An Average Week

This week as been the same old, same old. Today we started the day out with a meeting and discussed medicare and how it is changing and also how it will affect our company. We also learned about some things that need to be done with more detail, like charting and also some things that would make it easier on the physical therapist, since they are so busy. Today I delivered some gifts to the new doctors at the orthopeadics office, in hope that they will send us some new patients. Also at the meeting we talked about a new physical therapy office that is going in right next door to us, and we discussed how we will have to have better PR and also just a better over all reputation and put ourselves out there and go the extra mile to stay in the number one spot as far as being the best therapy office in town. No shows and cancels have also been at a record low, which is a huge concern. The gym seems slow, however I seem to stay busy with the patients and helping out with the therapist.

Week 7/19-7/23

Basically another week as usually. I talked to a commander on the USS George Washington who is from Oregon. Interestingly, the USS GW was involved in the "war games" Korea, Japan and the US were doing this week in the waters off South Korea. Lars was broadcasting from Vegas Friday so the dynamic was a little different, having to set up a remote, making sure the connections worked, the levels were right. Needless to say it took a lot more work than usual. The guy who is my age and actually works there is starting a summer class and comes in later now which gives me little more Tuesday and Thursday but nothing earth shattering.

Changes that Have Happened

This week was different from last week in a very great way a lot of the imitation problems have stopped due to the new way that the other teachers and I reacted to what has been happening. The little boy I shadow has been getting much better at calming himself down and working on his animal breaths when he feels like he is about to scream. The class dynamic really changed today because today a new student came to camp (she returned home after spending a few months in Korea so a few of the kids already knew her) and the boys did react a little better because of the girl that joined the camp. A lot happens during the three hours that I am at the camp and it gets hectic but I am learning a lot about kids with autism, ODD, Fragile X, undiagnosed behavior issues, and a child that is a borderline sociopath.

Hiring a replacement

During the past week I have been working with my manager to find someone to replace me when I go back to school. This is very interesting to be on the opposite side of the table. On this side you are thinking about the company's needs instead of your own. The major dilemma that we faced was whether to hire someone with lots of accounts payable experience and little education, or to hire someone with no accounts payable experience and college education. I learned through this process that by talking with people in the department the supervisor is better able to make their decision. Ultimately we decided on the person with a college education and no experience.

In a normal interview process at AKT, the interviewee would come back for a second round interview with the CFO and managing partner. This is a unique case because it is a temporary position, so that will not occur.

I will start to train the new person on Wednesday. This will be a real test of the knowledge that I have learned in the two months that I have been doing this job.

Limitations as the Aid

This week I monitored patients and learned what I can and can't do as an aid. We have a new traveling therapist from Montana, who will be with us for three weeks. He is very knowledgeable, however, he his trying to use the aids way to much. It is very hard to say, "No I can't do that," however I have to because it causes a huge liability for the company. I am not allowed to do ultrasound, apply a TENS unit or E-Stem unit, however I can take them off. I am also not allow to show them how to do new exercises, although I can go through the program that they already know and have been taught. Today I did some filing and also put new appointment papers in the charts and made copies of the appointment papers that have also been documented. I also will be attending a back school program put on by our facility in a few weeks.

Human Resources and Employment Law

So for the past few weeks as part of my internship I have been working on re-writing the respective Yamhill County CASA Employee and Volunteer handbooks. Yesterday I had the opportunity to go to lunch with my supervisor, Amy Bissonnette the Program Director at CASA and a member of the board of directors who is a lawyer and one of the associates from her firm who is involved in employment and human resources law. We went over the initial draft I have created and talked about what was good, what was unnecessary and what we needed to add. It was a good opportunity to learn what is necessary to have in writing in order to cover all your bases and it was also a good initiation in what kind of legal language is required in such a document. All in all I learned a lot and now have many suggestions and ideas to work with!

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