railroadrn

Having experienced narcissistic abuse from a family member as well as a manager, all the red flags are here. Just run. My narc nurse manager thrives on having special pets that she made sure everyone knew would be in charge of them. She put them on a pedestal and made them feel special by assigning them duties that belong to a manager. Let’s be honest, it’s a power trip because it makes them feel special and powerful. And as long as they do it, the manager is happy. I was not one of those people. I’m more than happy NOT being in management. When my narc manager tried to give me her duties (on top on my own) I was very clear stating that I did not want to supervise or manage as I was an hourly employee. She tried to resist and eventually 2 of her supervisors had to fly in and sit down with her sad say “sorry but these are your jobs not railroadrn’s” but the cycle of picking favorites and assigning them special tasks caused a lot of strife = lots of turnover. I could go on and on but if you’re looking for validation and someone to tell you your feeling is right, that’s what I’m telling you

Just wanted to ask for everyone working in dialysis if your clinic staffing is based on productivity? My clinic lives and dies by how many hours each person gets based on him many treatments run, etc. I’m sure all places do this to an extent, but it seems extreme at times. Staff members get sent home earlier and earlier and the few left have to do a great deal of work to finish up the day. Many times taking off multiple patients at once not to mention the clean up and other end of the day tasks. It seems like it has ruined our clinic. Just wanted to see if anyone else has experienced this or not.

I don't have the option to sent private messages :-/ but I'd really like some advice in how/where to get a job like this! I don't even want the 100k/yr (I mean obviously I do) but I would just love to work from home. I feel like I've googled and searched until I have gone cross eyed. Maybe I'm missing what I should be looking for?

Does your facility ask you to record "near misses"? I feel like as nurses we do enough documentation and double, triple, and quadruple checking to prevent adverse events. If we catch a mistake before it is made, is it actually legally required that we put it in a tracking manual that isn't actually a medical record, just a manual for our supervisor to look at? (Or an in-house tool as it's called where I work) I just think it's petty and too much "busy work" to sit down and record all the times during the day that something could have gone wrong but was corrected first. Is that not the point of being a licensed healthcare professional? I don't mind reporting an actual incident, so don't misunderstand. I guess my main question is can employees actually be made to report "near misses" or is it really on a voluntary basis? I've tried googling but I can only find that actual adverse events are mandatory when it comes to reporting.

I agree with previous posters...get out of there! That charge nurse is going to end up costing you your job or your license!

Let me preface by saying I love my job and I love my patients. I work at a chronic hemodialysis center as a charge nurse. I stay very busy, as I doubt there is any nursing specialty that leaves a nurse twiddling their thumbs. I have many tasks to complete during the day but I am starting to find myself short on time due to taking on what I call "chores" for my patients. Now, I do NOT mind going out of my way for any patient that truly needs my help. But my day gets away from me and I am starting to get behind in my own work because patients (not all of them) are expecting me to do things for them that are quite frankly not my job...and I hate that phrase! Here are some of the things that able-bodied, able-minded patients have asked me (a floor nurse) to do for them: 1. Make an appt. for them with another md (not even neph) and also call and schedule transportation to get them there. They have transporation to get everywhere else, just apparently not to this md appointment? 2. Call to pharm for refills - only to get on the phone with pharmacist and discover they have 8 refills. When I told the patient, they said "oh I know I have refills, I just wanted you to call to have them filled so they would be ready when I go get them later." So I took time out of my work day to wait on hold for a pharmacist so you wouldn't have to wait for your refill? 3. Request a copy of their birth certificate....? 4. Ask me to call a doctor I don't know or work for to ask for refills on a med they got from an ER doc 5. I will be in gloves and giving a patient medications or doing an assessment and a patient will call me over to them to ask me to throw their trash away for them. These are just a few things out of many that eat up my time and have absolutely nothing to do with my responsibilities. I always try to be as helpful as possible but now I realize I'm being taken advantage of, and I need some advice...what can I say to these patients to firmly but politely let them know that I am not their maid/personal assistant/mama/etc. and that I am not responsible for handling their day to day errands that they are MORE than capable of handling on their own?