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Need advice

by Nursie_C Nursie_C (New) New Educator Expert Nurse

Specializes in onc/nero/LTC. Has 16 years experience.

I am looking for advice. I interviewed for DNS for a small-ish facility, 45 skilled beds and 50 LTC beds. I've spent most of my career in LTC and have a masters in leadership and administration. I have almost 3 years as an RCM and a lot of teaching experience. I've been a nurse for 15 years (LVN for 8, RN since 2013.) They wanted to hire me as DNS but didn't because I don't have survey experience as a DNS (and our facility got 30 tags last year. The old administration jumped ship and left the building to flounder. We're on a pretty solid track to get back to better, but it's a work in progress.) None of the tags were severe, there was just A LOT....so they offered me a floor position with the opportunity to move up to DNS eventually. I spent 3 months as RN on the skilled unit and am now RCM for half the skilled unit and am working on my infection control certification so I can take over as QIC (quality improvement coordinator.) or infection preventionist, since LTC buildings are now being required to have one.

This AM my administrator said she offered the DNS position to a YOUNG nurse (licensed since 2017, an ADN with 2 years experience as DNS.) She says she works as DNS at another facility and on the floor at another facility for approx. 40 hours a month, so she doesn't "lose her skills"... Administrator asked me how I felt about that and I told her, I'm not happy about it, and I'm not. I am NOT happy about being supervised by an ADN with only 3 years experience as an RN. Administrator's response was "education isn't everything."

How do I handle this? Do I hope this young RN stays for a year or 2 then leaves, then putting me in line to take over? Since when does an ADN with 2 years DNS experience trump a MSN with 15? no disrespect to ADN's out there, but, I'm....shocked. And upset.

Any words of wisdom? (Caliotter3, I'm looking at you!) Thank you for your input.

Enarra, BSN, RN

Specializes in Ambulatory Primary Care. Has 9 years experience.

Sounds like bait and switch you were promised a position but didn’t get it. Should have gotten it in writing. I’d Start study for that certification, use up all accrued time off and start looking for new opportunities. Sorry you’re in that position, best of luck.


Specializes in LTC.

Just reading this late - what a crappy deal!

PP said it all!

Good luck to you.

Just saw that OP hasn't come back since posting.

Edited by amoLucia

On 5/29/2020 at 7:28 PM, Nursie_C said:

I am NOT happy about being supervised by an ADN with only 3 years experience as an RN. Administrator's response was "education isn't everything."

How do I handle this?

You grow up, you be an adult, and you go to work and do your job.  And your boss is right, education isn't everything.  Your degree doesn't mean that you will EVER be a strong leader.  It doesn't mean that you will ever handle the stress of being in charge.  It doesn't mean that you will ever be able to keep your floors running right.

This is the kind of ego that needs to get out of nursing.  You're there to do a job, not prove that you're "better" than your coworkers.


Specializes in Mental health.

I think they want to keep you in this position because you are good at it. It's not fair but they know you can due your job and handle most situations. You probably are getting alot of compliments from physician and patient families of the care and knowledge you give in your daily care. Hang in there! Ask for a raise in a few months.