Bruno1968

Thank you IVRUS, I appreciate your input. I was thinking along the same lines, where I should outline each step of the process. Thanks again Bruno

Hi, My director has asked me to come up with a central line competency skills check list for 1:1 check off's with our nurses. I think I know what I want to include on it (basically our central line maintenance bundle, and maybe a return demonstration on dressing changes), but I am at a loss for what it should look like. Do any of you have something similar and would you mind sharing how you formatted the skills list? I am having a major mental block on this for some reason. Thank you in advance

Thank you both for your responses. I really do appreciate them. I agree about overlapping into night shift occasionally and I understand that managers have to be flexible. I am close to the night shift staff because I have worked mainly with them and know them well. I definitely want and need to keep them feeling like they are important and not forgotten. I just wish I had more of a consistent start time. Right now I am coming in at 1200 one day and expected to come in at 0600 the next. It is wreaking havoc with my sleep and home life. It seems to me that the healthcare leadership culture expects everyone to be a martyr and suffer, or else you must not be doing your job correctly. I need to try to have some work and home life balance. As soon as I figure that out I will let everyone know! Thanks again for your comments and advice

Hi, I am an assistant manager who is being promoted to a manager position soon. I am curious what other nurse managers' schedules look like and how do you connect with night shift staff. Right now I am night shift but frequently have to come in on days for meetings and classes, which has been brutal on my body and sleep schedule. My director wants me to be there early some mornings and come in later on other days, which I don't think is fair since no other manager in the hospital is expected to do that. While I understand managers have long hours, I would like to come in around 0700 to connect with night shift and just be able to have a regular start time. Is that unreasonable of me, or is that the norm for other managers round the country? Thank you for any advice or responses!

"That being said.....oldsters, my advice to you is to keep up with the changing technology, be tech-savvy, and don't be a high maintenance chestnut. Just do stuff the new way they want you to, stop clinging to paper and old protocols. Don't eat your young, and don't perpetuate the old stereotypes. Don't give those managers any excuse to start honing in on you. Every time I've seen an older nurse get canned it almost ALWAYS starts because of these issues. I hate to see it go down that way, but I find a lot of older nurses are so stubborn about learning new things, they practically invite the scrutiny that starts the process of termination. So stay flexible, stay informed, learn that software without complaint and nurture those youngins! You are our ROLE MODELS!" I see this on my floor a lot lately....many of the 'older' nurses are so resistant to change and have such bad atitudes that they make working with them a miserable chore. I hear complaints almost every shift from the newer nurses who are well versed in AIDET, LEARN and computerized charting, complaining about the negative and surly attitudes of the older RN's. Whether we like it or not, the hospitals' reimbursement is greatly affected by patient satisfaction scores. This is the future of nursing so either hop on board or get off the train. Times are changing and it is only going to get tougher with all of the coming changes in healthcare.