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It is a Snow Day

  • Posted on January 18, 2012 at 2:37 pm

Winter has arrived today.

Lots of snow on the ground, more than yesterday, but if you are used to it, well, you’d laugh at the amount. I mean it is about an inch or two, which isn’t a lot, but here in this city, it is like the end of the world.

Which of course also means, changes for workers for Mom.

Which I can understand.

The real issue, is that companies like Beacon Community Services are not equipped to handle emergencies, given they can’t handle the day to day routine.

These firms need to have on hand, a supply of substitutes, who can pop in at a minutes notice, and effectively help those who need it.

Course in an ideal world, the regular workers would ALL be properly trained, so they could go from one patient to another, and be effective. Unfortunately, that simply isn’t the case with most of the current crop of BCS employees.   It starts at the top, and when the Top is only interested in her stipend, well, why should those under her, care for anything else but their own stipend?

Thankfully there are still some old fashioned people working there, like Tracy, Trinity and others, who care about the patient, not about the money.

I think we could add Tammy to that list, who was this mornings substitute.   She followed the instructions, and did an okay job of it too.  Least she didn’t just accept what BCS told her.  Maybe that is the key for substitutes.  Instead of listening to what the Company tells them, they should listen to what the Patient tells them?

Last Second Substitutes

  • Posted on April 14, 2011 at 8:13 am
This entry is part 12 of 12 in the series Making A Difference

First off, thanks to Mary Anne for actually calling me, to let me know that our regular worker was sick today.  That helped avoid a bit of stress.  For that, I am appreciative.

The bigger issue is, that substitutes.  If BCS can get a handle on at least informing Patients of last minute changes, then a third of the battle if won.  It makes it easier when you KNOW someone different is coming.

However, like anything dealing with people, there is the quality of care.  It is as big an issue, as is getting the care.   Yes, we need more Doctors, Nurses, Technicians, and Home Workers, but we need QUALIFIED PERSONNEL.

This is what gets me about our society today. We expect so much, but in less time.  IF a training process took a year to complete, in the past, why does it only take a month today?

Think about that. I mean honestly, how can you cram a whole year’s training into one single month?

There Has To Be A Better Way

  • Posted on January 21, 2011 at 11:06 am
This entry is part 16 of 24 in the series Quality of Life

There is no doubt in my mind, that looking after an old person, is not an easy job.  It is filled with pitfalls, with headaches, but still, no one is forced to become a home support worker, now are they?

This is what really frosts me. I mean why take a job, if you aren’t going to do it properly?  Or take a job that you simply aren’t interested in doing properly?

The pay is not bad, but not what I’d call super good either. From what I understand, the pay for home support workers is about $20 an hour.  For those who know the work, are actually dedicated enough to do the job properly, they are worth a whole lot more than $20 an hour. 

We have been blessed, in that we now have regular workers, who actually care enough about the job, that they do it right.  Yvetter & Tracy are trained, and when Wanda was on our schedule, she was super too.

Now today’s substitute, was pleasant, but it ends there.  Having a nice smile, being pleasant, doesn’t make up for not knowing your duties.  And what is with that? I mean we get a phone call from the After Hours scheduler, telling us that our regular worker booked off for today.

Fair enough, nice too that they called, but here is the rub. He informed me that the worker was online, that he would make sure she knew the careplan thoroughly.  Again, that is nice, and it does make it easier.  Least in theory.

Worker arrives telling us she was informed of the change, this morning.  Uh, now like why, if she was actually informed of the change, last night?  And oh yeah, no, she hadn’t been given any information on what her duties were.  Uh, again, that isn’t what I was told last night.

So, someone lied.

Question is, who and why? 

There has to be a better way to manage this. Either it is workers who are being hired, and are simply untrained, or not really interested in the job, but simply the paycheck.  Perhaps some questions need to be asked, on just how a home support worker is hired. 

I mean, really, we are talkng about people’s lives here.  Seniors don’t have a lifetime ahead of them, so surely insuring that their remaining time on earth is as comfortable, as pleasent as possible, should be the priority.  Don’t you think?

From Great to Absolute Shit

  • Posted on November 20, 2010 at 1:32 pm

Yesterday we had a substitute, Billie.  It restored my faith that there actually were qualified personnel at Beacon (other than our regulars).  Today we were blessed with another Substitute, Alda.

So Much For Qualified Personnel

Seems we are back to getting the bottom of the barrel workers.  I suppose BCS figured that giving us one, was enough for the year.  Maybe we’ll get a Christmas present, and have another, but I am not holding my breath.

  1. To begin with, going to a new home, you don’t just walk in when the door is opened for you, without at least introducing yourself.
  2. Secondly you identify yourself, which is kind of why they give you badges to have visibly displayed.
  3. Don’t claim to know the routine, when really you are guessing at it.
  4. When told to put soiled depends into a container, don’t automatically look at the garbage pail that is in a different room, from where you are told to dispose of it.
    1. When told to push it down, until it disappears, don’t leave half of it still showing.
    2. IF you can’t understand those simple English Words, then go back to school, and learn them or get another job, that doesn’t require you to have any language skills, or understanding of English.
  5. When a person is 93 years old, don’t expect them to be able to put their own shoes on, nor do you try to force the shoes on. 
  6. Don’t expect a 93 year old to hear you whisper.
  7. Don’t figure on a 93 year old being able to move like a 20 year old heading off for their first date, old people tend to move slow.
  8. When you are told they get washed all over, don’t figure that only means doing the legs.  And yeah, you still have to remove the shoes to do the feet.
  9. Perri Care (washing of the groin area) means that you actually do it. Yes, you have to be gentle, not like some deckhand scrubbing a steel deck.   It means actually washing the area too, not imagining you are doing it.
    1. IF I can do it in under ten minutes (usually five minutes or less) and not hurt her, not cause her to cry out, I think any trained person should be able to do it.
    2. IFI can do it, and not leave any sign of the evenings cream application, surely a so called qualified & trained worker should also be able to accomplish that simple task.
  10. There is always a natural embarassment, of having someone wash you, but it is easy to allay that by engaging in conversation, not by being silent.  The more you talk, even about the weather, the more comfortable a patient will be.  That translates into making the job easier to accomplish.
  11. Old people have routines, DO NOT ASSUME they are finished, without at least asking them.  Just because you may not brush your teeth in the morning, or do it after breakfast, not all old people (or others) do what you do, in the morning.
  12. DO NOT COMPETE to see who can get out of the bathroom first, or quickest.
    1. Trying to push past an old person, can cause them to lose their balance, which in turn can cause them to fall.
    2. DO NOT pull their walker forward, when you are in front of them, and not behind to catch them, if they lose their balance.  Hell, don’t pull it, period, without insuring they are secure.
  13. Putting the Towels into the laundry basket, means just that.  ALL TOWELS USED, especially when the patient has an infection.  Yes, it may not be wet, but instead was used to sit on, it still goes in the laundry basket.  See, infection means just that.  (Not sure what that word means, then LEARN FUCKING ENGLISH)
  14. IF you are not tasked to handle medications, DO NOT ASK ABOUT THEM.
    1. Like what the fuck is with so many substitute workers, who are aware that they are not TASK 2 enabled, but want to dole out pills or apply prescription creams?
  15. UNLESS YOU WERE TOLD TO, you are not being asked to FEED A PATIENT.  And when it isn’t even mentioned in any care plan, whether mine or BCS, why would you even assume that is part of your assigned duties?
  16. You receive a Care Plan, prior to coming to our home.  READ THE DAMN THING!  It might actually help make your job easier.

Here is a little hint for you, if you aren’t sure of things.

IF you see me standing by the door, both before & after you are finished, you can bet the farm, that you are not on my ‘return allowed’ list.   This isn’t Rocket Science, and unless you are a total MORON, a little common sense will make your job easier, but more importantly WILL HELP THE PATIENT YOU ARE HERE TO CARE FOR.

BCS Stop Hiring People Off The Street

Who Will It Be Today or Any Day

  • Posted on November 12, 2010 at 9:40 am
This entry is part 7 of 7 in the series Vacation Hell

Maybe someone out there can explain it to me.  Is a schedule, in this instance, supposed to be a list of home support workers, that are assigned to a Patient?  Is it not supposed to help insure that the Patient KNOWS who is coming into their home?

OBVIOUSLY that IS NOT what it means to BCS (Beacon Community Services).

The week from hell continues, with the game of  WHO IS COMING TODAY.   When the schedule came out Monday (Nov 8 2010) Valerie was the scheduled worker for today, Friday (Nov 12 2010)  On Wednesday it changed to unfilled, then changed to show Natalie was to attend Friday.  

It remained Natalie, as of last night, but hey, come Friday morning, it magically was once more altered, to show Colleen.  And that is who showed up.

Is it any wonder, that every single day, I field questions from my 93 year old Mother, on who is supposed to come tomorrow?  She, like me, is shell shocked at how the schedule is never set, is always in a state of flux, and who is listed as the one attending, is often times changed at the last minute.

This inconsistent care, creates a climate of fear, that makes her worry, that adds stress to my own life, to the point where I often wake up two or three times at night, wondering who is going to arrive in the morning.   Instead of having a peaceful cup of coffee at 7:30AM I am checking the blasted schedule right up until just before 9AM, to see who is going to arrive.

It makes for a stressful start to the day.

The real downside, the risky side, is that as a result, Mom does not get a shower, but a sponge bath.  Under normal circumstances, that should not be an issue, but it is.  Most of the substitute workers are incapable of properly washing & drying her groin area. This results in her pesky infection flaring up, AND THAT takes about 2 to 3 days to get back under control  [ assuming regular workers arrive ]

When the infection flares up, it becomes painful for her to walk, at times to even sit (when it really flares up) which means she isn’t willing to go to the bathroom, when she should. This means more depend changes, which also acerbates her condition.  It also leads to more laundry.

Between the added stress of wondering WHO will show up, and IMPROPER CARE, (by those who do show up), does not lead to OPTIMAL CARE, and is leading to increased health costsIF staff were trained properly, it would not result in added risk to a NINETY THREE YEAR OLDS HEALTH.

TOO BAD BCS & VIHA ARE NOT INTERESTED IN PROVIDE QUALIFIED CARE TO SENIORS.

Befuddle, Intimidate, Dominate, Bully

  • Posted on October 2, 2010 at 10:38 am
This entry is part 10 of 24 in the series Quality of Life

I would think those are qualities one would NOT want for a Home Support Worker, but I think, for those wanting to work for Beacon Community Services, those traits would help get you HIRED.

From the parade of substitutes we have had over the time being serviced by Beacon Community Services, seems to me that their prerequisite for employees is to be:

  • Limited knowledge of English
  • Untrained in how to help Seniors
  • Are Bullies
  • Are Intimidating to Patients
  • Know It Alls
  • Rude
  • Uncaring

Oh and I forgot, are totally incapable of showing compassion or in insuring safety of the Patient.

Today’s substitute seemed to know it all, glancing briefly over the Care Plan. Oh she had a basic knowledge of what was to do, then continually peppered mom with questions about what to do.

Everyone has their own way of dealing with a Patient. That is fine, provided it is within certain guidelines.  One of which is NOT TO BARK OUT ORDERS.  It confuses, the Patient, especially when you give more than one COMMAND

And that bugs me too. They shouldn’t be COMMANDS, but requests. Just because a Patient is hard of hearing, elderly, does not mean you can ORDER them around.  It doesn’t create a climate of trust, but one of FEAR.

Accidents [as in incontinence] happen, but you don’t BERATE the person, nor do you make them feel like a wayward child being potty trained.  It just isn’t nice.

Substitute workers are a special breed, or at least should be. They need MOREtraining, more special skills, than a regular worker, because they are being constantly thrown into new situation. They MUST have the ability to adapt, without making it harder for the Patient, than it already is.

Course, the regular workers need to be trained, but you know, it just seems that today’s business, is about profits, not about consumer confidence, or satisfaction, Irrespective of what the business is about, there is a definite lack of care for the end user.

In this instance, it is a ninety three year old lady.  

DON’T YOU THINK SHE DESERVES BETTER?

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