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It’s Just One Day, Right?

  • Posted on August 14, 2011 at 9:04 am

What does one day of inconvenience matter to a person who is 94?

Shit happens, right? I mean a worker gets sick, or goes on holidays, so its life, not a big deal, right? 

Uh, NO!

You can’t help it when people get sick, nor can you expect them to not take vacations, but IF ( and in the case of Beacon Community Services, that is a HUGE IF ) you are a responsible business, you plan for those occurrences.  After all, you know it will happen, so smart business people plan for it.

Obvious that Beacon Community Services is not run by Smart People.  Just GREEDY ones.

Today’s debacle was slightly muted by the fact that the substitute was familiar and competent.  The regular worker however, wasn’t informed of the change until this morning, nor was the substitute.   Isn’t that nice, a great way to treat your employees. 

Thing is, I saw the change on the schedule Friday evening.   How come the workers weren’t informed then?

Only reason I found out, and checked the schedule was that my normal sleep in day was changing. David needed to so something this morning, so we swapped sleep in days.  First I checked to insure we had the regular worker.  As there was a change for today, it worked out okay to swap sleep in days.

Course, NO CALL FROM BEACON to inform us of the change, so IF I hadn’t checked the schedule, this would have been a surprise.  It also means, that if I hadn’t changed days with David, I’d have lost my sleep in day, because when it’s a substitute, I have to be up, to handle it.

And they wonder why I get upset at them?  When you get only one day per week, to sleep in, it is a big deal. It is the only time for it, when you can let your guard down, for a few extra hours.  Doesn’t mean the sleep is any more restful, just that you get more of it.  That helps a guy get through the rest of the week, but that is about me, not Mom.

AND THAT IS WHAT MATTERS…  MOM

Seniors of her advanced years are more prone to having things go wrong. Upsetting the routine, only acerbates those conditions she is dealing with, on a daily basis. Right now for example, her groin infection has a sore within it. It is extremely tender, and so extra care has to be taken in the cleaning & drying. Something a regular worker would know, and handle.  A substitute, no matter how good, isn’t going to know it as well, or do it as well.  

Add into that, the lack of knowledge on the routine, on how to assist Mom in being washed, and you have a needless painful experience for someone, first thing in the morning.  Now today’s worker is good, but hasn’t been here for awhile. And so she isn’t quite sure how to get Mom in and out of the bathroom, how to handle her.  It isn’t her fault, but it is BCS’s fault, because the regular worker wasn’t sick, she was simply swapped over elsewhere.

I repeat myself, but it is critical for the care of Seniors, that routine be kept in tact, as much as is humanly possible. It is also very critical that when substitutes are necessary, that they are capable to handle all contingencies, not just be treating people all the same.  Each person is different, and advance notice for both the patient, the caregiver, the support worker, is vital to insure that the disruption of the routine is mitigated as much as possible.

Again, something Beacon Community Services UTTERLY FAILS AT ACCOMPLISHING.

But then, should anyone be surprised, as this is about business,

not about caring for people.

The Nightmares Do Not Go Away

  • Posted on March 2, 2011 at 10:54 am
This entry is part 8 of 12 in the series Making A Difference

The nightmares of Beacon screwing up, that is, never seem to go away. Just when you are into a proper routine, someone has to stick their finger in, and screw it up.

 Why? I guess because they can.

Our regular worker is off sick, for the 2nd day. Shouldn’t be a big deal, right? Things happen and you have to roll with them, or you drown in the pool of stress.

Thing is, a company that literally controls the entire home support for Vancouver Island, should have in place, a proper means of providing support workers, when emergencies arise. They should have in place, a co-ordinated means to insure workers are sent, when they are supposed to be sent, and when they can’t arrive at that set time, the Patient should be notified.

What happens, is that many who take these jobs, don’t give a rat’s ass about the Patient, just about their paycheque.  Maybe they should get docked for screwing things up, for not following laid down instructions. Then, perhaps, things would go as they should.

Today, we had a substitute. Scheduled for 9am. At that time, no one was here, but hey, sometimes they can be late. After all, they haven’t been here before, so it can happen.

Problem was, they changed the schedule to have the substitute worker arrive not at 9am, but at 10am.

So a 93 year old, soaked from her urine, is sitting on the edge of the bed, worrying about where the worker is. Hard enough to deal with it being a substitute, harder when they fail to show up and you don’t know what has happened.

Keeping A List and Checking It Twice

  • Posted on February 19, 2011 at 10:55 am

Things happen, and there are days when the regular worker is not going to be able to attend.  For days like that, one needs to keep track of who is sent, and make notes about them, so that if they show up again, you have a reference.  One of the things I learned the hard way, as until recently, BCS was notorious for pulling our regular workers, and sending whoever was floating around that day.

Today & Tomorrow, we have substitutes schedule.

Let me say, that on Friday, BCS scheduler did contact us, to go through who was available to be sent for the weekend. I was informed that our regular worker had booked off, for family reasons.  So kudos to her (MaryAnne I think was the name) for taking the time to call, to inform me, and to work with me, in getting a qualified substitute.

 By keeping a list, of past substitutes, I could avoid having the ‘bad apples’ being sent, by error. 

In an ideal world, it shouldn’t matter, but we do not live in an ideal world. So in all honesty, if you are the primary caregiver, you need to keep track of who is sent, and whether or not they are competent to do the job.

I use an Excel worksheet, in my dedicated workbook for Health.  In that workbook, I keep track of Doctor visits, the bp readings, and other  notes involved in Mom’s health. Example, the medications she takes, how often she takes them, the dose amount etc.

I also use it to track the workers.

I include things like date, name, and then the details.  Do they have their ID visible, do they attempt to just walk in, or wait for me to put the dog away. How long do they spend in the home, have the read the careplan?  These are important things to note.

Also, can they speak English clearly, able to communicate distinctly?

You also need memo fields, to add remarks about how well they did the job, or didn’t.  You should set a rating scale too, so a quick glance will tell you, they are okay to have sent, or not.

Make sure the date & name are correct, and keep your criteria constant. If you make changes, additions, make a note when you changed it, for obvious reasons.

It would be nice to not have to do, but this is reality. Start it now, because I guarantee you, you are going to need it at some point, in your journey with BCS or any home support group.

Should also make note of when Nurses or other agents show up on any regular basis. Having the information, can save you a lot of grief when something goes wrong, and trust me, it will.

That is just how it is today.

No Rest For The Wicked

  • Posted on September 23, 2010 at 10:00 am

Who is the Wicked One?  ME!  (lol)

The whole concept of Home Support, is to provide respite for the main care giver. In my Mother’s case, that is me.   However, the simple truth is, that for most of the time, Home Support (as provided by VIHA & Beacon Community Services)is anything but helpfull.

The constant worry over who will show up, & how capable they are, is a drain of one’s natural reserves.  Reserves we (24/7 care givers) need to deal with the minute by minute stress of caring for an elderly parent.  YES, so far the schedule is holding, for the most part, but like I’ve mentioned, in 60 weeks of daily service, we have had our schedule be completed only ONCE without changes. 

THOSE AREN’T GOOD ODDS, NO MATTER HOW YOU SLICE IT.

Today I am sick, feeling like Hell, but I have to remain vigilant, because what choice is there? A worker can call in sick, but how do we, the full time care givers, call in sick?  It’s not possible.   Oh, I know, we can call on Beacon Community Services to provide a worker, so I can go rest, but I can’t do that.

The reason is simple.  I cannot trust that the worker being provided would be competent, unless it was one of the few we now trust. And to request them, simply for my comfort would mean robbing someone else of their skills.  Something I am not prepared to do. You can’t just talk the talk, you have to walk the line too.

The solution rests in insuring that the MAJORITY of Home Support Workers are like those we now trust.  Instead, we are faced where these trusted & qualified workers, ARE THE EXCEPTION.

I need to sleep, to rest more, but can’t due to the constant worry over who will show up tomorrow, irrespective of what the schedule says. I need to take time off, but can’t, because there is no one to take my place, so I am a prisoner, to my own sense of responsibility.

This is Care Giving 101, it is also called LOVE FOR YOUR PARENT.

Substitute Workers

  • Posted on March 2, 2010 at 11:51 am

It happens, a home support worker is off, for whatever reason, and a substitute worker is sent in her place. Nothing unusual about that, and common in the industry, and other professions as well.

I can remember having many substitute teachers when I went to school, and sure, we managed to pull a few fast one’s over them, but not too many. After all, they had been briefed and knew the lesson plan so it wasn’t easy to fool them, too much. Still, they did ALWAYS have the basics, which brings me to substitutes for Home Support Workers.

Last week, this week, and next week, we shall be inundated with replacement workers, substitutes.  And now the worry commences, thanks to the lack of professionalism, not just from Beacon Community Services, but from VIHA itself.

The level of confidence, that a qualified worker will show up, is minimal, at best.

Under normal circumstances, one can muddle through, but when there is a situation, that has to be monitored, or watched closely, the stress levels become greatly increased. I think that VIHA fails to understand the ramifications of their inability to insure that ONLY QUALIFIED PERSONNEL are sent into people’s homes.

Mom has developed a few skin tears, in the groin region, right where the depends lay. The band, has caused some abrasion along the line, making the skin raw, at best. Extra care needs to be taken, to insure comfort as well as protection.  I’ve contacted our Doctor, but tomorrow we get a substitute.  And so the worry has begun.

Maybe it will be needless, but given the past history, I tend to doubt that. AND THAT is why VIHA needs to be protecting the patients. THEY need to actually check on the staff being sent out, on the qualifications of these people, not just accept the word of the agency they have contracted to do the job. THEY NEED to verify that EACH & EVERY PERSON SENT TO A PATIENT IS QUALIFIED TO DO THE JOB.

Yet, despite my own constant complaints to them, to Beacon, the answers are exactly the same. Oh don’t worry, we know they are qualified, yet we have proof, that this is a lie. No way can someone who can’t understand or speak English, can effectively have gone through any local training, to attest to their qualifications.  It is impossible to pass any test, if you can’t understand the language.

By far, this is not an easy job, just as teaching isn’t. Yet no substitute is hired to teach our children, if they don’t have government certified credentials, that are verified, before they can accept a teaching assignment.  Yet we allow UNVERIFIED PERSONNEL to go into people’s home, and administer care to them, without knowing if they are properly trained or not.

THIS IS WRONG & DANGEROUS !

There is no doubt, that it is more costly to do things the right way, than not, in overall costs. However, I would say, it actually is far more costly doing things the wrong way, doing things on the cheap, when it comes to Health Care, than doing them right. And yes, that includes allowing only qualified personnel to care for patients, in their homes.

The problem is, we don’t seem to care about that anymore. Old people are expendable, at the end of their productive cycle, so why spend money on them, when it can be allocated to other areas, to the more vibrant. Truth of the matter is, one day we are going to be those older people, and we sure as hell won’t enjoy being tossed aside, for some younger person. We ignore that reality, that becoming old is inevitable, and that it is actually cheaper, to provide proper care now, than to wait for a crisis to arise.

Cheaper to insure a person’s infections are treated now with over the counter cremes, than having to run high potency drugs through an IV later on.  Cheaper now to insure a patient is dry, before dressing, than having to deal with skin breakdowns later, to deal with infections, all because we sent someone who doesn’t know how to clean an older person properly.

These hidden costs can break our entire system, by skimping on the quality of people we send into homes, to care for our elderly. You can’t do this, and save money, because the reality is, it is going to cost a lot more.

Not enough old people will die quickly from this half assed in home care. So the costs will indeed grow, and that is a mathematical certainty.  Better to have old people stay as healthy as possible, instead of creating crisis situations, that take up the valuable resources of emergency personnel.

It Ain’t Rocket Science

  • Posted on August 17, 2009 at 11:41 am

complicating lifeI wonder why we try to make things more complicated, than they have to be?

Take home support. I mean it isn’t difficult to figure out, that some people need help that others may not, and that one size really doesn’t fit all. Yet it seems to me, that is exactly what the various health agencies are attempting to do. Frankly, it just doesn’t work that way, and isn’t it more important to match workers, with client’s needs?

And that too, bothers me. Clients.  Seriously, why do we try to make things sound better, than what they are? In a sense, yes those receiving aid are clients, but the truth is, they are patients, in need of care. Calling it something else may help salve the conscience of those sending unqualified or untrained, workers, but that still doesn’t help correct any defeciency in the system, now does it?

There is a lot of talk about all workers having certain qualifications, whether from an outside training course, or internally, and frankly I wonder, did they get tested before being deemed qualified? Being pleasen, well is a bonus, but not sufficient, in my mind, to look after someone older.

How you lift them, does matter, and yet I feel so much is being left out. I suppose that these workers may be given the full information, but no one seems to know. So if they are being told, why are they not conscious of the facts? Does it mean they don’t care, or aren’t able to access or assimiliate the information provided?

Each person is different. How you move them, matters, and as I said, each one is different. For example, Mom has a tendency to try and use her injured arm. So if you insure you are lifting her, from under the arm, of the broken one, she can’t put any weight on it, as she stands up. That also helps keep her good arm in shape, and reduces re-injuring the broken one. It lets the bones heal without added stress, which also reduces the pain.

Simple right?And yet so many seem to ignore that. Again, this is one more reason to insure their is some consistency in staffing, seniority or not. The more a worker is working with the same patient, the more they will know the little details, that can make it easier for both of them. Something I think scheduler’s forget about, or don’t take into account.

Then too their is the familiarity with equipment. I mean if these workers are trained, then it would be common sense, that they would know how to use things like transfer chairs, walkers, etc. How to clean a commode, how to even make up the bed, or sit them back down on it. And yet, it seems that isn’t the case.

Is it because they have so many patients to deal with, or is it simply that they aren’t aware of the new equipment available? Do they know what a grab bar is? How a patient should hold it, or not? How about sitting them down on a transfer chair, and then putting the foot rests out? How to wheel it, so they don’t bang into walls?

Bottom line seems to be, that whatever training is being given, it fails to cover even the basics, in any detail. There simply doesn’t seem to be a desire, to make those being sent into people’s homes, qualified in even, the basics. And yet, we pay for it, and I wonder, what does that say about us?

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