Another one bites the dust.

Chief Nursing Officers come and go and my boss is one of them. After two years, she's gone. I really don't know how nursing management work. I really don't give a hoot how they work. The sure thing is that the ones that treat the nurses well are the ones who get the boot.

Nursing managers have to deal with doctors, nurses, families, and everybody else in between. Ultimately, there is a boss more powerful than they are and those powers don't like nursing bosses that are nice to their fellow nurses. They prefer nasty, hitler types that creates depressed, dissilusioned and frustrated nurses.

I saw this behaviour in Intercommunity in Covina and now in Casa. The nurses think they have a great manager, life is so smooth it can't be real. Next thing they know she is leaving. The grape vine is buzzing about management was responsible for her departure.

This doesn't happen in Kaiser as the managers there are never for the nurses. At Kaiser, it's always the contract, the contract, and the contract. Unions produces managers that are cold and calculating. Ask for a day off and you get a cold shoulder. You give them a suggestion and it goes to the garbage pile. Just go to work and don't cause any problem. Kill a patient and you get a week off to reflect on your errors. Back to work after that.

The new CNO, according to the grape vine, is the manager from case management. Now that is interesting. Case managers don't know how to do bedside. They think they do but they don't. That is why they prefer to push pencils and not meds. I won't judge her before she even starts. Who knows, she might be the next great manager.