Each client has an ISP or individual service plan, which is similar to individual educational plans that some school kids have. I am responsible for writing up these program reports every six months and following up on consultant recommendations. Each person has objectives that they are to work on and the staff who take direct care of the clients document this on the data sheets that I create each month. And, at the beginning of each month, I write up monthly assessments of how the person did and include other pertinent information from the previous month.
I am responsible for supplying clothing, shoes and any other personal needs for each person. Every client receives monthly funding for these needs. I carry company credit cards, and after submitting a requisition, shop for the needed items. Technically, the client should shop with me or other staff, but that is not always realistic.
It is my responsibility to ensure that each client is properly groomed and cared for, and to follow up on any injury that occurs. I am always on the alert for possible abuse. (Thankfully, that has not happened!)
I am responsible for ensuring that the RN is doing her job and to make sure that the clients attend their prescribed medical appointments and receive their routine lab work.
During the week, the clients attend day programs,which are geared for their needs. Not everyone attends the same facility and they are scattered between several cities. I am supposed to visit these day programs at least twice a month. Currently, there are seven different facilities that my 24 clients attend and they span 47 miles so I don’t always get in the fourteen visits.
I am also responsible for ensuring that each household has the supplies to run efficiently-bedding, towels, dishes, food processors (Puree and chopped diets) microwave ovens, etc. I shop for these as needed.
Each home has a licensing- required emergency food supply for 8 persons for 3 days. I have to check to make sure the menued food has not expired and that the 24 gallons of bottled water are routinely rotated. I shop for these item on an as needed basis.
Regular groceries and some medications are provided by outside vendors but sometimes I will have to purchase certain items if they run out or the pharmacy does not supply the medication.
Every week, I go into the main office and do payroll. You see, I'm also the administrator of these four homes so oversee the staff as well. This is the hardest part of my job and sometimes I become very frustrated. There is ’round the clock staffing because the clients are never to be left alone. Many of my staff do not have a good work ethic and can’t seem to understand the need for promptness or to show up when scheduled. Many seem to be lacking in common sense.
The staff makes just a bit over minimum wage and don’t require previous experience. Most of them speak English as a second language and often have communication problems. The next biggest group is very young women who already have children and no husband. Mainly, their biggest problems are child care and transportation problems.
I am on call 24/7 and I get calls- any time day or night, days off and holidays. I am salaried and my schedule is very flexible, however, when I get a late night or early morning phone call, I cannot go back to sleep so often have a lot of fatigue.
Every month I'm supposed to make rounds of the houses during the night shift. Doing this always upsets my body schedule and leaves me tired for a few days. Sometimes, if too much is going on during the month, I just skip the “NOC checks.”
There are 4 other QMRP’s in the company I work for and they cover an additional 14 homes. We often work together for staffing and use of the facilities vans. We have a management meeting each month, along with the executive director, Quality assurance staff person and the RN’s for each home. I enjoy these meetings and we even get lunch!
Each year, state licensing pays a two or three day visit and goes through everything with a fine tooth comb. I try to run my homes to be ready at all times- to always do things the right way. NOT EASY! I've already had 3 surveys this year and the fourth one is pending within the next 6 weeks. They could show up at anytime, but no one knows when.
As you can see, my job is one that has a lot of responsibilities. I’ve always prided myself in being a good worker and doing EVERYTHING that I’m suppose to do. But a few months ago, I was getting stressed out because I was attempting to cram it all in. Oftentimes, things come up that are not on my “agenda” so it sets me back or the plans for the day have been complete revised. At the time, I was always cranky and not very nice and I disliked the job that I once loved. I did not like what I had become. It was then that I realized that I cannot do it all. (When compared to the other Q’s, they did not do nearly as much as I did and it was okay) So now, my mind set is that I will do the best I can each day, but not try to cram so many tasks into the day. I feel much better and the load is easier, but it's still a constant reminder... I am not "Super-Q."