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beansideIt's finally Friday! I'm so glad, both because I'm looking forward to the weekend, and because that means it's not Thursday anymore. Yesterday was a day, y'all.
So, as previously mentioned, yesterday started early. I wrote 1200+ words on Marchen (go me) and have the introductions sorted out as well as two lands worth of quests. Feeling good about that, I got ready for work, pausing to wash my dutch oven and put on a pot filled with chicken legs and gizzards to do their thing and make a broth for Yoda's food.
Then it was off to work. The morning was pretty standard. Scheduled some patients, did some work, took some calls. Average day. I'd just gotten back from lunch when my direct manager hit me up. Earlier in the day she'd had questions about a patient, which was fine. It turned out that the pt had cancelled, because the doctor wanted to do something different. This time, she started with "I'm afraid to ask you this." Internally, I was like "oh, did I fuck up?" No, it was one of my coworkers, the very same one who has us checking her appointments every day to see if she fucked up. She had done fucked up on a massive scale.
So, Johns Hopkins is one of a few hospitals in the area that can do MRIs on patients with pacemakers or internal defibrillators. This is not a decision that a doctor makes lightly, because the device has to be turned off to do the MRI. Thus, it's only done in a hospital setting where there's doctors around if the pt gets an arrhythmia or crashes. We take this seriously. It's done in the main hospital building next to the ORs and with a fully stocked cardiac response room and team. We can only do a few a day, and are currently booked out to 2027. As a result, we limit the scan to patients whose order came from a JH provider.
So, when you open the patient chart, in some cases you'll find Care Alerts along the margin. You ALWAYS look at the care alert. She did not. Then, she didn't hear them or wasn't paying attention when they mentioned their cardiac device. Or they assumed that the other device they had (that is MRI Safe) was what they were talking about? So, she scheduled them. in the Outpatient Center (which has a 3 month waiting list of it's own) on a 3T machine. That's our most powerful magnet, and it would probably rip the defibrillator out of their chest. Worse, she fucked up with a patient who's also an employee.
The coworker had tried to reach them, and had sent a message through the chart to explain the issue and asking them to call in.
They did not. Instead, they sent a reply calling her incompetent and being very angry. So, my manager asked if I could call the pt. While the coworker dealt with the order. The pt has a JH cardiologist, so she was planning to call them and see if they'd write it. I offered to do that, and my manager agreed that she liked that plan better.
Short version, they wouldn't. Because of the risk involved, they didn't want their name associated with it. So, I had to reach out to the patient and let him know. I did it via a message in the chart, and I can't wait to see the nastygram I have in my inbox right now. I have a feeling that they're going to get someone involved to yell at us, but that will most firmly be Not My Problem. By the end of the shitshow, I was sending my manager gifs of dumpster fires. It seemed appropriate.
Then, the steaks I had bought like 2-3 days ago had already gone off, so I had to order dinner. The one good thing is that Yoda's food turned out well. IT had brown rice, chicken and gizzards and green beans, and he seemed to like it when I gave him a little leftover as a treat.
The food was okay, but not the best thing ever. We took the dog out for his walkies, and I hit bed. I had enough of the day when I dropped Yoda's dinner on the floor. The last of the goat and butternut squash, I think.
Now I am semi ready for the day. My reward for dealing with the coworkers fuckup is that this morning, I get to check all the appts that she made yesterday. After this mess, I will be going through them with a fine toothed comb. Thank god she only makes like 15 appointments a day.
Then I shall have themanagers meeting Managers Bitchfest at noon. It's a weekly hour long meeting that is to share information and discuss possible changes to protocol, in theory at least. In practice, it's a bitch session that can run up to 2 hours. It's very interesting to hear the stuff behind the curtain, but some of the stuff is about people I don't know well yet from other depts, so that can be a lot.
Oh and I forgot to add, in two weeks, I'm going to have trainees for a day. The main trainer is off, and the managers have a training, so I'm the next in line for the throne. lol.
My training is in 3 weeks, so it's not like I get out of it.
The job has been a little frustrating. It doesn't seem like much has changed, and my role is still pretty ephemeris. I watch the schedules, and try to fill slots, but mostly, I'm kind of on my own to figure out what to do in any given moment. They also haven't announced it yet, so I'm still in limbo with the other coworkers. The management team knows, but when I'm dealing with my coworkers it's a gray area.
After work, I'm going to get my RSV and MMR shots. The RSV recommendations shifted to include pts with lung disease, so my asthmatic ass is going to go get one. And I'm way overdue for the MMR. But with cases of both measles and mumps out there, and us going to shows and on a cruise, I want to be as fully protected as possible.
Then, Frostmaiden! I've got a glorious fight lined up tonight, that will hopefully prove a challenge for our group. It's the last battle before the big one, so I am going to make it as difficult for them as possible.
Jess is advocating for trying to kill them in the final battle. They're going to be fighting the goddess of dragons, who is a five headed dragon, so it should be tough. First they have to fight their way through her handmaidens and possibly the aspect of her that they faced before.
Tomorrow, we shall have a quiet day, maybe go out for lunch. I'm not sure if I want to see Project Hail Mary. Some yes, some no, but it could be a possibility. Mostly, though, I'm going to take it easy and recharge. Sunday we're helping one of the Marchen players to set up their character sheet, and then doing a little bit of RP with her and Jess' characters, since they're starting the game knowing each other.
But first, I get to see what kind of a hash my coworker made of her appointments.
And on that note, time to go forth and get ready. Everyone have a fantabulous Friday!
So, as previously mentioned, yesterday started early. I wrote 1200+ words on Marchen (go me) and have the introductions sorted out as well as two lands worth of quests. Feeling good about that, I got ready for work, pausing to wash my dutch oven and put on a pot filled with chicken legs and gizzards to do their thing and make a broth for Yoda's food.
Then it was off to work. The morning was pretty standard. Scheduled some patients, did some work, took some calls. Average day. I'd just gotten back from lunch when my direct manager hit me up. Earlier in the day she'd had questions about a patient, which was fine. It turned out that the pt had cancelled, because the doctor wanted to do something different. This time, she started with "I'm afraid to ask you this." Internally, I was like "oh, did I fuck up?" No, it was one of my coworkers, the very same one who has us checking her appointments every day to see if she fucked up. She had done fucked up on a massive scale.
So, Johns Hopkins is one of a few hospitals in the area that can do MRIs on patients with pacemakers or internal defibrillators. This is not a decision that a doctor makes lightly, because the device has to be turned off to do the MRI. Thus, it's only done in a hospital setting where there's doctors around if the pt gets an arrhythmia or crashes. We take this seriously. It's done in the main hospital building next to the ORs and with a fully stocked cardiac response room and team. We can only do a few a day, and are currently booked out to 2027. As a result, we limit the scan to patients whose order came from a JH provider.
So, when you open the patient chart, in some cases you'll find Care Alerts along the margin. You ALWAYS look at the care alert. She did not. Then, she didn't hear them or wasn't paying attention when they mentioned their cardiac device. Or they assumed that the other device they had (that is MRI Safe) was what they were talking about? So, she scheduled them. in the Outpatient Center (which has a 3 month waiting list of it's own) on a 3T machine. That's our most powerful magnet, and it would probably rip the defibrillator out of their chest. Worse, she fucked up with a patient who's also an employee.
The coworker had tried to reach them, and had sent a message through the chart to explain the issue and asking them to call in.
They did not. Instead, they sent a reply calling her incompetent and being very angry. So, my manager asked if I could call the pt. While the coworker dealt with the order. The pt has a JH cardiologist, so she was planning to call them and see if they'd write it. I offered to do that, and my manager agreed that she liked that plan better.
Short version, they wouldn't. Because of the risk involved, they didn't want their name associated with it. So, I had to reach out to the patient and let him know. I did it via a message in the chart, and I can't wait to see the nastygram I have in my inbox right now. I have a feeling that they're going to get someone involved to yell at us, but that will most firmly be Not My Problem. By the end of the shitshow, I was sending my manager gifs of dumpster fires. It seemed appropriate.
Then, the steaks I had bought like 2-3 days ago had already gone off, so I had to order dinner. The one good thing is that Yoda's food turned out well. IT had brown rice, chicken and gizzards and green beans, and he seemed to like it when I gave him a little leftover as a treat.
The food was okay, but not the best thing ever. We took the dog out for his walkies, and I hit bed. I had enough of the day when I dropped Yoda's dinner on the floor. The last of the goat and butternut squash, I think.
Now I am semi ready for the day. My reward for dealing with the coworkers fuckup is that this morning, I get to check all the appts that she made yesterday. After this mess, I will be going through them with a fine toothed comb. Thank god she only makes like 15 appointments a day.
Then I shall have the
Oh and I forgot to add, in two weeks, I'm going to have trainees for a day. The main trainer is off, and the managers have a training, so I'm the next in line for the throne. lol.
My training is in 3 weeks, so it's not like I get out of it.
The job has been a little frustrating. It doesn't seem like much has changed, and my role is still pretty ephemeris. I watch the schedules, and try to fill slots, but mostly, I'm kind of on my own to figure out what to do in any given moment. They also haven't announced it yet, so I'm still in limbo with the other coworkers. The management team knows, but when I'm dealing with my coworkers it's a gray area.
After work, I'm going to get my RSV and MMR shots. The RSV recommendations shifted to include pts with lung disease, so my asthmatic ass is going to go get one. And I'm way overdue for the MMR. But with cases of both measles and mumps out there, and us going to shows and on a cruise, I want to be as fully protected as possible.
Then, Frostmaiden! I've got a glorious fight lined up tonight, that will hopefully prove a challenge for our group. It's the last battle before the big one, so I am going to make it as difficult for them as possible.
Jess is advocating for trying to kill them in the final battle. They're going to be fighting the goddess of dragons, who is a five headed dragon, so it should be tough. First they have to fight their way through her handmaidens and possibly the aspect of her that they faced before.
Tomorrow, we shall have a quiet day, maybe go out for lunch. I'm not sure if I want to see Project Hail Mary. Some yes, some no, but it could be a possibility. Mostly, though, I'm going to take it easy and recharge. Sunday we're helping one of the Marchen players to set up their character sheet, and then doing a little bit of RP with her and Jess' characters, since they're starting the game knowing each other.
But first, I get to see what kind of a hash my coworker made of her appointments.
And on that note, time to go forth and get ready. Everyone have a fantabulous Friday!
