bubbacat

I hear you all, I just started this May as a unit manager on a unit that is now subacute/living assist & I am about to pull my hair out. Everyday someone is chewing my butt. The paperwork is unbelievable & having to micromanage everyone is stupid. Why can't people do what they need to do and shut up about it. I hear complaints all the time, & sometimes I just want to turn to them and ask "your point"? Any suggestions on managing a unit would be most appreciative!!!!

I spoke with the DON & explained the situation with the policy manuel. She said she doesn't know why it is in there but she will take a look into changing the policy. She wanted me to tell the "regular" night nurse to change it tonight. I did, but the nurse said she wasn't going to change it tonight, she will at some point in time later. She also said we have an order to change it once a month. I still haven't found that order. I guess I will speak to the DON tomorrow again & tell her I will change it out, since she (DON) knows the situation with the policy. I will also document after changing it that the DON is aware of the change. In the treatment book it says to change with 18/fr as needed for malfunction. Obviously they need to change the policy and the treatment book.

Thank you all for replying. I feel like I did the right thing by not changing it out, and I plan to talk to NM on monday about the policy.

Need help deciding if I was wrong or not. In my LTC facility where I work we have a resident who has a s/p cath. I was pulling a double last night and in the treatment book it was (s/p cath) designated to be changed with an 18FR. I being a fairly recent grad, & never have done a s/p cath change went to the policy and procedure book to look up s/p cath's. In the book it states under responsiblity as licensed nurse but in parathensis (reinsertion requires physician). I did not change the cath out, my reasoning was the p & p book, and since state is ready to come in on us, how would that look if I did it? I notified the next shift which they were kinda crappy about it and said that the normal night nurse changes it every month. I told them fine if that nurse wants to change it let her, but I am not risking my license. Was I wrong?

Need help deciding if I was wrong or not. In my LTC facility where I work we have a resident who has a s/p cath. I was pulling a double last night and in the treatment book it was (s/p cath) designated to be changed with an 18FR. I being a fairly recent grad, & never have done a s/p cath change went to the policy and procedure book to look up s/p cath's. In the book it states under responsiblity as licensed nurse but in parathensis (reinsertion requires physician). I did not change the cath out, my reasoning was the p & p book, and since state is ready to come in on us, how would that look if I did it? I notified the next shift which they were kinda crappy about it and said that the normal night nurse changes it every month. I told them fine if that nurse wants to change it let her, but I am not risking my license. Was I wrong?