A NOT SO SECRET SECRET SANTA

Here it is that time of year again.
Christmas...Merry Christmas...
Well, as we all know, in many offices there is a secret santa gift exchange.
You know...names are written down on pieces of paper, the pieces of paper are folded and put into a bag or hat or whatever can be found to put the paper in. people pull a name and but a gift for that person.
Now, in one office, I have to shake my head because of what we are working with.
One of the participants presented there receiver with a gift. In an office setting, I think you would put the gift in that persons' chair. That is the purpose of being "secret Santa".
Another participant, had her gift from secret santa placed in her chair. She already knew who her secret santa was.

Just A Little MOre Breeze

So, here we are, another day, and the silliest thing happens.
How is it you are walking down the street, with your backpack, pants socks and shoes.....BUT.....
NO SHIRT?!?!?!?!?
When asked about a shirt, " I forgot my shirt."
DR. "Well, you can not come here without a shirt"
Person: "I have the backpack to cover my front"
My question, "Didn't you feel some sort of breeze when walking down the street?"
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Patient is sitting in the waiting area, talking on her phone. She is having a very good conversation.
So, after 15 minutes of talking and laughing on the phone, two things happen:
A) (To the person on the phone) "OK, I'll talk to you when I get home" 
B) "Excuse me, what time is my appointment?"
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Not Going There !!!

PSR: (Places a walk-in patient in a slot for an intake):
MHC: (addressing PSR at 11:57pm) Why did you put that patient on my schedule? I don't have time to see this patient. I have only 15 minutes.
PSR: (opening appointment): I put this patient on your schedule at 11:34am.
MHC: I was seeing another patient. I have to go to
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PSR: Hello,
MHC: Hi this is Maggie.
PSR: Hi, I was trying to call the patient but her phone is not working.
MHC: Well, she is on the 4th floor. Can you come to the fourth floor and let her know that I don't have time to sign any paper today. She can bring it on her next appointment?
PSR: (after hanging up the phone): What is she talking about? This MHC is on the same floor as the patient and and she has the gall to ask me to go to the fourth floor and speak to the patient !!!

No Spanish Here...

(dates and names have been changed)

ME: Center for Counseling, How may I help you?
CALLER: *with heavy spanish accent* You speak in Spanish?
ME: No, I do not.
CALLER: OK, I need to check my appointment.
ME: What is your last name?
CALLER: I. Rodnso
ME: Date of Birth?
CALLER: 01/01/01.
ME: Your appointment is: Neverary 52 at 5pm.
CALLER: Ok Thank you.

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My co-worker is hilarious. it does not matter what she is doing, she ALWAYS has to "butt in". someone could come into the clinic and look directly at me, but she will answer.

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So, there is an Affidaivit that needs to be signed.  There is a Notary Public in-house. This really needs to be taken care of.
Provider: I'm not leaving my patients to go anywhere to get this signed.
Notary: I have to much work to do to leave and go see a doctor for a signature.

What to do???? What to do?????
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Appointment Confusion

How can you confuse an appointment?

A social worker called to see about an appointment for a patient. The social worker stated that she wanted to reschedule an appointment. Upon checking the system, the patient missed their appointment. So I will schedule an appointment. This is how the conversation went:
SW: I would like to reschedule an appointment for this patient. The patient missed her appointment.
ME: If the patient missed her appointment, then we need to schedule an appointment.
SW: No, no. the patient had an appointment but missed it. So I would like to reschedule that appointment.
ME: If the patient never made the appointment, then I can schedule an appointment.
SW: I called and someone gave me an appointment for the patient on 8/4/2017.
ME: There is no appointment for that date in our system.
SW: I called an the guy gave me that date for the patient.
ME: Maybe that appointment was scheduled somewhere else, because I do not see 8/04/2017 in the system. Patient has a medical appointment on 9/___ with medical.
SW: Yes, I made that appointment.
ME: All right. The next appointment is November___.
SW: Thank you. Who is the patients' therapist?
ME: The patient does not currently have a therapist. The patient was discharged and has to start over.
SW: When was the patient discharged?
ME: 8/___.
SW: All right, Thank you.
ME: You're welcome. Have a great day.

Similiar Names

What are the chances of two people having the same name?
That happened to my co-worker. There was a discrepency about my co-workers name and the name of someone who does not work here. It was interesting, very interesting. But, it got straight. Thank goodness.

Me And My Big Mouth!!!!

Imagine one day being at work  and having no security guard.  Someone is yelling and verbally abusing you and says something threatening.
Another person standing by says: "You need to call 'security.
You say " We don't have security." After thinking about it you say"UH-OH!!!'
That is like saying," no worries, the safety is on the gun."
You shoot the gun, gun fires, you look at the gun and say, " OH...THE SAFETY WAS NOT ON!!!!"
Story of a co-worker.

Birthday Cake!!!

Today is the 3rd Thursday. We use this day to get cake for the ones who have birthday. This month we celebrated April and May. 

 

Past Posts

Here are a couple posts from the past:

10/26/2016

*Patient comes in and states that the “team” told him to come to the desk and have a provider paged because she is not answering her phone and they don’t know where she is. Anyone on the “team” could tell the patient that, so I know the “team” did not tell the patient this. I check the providers schedule and the provider is in session with a patient and will be done in 5 minutes. I told the patient the provider is with a patient and your appointment is in 5 minutes. Next thing I know, the first floor is paging the same provider!!!  They don’t check the schedules !!!!!!

10/27/16

*I was given a hipaa by a manager for a patient to sign. I was told that after the patient signs the hipaa,  print out the psychosocial and the psych eval for the patient, then fax it to the destination person named on the hipaa consent.   Sounds easy enough, I found the hipaa in my mailbox, signed. I printed out the psychosocial and the psych eval. Great.  I see the name of the person to receive the fax.  Asesome….But…where’s the fax number?

*We have interns. We get interns every year. And every year, no one figures the logistics of the place. They need rooms and consequently, the interns are roaming the halls looking for a room to treat the patient.

 

Tennis Game

BACK AGAIN!!!!
Hello,
Here it is a Wednesday.
Let me catch you up.
Monday was a holiday, but I was working. This is something that is fantastic. There was a patient who was stuck in an elevator. We do such a great job here, the patient called here for comfort. That was awesome.
Tuesday...
Wednesday...
Thursday...2.23.2017.
Person: I want to speak with a supervisor. I don't want to see my doctor any longer"
ME: all right, but the protocol is that you see the provider once more to express that you would like to change providers.
Person: All right, but i still want to speak with a supervisor.
ME: no problem

ME:(to supervisor 1): are you able to speak with a patient?
Sup1: can they wait?
ME: yes.
Sup1; all right

I decided to go down the hall to see what rooms are available. Sup 2 walks in.
ME: Oh, just the person I need. I'll wait till you get settled.
Sup2: thank you.
ME (to supervisor 1): Sup2 is here, I'm just waiting for them to settle in.
Sup2: Great

ME(to sup2): after explaining what was happening to Sup2. i was told to tell them AGAIN what I already told them.
ME: (to sup1): I spoke with sup2 and was told to tell the patient what i already told them.
Sup1: Did you call sup2 back?
ME: I told her exactly what I just told you? I'll call her again. and I'll send an inbasket to the providers and cc Sup2.

ME: (to sup2) The 2nd patient still wants to speak with a sup.
Sup2: I'm with the first patient. See if sup1 is available. If not, if  patient wants to wait, I'll speak with them.

ME: (to sup2): Patient is willing to wait.
Sup2: Did you not ask Alex?
ME: No, you said you would see the patient if he was willing to wait.
Sup2: I'm with the first patient. See if Sup1 will see patient.

ME: (To Sup1): Hello, I spoke with Sup2 and was told to see if you would see the 2nd patient.
Sup1: Why can't Sup2 see patient.
ME: I don't know. I explained everything to patient and patient still wants to see a manager.
Sup1: what about >>>blah...blah...blah? Call sup2 and let her know.
ME: I did and sup2 told me to see if you're available to see patient.
Sup1: call her and tell her what the patient said.
ME: i explained to Sup2 again. Can you call her and tell her?
Sup1: It'll be quicker to see the patient. what is the MRN?
ME: 1111111
Sup1; Oh, you know what, this patient sees a clinician. Have clinician speak with patient. This is clinicial. patient should speak with clinician about this.
ME: UUUUHHHHHHH.......OK

ME (to clinician): Hi I just spoke with sup1 and was told you must speak with this patient regarding changing providers.
Clinician: I just saw this patient.
ME: did patient speak with you regarding changing providers?
Clinician: yes, but my supervisor is not here. I don't know that to do.
ME: oh, we don't switch providers for patients. I explained to patient that he must see provider one last time before a switch can happen.
Clinician: I don't know what to do.
ME: Call Alex.
Clinician: My supervisor is not here.
ME: Call Alex.

Another Monday

Good Morning!!!!

Here is it another week started at work. I love my job, we get so much we can say "YOU CAN NOT MAKE THIS STUFF UP!!"

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ME: Good morning, if you would kindly fill out these registration forms.

PATIENT: Sure

........

Patient returns registration forms and is with patient. I proceed to scan the registration in the patients' chart. One section in the form asks for ethnic background or ancestory. Patients can fill-in up to four.

This is what one patient put:

"What is you ethnic background or ancestory?"

 

(A)_______I___________   (B)_____D__________  (C)____K_________ (D)____!_________.

I love my job!!!!!

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SNOW DAY ~!!!!!!!!!!

TODAY IS A SNOW DAY !!!!!!
We get to go home early. It was a bit confusing at first. we got an email that we are operational.
Then we got a message that the weather is being monitoring.
Then we got a message that we are closing at 10am.
Well, couldn't they know that when the snow started falling this morning?
But it's all right!!!!
WE GOING HOME EARLY !!!!!!!

You Can Not Make This Stuff Up !!!

Here we are in another day. Let's get started !!!!!
The way the office is set up, we have a glass door with glass windows. Before you come into the office, there is a glass encased stairway.

Patient enters the office.
PSR: Hi, good morning, do you have an appointment?
PATIENT: I was sent up here to see a social worker and was told to sit on the outside of the glass door.  (patient then pointed to the outside of the office and asked) Is that the outside?
 PSR: Yes it is.

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CALLER: "Good morning, may I speak with Alison?"
ME: Which Alison?
CALLER: "Oh, I don't know. This is the name mom gave me."
ME: We have many Alisons. Is mom available?
CALLER: "No, she isn't"
ME: Who is the patient? We have no HIPAA on file for you.
CALLER: "I  have one."
ME: Can you fax it, please?
CALLER: "What is your name?"
ME: Valencia
CALLER: "Are you the social worker?"
ME: No I'm not.
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Here it is first thing this morning.
I come in, I get myself set up, I'm get the computer warmed up. I put my things in my locker. I return to the desk and check people in.
I can finally answer the phone. The caller is hanging on, thank  goodness. they must call early to increase their chances of getting an intake.
When i finally picked up the line, all I heard was snoring..zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz.....

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Sometimes people just talk too much. someone is sitting in the waiting room, talking ALL HIS BUSINESS!!!! and the other patient is just nodding and listening. smiling when appropriate.

This is the reason i get out of my bed an come to work.