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County Hospital Stories by RN Supervisor

Updated on October 31, 2016

Duties of an Overworked Supervisor

I am a Registered Nurse and I worked as a House Supervisor for a small 80 bed county hospital for about three years just outside of Atlanta about a decade ago. It was a part time position for me, usually 3, sometimes 4 days a week. It was a job I could tolerate while working with my chronic illness,Lupus.

The hours were not great; it usually meant Saturday and Sunday days, then 3 PM to 11 PM on weekdays. Toward the end of my time there I worked some weekdays doing special projects and taught all the CPR because I couldn’t maintain my heath on the 3-11 shifts. When you were House Supervisor it meant all the nurse managers, the VP of nursing and anyone of authority had gone home for the day.

The difficulty of the job was the level of responsibility, and we really had no back up when things went wrong, which happened with some regularity. We did have an on-call administrator for major crisis; basically that was a way to get permission to solve a problem in the way you already knew would work. The weekend shifts usually weren’t too bad, as you had food service, and the pharmacy was open. Staffing and the sheer volume of admits and discharges kept things busy.

Typical Hospital Staf

Shift Work

The second shift was the most difficult as the responsibilities were numerous and the admissions kept the supervisor very busy. The pharmacy closed at 9 PM, which meant you had to complete those duties as well, retrieving the medication for the new admits and for any new orders. Sometimes the patient hadn't eaten so you had to go into the kitchen and find some food. If the ER got too busy you had to help out there or if there was a cardiac arrest you had to drop everything and get there. You priorities were constantly shifting. If someone called in sick, then you had to find coverage for that nurse.
Staffing was very high on your priority list. If you couldn't find someone to stay and work overtime, you had to call all the staff and then if you couldn't find help, you called the staffing agencies. This was very time consuming. Not all night were that tough, but many were based on crisis management.

Hospital Humor

Children Books - Read While Hosptialized

Some Memorable Nights

The staff overall were hard working RN’s who gave quality care. They were seldom a problem. Patients could be another matter, not to mention their visitors. We had OB-GYN services. One night a man, obviously drunk, came in with an infant in a baby carrier. His wife or girlfriend was in labor. He got mad about something and just tossed that baby in the carrier across the floor. Luckily the carrier landed right side up and the child wasn’t injured. I called the police and 4 big strapping cops came walking up the sidewalk in no time. We loved our police, and I called them more than once. This drunk man went running toward these four policemen walking side by side like he had a football and planned to run right through the defense. As he hit them and his feet flew up over his head. We laughed so hard we almost cried. Of course, the drunk wasn’t hurt, but he was arrested.

Another time I had a couple with a bunch of children in the OB waiting room, and the patient’s father was delighted that he now had a grandchild. His 13 year old daughter had given birth! It is difficult to understand a family with that point of view. Children are not supposed to be having children at 13 years of age.

On another night there was a tornado alerts out with a severe storms already happening. We were located close to the area they called “tornado alley”. That meant we had to get all patients out into the halls, even the newborn babies. The doors were all closed and we just waited it out. Fortunately, we weren’t hit, but we were exhausted.

Another night we lost power in a storm and the back up generators didn’t come on quickly like they should, which is very dangerous. We had maintenance in there in no time to make what turned out to be a minor repair. We had an 8 bed ICU unit that depended on ventilators working, as well as, all equipment so this puts the hospital in a true emergency state..

One night we lost our phone service on an evening I worked. Our service was routed through some inadequate place several miles away, and we spent hours with that problem. The nurses had to use their personal cell phones to call doctors and get orders.

I appreciated the shifts without the major crisis but even they could be quite hectic.


I had always worked in a large hospital before this time, and this was a real eye opening experience. It was a tough job, but it had its rewards. If you went home and every floor was staffed, with things relatively calm, then you felt good about your accomplishments. I had to finally resign as my health was going downhill. It was a real learning experience working in that hospital which probably had a shoestring budget, but was filled with a group of professionals that actually worked together as a team.

© 2010 Pamela Oglesby


Submit a Comment

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    7 years ago from Sunny Florida

    peterhark, Thank you so much for your kind comments.

  • peterhark69 profile image


    7 years ago from Canada

    Very nice story you got here. This is where you can see how professional people really are when they do there job. Thanks for sharing.

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    8 years ago from Sunny Florida

    Thank you for your comment. I do think 3-11 is the toughest shift. I don't know that I ever worked that shift in any capacity that things weren't just non-stop.

  • Unchained Grace profile image

    Unchained Grace 

    8 years ago from Baltimore, MD

    Pamela, RNs in any hospital, especially in a supervisory capacity, have a responsibility load few are even remotely aware of. In Baltimore City, I know a few and yeah, the 3-11 is no joke anywhere you go. One RN told me,"If it's bad, it's gonna happen on the 3-11. Lucky me."

    From all perspectives, I've seen how a solid RN staff is literally the backbone of any hospital. Any trauma unit. It's not the doctors. Just like the USMC (United States Marine Corps) they hold the front lines and by far are the first line of care especially when the weirdness hits!

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    8 years ago from Sunny Florida

    Tubbs, Some night felt exactly like that. Thanks for your comment.

  • Tubbs Merouge profile image

    Tubbs Merouge 

    8 years ago from Louisiana

    WoW! Sounds like sometimes just making it thru the night would be a good night!

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    8 years ago from Sunny Florida

    Prastio, Thank you so much for your comment. I appreciate it.

  • prasetio30 profile image


    8 years ago from malang-indonesia

    I think you have a great job. Taking care patient and help people who really need medical treatment. Your job need a big responsibility and you had done it well. Two thumbs up for you.

  • Tom Whitworth profile image

    Tom Whitworth 

    8 years ago from Moundsville, WV


    Great hub. I got a wonderful visual of the drunk charging the cops. I'm still wiping tears.

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    8 years ago from Sunny Florida

    Jack, Thanks for your comments. Yes, the ICU areas are full of great saves and sad outcomes, but never boring.

  • TnFlash profile image


    8 years ago from Tampa, Florida

    Great Hub! My first wife was an RN in a ICU unit. She used to come home with some really wild stories. Your comments about RN's being true professionals at their job is the absolute truth. They can be real bulldogs about their job. Great Hub!

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    8 years ago from Sunny Florida

    Ehern, You are such a nice man and make the nicest comments. I appreciate your reading my hub. Thanks goodness we are all different as it makes the world an interesting place.

  • ehern33 profile image


    8 years ago

    I always thought that being an RN took a special tytpe of person, and Pamela you sure are. It is probably a very unrecognized profession that deserves a lot more credit than it is given. Without the RN and the special care they give, our healthcare system would be third world rate. I don't have the stomache to deal with illness and accident victims, to weak emotionally for such tragedies.

  • Pamela99 profile imageAUTHOR

    Pamela Oglesby 

    8 years ago from Sunny Florida

    Nancy, Thank you so much for your comment. Labor and delivery can be so rewarding but you need an ever watchful eye.

  • nancy_30 profile image


    8 years ago from Georgia

    Great hub Pamela. My mother-in-law is an RN BSN. She works in labor and deliver. She got to help deliver both of my girls.


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