Sunday, January 27, 2019

Square Pegs


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GOOD NEWS: TICKETS TO THE SHIT SHOW ARE SOLD OUT!

In other words, I am DONE with this Fresno assignment. I put in my notice after pretty much hating the big picture of the job since week 1. We wanted to wait of course until I was booked for another position (I am now). So we gave my notice this week and gave a very generic explanation to the RD when he called and then they were like if-you-don't-like-us-then-we-don't-like-you-bye. Very petty when I was trying to keep my shit together and not say what I really thought. That's the very short answer. I felt like I was living in a real-life version of Mean Girls complete with the Plastics and a Damien. I already have self-esteem issues (NOT fishing for compliments here) so to know these people are and will talk about me unsettles me. At the end of the day, I did the right thing, so says I. I left a position where I was not comfortable with how they did things and did not want to compromise my professional integrity. I have worked too hard to put my license on the line and will not play that game. I'm gonna hold my head high and peace out. 
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Me.
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Also me. 
I will say that I have some cool folks and great patients and enjoyed working with them. I love chatting with patients- I think sometimes we as therapists forget that our patients are people too who have lived a long life filled with things like the Depression, wars, life experiences, and times we as millenials couldn't imagine. #therapeuticuseofself

My last caveat is that we as OTs working in a skilled-nursing setting really need to evaluate our treatments with patients and DO BETTER. I've learned more about ineffective therapy while here. Grandma Myrtle is NOT going to make it home because of all the freaking arm exercises she did in OT for God's sake. The rickshaw, the arm bike, the pulleys, and the arm exercises are not going to help her transfer into the shower safely, learn energy conservation strategies for home mgmt, or dress herself. Not to say that folks don't need strengthening but we need it in moderation or proportional when compared to the reason why they're here- going home or long-term care. We're supposed to be creative and think OuT of the box. Therapy supervision for COTAs appears to be different in every state and out here it seems like supervision doesn't exist- I don't have to sign for indirect/direct hours and we certainly don't do supervisory visits on new patients. Not that it would matter since they apparently don't read and the same therapy recipe for every patient. 
 Ok. Over it. That just really gets my goat. 
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My readers are probably wanting to hear more about how Bella's doing. She's great- loveable, annoying as shit, needy, spry, and spunky. She likes exploring with me but not touching the water on the beach (most recent trip photos on next post). She likes to poop in the same spots and bark at everything and nothing. She got a new flamingo collar from Leslie and she loves it. 
Carmel
Carmel




So little time, so much to do.
Peace, love, and the West County dove,

ME


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