Ayn's Multiple World

Everything plus our job evaluation

Good morning. This is me. We’re up a little early this morning. It’s about 3:20 am. We’ve been up about 40 minutes, but part of that time was nappin at the wheel AND petting the kitty – WHO was for the record thinking we should be eating early too. We were trying to avoid that because we didn’t want to start something up we couldn’t finish later. Nothin more annoying than kitties who THINK they need breakfast at 2 am. HMPF!

Last night we fell asleep at the keyboard about 7:45 pm. We were pretty tired and without Rich to keep us awake there was not much chance of it. We knew he got home because when we woke up the living room curtains were closed … we figure we’ll leave it up to him to wake himself up … not in favor of waking up someone early who didn’t get to bed until late the night before Double Hmpf!

We had a lot of trouble with our eating yesterday. Sister put out sweets on the staff table from stuff she had gotten … Yeeks chocolate covered about EVERYthing … it was terrible! Well it was great, but you know what I mean. There was a tiny cookie that was pretty much nickel size almond bark with just the little sprinkles on the bottom that I had a problem letting go, and then at the end she put out some peanut buttery like cups with chocolate. Oh Lordy, we were a mess. We came home to one of Rich’s good dinners … a reasonable salad and chicken, but then we got into the new cottage cheese and didn’t stop eating until it was all gone. ARGH!!! What is WRONG with us??

Rich asked us how many times did we sneak back for the candies … I don’t think we coulda hung our head any lower.

Today is finally a Dr. Marvin day. I don’t know what all we’ll talk about … usually stuff just comes out even if we do have a plan. It would hurt to have a few key ideas to place on an agenda though? Like what is the most relevant? I guess that we had a good vacation, but didn’t want it to get over. That we didn’t want to think of medical, bills, or work, but we thought of all 3 yesterday … and that we have 3 doctor appts next week – 4 with his. We’re seeing heart people on Monday, arthritis guys on Tuesday, psychologist AND psychiatrist on Thursday. We also paid some bills yesterday and am trying to take care of the school loan through Rich’s money. It’s like I’ll take care of apartment at $900 if you’ll take care of food $400 and loans $400 – I know $600 is mine, but we gotta survive SOMEhow?? I also know that Rich says he doesn’t owe me up to or through Feb 1rst, but yesterday it was like very growly … enough of that … school loans start January and I need the money NOW! Well not all of it, but the deal would be I need $140 January 1 for a January 5th payment, and I need $260 January 15th for a January 21rst payment, then every month afterward for about 20 years. Oh man …

Ok, gotta get over that now … lets be moving on. Ok, that covers money and medical? Well, that and we paid rent and car yesterday. There was some talk that if we could pay the majority of $900 government, $600 school, and $300 dentil with tax money – then that $1800 wouldn’t be a monthly write off of debt payment each month and so that would save us something to have a spending account … would be something! We’ll work toward that!

The next part is work – and that has to be split with time that is on diet. As to Rich and the kids … those parts seem to be going along pretty good. We still are in love with all and had gotten to spend time with each … Christmas had gone well and the gifts had been good. You all know that. Diet has the obvious problems we’ve been talking about all along … I think to summarize upfront would be keeping in front of the appointments and summaries and just the difficulties of weight management – the feelings of not being able to manage well the food consumption and for whatever reasons come with that. And, then too the work part and not being able to do productive things there other than what is absolutely necessary with the example of missing 3 weeks of work at best.

Ok, now isn’t there a good part from work?? Things that we are doing? Like we are doing the groups to some extent? Eh, not so great though? Such what about staff training … what’s the big plan there? Hmm? We have the new staff schedule, but we’ve got to be doing something with that time. Shoot … I don’t want to hear about problems all the time … we just turned on the music … I want to be in a happier place. It’s about 4:15 am. We just poured ourselves some coffee and had a jello. Let’s go the work routine k? What did we come up with there?

There was time spent with the Tiger program up. I think we were going to go through the recent stuff on top of the desk and update the files … but somehow we got to schedule on top of everything getting those annuals, goals, and Qnotes done … along with the schedules – the kinds of things necessary for the state inspection. Maybe we can work on that today. No staff training today that’s a break. We got group 2 are we ready for that – Circles? I think so … we had taken them down a chain of command and how they were part of the emergency team as reporters … I think that’s pretty good. We also had done a review of the circles and of talk, touch, and trust. That’s all good stuff. I was pleased that Sue stopped by to review too. She’s the only staff that’s done that although, I can imagine that Sr. has suggested that all staff check in and get involved. I’m glad she’s showed an interest.

So, pretty much my day is cleared except that one hour … Holly will have the group tomorrow because I had thinking group last month. I should be prepared to verify that … should come across that minutes today when cleaning off the desk. I think Candice should take a swing at that group too – if we’re working in rotation … She does the lunch group … she’s been prepared. She’s also supposed to be doing the choir … better check on that. Hmm, got to remember that Theresa wants to meet at 2 pm too. She wants to change one of Lilyana’s goals. I hate when they do that without working the real one through, but I have to do something they are willing to work with … we’ll be flexible. Ok, schedule that.

Ok, so that’s the plan … come in grab stuff from the in-box … sort it out using the Tiger – get the majority of it filed – including the stuff that has to be marked off the list of stuff for the updating the client files. Check today to see what stuff is outstanding. Remember be an example. Do GOOD WORK!!!!! Get the desk under control. That way we can get to the fun stuff. Work the hard stuff first – even if it means letting sister know we got behind again. Be honest let her know we’ve been having trouble concentrating. Hmm, seems like we’re giving ourselves a little pep talk here … that’s about where we are at isn’t it. Ok, then so be it. Just gotta get off the fence! C’mon girls … we can do this! Same goes with the weight. We were backsliding bad yesterday … we don’t need to do that … that’s what we should be talking to Dr. Marvin about, k?

Now we have to talk about something seriously here too with the writing. I will make a commitment to be up earlier to do the writing like right now, but you all have to make a commitment to be doing more straight-up work at work. I don’t think we should take away the writing at work, because it is better than just sitting in the chair and staring. I remember that part too. I don’t want to go back there. It’s just that we need a bit of a compromise. New schedule is like up at 4 am … shower by 5 am. Eventually, Rich is going to want to get up by 5 am too … we’ll have to negotiate getting into the shower before then because we really do like writing before getting into the shower, but that doesn’t have to be written in stone. But, he wants to get work done earlier too. So now we’re thinking off to work by 6:30 am, which means getting down to the car so we can drive away at that time. Hmm? - 8-10 minutes to warm up car? Think reasonably … was sure nice to beat the pack in? Think Sr. respected the effort too. Hmm?

Anyway … in the shower by 5 we’re out and dressed by 5:30 am. That gives us a generous 50 minutes to finish typing, eat breakfast, and take medicine and the last two are done with Sweetie. 5:50-6:20 am good for him? We’ll have to check … we might want to do the eating and medicine earlier when he’s just waking up so he can get into breakfast … ok, play by ear. We can do this. Just have to work it through together. Think it is so funny we both instinctively started replanning our schedules. Shoot … I hope I don’t wake him up this morning when I get out of the shower and need to lotion my feet … Yeeks! Eh, we’ll just turn on the hallway light … it’ll be ok, right? It’s working to do that half hour combo straight up … very relaxing. It’s also relaxing for me to get up and drink coffee before everything gets to the movement part. I didn’t like moving before that took place.

Hmm, can I say something for the record … hehehe we almost forgot. Rich was at work and had passed a note to go home remember? Yesterday’s stuff? We got home a little before 5 … we got up to the top of the steps … were out of breath and rested a couple minutes, then took coat off and made it over to sweetie and hugged and smooched him. He was making dinner. And hehehe … this is the good part … well we’re not going to tell you much, but there seems to have been a strong direction set that we leave the immediate area and be going to the bedroom and whatever might happen there … WOOHOOO~!! My babies HOT! Oh Lordy is he Hot! That’s all … not a detail person … Just thought if we were going to be mentioning any form of exercise … that might just be my favorite. Lucky thing we remembered to smooch him coming in … hey you all don’t forget the little things!

Ok, ok calm down now … just sayin! Think we’re headed for that shower now … k? See a bunny today – be sure to snuggle your nose next to him or her and smooch em good!

AHA! We’re back … I guess we left a few moments early … it’s 5:20 am and it shows we’ve been gone for 28 minutes. We’re showered, lotioned, and dressed. Lovey-dove stirred, but it sounded like … “need more sleep …” I asked, “Did you win my fortuned?” But, all he said, was “Zzzzzzz” So, we’re thinking not … Damn. So much for lucky sexing! Hehehe He said wake him up at mumble, mumble … what’s that 6?? Later? 6:30?? Leaving at 6:20 … 6? Ok. We’ll try that sure …

I happen to know what that will look like he like stares first thing in the morning like a perpetual, “HMMMMMMMMMMMM??” *giggling* Yup, yup he be my dove!” Maybe in about 20 minutes though … we can work him up to a good smooch! I guess playin cards with the guys is just this much fun though … sheesh! *giggling* JUST DON”T DRIVE!!! Ok, let’s not brow beat tiger-face, k? Ya-know he’s hot!

I think we got all the stuff we needed to cover yesterday … we pretty much planned out the day … just to the point of needing to do stuff. Only thing we worry about is getting to work and not actually doing the parts we want to do … Why don’t we do some work exercises. We got about 20 minutes now. Ok, here we go. Let’s say we walk drive up to the center and there are a couple of spaces left in front of the building. Let’s practice pulling back to the middle spot … we can do that, right? Save a nice spot for Stephanie … that would make her happy AND us happy … plus we’ll be leaving after her so we shouldn’t have trouble pulling out. Ok. So … what do we have to do. Big secret is aligning with our back mirror. AND, we never pull back far enough. So, why don’t we plan on getting out of the car and visually checking it out … even if there is a cab there waiting and we look silly. That will really make someone else feel great. Ok?! Exercise #1 great!

Ok, Next … We’re going to stop at the front desk and catch up in the time-keeping book. We’re after the first of the year … and should be moving on, right? Plus Sr. likes it when we check our mail … be a good girl, right? No problems here! We can leave our stuff outside … and maybe get through before Stephanie comes through … think that’s been a problem. She doesn’t like being held up. We have a hard time, because we need a place to sit and Rosa’s chair doesn’t feel strong or wide enough with the heavy coat on … Ok, so that’s not a problem. Why don’t we skip that step and plan to come back prior to 9 am? Hmm, good? We can do it when we’re better rested with less to carry. We could also plan on bringing in a pen … Hmm, pen problem. What are we going to do there? Hmm, for today, why don’t we plan on using our pens, but in the different colors like teal or purple ok? Then will focus on ordering some … good deal! Like to get a couple of dozen boxes in both black and blue. Oh and we gotta check the note cards too, but gotta keep the order down. Just a few things. Pens are major though.

Ok, we will need to turn the computer on … but, we should get screens ready … aol, music, Word, Tiger … aha … Techsoup offers Office OneNote for only $8 Man they are incredible … I think I have something from sister asking us if we’re ready to buy something. I would like to get that back in our arsenal. It’s just too handy.

Whoops ok … got 10 prior min to Rich … what’s next medicine or yogurt … hmm, better go with meds and pack bag … we’ll get this off … see you at work!

WooHOO! At work and feel like we’ve been here for a million jillion years. Uh huh … it’s like 9 am. Wow! Actually, we’ve been here for 2 hours. It seems like a lots been happening, but it may take a moment to put it together. The long part was that Sister had me up at her office for about 50 minutes – maybe more, probably not less. She had a problem downloading a couple insurance documents, so we took care of that first. And, then while she had me … she had a question about her Word document acting up. We wanted to refer it to her nephew, but she got some info from us anyway. She had about a dozen windows open not sure how that happened. Yeeks!

We explained how it was probably a program error not a computer “cpu” error. She’s looking to take advantage of the warranty before it expires next month. I don’t know what happened to Rosa’s computer … I think the nephew found something terrible, but something he might be able to fix. I think he brought the computer home with him. I told her I hope that didn’t alter the warranty conditions by trying to self-fix, but pretty much left it … I don’t want to be in that picture. Better him with the wherewithal. Then sister had it in her mind that her computer was running sluggishly … she thought if she got rid of some of her documents. We told her that anything would help, but the documents were minor in comparison to programs. We referred the elimination of programs to Mr. O, but we went through a process of deleting documents from her doc file. We showed her how to look in files – and how to eliminate files singly or by batch using the control key. We had also shown her how to check the trash and empty it. And, then during the lesson before that, we taught her how to use the control-alt-delete key together to close down a runaway program short of just shutting down the computer. She seemed pretty receptive to that, but is still having trouble with knowing click, double-click, left mouse, and right mouse. *Sigh* But, she’s come a tremendously long way … Great thing for her to take on this much a lesson at this point. She was tired in the end, but good headway made.

Part of the time was also used on helping the Candice insurance situation. Candice is at the point where she has to make decisions on getting insurance. And, with that there is the decision on paying for HMO or PPO. PPO is obviously the better insurance and as well costs 6-7 times as much. Candice’s mother has tried to sell Candice on the HMO plan being the better plan. Well, that’s just messed up. Why would you pay 6-7 times less for something of better quality? Just wouldn’t make sense. We relayed that Rich had a HMO and it was terrible … Every time he went in the Doctor, he just said lose weight. He is paid by the insurance company to not refer out – so that Rich has had barely any test run over the course of the last 15 years – whereas my medical treatment is like – if it hurts or is suspicious – tests are run and diagnosis are made. The results haven’t been good, but at least then those things have been treated. The PPO is worth every penny. But, to Candice’s defense we explained to Sr. that Candice is young and unlike Holly and myself is likely to have very few medical problems. So, we confer with the mother – HMO is the policy of choice. She doesn’t need the Cadillac of insurance plans. In her situation, the savings of $400 a month makes a lot more sense. Well, some of that … she will still probably pay about $150 for HMO, but that’s still worthwhile. She states that the last employer paid more and we thought … must be nice … sure wish it happened here, but the winds not blowing in that direction. We gave her the web site info for BCBS IL as to finding out what kind of policy she might need and sister gave her the number to the center’s agent … she seemed eager to settle that account … I trust she’ll get the job done.

Brandi came in for another before picture front and side. That was just a little deal. She had on a black and brown top on … Hehehe … I guess she’d agreed with us … no reason to go out of one’s way to make the before picture look terrible. I don’t think she realized how much the other shirt had made her tummy roll stand out … I felt bad for her. I doubt that shirt will be worn for quite a while now. *Sigh* She was much happier with the second set of pictures. WooHOOO!

It bothers me that I can’t remember the other things that were done before this … Ok, we’ve been away for a few moments. We used the washroom. We went through the mail. There wasn’t a whole lot there. It did include a couple of magazines or catalogues we skimmed through. It also included a very brief job evaluation – the 6 months.

It asks me to ask myself if I’ve addressed the issues of spacing myself with my work – I don’t understand that one. Turned in my in-service sheets – this is the one thing I was supposed to do before the break and I didn’t. Keep encouraging Candice – this one I’ve been trying, but could do better, not get behind in CARF – This one is probably terrible, and last is to follow my doctor’s advice. This might be a good time to give her the sheet stating I have 4 doctor appointments next week. She’s also asked the generic questions of having me ask myself if I’ve made progress and posed the question what progress would I like to achieve by July 1, 2008. Then I am to sign and copy and return.

HMPF!

There sure isn’t a lot put into the report. There is something in there that says in parenthesis (YOU CAN’T DO EVERY THING).

Basically, she says nothing as to what I’m doing. She does say Thank you and keep improving and if I want a meeting schedule one. I of course being me will want a meeting. Having a review is a big deal thing. It’s speaking on a more professional level to the woman herself about things that are more personally orientated. It’s setting up your professional track – with heart. This review seemed to tell me she was tired though. I need to think through these things noted. She is right … now my job is very basic. I need to keep up with so very little. It’s got to be more meaningful and pressed to forward. I’ve been taking things so lazily. I just want to write, but my efforts are minimal – fearful, almost timid. That might be something I’ll want to address with her. I feel intimidated by the work. But, it’s not anything in specific … it’s little things like talking to the clients or entering rooms. Ok, I have to then acknowledge I have parts who are intimidated and it affects all of us. Ok, yo cowardly lion … we need to get a grip on it. Just lay out your problem … we see a doc about this, k?

Hmm, it said to address the last evaluation … do we have that? No, but we found something that we considered an update to our job description that we put out 6 months ago. Let’s go down the line there.


Administrative assigned duties –

· We’ve kept the administrator up-to-date on most changes, although there haven’t been many substantial changes with the overall program, clients or our business portion. After the annuals were accomplished things died down – there is still a trace of annual work to be completed. We have been having troubles keeping up to pace psychologically and haven’t been as specific with the administrator with these difficulties – such as difficulty focusing and concentrating and need for written log of events as they are happening to maintain a memory trail.

· Policies and procedures were updated prior to CARF evaluation and have not been reviewed since. A copy of the most recent policy and procedure manual was obtained on July 23, 2007. This document stands as is.

· We were given an OIG Investigative Protocol for Community Agencies update on July 27, 2007 from Holly, attended a meeting for the health care registry, and attended a meeting for registering intake people.

· We have substituted for staff up-front and in the groups when asked and have completed necessary forms in those rooms when under those responsibilities.

· Completed all other duties not otherwise assigned, but delegated



CARF



· We have completed prior to the fiscal year ending June, 2007 Business Improvement Reports, Performance Analysis, Risk Analysis, and Technology Plans, but we have not completed one for the fiscal year ending June 2007.

· We have maintained standards minimally in that we know the general standards and are not in violation of any, but have not gotten to know them better. This has been an error in our present ability to focus and concentrate and we will try to rectify the problem by attending specifically to the problem while working and in session with Dr. Marvin.

Program Planning

· We have maintained affiliation with CSO, UIC, the ARC and other professional organizations. Affiliation with CSO was heavy between the months of July through October, and then lessoned as annuals were completed. I have a good reputation with them, but Kathy will still sometimes avoid me by going to Holly if she “figures” it is easier. If she wants something done right, she knows to come to me. The others are fine. My files have been caught up with them. UIC has been good – I will have only one client – Victor Ortega who will need a psychological this year – by December. I will start that process in a couple of months. I lost my personal membership with ARC this year due to cost I will try to gain that. I also have lost affiliation with AAIDD, but that is even more expensive $160 +$20 = $180. I have gained a membership with ASCD (Association of Supervision and Curriculum Development). This is a great organization.

· I have submitted ideas and recommended change, particularly in the idea to open a database with research information from chronological notes and observations within group time. This allowed supervisory staff access into the rooms in a non-threatening manner to evaluate thoughts and behaviors of the learning individuals according to their learning domains of living, achievement, social, personal, and community. After preliminary testing it was recommended that feedback to the staff be cautious and primarily limited to information listed in the database rather than general comments on “how they were doing.” One of the staff appeared fragile and easily unraveled by the experience.

· As to developing ideas and implement change – this will come over time. We’ve backed up a bit due to our own sense of being over-exposed. We don’t want to be challenged by the potential entire staff – because we will be evaluating what individuals might be learning in their rooms – and the possibility they will take it personally and transfer their frustration and anger at us. We are trying to get through the risks we are facing with our medical situation as well as preparing for state survey along with other duties, so this area might need to be put on pause. It’s too much pressure for us right now.

· The annual report should be completed in a timely manner including a program summary in June. We expect the surgery and recovery to take place in April or May and so we should be back in June to take care of the report.

Staff Training

· Compliancy to IDHS standards has been going well and I expect it to get better. The pre-test was a great idea. We’ve gone through the test and the correction and the new idea is excellent of having the first Thursday off, second Thursday for the new group and everyone for the last two Thursday’s. We will be going over policies and procedures in general with the big group and working closer to the 7 areas the state covers with the newer group. I will try and consider the headway we made in doing something that is more active with them for at least a portion of the time.

· I will try to use more on-the-job training skills with the newer group. I understand that they are past that point in that they are accepted, but we need to make sure they have basics down. It is a good set of learning tools to bring them through. Someone’s put through a lot of time and effort on the material. It is responsible information.

· I will have to double check the information on the health care registry. It is the beginning of a new quarter, so I will run the names past to see if everyone is still ok. I still have the list with all the social security numbers on it. I have to check into the new program to see where it is at. They were supposed to have things up and running in October, but it hadn’t been running at that time … Good time to check now. I’ll make sure the new sheets get to you for the files.

· I think the guidance for the in-services have been going ok. There are still spots where there aren’t meetings due to absences or other events, and of course we don’t meet first Thursday now. This is a change to group cohesiveness. I have been having trouble focusing enough to put together the schedule for the year. I have been toying with just updating the sheets as I have done in the past. This would seem to expedite the task, but does not assist me in pre-establishing the lessons in advance. Any assistance here would be well-received. As to assisting Candice – I think she is taking general editing changes well with her reports. She still is fairly closed as to running “her business.” I think that it would take a little more from your end to encourage that she allow me to help with her structure. I still don’t have much idea what she does with her day. I am not “in-line” to check much work, so I can’t see if it’s getting done. I worry about her files, Q-notes, and I don’t really see her getting out to clients to work on goals. I don’t even know if her goals are written. I don’t know what else she has to work on. Is there some way we could be checking on all this?

Groups

· I’ve continued to meet with the Thinking Group. Again there are interruptions due to various reasons, but we’ve set a good pace. The areas we’ve covered are speaking to professionals in the community, individuals assisting and organizing family cleaning, individuals using the yellow pages to plan a pool party, individual employability quality’s to look for, understanding stress through question assessment, and comparing prices and remembering stores through coupon book. The group seems to be having a lot of fun though I worry about reaching more often the individuals that like to participate rather than the ones that just are “around.”

· The circles group is advancing well. In general, we are at about the 10th unit of the 1rst part for each of the four groups. For the regular program this is one step from the end. It is the middle of three units on the last red circle. After this unit, we will move into the 2nd part of a 5 unit set of courses in the same program on relationship building. That will take approximately 5 weeks. After that is the 3rd part of separate topics in sexuality education. I’m not sure if you want us to tackle this part, or perhaps just separate parts of it. The areas in the 3rd part on sexuality are based in the 6 circles and are on 1. Self esteem 2. Autonomy, 3. Personal Hygiene, 4. Feelings, 5. Puberty, 6. Masturbation, 7. Mutuality in relationships, 8. Dating, 9. Marriage, 10. Adult Sexual Activity, 11. Reproduction, 12. Parenting and 13. Health Care. It seems the groups are very receptive to the program and it seems also to have a secondary benefit in having me work specifically with the group in pulling them together in a manner where they are not “biting or bantering” at each other.

QMRP duties for a caseload of 10 individuals

· I still don’t spend much time observing and problem-solving with the individuals served. Here we have in mind doing something more on the order that is prescribed for Candice where we could go into the room and run or watch the DSP run the goals to see how they are going and see how the individuals are responding to the goals. Informally, I keep an eye and talk to my clients so they keep me in mind. There is more informal work than informal because my clients are easy to work with … The exception is Lupe. Unfortunately, what I have found is that since Sue has “taken over” responsibility for Lupe up front, I have no contact with Lupe in a normal course of the day’s progression. I see her sheets once a week only after the week has passed. I do have one goal that I complete with Jessica on the computer. I enjoy this time.

· I have a very stable relationship with the parents of the people I serve. I have a sheet that tallies the updates to the file. I have to check it at this point, but I believe that everything is in. I do have to send out forms again asking for the Medicaid cards for January. CSO seems to be pleased if we send them at the beginning of each new quarter.

· Out of the 10 annuals, I have three annuals and corresponding goals that are incomplete. There is no excuse for this. Each time I set up as I am GOING to do these, I run into something else I could be doing. I know they aren’t as hard when I’m doing them as I make them … it’s just a bad head thing. The ICAPs are all complete, and we figured that the Personal Preference Interviews since not required by the state were fine for this year … we’ve done them before as an every other year update. With training Candice we decided this was the best time to skip.

· As to maintaining Qnotes … all of my Qnotes are up-to-date through September. I owe October, November, and December. These are in the same category as the unfinished annuals in that I will do about anything to avoid them. I don’t know why they are so difficult, but I might need some direction here in helping me to do the right thing. I know what I have to do … just avoiding it like the passion. I know that I can’t avoid anymore … and I think I’m going to just do them. It’s just that I still haven’t done them yet.

As to general problems doing the work – I don’t think the work I have is overly difficult. I feel it is all possible if I used my time more wisely. I have problems in that it seems that almost all the time I need to come to work and reboot from scratch. That means that I could come in sit at my desk and not understand what to do. I will try to talk/write myself through it. Ok, this is what we do. I have an ongoing list. This is the current one:

· Finish 3 annuals and goals from our list

· Let’s say two visits each to each of the five classrooms. 3 visits to the two I haven’t gotten in – well, maybe just two … time’s gone by

· Complete meetings for staff training, Thinking Group and Circles and any additional staffing for the trainee

· Finish Candice’s 5 Qnotes – hmm, maybe 6 … that will have to be checked

· Go through loose papers in our in-box

· Finish the staff training schedule

· Complete Qnotes for November and December

· Enter as much data as possible to the Chronological report

· Anything else that comes up

· Check on CARF advancement

Thing is that I’ve been looking at this same list since November 30 and have made no progress whatsoever. I would probably good or bad have asked you for a meeting, but I felt I needed one now because I thought you should know I’m having problems. I figured one thing I should do is probably go back to writing lists of things to do instead of narrative. It was less time consuming – maybe less gratifying, but I could better jump from one task to another – completing things as I went. I know whatever it is that I’m going through, I have to snap out of … maybe it has been stress because of this medical … I do know that it seemed I was never going to get to holiday vacation. I was very happy, but am equally glad to be given this opportunity to be back here. I’d like to keep improving. Thank you for this opportunity.

posted by Ann Marie @ 1/05/2008 07:12:00 AM Comments: 0