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I'm going into administration and I want to know the nurses viewpoints on how their administrators are running things. What realistic changes would you like to see? How can we be more involved? What can we do that would help you?
Instead of calling every person to come in on their day off every day how about you guys step up and work the floor for once.Thats what leaders do.
Seriously. Or staff appropriately in the first place. Administration's lack of planning is not my problem. (Sometimes it's my PAYDAY, though. Show me the money! Time and a half, or no dice.)
make all nursing administrators oblige to certain numbers of shift on the floor or specialty department. when nurse becomes an administrator, they face the fact that they don't have to deal with the bs, and since it's not their problem anymore, they join the other suits who make ridiculous bs policies that actual people who work at bedside think thrice before even considering it's realistic; try staffing for one. if I become an admin, that's at least what I would do, stand by bedside nurses and their reality instead for people who never even got close to the patient.
As a night shift nurse, I'd recommend
1. you actually SHOW UP once and a while at night to see how the staff is doing/working. I've worked at the same hospital for a while now. I've never seen an administrator when I'm there (line supervisor, CNO, CEO, VP of Nursing). I couldn't even probably tell you what they look like other than their formal website pictures. The Floor Manager is only there at night if we've had a meeting that she had to stay late for. Generally, she's not there in the morning unless she is covering the charge nurse position for day shift.
2. Don't ever make the statement that "nights has the time to do more. They aren't as busy." Night shift is just as busy as day shift, just in a different way. We have less staff, just as much meds/pain meds, chart checks, admissions, preop checklists, med checks, etc. Yes, we may not have people coming and going as much, but we are just as busy. Put some of those "projects" on the day shift too.
3. Telling the staff you appreciate them once and a while. Even if it's just to send an email saying "I saw you guys had great HCAHPS score, thanks for that." Or even better, "just wanted to say thanks for picking up all those extra mandatory overtime shifts because we are always short staffed."
Tell me that I am appreciated.
Hire enough staff.
Retain your staff by treating them well.
Pay raises once in awhile.
Let us know what we are doing right.
Having us adequately stocked with supplies such as IV Fluids, IV tubing, tube feeding, linen, briefs, etc.
See what is going on at night. We are actually busy on nights. NO the patients do not sleep all night.
Yes - really does smell like homework.It's sad that's there's another one trying to fool respondents, if that's true.
This is a homework assignment. I'm not trying to fool anyone. The assignment was to go onto a nursing board and ask a question that will relate to your career position, then write a two page report on the responses you get. I'm sorry if that upsets anyone. I'm just trying to complete the assignment. And yes, I am going into administration within the year, I'm finishing my last few classes. All of your responses have definitely made me think of how unappreciated you all are. Hopefully it's something that I will be able to change.
This is a homework assignment. I'm not trying to fool anyone. The assignment was to go onto a nursing board and ask a question that will relate to your career position, then write a two page report on the responses you get. I'm sorry if that upsets anyone. I'm just trying to complete the assignment. And yes, I am going into administration within the year, I'm finishing my last few classes. All of your responses have definitely made me think of how unappreciated you all are. Hopefully it's something that I will be able to change.
You were indeed trying to fool us - be truthful in future. Completely truthful.
kbrn2002, ADN, RN
3,969 Posts
That makes sense for the nursing managers/administration but administrators usually hold business degrees and would be useless for this.
On the off chance this isn't a homework assignment. The easy answer is pay your staff better. Actually acknowledge them and even better know who they are. Come out of your office often enough to know what is actually going on outside of your nonstop meetings.
Unfortunately from a financial standpoint administration usually has their hands tied to some extent. Especially if you intend to work for a company rather than an independent facility. Then you have corporate above you that will need to approve any drastic changes.