I'm a PCT at a dialysis clinic, and there had been a policy for a couple of years now that the patient has to completely vacate the station before disinfecting and setting up for the next patient.
Basically, I always do it, and everything else that we have to do between patients: Cleaning the lines and chase box behind the dialysis machine, wiping down the back wall, counter, and television, etc. It's a lot. Basically, you get the idea from the policies that disinfection is supposed to be a thorough, meticulous process.
I know not everyone does all of this, but that isn't something that should concern me. My problem is that I'm again not able to put patients on on-time and I get a reputation from the patients for being slow.
All of this, I guess, is old news. I've been doing this for going on five years now. The old manager adjusted the schedule so that I can get patients on on-time, but the new one tells me there isn't a budget for that. I've had to reduce my hours due to the pandemic, so it doesn't affect me as much. But they praise me saying that I do everything right and even wanted me to be preceptor.
My only question is... Are all the clinics like this? I'm not talking about that some pcts and nurses don't do what they are supposed to, but that this even becomes institutionalized by management because it helps them make budget. It seems that whenever we get techs or nurses from the float pool or other clinics, they immediately start doing things the old way before the policies were updated.
So my sense has never been that I am doing things the normal way, but that I stick out conspicuously, not just in my clinic, but in the majority of clinics. I have gotten my share of passive aggression from techs and nurses for doing that I'm clearly supposed to do, and am not even allowed not to do.
The issue isn't the difficulty of the job. It is whether I can reasonably do the job on a consistent basis while meeting all of the requirements. It's a matter of whether am I doing all that I signed up for.
I'm having the same difficulty speaking with them. I tell them all of this, and they reply as if I'm just being hard on myself. Clearly we're not communicating.
I will be giving them my notice. I wish them the best of luck. There isn't that vast of difference between PCTs such that one couldn't be reasonably replaced with another.
In the end, it doesn't matter what other people say they can do, or what you are being told that other people do, but what you know what you can do, and what your standard is.
And it is stupid, it really is. I was going to be a preceptor, I knew the job inside out. I worked with integrity. You have to have your own standard, and hold the company you work for accountable.
parolang
37 Posts
The issue isn't the difficulty of the job. It is whether I can reasonably do the job on a consistent basis while meeting all of the requirements. It's a matter of whether am I doing all that I signed up for.
I'm having the same difficulty speaking with them. I tell them all of this, and they reply as if I'm just being hard on myself. Clearly we're not communicating.
I will be giving them my notice. I wish them the best of luck. There isn't that vast of difference between PCTs such that one couldn't be reasonably replaced with another.