Sunday, October 6, 2013

9 month check-in

Wow. Time flies! I can't believe I've been at this job 9 months now. I have about 30 cases and started full-time school and am very busy. It seems like just when I'm about to close a case, it blows up and I gotta go back in and help put out some fires. That's how I ended up with more than the 25 I'm supposed to have. I'm starting to really get a handle for what I do. Although I'm still learning about resources in the community every month. It's great to know that there are other organizations that like to help our families. Most people are also great about working with other case managers, I think its the nature of non-profit and nursing work. I'm really looking forward to my 1 year anniversary at work. I get a small raise like $1 but I'll have been a working nurse for a year. That's significant because it allows me to apply for other jobs, not that I'm planning to move because I have it so good where I am at now: flexible boss, great teammates, nice office, friendly co-workers, and good commute. This month I'll be closing a case that I have been on since January/February, about 8-9 months, almost since I got to DCFS! It'll be hard because I really like this family and they have taught me a lot about their culture and the kids are just so darn cute! I've memorized how to get to their home now from being there so often this past year. The great thing is that the kid is set with his specialist providers, pediatrician, home environment, medications, day care, and the parents really do love him. That's one thing about our system is that I find parents love their children. It's mostly that the system doesn't provide the support or the families don't have the support they need to succeed and in such an expensive area like Northern California, it's hard to survive. Once you're in that survival mode, the constant and small things you have to do for a child's chronic disease does not become a priority when you're looking to just survive for the day, find food, have a place to live, pay bills, and avoid bill collectors. That's what some providers don't see when these families walk into their office. They just see a "non-compliant" person who doesn't care, when it's not true. So the next time you see a patient who doesn't do the optimal care for their child or themselves, ask them what their day is like and what their barriers are. You'll get a more trusting, honest, and better relationship with the patient that can eventually turn around.

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