Clinic Report
April, 2014
 
 
Well, I finished calling our staff for the volunteer celebration. It was nice calling everyone and checking in with them (when I got a hold of them) and it was nice getting call backs from the ones that received messages and responded. The people that volunteer for our program appear to enjoy that personal approach. So, that is what they got. Unfortunately it also delayed getting my reports and billing out for the end of the month and I hope I will not get too many bills for patients from the imaging reading company.  Oh well there was not much I could do.
 
I participated at the College of Marin Career Day and so far I have a wonderful EMT that is bilingual arrive and had an orientation, and will start working next week. I also saw past triage staff that are now in the nursing program and some are going to come back to our program; thank you Carolyn for taking over during the afternoon shift.
 
I had a Nurse Practitioner orient the other night and then returned and shadowed one of my senior Nurse Practitioners….She is ready to start on the schedule. I have a new doc that will be starting with us next week or so; he has been volunteering at the Concord clinic so we will see how different we are to them.
 
Shayran Forkel was the County’s Vaccine person and she has left so now our representative is Marsha Grant; she came the other day to see our program and our facility and was amazed at what we do. She was also impressed that we use the Cairn’s database to enter the info at the state level; thanks to Maureen Martin RN who does this for us. People at programs constantly change and it is nice meeting new folks and introducing them to RotaCare and what we do. I think Marsha will volunteer with us in the future. She brought us vaccine and we will be getting more since they received funding for the vaccine grant through the county, I need to thank Juan Jimenez for always getting us the condoms that we dispense in each of the doctors’ exam rooms. Joan Willis was at the clinic the other night and she was wondering what to get her 18 year old grandson …I said give him some of these great “ONE” condoms….They use some great packaging for their brand…ONE love, ONE kiss, ONE night stand, ONE….anyway her grandson love it and laughed so hard that his grandma …gave them to him…
 
We also had a review in April by Dr. Mike Ralston and as I shared we had to tighten up our asking of allergies for our specialty clinics, aside from that we have no violations or other areas that need diligence. We will be having a program review in May by our new RotaCare Quality Assurance person, Esperanza, I am looking forward to getting to know her and her skills…..it will  be great.
 
Carolyn also oriented some new nurses and we are fully staffed…I could still use some doctors. We had 17 patients for the April 1 Tuesday clinic ..13 regular patients and 4 vision…So that clinic continues.
 
We had a patient that we identified with cancer…..He had been here for 24 years from Mexico, he has grown children and a wife that he has not seen in a long time. He is 52.
 
He came to us the beginning of the month …and we sent him to the ER that night and also for an ultrasound. We got the results of the ultrasound which was not good….unfortunately his phone was not set up for mail so we finally got a hold of him in the middle of the month. I had Dr. Ernst give him the diagnosis and I am so thankful for my excellent clinicians and Morena who interpreted for him… The doctor felt he needed to be sent to the ER immediately …I drove him, it was a long quiet drive….I told him I would pray for him.
 
Both Morena and I had the same idea of sending him home…some of our staff was ready to pass the hat. I went to the hospital and found a nephew from LA had been contacted and he was there with his wife and children. At least he was not alone…
 
I am amazed at how our collective minds all go into sync mode. All of the sudden an idea happens and we all have the same thought almost immediately….. How do you quantify that ….for reporting purposes of course …
 
Anyway, that was April all the numbers and the reports and billing stuff are finally done…..…
 
I am still working on the tracking of the trans clinic. I will tackle that again this week and I need to order some printing roles of paper for the pharmacy….but I think that is it….
 
Have a good May, see you at the dinner …blanche
 
Clinic Report                                                             Data base
April 2014                                                                  total encounters                   170
                                                                                    New patients                         54
Sutter Labs                            31                                returning                                117
Quest Labs                            3                                 
Marin General                                                          Primary care                          173
            Images                       8                                 
            ERdept                       2                                  Derm                                      11
Kaiser Images                       5                                  Psyc                                       5
Public Health                        2                                  Vision                                     4
Dental Clinic                         4                                  Trans                                      10
Calif Vision                           5                                  Healthy Living                      8
MCC                                       4                                  Diabetic ed                            4
Ritter Health                          0                                  Dietician                                6
LIFT/ LEVANTE                    6