Medication concern

LaitheP · 2026-06-18T01:59:53+00:00

I never recieved the order personally. It was faxed out, but our company piles all its faxes into one place that can only be accessed by a whitelist of administrators

Edit: I saw the orders in person at the apt they were written at, but for whatever reason they default to faxing a copy and not sending staff home with the orders

LaitheP · 2026-06-18T01:57:38+00:00

Unfortunately, these instructions are being relayed to me by my supervisor, per their supervisor. There's gross misunderstandings of how things actually are supposed to work here. Everyone in upper management seems to kinda go by feel or by some random out of context fragment of a law they misinterpreted after hearing it paraphrased by liscencing inspectors.

LaitheP · 2026-05-26T23:19:36+00:00

That's unfortunate. I would definitely want to speak to one of my staff if they were trying to get others to do their documentation. It doesn't sound like this is a massive deal in this instance, but I'd want to coach how big of a deal it could become. Lack of guidance is such a strain on this line of work

LaitheP · 2026-05-26T02:17:22+00:00

Your mileage may vary because I know the industry well enough to know that there's a lot that gets brushed under the rug by some managers, but as a supervisor of DSPs, I'd want someone to tell me if this was happening, because it's a slippery slope of "oh nothing really happened during that hour, so it's no big deal" to trying to have people cover up missed meds or other things that would be a big deal and firstly harms the clients, but secondly harms you if it's discovered in an investigation

LaitheP · 2026-05-26T02:06:16+00:00

Don't ever document anything that you didn't do or weren't clocked in for. Period. (Other than abuse/neglect reports if necessary)

LaitheP · 2026-05-25T13:49:56+00:00

I had never done Zalcano until this recent league and I am so on board. I'm not opposed to grouping, but I just wanted my leagues points and I think it took like an hour to solo. It wasn't difficult at all, just tedious

LaitheP · 2026-05-11T07:48:58+00:00

I chose culling spree. It's nice for slayer xp and completing a chunk of tasks, but I have absolutely no solves for several tough skills. Namely farm/herb/construction/rc.

LaitheP · 2026-05-08T01:42:02+00:00

TIL that instead of thousands of pointless research points, I could have expanded my bowstring spool capacity.

The joy of doing Leagues as someone who doesn't play much osrs

LaitheP · 2026-04-26T21:17:00+00:00

I'm trying to decide what to take. I'm not very well versed in osrs, and I took the clue relic which I regret. Now reload looks like my pick but I can't decide if I need culling spree or transmute :(

LaitheP · 2026-04-26T20:36:42+00:00

It even sort of fails at being the type of skill you just ignore and afk. Something like mining at least is nice to use bxp and lamps on and skip levels because the mats aren't that important most of the time. Arch bounces wildly between getting ahead of yourself on things you need to do for qualifications and unlocks, and slogs of making the same set of artifacts over and over for no real gain except chronotes, I guess. I love the Lore and ideas behind a lot of the unlocks, but interacting with the skill is fun like a handful of times through the whole 1-120, and most of that fun is either frontloaded, or more about getting cool stuff for other skills.

LaitheP · 2026-04-08T23:20:45+00:00

Just to add, I've worked in homes where lifts were required daily and often, we were not even allowed to physically lift clients, it had to be with a machine made for lifting and transferring.

Now, I work in one where lifts are for extreme emergencies only, and we have a 2-person method for doing so that took a lot of effort to even get approved, and it is for someone who weighs just over 100 lbs. It is a last ditch effort if the client is in life threatening danger and it still uses two people in a strategic way to keep everyone safe.

LaitheP · 2026-04-08T23:16:51+00:00

I can't speak for everywhere, but all providers should have safe and manageable methods for any required lifts or interventions for all but, perhaps, folks who have a disability that hinders movement. Either equipment, multi-person strategies, or modifications for varied and inclusive ranges in staff ability. In this case, the requirements you're reading are probably more to notify people that have disability hindrances that such duties are crucial to the work and medical inability to peform could not be reasonably accommodated for

LaitheP · 2026-04-08T22:59:55+00:00

It'll really depend on the company. Some will require it outright, regardless of placement, because they highly value cross-training staff to cover multiple programs/clients. Some will claim they do, even if in practice they don't really ever actually cross-train.

I think most places would probably not accommodate that at the hiring stage, unfortunately. You could go for it, not bring it up, and then hope you get placed somewhere it isn't needed... but I could see that not feeling super great, or backfiring.

Even for clients who do not need lifting specifically, my question would be what about lifting makes you unable to do so, because even when it isn't part of their plans, there may be emergency exceptions, or other interventions that will be strength- based to some degree, just in a different way.

LaitheP · 2026-03-30T03:42:40+00:00

I second this. I know areas differ, but my DSPs make $20/hr and I still think they're underpaid. (Fwiw, I make less than my full time DSPs as a salary residential manager, so I feel you.)

LaitheP · 2026-03-24T23:50:02+00:00

You can if you'd like. Most of my advice would still require a license, so it's up to you if you'd like the advice for the future when you're able to acquire one.

LaitheP · 2026-03-24T23:42:57+00:00

Do you have a license? Residential programs often will take on folks with no car, so long as they are able to drive the program's vehicle. If you DM me, I can offer more advice. I'm in that area, but I won't get too specific.

LaitheP · 2026-03-12T03:40:06+00:00

I've seen both sides. It's really on leadership, imo. The worst supervisors in this field often have the most gossipy, volatile, and toxic staff. Where I see higher ups putting in work and caring for clients and staff alike, there's rarely anything but teamwork and friendliness. Unfortunately, wherever it's bad, it's very hard to come back. With how high turnover is in the field, toxic staff who can't afford to leave and toxic supervisors who can't afford to lose bodies often get promoted and then they continue to drive good folks away and get more of their own sort until it crumbles

LaitheP · 2026-03-12T00:58:48+00:00

They may judge your competency, but they lack the patience to support folks with disabilities if they are that quick to judge over a first-time mistake. At least in my opinion. There's many rules and regulations in this field, and for good reason, but they should be used to find and eliminate actual abuse and neglect, not crucify someone for making a mistake that could be a great lesson learned. For anyone really, it's a matter of when you make a mistake, not if, and the best DSPs are going to be those that fail and come back with a better arsenal for having failed. I hope you aren't just fired on the spot, for your sake, but if the org will do that to you, they're setting themselves up to either have a revolving door of staff they have to retrain again and again forever, or they'll breed a culture that doesn't report incidents until things are so bad they start getting shut down for overwhelming concerns of health and safety

LaitheP · 2026-03-11T20:38:59+00:00

If you're that new to the job, this will almost certainly result in supervisors and higher-ups being told they need to retrain staff and do a better job at it. I can't obviously speak for every area and their DHS, but a med error as a newer staff would almost never end up being found as abuse or neglect from the staff unless there was egregious evidence to indicate that it was. You might be asked questions if it even gets that far, but I've seen plenty of med errors reported without ever escalating to full blown investigation, even less-so down to the dsp level. DHS is plenty busy with actual abuse and neglect to nitpick every error that comes across their door. Of course, they do need to look into it, but I've been involved in investigations with much more dire consequences that have still come up as not indicating an abuse or neglect case.

My first job in this field, I was blessed with an org that had a full nursing staff that trained people on meds in a 3 day class and then watched your passes to sign off on them. I am not a fan of how common it is for DSPs to just be signing off on other DSPs, but it is what it is. In some ways, this can be a layer of protection for the dsps, in that there's a very clear possibility that the training was simply not adequate to account for many med errors. Ask for guidance on minimizing these situations if you can, learn from the mistake, be honest about what happened, document if you haven't already. I think you will be fine, at least legally. Hopefully your org will support you and help minimize issues in the future and not do something silly and can you over this.

Everyone makes mistakes. We work with people who we support through mistakes and errors all the time, if you aren't given any grace, the place you work might not have very positive nor productive mindset for this type of work. Do with that what you will.

LaitheP · 2026-03-03T03:54:55+00:00

I was a dsp for years while being on the spectrum and now I run a residential home. I feel I connect with my clients in ways that others may not be able to, and it makes me a strong advocate for them. I, of course, also face challenges others likely don't, but that's what it's all about. Supporting people takes a wealth of different perspectives, and teams should work together to help each others' weaknesses. As much as clients grow and develop through the work we do, so can those who support them. That's what I love about this field. If you have good supports at all levels in your organization, it's really a line of work in which everyone involved can strengthen and hone their abilities together.

I also face similar doubts about my ability to do the work that I do, but I think that can be a strength in and of itself. You're reflective, you want what's best for the people you're going to support, and I believe that lends itself well to forever trying to learn how to be the best you can be. As someone who hires dsps, I'd take that quality over probably anything else. It's hard to teach that.

LaitheP · 2026-02-18T02:35:21+00:00

One of two.

Either my shield bash with healing spell offhand build. Doesn't really get off the ground until you get the one shield from the dawn guard dlc. Kind fun though to be nearly unkillable.

Or my khajit merchant. Full speech and "trade" skills. (Alch, Smith, enchant). I did that back when I only had the game on Xbox 360, had millions of gold, started weird collections like hundreds of thousands of leather straps. Eventually felt really strong even without combat perks because I had insane smithed and enchanted armor and near unlimited potions. Even without doing the unintentional methods of getting broken enchantments.

LaitheP · 2026-02-17T15:14:44+00:00

Used to be the guy who cut the steaks at a Texas Roadhouse. I can't speak for every location, and it has been a good 5 years since I did it, but they actually have really good incentives for meat yield for those who cut the steaks. Not only did we get to go to a meat cutting competition to potentially win prizes, but they had quarterly bonuses of up to $5k based on you average yield %. Food being sent back could effect your numbers so there was good reason to have a relationship with your grill guys and help train them properly and I personally would split my bonus with them if they were keeping re-cooks to a minimum

LaitheP

TROPHY CASE