Don't paint us all with such a wide paintbrush, not all are like that.
I went into management because I was foolish enough to actually believe I could make a difference. I *did* make a difference in a LTC setting but to try to be positive, do the RIGHT thing, actually do my job in a hospital setting, I don't think it can be done in many hospitals.
I was also foolish enough to believe that part of my job as a manager was to defend the nurses when they screwed up too. Yeah, try that once for yourself. Defend a nurse that just made a stupid, yet human error. We all know it happens to all of us, when the nurse feels like a piece of pooh is it appropriate to stand there and scold her like a little child? No, it isn't. The way she feels about her own human error is punishment enough, that error will likely keep her from making a similar mistake. But when you refuse to fire someone for a human error that we have ALL done it suddenly becomes an issue of... well, you didn't do the same for me! You play favorites, Bipley!
There is a world of difference between a med error vs. coming into work so hungover you can't perform your job well. One is an honest mistake and the other is a total disrespect for your profession, patients, and coworkers.
You know, there are two sides to this coin. It's easy to point fingers at the manager/DON, it's quite a different story when the blame is put where it should be place. That would be all of us. Being a manager is like having a severe case of food poisoning, you are attacked at both ends. In a hospital setting you are attacked by nursing and attacked by those above you. Either way it is a no-win situation and I think most who go into management do so believing they can actually make a difference. When you experience your 10th to 12th episode of management food poisoning you finally give in and say enough. Then survival kicks in. You put your foot down, you tell them how it is going to be, and if they don't like it they can move on.
I used to be soooo angry, I would keep my nurses up to date on what I was trying to do. My long term goals, how I was trying to do it. It was never fast enough for them or good enough. *I* was blamed for every bloody decision by hospital Admin. If they didn't get enough of a cost of living raise (merit raises aside) *I* was personally to blame. WTF? What say-so do I have in cost of living raises? Hospital costs? And speaking of hospital costs be honest here... how many have slipped something in your pockets and taken it home? A course of PO abx's? TEDS? Saline? Read these very threads. There was a nurse on another thread (regarding support stockings) that admits she just takes hers from the supply room. Any clue how much this happens? Used to be that we couldn't keep Augmentin in the Pyxis. I'd go to give it and the Pyxis would say there were 40 and there were actually none. Not even enough for ONE dose for the patient who is actually paying for it. We finally had to increase our narc spaces in the Pyxis and put the drugs that were stolen in narc spaces to keep a closer eye on them. What about wasting supplies? We ALL have a hand in hospital cost, some have more of a hand than others. That's all.
Then there is the good buddy system. When I was a staff nurse "X" was my friend. But she took advantage of our friendship and thought she could get by with calling in sick every Monday or Friday. Just how much of a merit increase should she get? You tell me, how much of a merit increase should she get?
You are short staffed? Yeah, so am I! I have a full time job doing what I do but when my "friends" call in sick, who is there to replace them? Yeah, that would be me. Don't talk to me about being short staffed, I'm busting my tail to try and help and then I stay another 4+ hours daily to try to make a dent in my own work.
Then while I am covering for my "friends" while they are calling out for the 10th time of the year all I hear is whining and complaining. The hospital is terrible, I need a raise, I have too much work, too many patients.
Yeah, so do I.
I've asked for help, I've asked for more staff, I've asked, demanded, and insisted on more staff for better patient care. Let me tell you what goes on in the meetings for managers, we are told this is how it is and it isn't likely to change. Tell your nurses this is all the budget will accomodate.
Ohhhh, so you are a manager too! Do you think I am getting $20K annual raises merely for being a manager? I likely make about a dollar or two an hour more than you for 50% more work and hours.
I want to know what your manager has to do with this. How is this his/her fault? That IS who you are blaming so you tell me how this is your managers fault. I don't think you realize it, but you just proved my point beautifully.
Yes, that is correct. That is the idea behind computerized charting. Again, may I assume you are blaming your manager for computerized charting? We are told what to do, our job is to pass on the information to you in a way that doesn't seem like the end of the world. We can get into a screaming match and I can tell you to suck it up because this is how we will ALL be doing it or I can try to present it in the most positive way I can. Do you really think I am any happier about these issues than you are? Com'on, you are not being fair here.
I never did that as a manager, perhaps that is why I worked such long hours. If your hospital is putting people in your critical care units that are not qualified, why are YOU still working for THAT hospital? It's a two way street.