Table of Contents

 

 

 

1

Be clear about the role of the ward manager

 

 

Be clear about what 24-hour responsibility means

 

 

Be clear about what makes a good leader

 

 

Make sure your decisions are informed ones

 

 

Clarify your objectives

 

 

Understand your legal responsibilities

 

 

Be clear about your matron/line manager’s role

 

 

Remember you are the patients’ overall advocate

 

 

Don’t take on other people’s pressures

 

 

Balance your clinical work with administrative duties

 

 

Be aware of the impact of your role on others

 

2

Manage your time

 

 

Define your workload

 

 

Organise your office

 

 

Control your diary Keep up with your emails Cut interruptions

 

 

Don’t waste time with unnecessary reading

 

 

Handle meetings effectively

 

 

Learn to let go through delegation

 

 

Be proactive

 

3

Create a positive working environment Plan ahead

 

 

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 relatives

 

4

Manage staff performance

 

 

Get to know your HR advisor

 

 

Write everything down

 

 

Make appraisals work

 

 

Know how to handle unacceptable behaviour

 

 

Handle poor performance/incompetence

 

 

Know when and how to discipline

 

 

Actively manage sick leave

 

 

Ensure all staff have appropriate training, development and support

 

 

Provide additional support for mentors

 

 

Reduce staff stress

 

 

Inform and involve all of your team

 

 

Consider team-based self-roistering

 

5

Make sure care is patient-centered

 

 

Maintain your clinical skills

 

 

Ensure all patients have a full assessment 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 the named nurse (or primary nursing)

 

 

Make sure patients are informed

 

 

Performance indicators, audits and benchmarking

 

 

Manage staffing shortages

 

 

Take the lead on ward rounds

 

6

Manage your budget

 

 

Know what you budget is Priorities pay

 

 

Go through your monthly budget statements

 

 

Manage annual leave

 

 

Manage your unplanned absence allowance

 

 

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 regularly with your finance advisor

 

7

Improve quality and safety

 

 

Quality indicators

 

 

Identify mistakes and risks

 

 

Investigate complaints appropriately

 

 

Tips for calling or meeting with the complainant

 

 

Investigate incidents appropriately

 

 

Make improvements

 

8

Instigate a rolling recruitment programme

 

 

Review the post with the person who is leaving

 

 

Write a good advert 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

 

 

Keep accurate, objective records

 

 

Succession plan

 

 

Fully involve your team in all aspects of recruitment

 

9

Be politically aware

 

 

Understand how health care is managed nationally

 

 

Keep up with what’s going on

 

 

Know your Board of Directors and their priorities

 

 

Choose your meetings carefully

 

 

Network - get to know the right people

 

 

Be diplomatic

 

 

Work with your Director of Nursing

 

 

Get recognition for your work

 

 

Choose your mentor and mentees with care

 

 

Plan ahead for your own needs

 

10

Look after yourself

 

 

Set up a peer group or action learning set

 

 

Develop the role of your deputy

 

 

Get yourself a mentor

 

 

Choose carefully who you talk to and what you say

 

 

Reduce stress

 

 

Get over mistakes and move on

 

 

Remember it’s only a job

 

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

 

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 pressurized into taking on extra work without funding

 

 

If you are doing extra work without funding, take action

 

 

Keep the communication channels open

 

 

Write clear and timely reports

 

 

Know how to conduct a good investigation

 

13

Manage difficult situations

 

 

The difficult manager

 

 

The problematic colleague

 

 

Allegations of bullying/harassment within your team

 

 

Staff complaints

 

 

Helping your staff to act

 

 

Dealing with racism or other forms of discrimination

 

 

Unsafe staffing levels

 

 

Cliques

 

 

Be specific about expanding nursing roles

 

 

Be proactive with enforced moves or mergers of services

 

14

Manage difficult team members

 

 

Staff who refuse to look professional or wear proper uniform

 

 

Staff who refuse to accept change

 

 

Staff who can’t seem to priorities their work

 

 

Staff labeled as lazy

 

 

Staff with alcohol problems

 

 

Members of staff who don’t get on

 

 

Staff who seem careless and sloppy

 

 

Staff who manipulate situations for their own gain

 

 

Staff who moan and winged

 

 

Staff who are continually late for duty

 

15

Get the best advice

 

 

Know where to go for legal advice

 

 

Know where to go for professional advice

 

 

Utilise 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

 

16

Question external directives

 

 

Is another link nurse role really needed?

 

 

Has the bed manager considered all other options?

 

 

Are you managing a team of nurses or auditors?

 

 

Has your line manager questioned the decision?

 

 

Do some quality indicators actually lower the quality of care?

 

 

Are senior managers aware of the implications of their decisions

 

 

Are consultant/specialist decisions always appropriate?

 

 

Does your union steward know?

 

 

Is the Chief Executive aware of what is happening?

 

 

Rely on your own common sense