RN, MSN = Secretary?!

Nurses General Nursing

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I have been slightly irritated with my job for the past 8 months or so. When my employer started eliminated positions and reducing workforce as a result of financial difficulties, I started looking elsewhere - but nothing entirely aggressive or serious - until recently.

This past Friday I think was the proverbial straw that broke the camel's back.

I am a Clinical Education Coordinator in a "centralized" education department, that requires an MSN or enrollment in a MSN program. My responsibilities entail running alot of orientation programs, but also consulting to the entire hospital - including non-nursing areas, on education and practice issues. In other words, we're not truly a nursing staff development department at all.

We have a tumultous relationship with the Med/Surg departments. They are the most vocal of the nursing areas and their leadership is probably one of the more unprofessional I have ever seen. I've been in meetings where the leadership will throw papers, roll eyes, and other inappropriate gestures. And we honor all of their demands. All of them. Regardless of our own professional recommendations, regardless of best practice, regardless of finances, resources - anything. We give in to all of it. Why? Because every quarter we are rated on our "customer service" to them. They habitually mark us low, even though all of my and my colleague's time could be billed to them, and even though we honor every single request. And even though our department was slashed in half with the layoffs in Spring. So much so, we often ignore other areas like ER, OB and ICU.

The leadership in that department now has, on at least 6 occasions, contacted us, the coordinators, to do secretarial support for them: run off copies, find and reserve meeting rooms, and design flyers. I got another such request this past Thursday that my boss forwarded me. It came from a nurse in the med/surg area who is in a CNS role (but not a CNS yet) and she wanted me to contact a vendor she was working with and find and reserve meeting rooms and design flyers for an inservice. I asked our assistant to handle the request, and she couldn't. My other two colleagues couldn't, and neither could I, as we're ALL swamped, buried, drowning in work, especially since we lost 2 full time coordinators in June. We have requests up the ying-yang and this one is not top priority, especially since it entails essentially administrative support functions.

So I asked the med/surg secretary if she could do this for this CNS. She said she could. Great.

On my way out of the office on Friday, my boss calls me into her office to explain my actions. Apparently the DIRECTOR of the med/surg areas got wind of this, saw my email to the med/surg secretary, and then forwarded it to my boss and said this was inappropriate and the secretary will do no such thing as she is too busy and this is not top priority. I tried to explain to my boss that we couldn't accomodate this as we're busy, people on FMLA, etc and she just said I'm just going to have to do it. She emailed the director back and told her we'll handle it. And she told me just that - you'll handle it on Monday, and how long could it possibly take to design a flyer, etc? :angryfire Well if it's so insignificant why can't the secretary do it? :angryfire

I left without saying a word; I was so livid. I am tired of acting like the support staff to med/surg. Each time I voice this, my boss replies that I'm paid either way so who cares. Well you know what, I care! If I wanted to be a secretary I would go be one, but I'm a nurse educator and would like to function as one! I can't function in this type of environment. Anymore. I have had it. I was so angry on Friday I could hardly speak.

I have applied for a job with the Humane Society a couple weeks ago and am anxiously awaiting a call - the job is training all the volunteers on animal handling, infection control, etc and staff development. If they offer it to me I am *so* gone.

I guess I just needed to vent.

Specializes in LDRP; Education.

By the way, I was thinking of buying this book and placing it anonymously on my boss' desk. Do you think that would be over the top?

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Specializes in Med/Surg, Geriatrics.

Ugh! Your boss doesn't have any guts. He or she is clearly too scared for their own butt to stand up for their staff. I agree with those who stated that hospital politics sucks. Isn't there a clear delineation of duties ala job description, etc.? Why should be on call to serve as the gopher for the med-surg department?

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

Rofl Suzy don't ask me if it's over the top. You know how daring and silly I can be. It fits the situation, if you ask me. Hang in there, Suzy. Something better is going to come your way. I know it.

I have been slightly irritated with my job for the past 8 months or so. When my employer started eliminated positions and reducing workforce as a result of financial difficulties, I started looking elsewhere - but nothing entirely aggressive or serious - until recently.

This past Friday I think was the proverbial straw that broke the camel's back.

I am a Clinical Education Coordinator in a "centralized" education department, that requires an MSN or enrollment in a MSN program. My responsibilities entail running alot of orientation programs, but also consulting to the entire hospital - including non-nursing areas, on education and practice issues. In other words, we're not truly a nursing staff development department at all.

We have a tumultous relationship with the Med/Surg departments. They are the most vocal of the nursing areas and their leadership is probably one of the more unprofessional I have ever seen. I've been in meetings where the leadership will throw papers, roll eyes, and other inappropriate gestures. And we honor all of their demands. All of them. Regardless of our own professional recommendations, regardless of best practice, regardless of finances, resources - anything. We give in to all of it. Why? Because every quarter we are rated on our "customer service" to them. They habitually mark us low, even though all of my and my colleague's time could be billed to them, and even though we honor every single request. And even though our department was slashed in half with the layoffs in Spring. So much so, we often ignore other areas like ER, OB and ICU.

The leadership in that department now has, on at least 6 occasions, contacted us, the coordinators, to do secretarial support for them: run off copies, find and reserve meeting rooms, and design flyers. I got another such request this past Thursday that my boss forwarded me. It came from a nurse in the med/surg area who is in a CNS role (but not a CNS yet) and she wanted me to contact a vendor she was working with and find and reserve meeting rooms and design flyers for an inservice. I asked our assistant to handle the request, and she couldn't. My other two colleagues couldn't, and neither could I, as we're ALL swamped, buried, drowning in work, especially since we lost 2 full time coordinators in June. We have requests up the ying-yang and this one is not top priority, especially since it entails essentially administrative support functions.

So I asked the med/surg secretary if she could do this for this CNS. She said she could. Great.

On my way out of the office on Friday, my boss calls me into her office to explain my actions. Apparently the DIRECTOR of the med/surg areas got wind of this, saw my email to the med/surg secretary, and then forwarded it to my boss and said this was inappropriate and the secretary will do no such thing as she is too busy and this is not top priority. I tried to explain to my boss that we couldn't accomodate this as we're busy, people on FMLA, etc and she just said I'm just going to have to do it. She emailed the director back and told her we'll handle it. And she told me just that - you'll handle it on Monday, and how long could it possibly take to design a flyer, etc? :angryfire Well if it's so insignificant why can't the secretary do it? :angryfire

I left without saying a word; I was so livid. I am tired of acting like the support staff to med/surg. Each time I voice this, my boss replies that I'm paid either way so who cares. Well you know what, I care! If I wanted to be a secretary I would go be one, but I'm a nurse educator and would like to function as one! I can't function in this type of environment. Anymore. I have had it. I was so angry on Friday I could hardly speak.

I have applied for a job with the Humane Society a couple weeks ago and am anxiously awaiting a call - the job is training all the volunteers on animal handling, infection control, etc and staff development. If they offer it to me I am *so* gone.

I guess I just needed to vent.

Personally, I have been so angry at work that I have been tempted to throw it all away. My anger has errupted into my personal life, making me even angrier. Take care of yourself and the situation. If that means leaving, then leave. Please, do not let your job dictate your life, as I apparently have done, and am trying to conquer.

Take care. My thoughts are with you.

I do like that approach also, but what bothers me most I guess is the fact that my boss seems to have no problem with us acting as administrative support staff to this group. Why does she have no problem with us running off copies, reserving rooms and designing flyers for inservices we aren't even involved in, coordinating, etc when that group has their own secretary to do such things? Then, this secretary is too busy so a Master's prepared nurse has to put her work on hold to do this?

I'm already getting angry because tomorrow is Monday. :angryfire

Linda, what is your role again? I forgot. :p

I work in Quality assurance and I develop/manage preventive health programs and disease management programs. I'm sometimes asked to do stuff for other departments.

I would be frustrated if I were in your situation too. I know you're angry, but if you let it fester you'll only make yourself miserable. Everyone agrees that secretatial stuff is not your role. It's wrong for them to ask you to do it. Right now you're between the political "rock and a hard place". Take a step back, look at the situation as objectively as possible and decide for yourself how to handle it. If this is a one time thing, speak with your boss about it. She may be between that political rock and hard place too. If it's not a one time thing, talk to your boss and ask her exactly what your role is there. Be honest and professional about it.

I agree that you are very smart, talented and articulate. Use those skills to navigate the organizational politics of your organization. If you decide to look elsewhere, it's their loss.

Susie,

Are you interested in moving? I just helped a friend of mine look for job openings in staff development in my area. We looked at the major hospitals in my area and several of them still have openings for nurses. I would be happy to cut and paste the descriptions for you or send you the names of the organizations so you can contact them yourself.

Sometimes the best thing you can do is vote with your feet. But don't lose this opportunity to tell them why you are leaving. I don't believe in being nasty but a well thought out, well written, factual letter without an angry tone can do wonders. Send it to your direct supervisor as well as top management in your organization.

Specializes in Nursing Professional Development.

"I don't mind taking on this new project, but the current projects that I'm working on, such as (insert projects here) are requiring 100% of my time. Which current project would you like for me to put on hold so I can accomplish this new one?"

I also keep a list of all of my current projects with "next steps" listed by them. Each week I update the list (add any new projects, update the current ones, mark completed projects as done). It takes a little bit of my time, but if I get too overloaded, I can show it to my boss and ask her which project she thinks should be "bumped".

I also have found this approach to be very effective. For most of my CNS/Staff Developer career, I have submitted a monthly report that highlights my accomplishments and the status of current projects. It also includes an "Areas of Concern" section in which I comment on things -- such as the need to postpone a certain project in order to free up time to work on something else, etc. The report provides a written document that puts "my spin" on any current issues and activities. It serves as a basis for my annual performance appraisal and also as a basis for any discussions of work load, role development, etc.

I strongly suggest that anyone in an advanced role consider doing a similar monthly report and sharing it with anyone in your work environment whose political support might be helpful to you. That way, everyone will know exactly what you do, why you are so busy, what you contribute the team, what your job frustrations/problems are, etc. Over time, it can be a key factor in shaping your role and in getting the political support you need to accomplish your goals.

I'm sorry your situation is not a happy one. It's not uncommon for new educators to find themselves in such a position, but that's probably of little comfort to you at the moment. Sometimes, strategies such as the one I discussed above can help -- sometimes not. Only you will be able to judge whether or not the job is worth a little more investment to see if you can turn things around.

Good luck,

llg -- who also sometimes feels like the highest paid secretary in the building! :-) (at least I HOPE I make more money than the secretaries, but I guess I shouldn't assume .....)

I would make an appointment with the VP in charge of your area to discuss effective use of your time, your job description, and other issues.

Specializes in LDRP; Education.
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llg -- who also sometimes feels like the highest paid secretary in the building! :-) (at least I HOPE I make more money than the secretaries, but I guess I shouldn't assume .....)

:rotfl:

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

Suzy seems to me, a lot of people here think you are talented and way above this. Now armed with that you can make a plan and go for what you deserve! Good luck!

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