"Realizing the importance of the case, my men are rounding up twice the usual number of suspects..." Captain Renault, Casablanca

Wednesday, November 3, 2010

Unassuming

Another person was discharged from a nursing home - under my watch yesterday. Actually, I verified the transition via phone. An achievement, or at least a number. Perhaps a number that will enrich or allow for someone else (unnamed agency) to soak in the glory. Fine for them, but as for me, I am satisfied in the small part I play. Numbers vs outcomes, both important in the grand scheme. However, I am content to let the others bask while I merely coordinate...

Tuesday, November 2, 2010

Ready, aim, etc

All seems a little better – the consumer is being discharged today. All confusion seemed to be in a change in home care agencies, but it ought to happen without fanfare.

I did send a secure e-mail to the main (unnamed) agency. My contact had no idea of this impending discharge, no approved budget or other approved paperwork. Much like “I have no idea what you are talking about” is the theme.  Of course I am irritated, I do have CYA copies of every piece of paper including myriad e-mails. Grumbling, I prepared a fax, not a missive but pointed. Should I get mad, even or neither? The latter is a better course of action…I got an apology shortly after that, no doubt proving no culpability.

I guess the process often goes like this: 1.) READY; 2.) FIRE; 3.) AIM, not the usual cliché we were told (much like the old standby ‘Measure twice, cut once’). I can merely observe here, recognizing what I can actually make happen on my own – not expecting others to do what they ought to…

Monday, November 1, 2010

Job Description

I seem to be in a fog as to what is going on with some consumers I work with, and the care plan agencies that administer these plans. On Friday, a scheduled day off, I spoke with a care planner who has set up their home care agency home evaluation. Mind you, the date of discharge was set for 1 November and this eval was happening on the last possible day. Further, I called (on my day off) the planner who advised that the apartment might not allow for a ‘safe’ discharge.

I was polite, but thinking all along: the person is question uses a manual wheelchair, and yet I have been in the apartment with my power wheelchair, so I can’t imagine the safety being an issue. I spoke with the management company and they installed a 17” high toilet and bathtub cut – both for issues of safety, and I am cognizant about making safe transfers from a ‘chair.. I am annoyed at the way this sounded. Okay, it was Friday – forget the job until Monday and be prepared for a delightful or disappointing day then. It gnaws at me  how the details are not attended to by everyone else…