New Nurse Manager in acute psy

[devonn1]

Hi, I have been a nurse for 6 years and currently holds a MSN. I have worked mostly in critical care and know nurse manager in the VA system. Working in psy is very new to me. I was reading from other staff how difficult is it to get rid of lazy staff. Well I am working on it. I have staff who cannot function and taking a look at the performance evaluation they are 95% outstanding ratings. I took over a unit that has no structure. I did my first evaluation last month and I give a staff high satifactoy in patient care and this staff demanded that an outstanding rating. I did inform him he must show proff of outstanding performance. Before it was given to them. You have staff who thinks that in acute psy vitals signs every shift is too much. Basic nusing assessment is lacking. One staff told me that finger stick is stupid because patients are non compliant out side the hospital. I have staff that give medications from memory because she knows the patients. I have staff who will not follow MD treatment plans because doing it their way is easier for them. I have staff who were allowed to sign and initial their managers name on overtime paper work. I being the new kid made some changes and the above will not go on. They have a very big problem with change. They are looking for ways on how to get rid of me. One staff stated I came and make all these changes. My response I only following policy. The situtation is very bad. I pulled a night staff for unsafe practice for not making an assessment on a vet that had a possible GI bleed and did not call the MD. This staff still thinks she did nothing wrong. I am trying to make a difference. The good part of it I have the support from my leadership for change. I would like to hear from the community.

[TitaniaSidhe]

I have to chuckle Hukilau b/c I am telling you there are some people in administrative positions in the VA system that really leave me wondering how they managed to tie their shoes in the morning let alone make it in to work, they are that out of touch & yet they still get promoted into positions of authority. *sigh* sadly it is possible it was a valid post, gads I hope not, but I think based on some of the people I have seen over the years yeah it's possible.

[Hukilau]

I have to chuckle Hukilau b/c I am telling you there are some people in administrative positions in the VA system that really leave me wondering how they managed to tie their shoes in the morning let alone make it in to work, they are that out of touch & yet they still get promoted into positions of authority. *sigh* sadly it is possible it was a valid post, gads I hope not, but I think based on some of the people I have seen over the years yeah it's possible.

:chuckle :chuckle :rotfl: Thanks! I needed the smile...

[TitaniaSidhe]

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