Quote from zoey3270
I am a new manager with a staff of CNAs and volunteers. Short staffing is not my issue, change is my challenge. Part of my new job is to get the facility back to where it once was which was efficient but somewhere along the line it fell short and became a free for all and it's my job to fix it.
My staff is hard-working and caring however they are resistant to change and following the daily schedule of assignments stating, "we never did it that way, we just work as a team". I'm all for teamwork however if an assignment is skipped no one is accountable, I am talking about assignments like taking monthly BPs, wts, participating with an ALZ table group activity.
I've overheard I am "implementing military style" (I find at times I take this personally and often pull back, I do not want to micro-manage) by listing daily jobs that need to be done as it is done facility wide and this is what my supervisor is requiring me to do. I have tried to explain that we are doing this for structure and organization for ourselves and the residents but they think their way works best.
I dislike red lights but imagine what driving would be like without them? Everyone seems to be running around like chickens with their heads cut off and seem to be working harder than they need to. I never know who is doing what which also takes me away from my managerial paperwork. One change that has shown improvement has gone smoothly and I use that as an example but get the rolling eyes. The volunteers are wonderful but often do tasks they should not be doing because "that's the way we always did it". I need advice as to how I should go about showing them that change can be a good thing.
Thanks for any advice,
Healthcare workers are amongst the hardest to institute change......especially when the have been allowed to run amok. Sometimes you can explain until you are blue in the face and they may fight you tooth and nail, but you are the manager. They Will not be happy that there is a new sheriff in town but you need to politely make it clear that these are new policies and they need to be abided by.
I have always hated when managers say "my staff". As their manager I don't own them. They work for me but they're their own people. I have always said.....I manage xyz floor/unit and I have great group of people who work on the floor I manage....they are not "mine"....per se.
Tell them that this is the new policy because you need to be able to keep track of the "jobs"/tasks being done.....they can continue their "teamwork" but one individual will be held accountable for the information and for assuring/being in "charge" that this work in being done when it is due. That they are responsible adults abd that you trust them to be able to be held accountable for the work and be accountable that the work is being done from their peers.
How about a lead CNA for the day/week/month who is "in charge" of this list and of assigning these task to be done and collecting the data to be turned into you. I have always used my own money at time to gather team work/cooperation. I would reward with lottery tickets, I would reward with $20 gift cards/certificates for dinner or movies. I would go to administration and ask if they can have a special parking place for a reward (costs them nothing.) I would also tell them that if we always stuck to the way we've always done it we would be in horses and carriages and there would be no facebook or IPhone apps.
But the changes have to be made. I don't bargain the change....I tell them this needs to be done and have an in-service explaining the new procedure then explain the rewards and consequences for compliance or non compliance. For non compliance I would check with HR and my boss for progressive discipline verbal, written, final, days off/termination. I would have things like no OT when on warning. Days off no pay (all approved by HR and your "boss")
Above all treat them with respect but you are the boss and cannot be their friend. You can be friendly when appropriate but you are not their friend and as the boss you will find that they will talk about you and say negative things especially at first, it's like being a parent you can be friendly at times but you are not their friend. Firm loving limits with just ramifications for non compliance be honest be fair.
I hope this helps.