1. 1 of the 3 is owned by the company.
2. The contract doesn't specifically identify the day program. I am a member of the interdisciplinary team according to the contract.
3. I make the doctor appointments, attend monthly meetings for ongoing staff training, attend annual and semi annual meetings, refer clients to be seen by the doctor, assess ongoing issues that arise, make updates to all medication prescribed, keep in contact with all physicians and coordinate all 60-Day Order Updates with signatures, make all monthly medication record sheets, toileting records, seizure records, care plans, and monthly reports that includes weight and vital signs. I also submit re-authorizations for long term care placements requiring physician signature and Client Program Coordinator signature thru the Regional Center. The program usually calls and informs me of a red mark on someone or a scratch. One time someone needed to be transported home due to screaming and seeming to be uncomfortable. I'm not involved on a daily basis there at the facility, I think the first line of contact should be the manager or the house staff to see if something occurred and if so what was done. Then the home usually contact me to let me know what transpired and see if any recommendations are needed. This is effective because they know what happened, when it happened and what they immediately did to resolve the issue for example, put ice on the bump, cleaned the area and applied Band-Aid, elevated the feet, tried to console, etc. etc.
4. The contract doesn't say who I report to but I usually discuss issues with the Administrator, he has the authority. My contract has not been signed by anyone, just me. I'm still new just started in June 2013, and observing the direction of things it seems as the programs are being more demanding as time goes on. I plan to have another job in the near future and need to set some parameters. I have visited all of the programs and I have done training at one and gave informational info to another. The problem is minor daily issues that the Manager or the Lead staff can easily resolve, as they oversee the daily operations.
5. My contract hours are to oversee the medical area of the clients lives and ongoing inservice training at the facility for the staff. Regular update appointments, tests or evaluations needs based on age of client, dental, vision, hearing, colonoscopy, mammograms, etc..etc.. provide medication documentation sheets monthly, monthly toileting, weekly ID notes, call to schedule unexpected medical appointments. Make and maintain individual care plans. Make sure all medications even OTC have been prescribed (otherwise we are unable to administer) and are not expired. Train staff to administer medications. Do paperwork that ensures the company receives payment for services for long term care.
6. Yes, because it either requires 3 additional phone calls or a visit. When I can't get thru to the facility for example to find out if they are aware of the situation it's time consuming to keep calling back to get thru and then follow up with the program and then call back with the facility to settle the matter. When the program could have just communicated with the facility.