Staff Leaving In Droves! Residents Revolting! Administration Ignoring All! HELP!

Nurses General Nursing

Published

I love my job.

No, I really DO love my job, and watching my facility fall apart at the seams is breaking my heart. This is the best place I've ever worked for, a place I'd planned to retire from someday. But in the past six months, it has deteriorated from a facility that couldn't pass a state survey but cared deeply about both residents AND staff, to a building that passed survey with flying colors but has lost its soul.............not to mention a good number of staff members.

Yesterday, my assistant handed me her keys and walked off the job at 0930, despite my practically begging her not to throw away 2 1/2 years of good work, as well as losing the ability to use us as a reference in the future. She is not the first to do this; three other staff members have quit without notice in recent months, and I'm afraid she will not be the last. Then yesterday afternoon I received another two-weeks' notice from another extremely reliable aide who's been with us for over a year, and I've gotten the heads-up from still ANOTHER long-term employee that she's going to turn in her two weeks' notice as soon as she finds another job.:crying2:

Now, I've been a manager in long-term care for a number of years, and I know how this industry chews up people and spits them out systematically. These days, anyone who stays at one facility for more than a year or two is a grizzled veteran, so high is the turnover. I know the problem is industry-wide. So why does this bother me so much?

It's because our little assisted living facility used to be special. It had a heart and a soul, and many employees stayed for several years because of that. But ever since our "lazy" and "incompetent" administrator left, and we got one who is a go-getter but seems to think people are as disposable as Kleenex, it's all gone to you-know-where in the proverbial bushel basket............and I'm beginning to have second thoughts about staying myself.

Oh, it's not that she and I don't get along. In fact, we're good friends, and I can say just about anything to her. The trouble is, she's been there six months and still doesn't know the residents well, knows the staff even less, and doesn't seem to think there's anything wrong with that. She dismisses various staff members as "silly young kids with no work ethic" and various residents as "troublemakers". Of course, in a facility our size everybody knows everybody else's business only slightly better than their own, and this stuff gets around. Since I do all of the service plan conferences, I get to hear time and time again how angry and restless the residents are; they confide in me things that really should be taken up with the administrator, but they don't feel comfortable enough with her to do so.

Now I hear the residents are planning a sort of revolt---they are going to take their concerns to the VP of Operations, and then up the line to the board of directors. I don't blame them a bit. They're being charged an enormous amount of money for services they aren't getting because we're chronically understaffed, and I'm angry FOR them. Trouble is, I'm the DNS, responsible for staffing as well as quality of care, and having been middle management for some time, I know exactly where the blame is going to land. I've been kicked to the curb before for far less. My job will be on the line, even though neither the staff nor the residents are angry with me---every single staff member we've lost has told me, "It's not you, it's ______ (the administrator who preaches confidentiality and then yells at them in front of other staff and residents)". The residents come by my office to chat, and often they say "Don't YOU ever leave---if you do, I'm moving out".

So, I'm at a loss as to what to do. Sure, I could be all wet about my head being on the chopping block, but happy endings usually only happen in the movies.........my experience of things has been rather different. I guess what I'm asking is, should I start planning an exit strategy now, and look for a new job from a position of strength, or do I wait it out and take the chance of being 50 years old and forced to start all over again in a profession that is not kind to older women?

It feels a lot like the choice between the lady or the tiger: guess wrong, and you've had it. The heck of it is, I don't WANT to leave, either way..........I love my residents, and I love the fact that I've built a good many connections and friendships through this job. I could go to work at either of the two local nursing homes tomorrow if I wanted---both administrators and DNS's know me well and would hire me in a heartbeat---but I know I don't want to do that again. I keep thinking of the headaches this job creates: the 24/7 phone, the staffing issues, the scheduling, etc. and some days I'd kill to have a job where I could just do my eight hours and go home and not think about work again until my next shift. But then I see in my mind's eye the faces of residents, who trust me with their very lives, and I know I can't just walk away from them.

Sorry so long, but I really need some perspectives on this. Thanks in advance for any help you all can offer.

Marla, it never ceases to amaze me how the 'big giant heads' of companies don't get it......you are managing PEOPLE...not a bunch of numbers. It sounds like you're a good manager who knows how to keep your people happy (residents and employees). Why, why, WHY does the system trample on people like you?????

:banghead:

If you are open to looking elsewhere for work, why not fight the fight? What do you have to lose? At least if you try to fight, you'll know you've done everything to try to make it better. BUT....if you are tired and don't know if you have the strength to fight it, it's really ok to allow yourself to step out of it and move on. Take care of you and yours, first and foremost. :redpinkhe

Change in mgmt, resulting in change in mgmt perspective and ways, was one huge reason I (and many others) left my former position after 21 yr.

Me too. :( I went by there today and saw old friends and it was sad.

I don't have any advice for you Marla (but I do appreciate the advice I've been reading so far) - but will remember your situation in my prayers.

steph

I love my job.

No, I really DO love my job, and watching my facility fall apart at the seams is breaking my heart...But then I see in my mind's eye the faces of residents, who trust me with their very lives, and I know I can't just walk away from them.

Sorry so long, but I really need some perspectives on this. Thanks in advance for any help you all can offer.

And there's your perspective! It sounds to me like you're thoroughly committed. Stay. Make the change that's needed and continue to be the excellent advocate you are for staff and residents.

Specializes in LTC, assisted living, med-surg, psych.
And there's your perspective! It sounds to me like you're thoroughly committed. Stay. Make the change that's needed and continue to be the excellent advocate you are for staff and residents.

Thank you for YOUR perspective.:nurse:

You sound exactly like my sister, who said the same thing last night......she thinks I should stay and fight it out, but she wants me to tell the residents that I could wind up out of a job if they take their complaints to TPTB. I can't see myself doing this, not only because my keeping my job is NOT their problem, but because I don't want them to be afraid to voice their complaints. This isn't about me, it's about them and the services they're paying for and not getting (or not getting enough of).

I'm no Martyr Mary; I'm probably going to be fighting for my economic life before too long, because I really DON'T want to leave and probably won't unless I'm forced out. It's just that I've had experiences in the past which have colored my perception of how the business end of health care is run, and believe me, it's almost never the bad administrator or the greedy upper echelon that ends up in the unemployment line when residents and staff start heading for the exits. And this time, I'm bumping up against an unpleasant reality: I'm "a woman of a certain age". So the idea of having to begin all over again is a wee bit more intimidating than it was ten years ago when I was younger, thinner, and in better physical shape.

My heart tells me to stay and take the chance that maybe this ONE time, the outcome may be different; my gut, on the other hand, says I ought to 'git while the gittin's good'. Either way, I'd have to start over, but at least I'd be in a much stronger position to find a new job if I were still employed at the old one.

Oh, well, it's late, I have a headache, and I'm going to have to wrangle with this again tomorrow.......thanks again for listening.

Make some connections to plan for a possible exit. You may get a poor reference and the boot. Not that it is your fault, but this can all be a survival of the most ruthless, which it sounds like you are not. It would make a great news story! Best of luck, you sound like a lovely person caught in a difficult spot. BTW, you probably did deserve a raise, as did the staff. The upper admin, probably had a HUGE increase. They thought you were for sale and they were mistaken. The residents should treasure someone who is so loyal to them

I am very sorry you find yourself in this difficult position. I completely understand.

I would advise you to get that exit plan down pat. This type of situation never ends well. I am sorry to say this to you but you already know what is ahead. The gut feelings usually are reliable.

You are in my prayers and let us know how it goes.

I think you need to know that you are in demand/marketable and that

managers are looking for nurses like you to hire in all sorts of positions.

Just because you are near 50 does not make you less likely to get a great

job!

I also would like to say that staying in a job because the patients want you

to stay can be harmful to you in the long run. You have to think about you

and your family's needs and future.

Specializes in LTC, assisted living, med-surg, psych.

That's just the trouble..........I AM thinking about my/my family's needs etc.

It shouldn't surprise anyone that for most of my life, I was an old-school activist---pick a worthy cause, and I'd fight for it. I protested the Vietnam War and almost got arrested at a peace demonstration when I was 11. I used to help my grandmother's Eastern Star chapter make cancer dressings. I got suspended in my freshman year of high school for participating in a sit-in. I've marched in parades, stood on sidewalks holding signs and shouting slogans, joined healthcare activist organizations, and even gone on strike to protest bad working conditions.

Now that I'm older and (hopefully) wiser, I find myself weary of fighting, and instead I want to find some measure of serenity. I want to spend more time working in my garden and playing with my grandchildren, and less time at work or worrying about work. I know now that there's more to life than simply increasing its speed---I want it to slow down a bit and let me savor those sudden bursts of clarity when I can see all facets of an issue that's been troubling me and everything starts to make sense. I also yearn for more time to work on the aspects of myself that get in the way of becoming a fully alive human being, though there's so many of them that I'd need another lifetime to accomplish it!

But I do find fulfillment in my work, and I've been able to cut back on my hours so I have three days off each week (at least, when scheduled staff actually come to work---otherwise, I'm on the phone trying to cover the shift or working the floor). As I've said before, I love what I do, and for the first time in my entire working life I have a position I would absolutely HATE to leave. I'm taking everything people have said here into consideration and weighing the cost-to-benefit ratios of different courses of action. I appreciate each and every one of you for sharing your perspectives. You all ROCK!!!!!

Specializes in LTC.
I love my job.

No, I really DO love my job, and watching my facility fall apart at the seams is breaking my heart. This is the best place I've ever worked for, a place I'd planned to retire from someday. But in the past six months, it has deteriorated from a facility that couldn't pass a state survey but cared deeply about both residents AND staff, to a building that passed survey with flying colors but has lost its soul.............not to mention a good number of staff members.

Yesterday, my assistant handed me her keys and walked off the job at 0930, despite my practically begging her not to throw away 2 1/2 years of good work, as well as losing the ability to use us as a reference in the future. She is not the first to do this; three other staff members have quit without notice in recent months, and I'm afraid she will not be the last. Then yesterday afternoon I received another two-weeks' notice from another extremely reliable aide who's been with us for over a year, and I've gotten the heads-up from still ANOTHER long-term employee that she's going to turn in her two weeks' notice as soon as she finds another job.:crying2:

Now, I've been a manager in long-term care for a number of years, and I know how this industry chews up people and spits them out systematically. These days, anyone who stays at one facility for more than a year or two is a grizzled veteran, so high is the turnover. I know the problem is industry-wide. So why does this bother me so much?

It's because our little assisted living facility used to be special. It had a heart and a soul, and many employees stayed for several years because of that. But ever since our "lazy" and "incompetent" administrator left, and we got one who is a go-getter but seems to think people are as disposable as Kleenex, it's all gone to you-know-where in the proverbial bushel basket............and I'm beginning to have second thoughts about staying myself.

Oh, it's not that she and I don't get along. In fact, we're good friends, and I can say just about anything to her. The trouble is, she's been there six months and still doesn't know the residents well, knows the staff even less, and doesn't seem to think there's anything wrong with that. She dismisses various staff members as "silly young kids with no work ethic" and various residents as "troublemakers". Of course, in a facility our size everybody knows everybody else's business only slightly better than their own, and this stuff gets around. Since I do all of the service plan conferences, I get to hear time and time again how angry and restless the residents are; they confide in me things that really should be taken up with the administrator, but they don't feel comfortable enough with her to do so.

Now I hear the residents are planning a sort of revolt---they are going to take their concerns to the VP of Operations, and then up the line to the board of directors. I don't blame them a bit. They're being charged an enormous amount of money for services they aren't getting because we're chronically understaffed, and I'm angry FOR them. Trouble is, I'm the DNS, responsible for staffing as well as quality of care, and having been middle management for some time, I know exactly where the blame is going to land. I've been kicked to the curb before for far less. My job will be on the line, even though neither the staff nor the residents are angry with me---every single staff member we've lost has told me, "It's not you, it's ______ (the administrator who preaches confidentiality and then yells at them in front of other staff and residents)". The residents come by my office to chat, and often they say "Don't YOU ever leave---if you do, I'm moving out".

So, I'm at a loss as to what to do. Sure, I could be all wet about my head being on the chopping block, but happy endings usually only happen in the movies.........my experience of things has been rather different. I guess what I'm asking is, should I start planning an exit strategy now, and look for a new job from a position of strength, or do I wait it out and take the chance of being 50 years old and forced to start all over again in a profession that is not kind to older women?

It feels a lot like the choice between the lady or the tiger: guess wrong, and you've had it. The heck of it is, I don't WANT to leave, either way..........I love my residents, and I love the fact that I've built a good many connections and friendships through this job. I could go to work at either of the two local nursing homes tomorrow if I wanted---both administrators and DNS's know me well and would hire me in a heartbeat---but I know I don't want to do that again. I keep thinking of the headaches this job creates: the 24/7 phone, the staffing issues, the scheduling, etc. and some days I'd kill to have a job where I could just do my eight hours and go home and not think about work again until my next shift. But then I see in my mind's eye the faces of residents, who trust me with their very lives, and I know I can't just walk away from them.

Sorry so long, but I really need some perspectives on this. Thanks in advance for any help you all can offer.

WOW, It sounds if you are working at the facility I have worked at for 3 yrs. Only, we have the same adm. But our NM has only been there approx. 2 yrs. Your in my prayer.:saint:

Specializes in LTC, assisted living, med-surg, psych.

Update: I did get SOME good news today. One girl, who put in her two weeks' notice the same day my assistant walked off the job, called me at home this afternoon to ask what she thought was a weird question, but it couldn't wait till Sunday when we're both in the building next.

"You know that resignation letter I wrote you?" she queried. "Could you just sort of.....well, shred it? I've been so upset the past two days, thinking about it and crying, and I figured out I'm just not ready to leave my people yet."

I don't think I've ever wished so badly that it were possible to hug people through the phone. :D

"Consider it shredded," I said, "and welcome back to the fold."

A small victory, perhaps, but a victory all the same. Meanwhile, I just filed an application for an opening with the Client Care Monitoring Unit---as a state surveyor.;) The pay is decent, the benefits are far superior to what I have now, and I'm certainly qualified. I also think I'd make a pretty good one, with my knowledge of so many facets of LTC and the desire to improve the care elderly and disabled people receive in facilities.

So yes, I'm thinking of going over to The Dark Side.........I've actually thought about it for years, and what the heck, it might just be the right job for me.

Of course, I still think I'm IN the 'right job'.........I'm simply not sure how long I can hang on to it. Best to keep my options open, in any case.

I wish you lived and worked around here. I would come and ask you for a job. I do not expect my working enviroment to be perfect, just that my manager be open to discussions and solutions to the problems that do exist. You sound like my kinda managment person.

Specializes in LTC, assisted living, med-surg, psych.

And you sound like my kind of employee!

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