Best Kept Secrets of the OR #15- What you ignore or suggest is treated as normal

This isn’t a positive best-kept secret. In fact, it makes me mad and is probably making some of your charge nurses mad too. But not the one who is trying to be your friend and suggested that you call in sick, in front of another charge nurse, because you couldn’t get that day off.

However, this is directed at the other charge nurses who permit this behavior.

Apparently, in today’s working operating room, all you have to do to get the day off that was denied is call in sick. No thought was given to the rest of the OR team that now has to work short. No thought is given to the patients who are going to be worked on that day when the rest of the OR is working short. No thought was given to the person who makes the schedule that you just took a giant dump on.

This is because you didn’t get your way and you are making it everyone else’s problem.

Number one- there are rules for a reason. Only one person per staffing level (scrub tech, registered nurse, orderly) can be off at the same time, on the same day. Writing as a previous staff scheduler whose OR was run a lot leaner than the one you enjoy, there are reasons for that rule. You are damning someone else to work extra. The rules are different in each unit. In this unit, one person per staffing level is allowed off for a specific day.

Number two- this is for the charge nurse who suggested that a team member call in sick to accommodate their desire to have a certain day off. To that charge nurse I say don’t do this. Don’t make the rest of your team work extra so that you can be buddy-buddy with another team member. It reflects badly on you.

Number three- what you permit becomes the new standard. And will most likely come around to bite you in the ass.

Just no.

Don’t do this.

You are UNDERMINING your authority.

Consider that.

Or you might want to be friends with all of your subordinates and wonder why they don’t respect you.

You choose.

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