I have accepted a transfer to a new position with my employer. Beginning next month I start a whole new training period that will prepare me for a position that for once melds all of my professional background and experience. I’ve been a nurse for 27 years now. The last 16 years in management; 7 as a critical care educator, 8 as a Quality & Risk Management Director and this past year in a venue that puts me on the regulatory monitoring side. Well starting next month I will be in a job that will have me training healthcare facilities about the regulations, how to be in compliance with them and what to expect from regulatory investigators.
Much further but more condensed travel will be involved, but the schedule will eventually be mine to set up in advance and I will almost always travel distances for stays that will let me bring my kitties with me and use my own car rather than come and go 55 miles each way every day or fly and lose money on taxis and hotel room service. I already have four whole weeks set up for different stretches of 4 - 7 days through mid November and for all I have to drive get paid mileage and meals (I’ve picked hotels with kitchens to stretch my food dollar all the way.)
I know the curriculum, have some great first hand experiences to give it life and I’ll get out of my shell, back to some extroversion and back to the fun I had teaching. I know my personality is iNFj (weakly expressed introvert, strongly expressed intuitive and feeler and moderately expressed judger. My judger aspect actually lost ground a bit this year and last round of testing put it to almost neutral. Supposedly that makes me a good negotiator/mediator since the two traits that affect my approach to diversity and discord are close to neutral meaning I identify easily with both sides and can interpret one for the other and vice versa. Actually when it comes to the job I have now I have been criticized/teased for being too much of a middle ground person - aka - too soft and empathetic. I prefer to think of my understanding of the challenges faced by healthcare agencies as pragmatic and realistic and the regulations and standards as reasonable, but idealistic when it comes to implementation and enforcement. Too many rules conflict with each other and were written by legislators and paper professional who have no practical experience on the front lines where the real paper/rubber meets the real road and truly affects the lives of healthcare consumers.
Introverts need quiet time to recharge. What better way to compensate for the extroversion of presenting complex and sometimes contentious information to diverse groups than to have built in travel days on either end of what amounts to a three day training week? Yeah sometimes I’ll have to travel on Sunday and come back the next Saturday but that won’t be the rule. My strength for the job is that I like and possess expertise in some unpopular subject matter. I’m told that will take me hither and yon because other trainers would prefer not to tackle it.
Goals are great, implementing them in the land where no man has gone before and finding best practices is by no means an easy task and trust me, those agencies who stumble on strategies that actually work DO NOT share (unless surreptitiously offered bragging rights) with their competition. So, I’m really looking forward to being able to be a middle gal… someone who can suggest multiple approaches that I have seen work to whole audiences without disclosing trade secrets or daring to tell anyone how I think they should do it… “Here are some approaches that I’ve seen work, you pick one that fits your world, culture and staff.” Or even put the question out to a room full of folks and ask them “how they’re approaching a difficult requirement and what strategies have they found helpful/useful/successful?” I’m so looking forward to it, though I have no illusions. I’ve presented training to diverse groups before and found the diversity so contentious I lost control and the day devolved to a dismal loss. It didn’t happen often, at least not in my meeting/classroom experience, maybe five times in 17 years - four were physician committee meetings where I was the (kevlar required) messenger of bad news or unpopular regulatory requirements, and once was when I tried to present the most popular course I developed and taught (a blood gas interpretation workshop) to neonatal ICU nurses instead of adult/pedi ICU and student nurses … hey I was pressured to do it against my better judgement … hey I do adults … hey I used info from neonatal ICU text books … hey I had no idea that the Neonatologists in the area didn’t know or follow the text books… arrrrgggh! One nurse went on the attack after 30 minutes and I never did regain respect or control over the classroom atmosphere even though I reminded them from minute one that I was not a practitioner in their world and never claimed to be. Under duress, I put together the continuing education course for them and could not find anyone other than one MD to present the case studies… I got stuck with the pathophysiology of the numbers the physiology of how the body reacts to abnormal… accurate as my information was, it didn’t correspond to the existing practice norms or the nurses’ understanding and my experience did not prepare me to anticipate or adapt the the radical divergence from published, endorsed and accepted practice. I learned a hard lesson… when you’re the messenger only, never take any personal stance on or ownership of your message - this is what the evidence recommends, it may not be something workable where you are - you may well have to take what does work for you now and tweak the new requirements to fit your world…
Well that’s it for me these days. One good thing, is that having to empty the back of my car to accommodate travel with kitties and hauling training materials will force me to get my 5 month old ‘new’ printer/scanner inside this house where it’s likely I will actually get around to scanning some of my new artwork for y’all. No promises for the short term. I’ve broken too many already right George….
Not much new on the spanking front. A bit more self service, some e-mails with potential new friends. Slow and careful …
hope y’all are well.
:) patty