Nuts ,missed another post….

Truly missed yesterday

as I spent the morning at coffee with B and wee M. Rest of the day out of town some shopping and stayed the night with my friends. D as usual served a perfect dinner. Well actually K did most of it. My doctor of many decades lives in the same town and I was faced with the dreaded annual physical!! Got that completed and back home in the afternoon. Then lunch with J and a couple of her work buddies. No sooner settled down for a bit to get a call from B&K at the same restaurant.
Tomorrow needs to be a more vital day! Now this is the 14th but with these wonkie dates will appear as the 15th I am sure

The Ministry of Health and Long Term Care

Wednesday January 12, 2010

I woke up this morning thinking about the Ministry of Health and Long Term Care.
Strange thoughts for one to have you might think.  But I have been spending my time trying to determine what the problems are in this convoluted system.  it just is not working.  Where are our dollars going?  Certainly not in front line service where it should be, but in the justification of front line service.  There are expensive layers of function purely for the sake of justification that do not benefit The Resident directly.  There are registered staff whose whole days are spent inputting information to say; see how many dollars we need, see us use the right words, the right turn of a phrase to ensure you credit us with dollars, see us make reports to the Ministry, to Corporate, to boards to ensure our existence. To justify.

Every company spouts words like dignity, care, rights.  But really, whose dignity, whose care, whose rights?

The Ministry of Health and Long Term Care has become an endless layer of bandages repeatedly placed over many festering wounds.  When in fact the wound needs to be stripped down and all the purulent gangrenous tissue removed to allow for some real healing.

Meanwhile on the front lines staff are enduring ridiculous workloads.  The primary care workers are called PSWs and they are at the bedside.  Their function is to deliver the hands on care.  They are also the lowest paid in the nursing structure.  Their assignments (The Residents) total nine or ten on any given day.  In their day of 7.5 hours they are expected to wash/shower/bathe, assist with meals, transfer, toilet and provide care and support.  Working organized and together at a team this may not be unreasonable, although in my opinion an assignment of six would provide better quality of care because care at the bedside entails more than just physical care.  True care is not rushed.  It is the time to talk, to listen.  Instead they must just give physical care.

But this is not what makes their workloads ridiculous.  They are then expected to document.  Now some documentation is necessary to reflect the care delivered and to have a record for The Resident’s status.  This is essential information.  But for the sake of justification the process has become complicated by intricate forms.  In some Homes this entails five double sized pages for each Resident, each shift.  So if you “care” for ten residents in your shift and document thoroughly and accurately it may take ten minutes for each resident.  You have just spent a minimum of fifty minutes that could have been devoted to care.  In addition there are intake sheets to fill in (what your resident ate and drank), restraint forms to complete, and report to give to the charge nurse. Some companies have even more forms.

It just ain’t working folks.  How dare anyone, usually in Administration or Corporately, based on Ministry requirements institute processes that take away from care? Take away from The Resident?

And those problems do not even come close to the misuse of registered staff.  But that is for another day.

Just a germ of an idea..

eThe Germ…the idea germinating in the back of my mind.

I find I do not endorse the way Healthcare is moving today.

Everyone spouts care and dignity for our sick and elderly, but it just ain’t happening.  Employers have a heavy handed way with healthcare staff.

Companies do not seem to realize the best way for genuine care and caring for the infirm is that staff need to be shown the same care and caring.
If staff are valued and treated with respect and caring then by George those they care for will already have the best care.

Just because people are fed and kept clean – in most cases, let us not delude ourselves that we are giving them the best.  We are not.
Staff Are disrespected to the nth degree.  A big part of the problem is that senior administration feels they must laud their superiority over them.

Somewhere we have lost the idea that happy staff give more of themselves to the patient, client, resident, the company or  whatever the current term becomes.
I think healthcare should be run like Westjet.  The best of customer service and recognition of for a job well done.  I recently had an Administrator who told me I was too nice.  My friendly relationships with the union was construed by her to be a weakness.  “They are not your friends” she said.  Somehow she lost sight of the fact that while the unions are not our friends, the best possible and successful union/managements are done in a friendly open minded atmosphere.  

Good Heavens we are not giving them controlling rights in business.  But we must respect that any signed contract makes it our contract as much of the unions.  Over the years I have encountered companies that trumpet wonderful mottos such as; It is an honor to serve the sick, and we believe in RESPECT.  Every company has them: glorious words on a page that says Look See how wonderful We are.  I have never met a company yet that lives their beliefs.  Well that is not entirely true.  I have worked for two organizations that came pretty close.
All people, whether they are employees or residents or clients or patients  are entitled to respect and care. If we the leaders in healthcare are unable to deliver these two things then how can we expect our People to do it.
We have removed The Joy Factor from the workplace.
It is my intention to find a way to do it.  It is still a very small germ of an idea.  It still happens in small business I think but there has to be a way of taking it big. 

Those persistent niggling thoughts..

This is January 11th, 2011
If my prayers and meditation say that my vocation is not my right time for my purpose, that there is more, then that is my focus then What is my purpose?  What do I need to be doing?  I have been practicing saying out loud that I am retired.  The fact is I think I am not.
All of my experiences must be the key.  I knew as a child that I would be a nurse.
The thought came to be, clear as a bell when I was fourteen and walking up the back steps of my church.  Out of the blue.  I was puzzled by it and wondered consciously how that would ever happen.  Then I put it out of my mind, A because I had no idea how that would come about, and B because something deep inside said not to worry about it.  So I did not.  Matter of fact I don’t think I ever considered it again.
Years later toward the end of high school someone put a small advert for nurses training in my hand and I just mailed it in. Voilà it happened.
I have a germ of an idea in the back of my mind.  It began with a small tickling that caught my curiosity. The problem is, it’s in the back of my mind, and not one I would normally pursue, however I must give it time and contemplate quietly to give it a chance to blossom.
I find myself excited to find out what it is.


Nuts I missed yesterday’s post. Not because the day was hectic or anything like that. I seem to be falling into a very relaxed lifestyle which had it benefits last week, but the vacation in my mind has to change. Today I must start a more vigorous schedule.

I now truly have time to do some domestic clean up that I normally would not have time for. I also need to plan a schedule with purpose.

So here I go!

Post a day?

Strangest thing ..I have posted each day but the displayed dates are wonkie?

Today I found support where I thought there was none.
Being home is strange and while I have not accomplished a lot around the house I have kept busy.

I read something this morning about manifesting and 100 positive thoughts, so thought I would write that many. I have gotten to 59 and realize it may take one more day to complete. I started each one with “I have always known…”. It is fun and an exercise I recommend to anyone.

The Second day…

The second day

The second day of the challenge.  The second day of the new year.  So far so good but of course this has been the weekend and tomorrow I face my fear.  Someone who can suck the joy of life right out of you with just a look.  And of course someone who has the authority to do it.

So I started reading The 90 Day Manifest.  In just those few days anyone is supposed to overcome their fears and manifest prosperity, health and an all around good life.  It all depends on the right attitude.  Certainly I need the help to deal with this person.  I used to have it…the sparkle.  Not sure how I lost it but will let you know how the manifesting goes!

There are no facts, only interpretations. – Friedrich Nietzsche. The truth I think that validates everything you have to say.

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