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I was offer a job as RN Supervisor at a SKF couples of days ago? Im a new RN with no exp, beside my clinical times during school. So, I was wonder if anyone in here can tell me what's i am up against as a Supervisor at a SNF, please help! Thanks you, I'm still debating whether I should the job or not???
Here's a job description according to the department:
"The RN-Nurse Supervisor supervises nursing personnel to deliver nursing care and within the scope of practice, coordinates care delivery which will ensure that residents' needs are met in accordance with professional standards of practice through physician orders, center policies and procedures, and federal, state and local guidelines. In return for your expertise, you'll enjoy excellent training, industry-leading benefits and unlimited opportunities to learn and grow. Be a part of the team leading the nation in healthcare.
One year prior nursing experience preferred. Job Specific Details: This is a full-time 3-11 shift position. This individual will be responsible for medication administration, treatments, documentation, and supervisory responsbilities. This position is required to work every other weekend."
I just noticed your age and hesitantly say, take it. Please disregard my previous advice. I now understand much more, your desperation. Maybe, just maybe, you can make it work. You have a wealth of life experience and if you study the policy and procedures, could make this work. Please don't broadcast you are new, soak up everything, act confident and question leadership often. Much luck and respect to you! Peace!
No they don't have to be in their right mind to hire a new grad, they are DESPERATE and there is probably a reason. Others have said you will be eaten alive by the older and maybe meaner nurses. I would not take a supervisory role without experience for any amount of money, and I have a masters in nursing and really do know that leadership and management can be learned and used without actual hands on, but you are a new grad nurse and that is a different deal. Make it light on yourself, and don't set yourself up for some real anguish is my opinion.
Are all RN's working in a nursing home considered "supervisors" as well as workers? I thought I read RN's in nursing homes were unable to belong to a union because of this so called "supervisor" designation, although most have no real authority, and in reality they are floor staff workers, basically charge nurses with their own assignments.Any Rn's working in SNF, nursing home share your insight.
This is how my facility is, all the nurses RNs/LPNs are considered "supervisors" as we supervise the CNAs on the floor. There are 4 nurses on the floor, and we are each responsible for the patients on our hall, and we "supervise" the CNAs, and our title is Liscensed Nurse Supervisor, but it really dosn't carry much weight as there are "nurse managers" who are oncall and those are the RCM's the Nurse Educator and DON and ADON, they rotate being on call each night, plus there are facility "managers" who we are supposed to refer to for building matience issues.
Which is odd, that the build matience guy is above the nurse because he is the "manager on duty" which happened the last shift I worked the MOD answered the phone and was a CNA calling in for my hallway he didn't see the need to notify the nursing staff because he thought we had enough CNAs on the floor as it was
As for the OP I would clarify what type of supervising you are going to be doing, before accepting or declining a job
Wow this should be a huge red flag for you. I have never heard of this happening, unless you know someone that got you the job.
I think it is really important to be a bedside/floor nurse for at least a few years. You need to improve critical thinking skills. Most new grads when they start working focus on the nursing process. It takes a lot of their energy to make sure they are doing everything by the book until they learn which shortcuts are ok to take and which are not. A nursing supervisor with no experience has no idea what her insubordinates are going thru. Just my thoughts. But good luck!!
I agree that nursing homes call all nurses charge nurses and put them in a supervisory role..prob. so they can not bring the union in. But if you are being put in a real supervisory position...beware.
I would never work under a maintenance man whether he was a supervisor or what. When I worked in nursing homes, the maintenance man and the charge nurses are on the same level on the hierarchy tree.
I think age is irrelevant as to whether someone can or could be a supervisor. Supervisors have to make critical decisions which maybe anybody with some common sense could do, but I think this sounds fishy and risky. Worked in too many facilities that just want to fill a space with a body. I would not want my loved one in a place like this. Just saying
I'm not sure of the exact amount of responsibility of the RN supervisor in that facility. Some posters here may be imagining the chain of command in the hospital, but a SNF can be very different with more CNAs or LPNs. RN's in SNF are often called "charge nurses" or supervisors because of the fact that they are the RN. I'd like to know more info before I would out-right discourage you to take this job.
The job description you posted speaks of administering meds & doing treatments. Are there other "nurse supervisors" in the facility to confer with when problems/questions arise? I'm not sure we have the full picture of what this facility and the chain-of-command is like....
You have been given some great advice here the only addition I could add is
these words of caution - in places like this it is usually easy come easy go --
I AM GENUINELY CONCERNED.YOUR BEING SET UP IN THIS POSITION.
BE CAREFUL OF YOUR LICENSE
AN EMPLOYER WHO IS WILLING TO PUT A NEW GRAD WITH NO EXPERIENCE WILL THROW YOU UNDER THE BUS IN A MOMENTS NOTICE. KNOW THE BOARD OF NURSING IS NOT YOUR FRIEND.
Trust me I have seen it happen. Sincere good wishes on what you decide.
Marc
Wow this should be a huge red flag for you. I have never heard of this happening, unless you know someone that got you the job.I think it is really important to be a bedside/floor nurse for at least a few years. You need to improve critical thinking skills. Most new grads when they start working focus on the nursing process. It takes a lot of their energy to make sure they are doing everything by the book until they learn which shortcuts are ok to take and which are not. A nursing supervisor with no experience has no idea what her insubordinates are going thru. Just my thoughts. But good luck!!
(Bolding mine)
Even those of us with experience can have a great deal of trouble with our insurbordinates
This just cracked me up and made my day!!
I've worked in facilities that will hire new grad RNs as supervisor. Any facility that will throw a new grad into that sitution really just wants a warm body attached to a license. They are required to have one RN in the building at all times and they need to be able to say they have one.
I am going to tell you my experiences, as an LPN working in those facilities, they are not true for every facility.
The SNFs I worked in had an extremely high acuity rate and a high patient to nurse ration. Even for the nurses with experience it is very very stressful.
You will be responsible for supervising LPNs and CNAs, many with more experience then you. Except for the new grad nurses -- because like in your case, they will hire anyone just to get warm bodies on the floor - who are struggling tremendously under extreme pressure to figure things out with no help from anyone-- except you, who will be accountable for their mistakes.
On top of your other duties you will also be responsible for dealing with any after hour call-ins. Weekends are the worst because none of the regular management staff will be there and you will have to deal with any and all crises.
The staff you will be working with will range from the new and scared, to those who are resigned to figuring it out on their own, to the ones that just roll their eyes because they see a revolving door of new grad RN supervisors who come in, who then realize what they're up against and leave, to the ones who flat out resent you.
So not a pretty picture. I know how hard it is to find work right now but if you are going to take this job, you need to prepare yourself for what you will be up against. I've seen RNs with years of experience crumple in these situations.
Thanks for the great advices guys, I really appreciated it. I thought supervising would be more like paper works, hehehe but I guess not!
Screw this, I think I will not take the job, and max out all of my credit cards to stay afloat for at least 2 months. Keep on job searching, hooray >.
TooterIA
189 Posts
Ditto to not taking it. I really do understand if you need money and a job, but there is NO WAY I would take that job as a new grad.