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    What the clinic handbook doesn’t cover

    Practice also needs to be prepared for unexpected employee ‘rules of survival’ that present


    2.             “I coach soccer for the high school every fall. I wasn’t sure if they were going to accept my contract again this year, so I never mentioned it. I need to be out at 3:30 every afternoon from September until October 31. It’s very important to me.”

    This was a technician we hired in early summer who became a worker bee in the general clinics. She was very attuned to detail, and her skills were top notch.

    Because she was such a hard worker and great with patients, her fellow technicians did not grumble too much in the beginning when she was leaving to attend practice.

    OD-performed surgery unacceptable, dangerous

    One thing she never discussed—and we didn’t think to ask—was: Practice was one thing, but how many games were you planning on playing and when did you need to leave for those? Her team did great and made it to state finals, then regionals. The season went through November.

    At the end of the season, she advised me they had hired her to be a teacher in the district and she would be going back to teaching and coaching her team. She gave a 1-week notice.


    3.             “I didn’t think you meant every day—I am not a morning person.”

    Jane applied for a position at the hospital for a surgical/general clinic technician. She arrived at the interview very confident of her skills, and very adamant that she was the person I was looking for. Her background for the operating room was very good, and her recommendations regarding her general skills were solid. She made it very clear that she wanted, and needed, a full-time position, and that if I hired her, I would not be sorry for my decision.

    I hired her shortly thereafter and she quickly dug into life as a general technician.

    After a short period of getting acclimated to the clinic, she was placed in her first rotation in the operating room. The technician rules kicked in on day 3.

    There were four cases that day. The physician returned to clinic promptly after his surgeries. Having been in the operating room during the early part of my career, I remembered there was breakdown and clean up to be done, so I waited patiently. Still, no Jane.

    Worst places to practice for 2015

    I called the supervisor and asked where Jane was. She stated she had left an hour and half ago.

    I checked with everyone, and after 2 hours, called her home. With a sleepy voice she answered, “Hello.”

    “Hi, Jane, this is Diane—What are you doing home?”

    “Sleeping,” she responded.

    Next: "Fire me if you don't like me—please"

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