stated that I would do the same for her if the situation was reversed . In any event, I will try and do it at least while I am in there to see if it can cut down on some of the bottleneck, or until the ADN or manager says that we can't do that, either.

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