I'm about to start a new, ill-defined, position in a SNF. The home is in transition and exhibiting all the signs of such!
Management is in upheaval. Key positions are vacant. Senior staff are resistant to change. It's frankly, a hot mess.
I was originally hired to be the Clinical Nurse Liaison, however after realizing the experience I had (22 years of LTC/Sub-acute/MDS/PPS/Supervisor) the COO decided I might be able to help establish processes and systems that are apparently not currently in place. It's all sorts of anarchy and chaos.
I will be the "RN Unit Manager" of the 44 bed Sub-Acute unit for now, since they don't really know what to call me. I don't own a set a scrubs
so it should be interesting when I show up in my corporate gear to be on the unit. I should probably get at least a lab coat I suppose.
Sorry, I digress.
Essentially, I've got to go in and assess the current status of the unit. Audit charts for accuracy and complete documentation. Review the processes they have in place. Review nursing staff performance and flow (they don't have an SDC). Review acute transfer logs. Review Infection Tracking procedures. Basically, the whole "flow" of the unit. After assessing the damage, I will be recommending a plan of action and assisting with the implementation of that plan.
I'm OCD and all about walking into a mess, sorting it out and organizing the heck out of it (I have five children), but I also have ADD and have no idea where to START with doing all of this! I'm going to guess that almost every process is either going to have to be reworked because it's ineffective or established because there never has been a process.
So, where do I start?!
Aug 7, '16
OP wrote "So where do I start?"
I would start with slow deep breaths. LOL.
Last edit by Cheyenne RN,BSHS on Aug 7, '16
: Reason: quote