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Discussion

I'm discouraged

I feel semi-competent and clueless a lot of the time. This promotion to unit manager had me thrown into the deep end over Thanksgiving, no training, and I have finally picked everything up but we worked VERY short for a few weeks there and paperwork got ignored.

The nurses on my unit are a generally great bunch, but they are, as are many, passive-aggressive and if I say, "I feel good today. I think I'm getting a handle on it" I will her, "Yeah, you should be busier. Makes me wonder if you're missing something."

I no longer nurse. I argue with obstinate people about changing treatments that aren't working and document to we don't get dinged or sued.

Pooh.

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    • Featured Replies

    Don't be too hard on yourself.

    It will take many months before you know the whole system. Being a manager is being a negotiator. Your patients count on you to ensure that get good care.

    Be kind to yourself.

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    • Experts

    I hear you, Sue. Here's a hug. :icon_hug: (((((hugs)))))

    Management is a thankless job, especially in long term care settings like the one in which you are employed. It seems as if everyone is out to get nurse managers who work at nursing homes: state surveyors, unrealistic families, and insubordinate coworkers all seem to have incessant complaints without ever offering up viable solutions.

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    • Author

    I feel like I'm herding cats, MSRN. And the documentation! An investigation for every stinking skin tear. DO you KNOW how fragile old people's skin is? Ai!

    Meh. I'm feeling sorry for myself today.

    Thanks for the kind words. I need them.

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    • Experts

    Sue, I know this doesn't sound like much encouragement, but just look at me. I haven't worked in a month. How I wish I had your problems, including the depression over them. Things will pick up for you.

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    • Author

    Thanks, commuter.

    My charge, an LPN with 20 years of experience only in this facility, is excellent. But she is VERY set in her ways. She's a Duoderm addict and argues with me and disagrees with the WOUND CARE CONSULTANT. GAH!

    And the thread I started a couple of weeks ago about someone with a decub? The hospital staged it as a 3 or 4 - it was a 2, and they are treating it with aloe freaking vesta - and told the fanily that we aren't doing anything. GAH!

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    • Author
    Sue, I know this doesn't sound like much encouragement, but just look at me. I haven't worked in a month. How I wish I had your problems, including the depression over them. Things will pick up for you.

    You're out of work? Darn! I'm so sorry.

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    Hang in there sue ! I was also quite upset when my resident with a nasty stage 2 was treated with zinc oxide.

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    Sue, I know this doesn't sound like much encouragement, but just look at me. I haven't worked in a month. How I wish I had your problems, including the depression over them. Things will pick up for you.

    Same here! I know it can really be hard though..especially working with the Passive/agressives

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    • Experts
    You're out of work? Darn! I'm so sorry.

    I have been out of work more than I've worked for several years now. I had to move three years ago because I couldn't afford the yearly rent increase with no income anymore. Now I can't stay employed down here. I'm about to give up. I waste more money looking for work and going to and from work when I do. I don't want to drive all over looking for the same nonexistent jobs that everyone else is looking for. I'm trying to make the decision to move out of my apartment and into what? I've done the rent a room or live in a hotel scene before. Don't care for it. And am getting a little old for living in the car. Have done that too.

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    • Author

    Oh, honey, I'm sorry.

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    I know that managers tend to get blamed for everything. You can't seem to win no matter what you do. All I can say is you will NEVER be able to make everyone happy. All you can do is your best and in time you will learn what works and what doesn't. At least you are wanting to do what is right, and care about patients and staff. That is more than I can say for most managers I have run into.

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    ... We continue to shout our praise even when we're hemmed in with troubles, because we know how troubles can develop passionate patience in us, and how that patience in turn forges the tempered steel of virtue, keeping us alert for whatever God will do next.

    Don't worry,be patient and pray,you can do well

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