and work came a calling

and work came a calling... at least they let me sleep, and shower even, but just as i stepped out of the shower and started drying off, the phone rang... emergency at work, client going 911 to hospital... and shortly after that, another client going 911... the latter with a very complicated parent relationship which required hours of communication, partly because i had to keep asking for details that should have been in the initial report... so training in what needs to be in an emergency report will happen very soon (something a working nurse should know, but i am finding little uniformity and no structure to their assessments, reports, or communications), which is alas a weakness at this place as the directors responsible have never had training they should have had and that's part of what is keeping me at work so much these first months... training directors in the skills they need to be directors is tedious, but part of an administrator's job (and one of the reasons the screening and interview process for a director should be considered and carried out carefully)... training specific disciplines (nursing, social work, psychologists, etc) requires enough knowledge in those disciplines to help a director actually develop systems, forms, and protocols that insure education, responsibility, and accountability from professionals and non-professionals in each department... luckily i have been in the field long enough and have had professional experience in enough areas to reach beyond training in management to training in organizing specific disciplines... so i find myself doing the director of nursing's job much of the time and i am hoping she will not undermine or resist when i hand her job over to her...

it will take some time, but we shall improve...