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Sorry for the late reply… I’ve been busy with… you guessed it- work.
After the clinical coordinator (CC) was sacked, it was looking bad- he did a lot of the administrative stuff, such as writing the court docs necessary to enforce the court ordered treatment plans. He should have been making people do this stuff for their own caseload and making sure it was done.
People got lazy. Now the upper management have been sitting in on daily meetings and specifically holding the CM’s responsible for their stuff and people seemed to magically remember how to do their jobs.
That makes things easier for me. I can concentrate on overseeing the medical care and appointments and not being responsible for all of them. I am still busy but have a better handle on things.
I have also started holding people (like the program assistant) accountable for getting the right people into my office when they need to be, and not when it is convenient for the CM’s. It is looking better. Amazing how things get done when you CC the grand poobah on emails.
As far as accommodations, it is not a good idea to request them in my field. At least not the ones that require that extra personnel be hired or existing ones inconvenienced. I think that making people do their jobs and not leaving me to cover everybody will be enough. I’m going to give it a chance anyway.
I did request an accommodation at one job and it helped a lot. It was just a matter of posting a sign on the med room window that told the patients to leave me alone while I poured meds and ask the other nurse for help if they had an emergency. I also got to wear earbuds while I prepped the meds for the bedtime med pass. It ended up helping everybody. Distactions were a big issue for all staff and it reduced them.