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I started this blog exactly one year ago (as littlemrsme). At that time I never dreamed that I would get so addicted to LJ - but here I am!
Here are my birthday statistics:
Number of entries: 264 (this is my 265th!)
Numbers of comments received: 388
Number of comments made: 932
I'm not counting up any of my fic written or anything like that, because I post that on my fic journal and also I mostly 'do' fandom at IJ. I will collate that info at some point though.
Anyway, I must get on with work.
grumpy
calm
calm
artisticFollowing on from my previous post about the latest in 'bright ideas' from management, here is an extract from an email I received yesterday:
"As an interim step, we have produced a brightly coloured folder to contain the care plan. The idea is to encourage all service users to put a copy of the plan in the folder and to bring it with them to appointments etc. We are identifying a week in which teams are ask to prioritise trying to ensure that all service users are offered a care plan and to distribute care folders. It would be an opportunity to ensure that Care Plans are up to date, relevant and meaningful to service users, carers and clinicians. I appreciate everyone is very busy and that this will be time consuming. I accept that this will be seen by some as a trivial attempt to massage the outcome of the next survey. However we are hoping that this push will increase both the number of service users with Care Plans and more importantly the number who find them useful."
Let us dissect this:
1. "an opportunity to ensure that Care Plans are up to date, relevant and meaningful to service users, carers and clinicians" - generally they aren't. Relevant and meaningful I mean, in our team they are at least, generally, up-to-date. Most service users/patients don't actual give a flying one if they have a 'care plan' or not - they just want to be treated with respect and professionalism by a clinician who knows them and their illness. Most clinicians have their own ongoing idea of what their patients care involves. Some of us even write it in the notes. Read the post on Mental Nurse about Care Plans. All of my care plans say "Will be seen by CPN to monitor mental state, medication compliance and risk" - I wouldn't be a very good CPN if that was not routine practice. They say "Monitored by Psychiatry in Outpatients" - again, standard practice.
2. " I accept that this will be seen by some as a trivial attempt to massage the outcome of the next survey." - Spot on. Because that is exactly what it is. It has absolutely nothing to do with patient care and everything to do with making the Trust look good in some fuckwitted (copyright: Dr Rant) target scheme.
If they really want to improve what patients/service users think of us then this is what they should do: give us more Nurses, and pay the CPN's we do have at a Band 7 (the AfC banding issue is for a different rant).