Oh man tests mess us up ... Cardiac today :(
Good morning this is me. I’ve been confused all morning. It’s now 11 am. And I couldn’t tell you many of the places we’ve gone. At least mentally … I don’t think we’ve gone out of our office with the exception of using the washroom. Oh ok, and to help our diabetic client … She was very low … we gave her juice, but since she was having trouble following directions, we gave her her lunch drink too. It was just 20 minutes to lunch. I think her body was demanding it, because she chugged it down although I was telling her to slow down. Her belligerence is part of being off in her numbers. When she was able to follow the simple instruction, “throw away the can,” I knew she’d be ok. I won’t have her ending up in the hospital on my shift.She was there just a month or so ago.
It still frustrates me that the DSP didn’t send someone down with her, and then had the audacity to remind me to walk her back. She’s going to have to be talked to … for just a moment, but certainly. If she thought the client was off, she should have done something a little safer. She didn’t mention the client had been exercising, and then she emphasized a little where the client emphasized a lot of exercise. And, to make things worse, the DSP didn’t send the client down for the 9:30 am reading. I suppose she thought 8:20 was good enough, but it wasn’t. It is her responsibility to send her down.
Ok, so let’s see
Concerning Lupe – Please let me know if there are questions
It is a good to send Lupe down when she seems off on her diabetes, but continue to send her at 9:30 am and 12:30, regardless of other times.
Send someone with her when you are sending her because you think there is a problem, as well as calling ahead to assure there is someone here to receive her. Make sure she has the sheet with her. It should stay with you - not her, check to see if its initialed.
Let the person on the receiving end know if she’s gone through changes, such as food, drink, exercise, or stress if that may not be known.
That's it,
Thanks,
Ann
Ok, then made appropriate copy to Sr. Just didn’t want to have it come back on me.
The only thing I didn’t do was to tell Candice I was sending it to Sister. Sister will probably ask me about it later, and at that point I will explain. It’s better when she brings me her concerns in her order. It’s just a matter of protocol …
Candice knows the proper way of doing something, but she skips around and does things only as she recalls them loosely. Can’t do that with the diabetes. Lupe came in and sat down quietly and I took a chair in the front of the room. I got my full flurry of “Hi, Ms. ANN’s!” So, there is no way she could have missed me coming in, but she did not receive either myself or Lupe. She kept doing whatever she was doing. So, I finally said Candice can I see you a moment. At that point I had lost visual with Lupe – so Candice said authoritatively, “She went to the bathroom.”
But, by then I had spotted her in her chair (I hadn’t known where her chair was).
Then Candice saw her and said, oh there she is. But, it was the authority. Plus, I didn’t like that she didn’t check in with me when I came in to see what was wrong.
I didn’t come in to play games. Oh no, now I’m just cranky. Better grab a sandwich.
Ok, that’s done … just checked my diabetic. She’s ok … she’s always better after lunch.
AHA! Sr. was in the neighborhood, so I called her back … I told her about the email. She was like ok in general, but stated there are problems with her in general. I was just trying to get in my 3 points.
Oh man … Yuck, yuck ptooey. It’s now 12:40 pm. Sr. came back and asked me to look at a couple of down computers. One needs to start with a system disk, which I didn’t have. So, I’ll wait til Brandi comes and see if she still has one for the old machines. There used to be quite a few, but the computer guy inadvertently through all my old stuff away, because he didn’t like going through it each time to get to the good stuff. I could fix one, which was a couple buttons and I thought or at least got it through the process of rebooting to a previous stage, but the dates it was allowing me it was still having problems. I think this has been a problem for a while and no one has said anything.
The real problem seems to be that there was a terrible lack of respect going on in the room. Candice was treating the group as if they were young people and she was above them. Kinda high and mighty. Maybe sometimes … like today when Lupe was struggling to get through doing the right things for her diabetes. She wanted to put her lunch drink back in the fridge, but she was too low and I wanted her to drink it now, especially because lunch was in 20 minutes anyway. I was authoritative then, but you can’t use that all the time. It’s for situations chosen slightly, and there has to be some humor following it immediately. If you are boiling over, they are going to know about it. But, if you are boiling over – they may be out of control or not, but you are definitely out of control.
There were things being said in the room under people’s breathe – well one or two in particular, but they were upset, because she was using the old line about acting like children. They didn’t like being told they were children, directly or indirectly. Candice was like, well if you are acting like it. My brain is blocking it out for whatever reason, but Rosetta said something and then Candice said, what did you say, and then Rosetta just kept talking to her peer. All of them were talking … Candice was at her desk trying to pretend everything was in control, but it wasn’t … 2 minutes after I left one of the clients came to my office. This is a problem client, but he shouldn’t have been in my office … I have little contact with him – just in the two groups, but the chain of command is if there are problems you talk to the teacher you are with when the problem is occurring or after the problem occurred. If she isn’t helpful you go to YOUR QMRP, and if that isn’t helpful, you go to Sr. Theresa. It’s just like that … always has been.
So, that’s what we reiterated. Poor kid he gets ruffled easily and was having a problem because he thought a peer took a piece of paper. That is a common argument used by several – that the other took his paper or pencil or folder. I never know anyway which way it goes. But, the thing is … I’m not in charge of it unless my clients are involved – and my clients aren’t into that kind of stuff. Pswhoo.
Back to Candice. I talked to Sr. about it. She said basically, you are preaching to the choir. I had come to in my argument that I should be in there next Monday when there is a full couple hours to devote to it. We’ll give her the chance of it not being a doubled up room. She had 3-4 others from the Leadership group, that shouldn’t have been a problem, but maybe more than she could handle.
Ok, let’s talk about us handling things for a moment. It’s now 1 pm – one hour to the time we need to leave. I just ran into Sr. in the hall and reminded her of the appointment. She has the schedule in her office, but maybe not all the appts. I think now that this is the cardio test, but I don’t remember what this one is or does. I know cardio is heart and it is at the heart center, so I can probably guess in some manner they are going to check my heart. One hour to go – proper time to start worrying right? Last time I didn’t pass because of some irregularity. After the test, I had to do a stress test. That’s a very bad one, because I’m not in any condition to be running, well walking on a tread mill. Ok, let’s throw a ptooey in that direction too.
I looked in the mirror when I was in the bathroom today – from the side view … I was horrified with how much of a backend I’ve got going on there. It’s more than just embarrassing … it’s just horrifying. I don’t want it to be a part of me.
Oh man I’m so messed up. I can hear the music and I know I have to drive. I have to go to the bank. I think I’m going to the Jewel at Western Blvd it’s on the way, but I gotta go in and hope its not long because I have to stand. Ok, let’s prepare for this … I will need my identification. Should probably write out the ticket hold on … oh yeah … wrote out the ticket before I realized that I was writing a deposit slip, so then that got torn up and I wrote a check for $100. I figure $10 co-pay for each and $10 parking for each. There’s one meeting today, two meetings Wednesday, one meeting Thursday, one meeting next Wednesday, and one meeting next Thursday. The Thursday meetings don’t require the co-pay, so we should be ok – comes out even $100, plus Rich gave us $10 that will be our spare.
I’m thinking if this is the heart test – cardio . It’s probably just the gooey EKG machine … and they’ll find I’m Irregular … and I’ll go through panic and then I’ll have to do the stress and I’ll be really bummed, but I’ll try like the dickens to get through it. Better go put on the shorts, probably let me leave a bottom part on and they can go slimly under the dress. Hold on.
Ok, mission accomplished. We need to clean up in here now … ok found a bank with a drive-up not too far … working it! Ok, I can do this … we’re down to a coat. We’ll call Sweetie after the bank and we’re back on track. Suppose we have to post … We’re sitting here with a coat on wishing this was all over … Ok deep breath …
let’s get to it. Please?
posted by Ann Marie @ 12/03/2007 01:52:00 PM
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