Venting

Nurses Relations

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Specializes in Ambulatory Care-Family Medicine.

Forewarning this is a vent post. My clinic manager (not a nurse) told me to sign an order as a verbal because a Dr didn't do it the way he was supposed. #1 per facility policy we are not supposed to take verbal orders unless it is an emergency (which it wasn't). When I refused and said the Dr needed to do it my charge nurse stood up for me and took my side. Then my clinic manager pulls my charge to the back and they started arguing loud enough to hear it in the front of the building. It ended with a slammed door and the clinic manager taking an "early lunch" and my charge being so frustrated to the point of quitting. This is not the first time the clinic manager has over stepped her bounds.

I'm just so sick of managers who have no real medical experiences trying to tell us what to do and I'm sick of the whole "patient is always right" BS. [emoji35]

Specializes in EMT since 92, Paramedic since 97, RN and PHRN 2021.

Glad to hear your charge nurse stood up for you, that's the way it is suppose to be!

Your manager is unprofessional, but she is your manager. She has no bounds ,other than to HER manager.

You see what happened when your charge nurse stepped in?

She is gone, manager is still there. You needed to handle this on your own. Go ahead and refuse management's direction. Be prepared to get written up for it, then file a grievance.

Specializes in Ambulatory Care-Family Medicine.

She is actually not my manager she is the clinic manager meaning she is over the business and clerical side of things. Nursing and providers fall under a completely different set of management. My charge nurse ended up not quitting and we are currently writing a report for HR. I'm just tired of non medical people thinking they can do our job when they aren't the ones with a license to protect. Our medical director of the clinic, chief medical officer and chief nursing officer are now all involved. What a mess.

So, this clinic manager wanted it off her plate, by forcing you to cover the doctor?

:roflmao: Just curious.. what is the clinic manager's credentials?

An HR report is, of course necessary. Yep, you have the big boys all looking at this.

Have a feeling , you and charge nurse will come out on top.

Best of luck, let us know how it turns out.

She is actually not my manager she is the clinic manager meaning she is over the business and clerical side of things. Nursing and providers fall under a completely different set of management. My charge nurse ended up not quitting and we are currently writing a report for HR. I'm just tired of non medical people thinking they can do our job when they aren't the ones with a license to protect. Our medical director of the clinic, chief medical officer and chief nursing officer are now all involved. What a mess.

I can relate, I used to work in a clinic and my manager was not a nurse...did not even finish college!!!!!!!! but for some reason she was the manager of the nurses :no:. When the full time physicians were on holidays, the nurses usually would have to review the reports. The reports that were necessary to be addressed would be given to the on duty physician to review and give orders. This manager decided she can go through the reports!! she would even sign off reports!!! She had a 4.5 INR sitting on the Drs desk for a week!!!! She use to always say she could do the nurses jobs, use to make recommendations and even gave medical advice.

One time a patient loss consciousness, the nurse started the assessment while the patient was on the floor, the manager stepped in and said...."you have to help her up and put her in a room on the examination table...you can assess her after".

I always hated her smug attitude, she use to talk negative about how the nurses performed their work.

We even had a receptionist that was just like her :nailbiting:. One time a patient had a 2 inch nail removed from her foot. The patient said: "the receptionist said that I should soak my foot in salt water"

Dr: "Well I don't recommend that right now"

patient leaves the room and talks to the receptionist in the hall. Reception says: "just try it, where I'm from that we use and it works" :banghead: I couldn't believe what I was hearing.

At least you have your charge nurse backing you up. In the clinic we had nobody to turn to.

Specializes in Ambulatory Care-Family Medicine.
So, this clinic manager wanted it off her plate, by forcing you to cover the doctor?

:roflmao: Just curious.. what is the clinic manager's credentials?

An HR report is, of course necessary. Yep, you have the big boys all looking at this.

Have a feeling , you and charge nurse will come out on top.

Best of luck, let us know how it turns out.

She has a bachelors in healthcare administration so she does not have if the alphabet soup after her name (RN, MD, etc). I'd be willing to lay money nothing actually happens. She might get an email advising her of the no verbal orders policy but that'll be it. This isn't the first issue we've had about this type of thing and nothing ever changes. I'm just fed up with it. I work for a large corporation and am looking at transferring to another clinic. [emoji26]

Specializes in Telemetry.
I can relate, I used to work in a clinic and my manager was not a nurse...did not even finish college!!!!!!!! but for some reason she was the manager of the nurses :no:. When the full time physicians were on holidays, the nurses usually would have to review the reports. The reports that were necessary to be addressed would be given to the on duty physician to review and give orders. This manager decided she can go through the reports!! she would even sign off reports!!! She had a 4.5 INR sitting on the Drs desk for a week!!!! She use to always say she could do the nurses jobs, use to make recommendations and even gave medical advice.

One time a patient loss consciousness, the nurse started the assessment while the patient was on the floor, the manager stepped in and said...."you have to help her up and put her in a room on the examination table...you can assess her after".

I always hated her smug attitude, she use to talk negative about how the nurses performed their work.

We even had a receptionist that was just like her :nailbiting:. One time a patient had a 2 inch nail removed from her foot. The patient said: "the receptionist said that I should soak my foot in salt water"

Dr: "Well I don't recommend that right now"

patient leaves the room and talks to the receptionist in the hall. Reception says: "just try it, where I'm from that we use and it works" :banghead: I couldn't believe what I was hearing.

At least you have your charge nurse backing you up. In the clinic we had nobody to turn to.

That's a whole lot of YIKES. :eek:

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