My day begins at 4AM when I join the Night Shift Supervisor and Staffing Coordinator to discuss staffing and census needs for the upcoming shift. Once I arrive at the hospital, our huddle comes together. It includes the Service Directors, Nurse Managers, and Bed Control Supervisor. We review the OR schedule, ED activity, and confirm census and staffing for the day. Later in the AM, the entire hospital leadership team gathers for a daily safety briefing. Each department reports on any workplace injuries and/or safety issues. Assignments to resolve any outstanding issues are made at this time with the expectation that there will be a follow-up by 2PM each day. Census and staffing are reviewed again before the noon hour in anticipation of needs for the afternoon shift. At noon, nurse managers participate in a demand capacity conference call to ensure that discharges are not being delayed. The Service Directors gather again, at 4:30PM to huddle about bed placement needs for ED and PACU patients. At 7:00PM, the Staffing Coordinator reviews staffing needs for the night shift.
What I learned from this organization is the incredible amount of focus on accountability. This is important if the organization will be successful.
There has been a great deal of turnover in management since I arrived 9 months ago. I believe some of this is due to the cultural transformation that is occurring and some due to the incredible surge in volume this facility had not anticipated due to health care reform.
I have a very dedicated and seasoned team of co-workers in the Staffing Office and Staffing – more... Operations. They are always willing to teach and support the Service Directors.
The hardest part of the job for me is having the responsibility but not the authority in many of the staffing decisions that are made. I am responsible for incremental overtime, third weekend, overtime, and consecutive days as part of the staffing and scheduling process. At this time, all final staffing plans are approved 2 hours before the start of each shift by our CNO. We are also participating in some aggressive RN recruitment events and have been successful in filling many of our vacancies as a result of our growth surge.
The most enjoyable part of the job is that employees treat each other like extended family. Just recently, I encountered a last-minute vacancy for the house supervisor on the night shift. I was unsuccessful in filling it, so it was my responsibility to work this shift. It also happened to be my wedding anniversary. When I came in that night to work, a vase of flowers and an anniversary card were sitting on my desk. I was genuinely touched by the staff's thoughtfulness. – less