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SURVIVAL GUIDE FOR WARD MANAGERS, SISTERS AND CHARGE NURSES
Survival Guide for Ward Managers, Sisters and Charge Nurses
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By
Jenny Thomas, BSc(Hons), RGN, CertM, Independent Consultant in Health Care Management; Senior Lecturer, South Bank University, London, UK

Included in series
A Nurse's Survival Guide,

Contents
Preface

Chapter 1 - Be Clear about your Responsibilities
Be clear what 24-hour responsibility means
Be clear about what makes a good leader
Make sure your decisions are informed decisions
Clarify your objectives
Understand your legal responsibilities
Be clear about your line manager's role
Remember you are the patient's overall advocate
Don't take on other people's pressures
Balance your clinical work with administrative duties
Beware of the impace of your role on others

Chapter 2 - Define and prioritise your workload
Define your workload
Organise your office
Control your diary
Keep your e-mails
Cut interruptions
Don't waste time with unnecessary reading
Reduce your meetings and get the best out of the ones you do attend
Chair meetings effectively
Learn to let go through delegation
Be proactive

Chapter 3 - Create a Positive Working Environment
Have a plan
Set meaningful objectives with your team
Be a good listener
Feedback with sincerity
Know your staff well
Never talk disapprovingly of others
Get your staff to take more responsibility
Have a system for dealing with patient's visitors
Deal with conflict
Implement clinical supervision

Chapter 4 - Manage and Treat your Staff Well
Get to know your HR advisor
Write everything down
Make appraisals work
Know how to handle unacceptable behaviour
Deal with poor performance
Know when and how to discipline
Actively manage sick leave
Ensure all staff have appropriate training, development and support
Inform and involve your team
Implement self-rostering

Chapter 5 - Make Sure Care is Patient-Centred
Maintain your clinical skills
Ensure that all patients have a full assessments and care plan
Be clear about what health care assistants can and cannot do
Eliminate long handovers
Use task-orientated care only when appropriate
Work towards primary nursing
Make sure patients are informed
Improve care through audit and benchmarking
Don't accept poor standards of care when 'short-staffed'
Take the lead on ward rounds

Chapter 6 - Get Your Budget Right
Know what your budget is
Prioritise PAY
Go through your budget statement each month
Manage annual leave
Manage your allowance for unplanned absence
Plan your study leave allowance
Get your staff involved in NON PAY
Be more active in the business planning process
Don't do anything without identified funding
Meet reguarly with your finance advisor

Chapter 7 - Respond Well to Complaints
Work on the content, not number of complaints
Take appropriate steps before you investigate
Investigate sensitively
Know when to stop the complaint investigation
Consider holding a meeting with the complainant
Follow 6 key steps when meeting complainants
Write a good final response letter
If you are stuck for words in starting your letter...
If you are stuck for words in finishing your letter...
Follow up the complaint with action

Chapter 8 - Instigate a Rolling Recruitment Programme
Review the post with the person who is leaving
Write good adverts and application packages
Shortlist and arrange interviews properly
Get the best out of the interview process
Follow up all candidates personally
Arrange a good induction programme
Continually explore all other avenues to get staff
Don't discriminate
Succession plan
Fully involve your team in all aspects of recruitment

Chapter 9 - Be Politically Aware
Understand how health care is managed nationally
Know your board of directors and their priorities
Choose your meetings carefully
Network, and get to know the right people
Be diplomatic
Talk of 'we' rather than 'I'
Work with your director of nursing
Get recognition for your work
Choose your mentor and mentees with care
Plan ahead for your own needs

Chapter 10 - Look After Yourself
Recognise symptoms of stress
Recognise and deal with any staff stress
Get yourself a mentor
set up a peer support group or action learning set
Train up your deputy ward manager
Get a union representative or steward on your team
Choose carefully who you talk to and what you say
Get over mistakes and move on
Drink plenty of water and eat regularly
Remember it's only a job

Chapter 11 - Be a Good Role Model
Be smart
Make a good first impression
Always smile and be positive
Speak clearly
Be relaxed and in control
Make your writing distinguishable
Be aware of how others see you
Set an example with your choice of language
Never moan or gossip about others
Don't stagnate

Chapter 12 - Manage your Manager
Clarify expectations
Work with, not against your manager
Act, if an important decision has been made without your consultation
Act, if a change in another department has a 'knock on' effect in yours
Don't be pressurised into taking on extra work without funding
If you are doing extra work without funding, take action
Keep the communication channels open
Write good and timely reports
Actively manage incidents, mistakes and accidents
Know how to conduct a good investigation

Chapter 13 - Manage Difficult People and Situations
Manage a difficult manager
Deal with that problematic colleague
Manage any allegations of bullying or harrassment
Manage staff complaints
Make sure staff are not being used or abused by others
Don't tolerate any form of racism or discrimination
Take action when staffing levels are dangerously low
Break up any cliques
Be specific about expanding nursing roles
Be proactive with enforced moves or mergers of services

Chapter 14 - Manage Difficult Staff
Staff who refuse to look professional or wear a uniform
Staff who refuse to accept change
Staff who can't seem to prioritise their work
Staff who are lazy
Staff who have alcohol problems
Members of staff who don't get on
Staff who are careless and sloppy
Staff who manipulate situations for their own gain
Staff who maon and whinge
Staff who are continually late for duty

Chapter 15 - Get the Best Advice
Know where to go for legal advice
Know where to go for professional advice
Utilise the wide range of services from the chaplaincy department
Use but don't abuse the nurse specialists
Help patients and relatives access the right advice
Keep up-to-date with risk management issues
Consult policies, procedures and guidelines
Maximise computer access
Utilise the knowledge and skills of your nursing colleagues
Utilise the practice development team

Chapter 16 - Question External Directives
Is another link nurse role really needed?
Has the bed manager consulted all other options?
Is that audit really necessary?
Has your line manager questioned the decision?
Are performance targets worth lowering the quality of care for?
Are the senior managers aware of the implications of their decision?
Are consultant/specialist decisions always right?
As your union steward for assistance
Don't hesitate in contacting the chief executive or other board directors if necessary
Rely on your own common sense

Index

Bibliographic details
Paperback, 352 pages, publication date: JUL-2006
ISBN-13: 978-0-443-10324-7
ISBN-10: 0-443-10324-0
Imprint: CHURCHILL LIVINGSTONE


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Last update: 15 Oct 2009
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