The Unwritten Laws Nurse Managers Live By

Specialties Management

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1. Always believe the worst about your subordinates, no matter how glowing a reputation or history of competence they may have. Never give anybody the benefit of the doubt.

2. Never praise or give an "attaboy", and always discipline for any minor infractions. Floor nurses are not allowed to be human.

3. Always wield your power like the hammer of Thor.

4. Be as acerbic and abrasive as possible in all dealings with your subordinates.

5. The patient, er, customer is always right, no matter how confused or crazy or vindictive or evil they may be. Patient satisfaction scores are more important than the truth.

6. Clinical nurse leaders do not make mistakes. Only non-management nurses do.

7. Always make sure that your employees shudder in fear at the sight of you; smiling is not allowed.

8. Always be sure to forget what it was like to work on the floor with actual, you know, patients.

9. Always work your hardest to make your subordinates feel as bad as possible about themselves and their chosen career, no matter how much they pour their heart, soul, and mind into it.

Just a few tidbits I've learned from working at a world-famous magnet hospital that strives for "nursing excellence" and attracts "the best and the brightest."

My question is, Was it always this way? Why or why not? And does it always have to be this way?

Specializes in critical care, Med-Surg.

I suggest you look for employment elsewhere.

I have had a number of good to great nurse managers, and about two who sucked. The good ones were mentors, and let me not forget that THEY HIRED ME and gave me the gift of employment and experience.

And you DO have power: it's called the exit interview. If enough employees are disgruntled and jumping ship, the exit interviews WILL tell the story (eventually). Vote with your feet...

I have had some management experience, and I can tell you it is a whole new ball game. As a staff member, you mostly manage yourself (and pts., and relationships w co-workers), but as a manager, you see the whole picture. The absenteeism, the passive aggressiveness, the numbers, the payroll, staff resistant to organizational change, etc.

There ARE good managers out there. And they make a tremendous difference. So find another job, with someone who is a LEADER.

They do exist, I promise!

Better to do that than be stuck in a position and be miserable.

Good luck!

Specializes in burn ICU, SICU, ER, Trauma Rapid Response.
1. Always believe the worst about your subordinates, no matter how glowing a reputation or history of competence they may have. Never give anybody the benefit of the doubt.

2. Never praise or give an "attaboy", and always discipline for any minor infractions. Floor nurses are not allowed to be human.

3. Always wield your power like the hammer of Thor.

4. Be as acerbic and abrasive as possible in all dealings with your subordinates.

5. The patient, er, customer is always right, no matter how confused or crazy or vindictive or evil they may be. Patient satisfaction scores are more important than the truth.

6. Clinical nurse leaders do not make mistakes. Only non-management nurses do.

7. Always make sure that your employees shudder in fear at the sight of you; smiling is not allowed.

8. Always be sure to forget what it was like to work on the floor with actual, you know, patients.

9. Always work your hardest to make your subordinates feel as bad as possible about themselves and their chosen career, no matter how much they pour their heart, soul, and mind into it.

Just a few tidbits I've learned from working at a world-famous magnet hospital that strives for "nursing excellence" and attracts "the best and the brightest."

My question is, Was it always this way? Why or why not? And does it always have to be this way?

*** Wow, that is exactly my experience working at several famous Magnet hospitals. Now I am lucky enough to work in a non Magnet, not famous hospital. I have the best nurse manager I have ever had.

I wonder if Magnet is the common denominator?

Specializes in burn ICU, SICU, ER, Trauma Rapid Response.
I have a phenomenal manager, nothing like you describe. the one i had before was amazing as well

*** Do you work in a famous Magnet hospital?

Specializes in Critical Care; Cardiac; Professional Development.

My manager is nothing like that. I am sorry yours is. :( And yes, we are Magnet. My manager absolutely rocks. I love her and love working for her.

As I have said before, I am not trying to paint ALL nurse managers with this brush. This has just been my personal experience. Can't say I haven't ever had a good one, I did have one, but not at the hospital I work at now. It has been my personal experience that the Magnet facility I work at is particularly hard on the nurses, and has a well-earned reputation for being that way among the nursing community in the city I live in.

Specializes in PICU, NICU, L&D, Public Health, Hospice.

magnet manager here...

Specializes in burn ICU, SICU, ER, Trauma Rapid Response.
As I have said before, I am not trying to paint ALL nurse managers with this brush. This has just been my personal experience. Can't say I haven't ever had a good one, I did have one, but not at the hospital I work at now. It has been my personal experience that the Magnet facility I work at is particularly hard on the nurses, and has a well-earned reputation for being that way among the nursing community in the city I live in.

*** Not just your hospital. In my area Magnet hospitals have earned a reputation as not being good places to work.

Was thinking of nursing management as an option in the future...somewhat discouraging.

Here's another unwritten rule nurse managers live by: The word of another manager counts more than your personal experience with your subordinate. You know this subordinate is a good worker, and will do okay as a nurse, but you won't hire her on as a nurse because of the malicious lies of an evil manager. You know this subordinate worker is prompt and accurate in her work, and those attributes would translate well into the nursing role. But no, you instead listen to a fellow manager, discounting all the positive feedback you've received about your subordinate from her coworkers.

Managers are a group unto themselves, sadly. They're so isolated from their subordinates, that they get rid of good workers based on lies and keep bad workers for a long time.

Specializes in ER.

Exactly, I would never have imagined being 13 years experienced, using micro sick time, working tons of overtime. Come in at the last minute, got along extremely well with all of my co workers, but because my manager and I had personality differences she has sabotaged my career in my local community. I work for an at will employer and believe me, being fired 2 x by her has absolutely soured me to nursing. She followed me to my last job after my manager there retired. My previous manager asked me to come work for her, because she knew I was an excellent worker. Bullying is very pervasive in nursing. In fact I believe it is an epidemic in nursing.

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Specializes in Hospice/Infusion.

Ya know I've noticed that some nursing managers are like this, some agents but why does it seem like most people in a higher position get there by being jerks?

Specializes in Peds/outpatient FP,derm,allergy/private duty.
Was thinking of nursing management as an option in the future...somewhat discouraging.

I've had some fantastic nurse managers, and some horrible nurse managers. One thing I've learned over the years is just how much this person's personality and value system influences everything about your unit.

The thing is, somebody has to do it. Why not use this time to be a keen observer of what works and what doesn't? Some of the worst managers were strictly from the textbook and had no understanding of human nature.

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