dableaper
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Just a quick question/survey... How many people work in a facility that has an annual skills fair for check off return demonstrations, refresher how-to's, and annual mandated return demonstrations such as glucometer competency, etc? Just wondering because I feel as an LTACH nurse manager that they are necessary and really show you where your focus needs to be through out the year on educational needs for your staff. Also, some people may read something like a central line dressing change, etc, but may not exactly know how to do it correctly. It doesn't mean they are incompetent, just maybe haven't been shown the absolute correct way to do something, or it may be just a refresher for something they do not do as often. Our educator is wanting to do away with skills fair because they believe it to be a waste of resources. What do you guys think?
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I have worked at an LTAC for 7 years, and you either love it or hate it. I love that my patients stay for 2-3 weeks to 2-3 months depending on their issues. RNs tote 4-5 patients and LPNs tote 5-6. RNs can be 1:2 or 1:3 with vents or higher acuity patients. ICU nurses can't do what LTAC nurses do and vice versa. I love the variety of nursing skills required and time with the patients.
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Do I hear an IV pump? Who gave them their call bell? What the heck is that smell?
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I became a floor manager over 40 LTC beds after three years out of nursing school. I'm having a problem approaching coworkers when they need to be disciplined because I used to be their equal and now I'm their manager. A lot of them have worked on our floor for years before I even thought about nursing school. I just find it difficult to address people as a boss when i used to be their equal. We have a good rapport on our shift and always work together as a team but sometimes there is the occasional mishap that needs to be addressed and I always find it difficult to address the situation. I don't want to get anyone in trouble, but i want everyone to do their job and do it well. It was even brought up on my annual eval that I do not address disciplinary action in a timely manner. What can i do to "toughen" myself up to be able to approach these people without worrying about what they will think about me?
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