Blooper and BP...

"The patient had his blood pressure checked by Larry." 

hahaha, this one took the blooper prize today in the world of QA! 

actually dictated as "The patient had his blood pressure checked bilaterally"  ... which means of course that they strapped that contraption on both arms and got pressures.  Why would they do this? 

Don't ya'll know?  According to studies the potential value of an interarm difference as a simple clinical indicator of increased cardiovascular risk.  

Assessment of blood pressure in both arms is recommended by guidelines and should become a core component of initial blood pressure measurement in primary care.   However most GPs don't practice this.  Detection of an interarm difference should prompt consideration of further vascular assessment and aggressive management of risk factors.

In any event, the next time you see your GP (General Practitioner) ask him to take pressures in both arms, and see his reaction to your request unless of course there are contraindications specific to your health status, like for example having had a mastectomy.

another day in FQA paradise...

...and the scary complaint/history list goes on...

Patient complains “I swallowed a screw.”

Patient drank anti-dandruff shampoo.

Self-induced trauma to penis by a ball-point pen. 

Self-inflicted bites, multiple. 

Self-mutilations, multiple, chronic, persistent. 

Suicide attempt.

Violent threats against staff.Attacks on staff.

Multiple self-induced traumas; head trauma, joint dislocations. 

Loss of right great toenail. (Are you wondering if he whacked this off or chewed it off?)

holey whiz! 

What on God's earth could explain these behaviors? 

Well, sadly this patient was born with a chromosomal disorder (2q37 deletion) which in itself can cause physical dysmorphic characteristics, kidney and heart congential abnormalities, joint dislocations/scoliosis, other medical issues/illnesses, not to mention psychological disorders, mental retardation, autism, behavioral difficulties, bipolar disorder...and the list just grows on...

Folks, count your blessings is I can say.

...and on a totally different subject I am upset with Blogger; trying to use the editor to make posts and they disappear? weird things are happening. Is it just me?  it stinks...

my head hurts...but I don't think I got a temperature.

 Yesterday I was nauseated all day, today I felt headachy, just not on top my game.  I know the stress is getting to me, and both my boss and I laughed this evening on the phone at nearly 6! ugh! She was leaving the office, I was trying to get out of the shower to run some errands.  I am also starting to feel a little run down, my muscles are more achy, so I think a shot or two of b12 might be in order. 

This week has been a killer work-wise, with nearly 700 jobs on the system Monday morning.  Me and my boss exchanged a little verbiage back and forth, some good, some ugly, but we give and take it with a grain of salt.  Its all good.  Girls gotta vent you know.  I am trying to move staff around on accounts, and trying to make sure our most complaining accounts are given top priority. I am the FQA Team Lead for US Production in charge of numerous accounts, and numerous employees and ICs (independent contractors); right now there's Cheryl, Cheryl #2, Cynthia, Francis, Jamie, Linda, Lisa, Amy, Deanna, Steve, and Kristi...did I forget anybody?  oh yeah, Barbara, Monica, and Robin...they are strung out all over the US. I manage their schedules and workload, to include weekend coverage for clients. Did I say I was exhausted? LOL...

In all the madness, we lost an evening shift person, and also a person who helped on audits.  I was teaching her to help manage in my absence, and she was overseeing the evenings, cleaning up from dayshift.  I often wondered, as did my boss, how trustworthy this person truly was.  I would log on, she wasn't on; the girl who normally worked evenings told me she was never available to her, and she was supposed to be.  There was always a nagging suspicion surrounding her.  I could never quite put my finger on it, and when she didn't get the schedule she wanted, she said "I am resigning immediately!"  Well...so much for that.  Maybe we will get a better replacement; I don't know.  I am supposed to be off this Monday and Tuesday, just because I need rest, but I can't leave things in a lurch. I have to help Deb (my boss) with this mess.  Its been a week of issues, issues, and more issues.  Just when you think you got a handle on it, the handle breaks! Gotta love management!

Could it get any crazier?

I'm cranky, its Thursday, been a long week. 

Well, it seems that I have more responsibility with covering a squealer's workload, who complained so much about not having enough work for 'her people' that now she doesn't have 'people' to worry about, and its now MY worry.  She has the crappy accounts, and one you have to worry about stats with...

ugh. 

aren't I the lucky dog? yeah, yeah...She's not adjusting well, come to think of it, neither am I! I really didn't want this x-tra crapshit.

Good news, though.  I finally did put in my request to take a few days off this coming month and the next month.  My boss and I were laughing today that I will have to definitely bring her up to par on what she needs to do to cover me whilst I'm enjoying being stress-free...LOL..., and that includes "Falcon" too...

Yep, I gotz my work cut out for me it seems, but all is good. 

life In lower class management....

Some days I could just "take this job and shove it..."

walk my ass to the welfare office and sign up...

for a check and food stamps...

coz some days the pay don't equal the stress...of...

trying to keep track of 15 people online,

manage the workload,

cover production with absent people or those on vacation,
deal with production/system issues, upper class management, client complaints, independent contractors who don't have to give you squat-ass notice, other employees and supervisors, conduct audits, keep a paperwork trail...

a girl can become easily overwhelemed...

but we have a new management filing system in place...

dont'cha love it? hahahaha! Is there no one out there to take me away from all this madness?! apply within the sheets, please!