On the cusp

Yes, months have passed since I've been here. It's been busy. The year has been monumental.

Since the solar eclipse, I've been busy getting my program at the Hotel ready for inspection. In October, the inspectors came. They came to see my program, because Washington doesn't have one, and if they didn't see mine, we'd get written up.

Three words: Blew them away. When I started this gig, the regional boss always glossed over what I did. Since said boss left, and we're still awaiting a replacement, the local Manglement decided that maybe, just maybe I might be able to show them how we do what we do in the Hotel. We did.

We came. We saw. We kicked some serious butt. The Hotel crew stepped up to help me get the stages set (because we have issues, but they are in process), clean, prep and know what to expect. I briefed staff so they'd know the basics of what the inspectors might ask them. Then I showed them a good time (and a marketing package unlike any other). I got patients involved (because they are part of the inspection, too) and all my people shined.

We got kudos in the official report, which, to me, validated the work. It validated why we have to work as a team. It validated that we care about patients and always want to do more.

I sent lots of thank you notes. My entire team got one. My nurse compatriots in other departments got their own special kudos. Why? Because they need it. They are new and they need to know they are doing a good job. My patients got thanks, too.  You have to remember who helps you, and acknowledge it regularly.

In October, we finished our official year, and it was the best ever (no kidding). We saw more patients in the SU than ever.

Last month, I finished my gig on my rehab committee. I had fun. I wasn't nervous any more talking to thousands. It does get easier, even with a script.

Today, I'm awaiting my next adventure. I'm going to leave rehab sometime soon, but it will never leave me. I carry a song in my heart, and lots of memories of the Hotel and all the characters along the way.

May your New Year be filled with health and happiness, wherever life's journeys take you.

Until next time, I bid you adieu....

Just when you think you have it all figured out

In the early 2000s, when I was working a progressive yet conservative financial company, we talked about the business book, Who Moved My Cheese. In a way, in the years before 9/11 it made sense.

Then 9/11 happened, and that brighter, shinier future dulled and disappeared in a cloud of smoke and fire.

As I'm finishing up my work as a volunteer for a nursing organization this week (Happy Volunteers' Week!), I thought, "Wow. I've made it. There's really been nothing extraordinary that's happened while I've been the chairperson, so I can at least say, I did it. Add this prestigious title to the list. Check."

Until recently, when that "all set scenario" changed. It might have seemed like one meeting with some organization folks and some of us nurses, but as I look back, it could be the start of something big. We are changing things in the group that could change how people join the organization and get certified.

We are looking forward to how we can change to make things better, to help a younger generation grow and prosper in rehab. To me, it's as exciting as anything.

I can't wait to say one day, "Yes, I was there when..."

Hope you have your own moments of clarity this week, too. Stay tuned...

Holiday weekend thoughts

"The more we assign the soldiering to a select few volunteers—we don’t have an equalizing draft and there is no required national service—perhaps the easier it is to forget what it means to share a common citizenship or feel a sense of indebtedness or appreciation. If we no longer share in the service, risk and obligation, maybe that explains why many of us no longer observe Memorial Day."

This is a quote from John Bussey's worthwhile assessment on why Memorial Day needs to be more than a day off or shopping.

I do believe that we are living in troubled times, and unfortunately, the sacrifices aren't shared.

I hope you have time to reflect this holiday weekend. I know I will.

More later...

Best laid plans

Oh, it wasn't Monday, it was the day after a holiday and I could tell. People who were gone all week this week are buried on their return to the Hotel. (Yes, vacation is nice, and so is having that extra day until you return).

I hoped to get one of our patients set up for a clinic visit. I was greeted by the gentleman who waters the plants in my temporary home. "Don't get him upset" was what one of my coworkers said.

It's nice to know the volunteers rate higher than the actual employees here. Did I want to be in "his space"? No. Do I work here? Yes. Do I rate higher as an employee trying to do my job in a temporary location? I should! I take care of ALL my assigned patients, not just the plant guy.

Unfortunately, I'm not the only refugee in the building. Our boss has decided to move one of my cohorts, too. He/she is not happy.

To top off my day, I was working with a patient and found out he got his new stuff from the Hotel to work with us. He just needed to download one little thing. We also found out (in doing our test) that the one little thing was discontinued...on Labor Day. Ugh! Glad he can use his adaptive equipment in other ways, just not for what we intended.

Time to go to Plan B....stay tuned.

It may seem like a no-brainer

But having patient input in developing a rehab hospital, really is a good thing. One large rehab hospital in Nebraska is actually using a design firm headed by a quadriplegic designer most of you know if you shop at a very large retailer.

Yes, it is really important. So when Madison opens its satellite unit at Washington, our chief NP, a rehab nurse from way back, was duly insulted when she heard this.

"Well, we will just ask a few people to pretend to be a para or a quad and check out stuff in the patient rooms." (I wish this paraphrase was a joke, but it's not).

No, not okay, says the NP. So she makes a few phone calls, and lo and behold, we have several former and current patients volunteering to do a dry run before the unit opens.

Maybe the Manglement will really get this patient engagement thing involves REAL patients, not pretend ones.

You never know...stay tuned!

Things you learn at a conference

1. There are long lines for any good free stuff.
2. Occasionally someone you know will win a raffle.
3. Some conferences feed you exceptionally well (meals and snacks), and others, not so much.
4. Your boss,will get up and dance,if some nurses from another hospital pick him up under the arms and drag him.
5. One of your coworkers will document #4  for posterity.
6. You will volunteer someone else to babysit the boss and entertain him/her, so you can escape.
7. Some people can speak before hundreds of people, and others, not so much.
8.  You find that lots of people have problems similar to those on your unit.
9. When you work for a large healthcare system, everyone knows everyone in one way or another. Six degrees of separation? Nope. It's more like two.
10. Finally, enjoy your old and new friends whenever you get the chance. You never know when it will be the last time you see them.