Guest guest Posted October 15, 2003 Report Share Posted October 15, 2003 On Wed, 15 Oct 2003 15:54:49 -0000, mitchandcindy wrote: >Here is my request. I am giving myself til Friday Oct 24 to get my >labs drawn - then Mama Jo and anyone else who likes to kick butt - >have at me! Lee, I have my 6-month follow-up in a couple weeks. You don't have your labs done by then, I'll stop by and introduce you to my Size 9 5E steel toed boots on my way through to Delano. (I'd do it sooner but we'll be back in the mid-West for the next couple weeks.) Enough incentive for you? LOL Jerry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2003 Report Share Posted October 15, 2003 > Lee, > > I have my 6-month follow-up in a couple weeks. You don't have your labs > done by then, I'll stop by and introduce you to my Size 9 5E steel toed > boots on my way through to Delano. (I'd do it sooner but we'll be back in > the mid-West for the next couple weeks.) Enough incentive for you? LOL > > Jerry ~~~~~~~~~~~~~~~ Jerry, She lives in Texas...lol just stop by her house and do the butt kicking...lol God bless Pat Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 16, 2003 Report Share Posted October 16, 2003 On Thu, 16 Oct 2003 05:47:56 -0000, patricia {pat} wrote: >Jerry, >She lives in Texas...lol just stop by her house and do the >butt kicking...lol >God bless >Pat Pat, This would be a good reason for me to get the last two flights in that I need for a free trip on Southwest. We get Lee to have her labs done and I get a free flight out of it. ;-)) Jerry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 16, 2003 Report Share Posted October 16, 2003 Jerry... if you all get as far as Lee's house, I'm only another hour and a half via Southwest. Love to see you all. Betsy Re: Re: accountability On Thu, 16 Oct 2003 05:47:56 -0000, patricia {pat} wrote: >Jerry, >She lives in Texas...lol just stop by her house and do the >butt kicking...lol >God bless >Pat Pat, This would be a good reason for me to get the last two flights in that I need for a free trip on Southwest. We get Lee to have her labs done and I get a free flight out of it. ;-)) Jerry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 17, 2003 Report Share Posted October 17, 2003 My brain is foggy from this blasted cold so I'm going to kick your tiny little hiney right now rather than later because I'll probably forget. You HAVE to get your labs done!! This is a matter of LIFE AND DEATH!!! This is nothing to screw around with! It takes no more than 5 minutes to have your blood drawn and when I had mine done a month ago, it was painless. You could DIE if you have a deficiency and don't catch it in time! Please, Lee, do NOT mess around with this! Get your labs done, sweetie! Yesterday!!! Big hug (with a stern wagging finger!) Tracey > I need a little help from my friends. > > > hugs, cindy lee Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2004 Report Share Posted August 24, 2004 Uh... I think it's useless to post my menu for today. But I'll post tomorrow's. Ugh. Look what I got myself into! : )~ " Life is not a journey to the grave with the intention of arriving safely in a pretty and well preserved body, but rather to skid in sideways, thoroughly used up, totally worn out, and loudly proclaiming 'Wow - what a Ride!' " ~~ Sage (entrepreneur and speaker) Re: Accountability (was: Chill out part 2) > I hate to say it... but I think maybe we need to start posting our nutrition > plans online for accountability. I've heard Maggie say it works well for > her... It works wonders for me, especially when I'm not 100% into the program mentally! Here's today's menu for me...and I'll fess up that I don't have veggies on my plate today but promise to eat them tomorrow I am going shopping after work. Turkey, mashed potatoes Turkey, apple CC, 1/2 serving yogurt, 1/2 serving blackberries CC, 1/2 serving yogurt, 1/2 serving blackberries Bar (BOO HISS...should have planned better but I have pt and spaced it!) Turkey, 1/2 serving corn, 1/2 serving beans Oh and I'm cooking chicken tomorrow before I turn into a turkey! Colleen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2004 Report Share Posted August 24, 2004 Mine today was: Meal 1: 1/2 cup oatmeal, 4 egg whites and 1 whole egg Meal 2: Veggie Burger on WW Pita with FF Cheese Meal 3: EAS Low Carb MRB and 1/2 side salad from Chick-Fil-A Meal 4: CC Shake (1/2 cup lowfat CC, 1/2 cup FF Yogurt, 1/2 cup Pink Lemonade Crystal Light, 1/4 cup Mixed Berries) Meal 5: Will be 3 oz chicken on a WW Tortilla with FF Cheese and FF Ranch Dressing and the rest of the side salad Meal 6: Will be 1/2 cup oatmeal with 1 serving of tofu and 2 oz of turkey Re: Accountability (was: Chill out part 2) > I hate to say it... but I think maybe we need to start posting our nutrition > plans online for accountability. I've heard Maggie say it works well for > her... It works wonders for me, especially when I'm not 100% into the program mentally! Here's today's menu for me...and I'll fess up that I don't have veggies on my plate today but promise to eat them tomorrow I am going shopping after work. Turkey, mashed potatoes Turkey, apple CC, 1/2 serving yogurt, 1/2 serving blackberries CC, 1/2 serving yogurt, 1/2 serving blackberries Bar (BOO HISS...should have planned better but I have pt and spaced it!) Turkey, 1/2 serving corn, 1/2 serving beans Oh and I'm cooking chicken tomorrow before I turn into a turkey! Colleen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2004 Report Share Posted August 24, 2004 Here are my eats for the day: Nutrition: 1: Chocolate banana shake 2: CC pancakes and veggies 3: Chocolate banana shake 4: Oatmeal tuna snack with apple 5: 3x1 veggie omelette 6: Chocolate strawberry/apple protein cupcakes (Sara Lake's Choco Cake recipe) Supplements: Multivitamin, Calcium 500+D, ~2 T. safflower oil (in shakes and used in cooking meal 5) Calories eaten and deficit for yesterday = 1502 / -346 (target -437) Maggie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 25, 2004 Report Share Posted August 25, 2004 Today's Food 1/2 cup oatmeal, 1 whole egg and 4 egg whites Veggie Burger with FF Cheese and Apple MRB Lean Cuisine Four Cheese Chicken with veggies 3 oz chicken on WW Fajita with Salsa and Spinach Leaves 1/2 cup oatmeal, 1 serving tofu and 2 oz deli turkey Good Points: Stayed on track, did HIIT first thing in the morning and bought Oreos for my husband and didn't eat any. () Bad Points: Should have had something besides a MRB and not enough water. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 25, 2004 Report Share Posted August 25, 2004 Here's my food today. meal one (post work-out) One Way Bar meal 2 salad my mom made w/ tuna fish, lettuce tomatoes, feta cheese and some grapes. I am not even sure what kind of dressing she used. (I am usually stricer with my meals but was at parents and this was better than the Burger King meal my kids were eating) meal 3 slice of Brownberry Carb Control bread and small can of tuna meal 4 4 or 5 oz of chicken breast, 1/2 cup oatmeal and brocolli Meal 5 1/2 cup oatmeal and ff cottage cheese have not had meal 6 - If I have anything will be protein shake w/ milk Exercising: did HIIT on Eliptical and some leg and ab exercises. work-out cut short because I had to take son to restroom a couple times. I just found out this week that my gym is closing sept 15. I am pretty bummed about it. Luckily I just went back to graduate school and will be able to use the gym at my school. I will not be able to bring my kids, so it will take more work to arrange my work-outs around my husband's schedule. I am more sad about the fact that I will miss the friends I have made at my gym. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 25, 2004 Report Share Posted August 25, 2004 I know I'm the one who suggested it, but... I think I'll get back to the accountability next week. I just got my Betagen & Thremodynamix from Vitaglo (glad that package came!) but I think I'll wait 'til I take my 4 week photos to start taking it again. Not sure if there will be any difference, since I haven't been eating clean, but... You guys are doing great with this thread! : ) " Life is not a journey to the grave with the intention of arriving safely in a pretty and well preserved body, but rather to skid in sideways, thoroughly used up, totally worn out, and loudly proclaiming 'Wow - what a Ride!' " ~~ Sage (entrepreneur and speaker) Re: Accountability Today's Food 1/2 cup oatmeal, 1 whole egg and 4 egg whites Veggie Burger with FF Cheese and Apple MRB Lean Cuisine Four Cheese Chicken with veggies 3 oz chicken on WW Fajita with Salsa and Spinach Leaves 1/2 cup oatmeal, 1 serving tofu and 2 oz deli turkey Good Points: Stayed on track, did HIIT first thing in the morning and bought Oreos for my husband and didn't eat any. () Bad Points: Should have had something besides a MRB and not enough water. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 26, 2004 Report Share Posted August 26, 2004 Hi , Good call on staying on plan for the rest of the day despite this morning's set backs. Here's a portion of a message I posted to another board in response to a member's " I'm unmotivated because I'm afraid to fail " excuse for scrapping the entire week after one unauthorized nacho snack on Monday: " One final observation that it took me years to figure out: Despite what we all thought when we were growing up, none of us is the center of the universe! If you " fail, " the world won't end, and guess what else? No one else really cares! Yes, it's true. (It's because the rest of the world believes that THEY are the center of the universe, too.) So have those nachos if you really can't stop yourself, but don't use it as an excuse to quit. The Body For Life Nacho Police aren't going to swoop down and slap a " Failure " sticker on your packet. Only you can do that by quitting. " Maggie the Ex-Perfectionist Accountability What I'm fighting right now is my perfectionist tendency, that part of me that wants to say OK YOU SCREWED UP THE *ENTIRE* DAY, YOU ARE A LOSER AND YOU ARE DOOMED TO BE FAT. Don't mean to yell, but it's yelling in my head if you know what I mean. Redondo Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 26, 2004 Report Share Posted August 26, 2004 Oh Maggie! I laughed at the idea of the BFL Police. Do you know, I think on some level I really expect that to happen??? Silly, huh? Thanks for the perspective. Redondo > & quot;One final observation that it took me years to figure out: & nbsp; > Despite what we all thought when we were growing up, none of us is the > center of the universe! & nbsp; If you & quot;fail, & quot; the world won't > end, and guess what else? & nbsp; No one else really cares! & nbsp; Yes, > it's true. & nbsp; (It's because the rest of the world believes that THEY > are the center of the universe, too.) & nbsp; So have those > nachos if you really can't stop yourself, but don't use it as an > excuse to quit. & nbsp; The Body For Life Nacho Police aren't going to > swoop down and slap a & quot;Failure & quot; sticker on your packet. & nbsp; > Only you can do that by quitting. & quot; > > Maggie the Ex-Perfectionist Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 26, 2004 Report Share Posted August 26, 2004 >> OK, . It is 10:27 AM. The *entire* day is not ruined. I remember someone on this list once said you are never more than two hours away from being back on track. I will not be able to fit in a workout today, but I can eat right the rest of the day, I can get in my water, and I can be nice to myself. > YES YES YES! My ex used to tell me/ask me all the time, if you had one flat tire would you slash the other four?? I know, easier said than done. I have a hard time fighting that fight also but I think posting like you did really helps! Colleen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 26, 2004 Report Share Posted August 26, 2004 Wow. Talk about putting things in perspective! ;-) It's funny (to me anyway). I am not a stupid person, but I persist in holding on to these attitudes that really are stupid! Of course you wouldn't slash all your tires! You'd fix what was wrong and move on. Why is it so difficult to apply that same reasoning to the rest of our lives? Redondo > YES YES YES! My ex used to tell me/ask me all the time, if you had one > flat tire would you slash the other four?? & nbsp; I know, easier said > than done. I have a hard time fighting that fight also but I think > posting like you did really helps! > > Colleen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 26, 2004 Report Share Posted August 26, 2004 It is because we can't get over that we had a flat tire in the first place and then we mentally use it as a scape goat for what we really to do, eat bad. Instead of bringing the tire to the junk yard and focusing on our shiny new tire, the new me... just my 2 cents Stacey > Wow. Talk about putting things in perspective! ;-) It's funny (to me > anyway). I am not a stupid person, but I persist in holding on to these > attitudes that really are stupid! Of course you wouldn't slash all your > tires! You'd fix what was wrong and move on. Why is it so difficult to > apply that same reasoning to the rest of our lives? > > Redondo Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 27, 2004 Report Share Posted August 27, 2004 Yesterday was not that good in the evening: 1/2 cup oatmeal, 4 egg white and 1 whole egg Veggie burger, ff cheese and 1 apple Dexatrim All In One MRB CC and Kashi Mix (posted recipe earlier) Chicken Fajita and 1/2 bowl of Fat Free Jell-O Pudding (OOPPS!) The other half of the Fat Free Jell-O Pudding (Double OOPPS!) Good Points: Still didn't eat the Oreo's. Bad Points: Ate a whole box of FF Jell-O Pudding. I really had good intentions and made it for my daughter. At least it was ff milk and I did get some protein from it. Missed my cardio because I had two many conflicts during the day. First missed workout since I started 4 weeks ago. I did it this morning though and am caught up now. ) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 27, 2004 Report Share Posted August 27, 2004 I think part of what happens to me when I get off track is that I have no clue how much what I've eaten will impact my daily total. (Since I utterly refuse to count calories...) So once I have a slice of pizza or a donut... I give up on eating clean for the whole day. I know that's stupid... " Life is not a journey to the grave with the intention of arriving safely in a pretty and well preserved body, but rather to skid in sideways, thoroughly used up, totally worn out, and loudly proclaiming 'Wow - what a Ride!' " ~~ Sage (entrepreneur and speaker) Accountability Well, after my splendid start yesterday, I ran right into my brick wall today. Even though I went to bed on time yesterday, I could NOT get out of bed this morning. Got into work late. I've had one meal - whole wheat toast with breakfast patties plus one string cheese. I did not pack up the tower of food. What I'm fighting right now is my perfectionist tendency, that part of me that wants to say OK YOU SCREWED UP THE *ENTIRE* DAY, YOU ARE A LOSER AND YOU ARE DOOMED TO BE FAT. Don't mean to yell, but it's yelling in my head if you know what I mean. OK, . It is 10:27 AM. The *entire* day is not ruined. I remember someone on this list once said you are never more than two hours away from being back on track. I will not be able to fit in a workout today, but I can eat right the rest of the day, I can get in my water, and I can be nice to myself. I know that was sort of stream of consciousness rambling, but it makes me accountable to myself if I tell y'all my plans. Redondo Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 27, 2004 Report Share Posted August 27, 2004 For future reference: Slice of pizza = 250-400 calories, mostly carb and fat depending on what kind you have Glazed regular doughnut ~ 200 calories, again mostly carbs and fat Cake doughnuts ~ 250+ calories So if you have slice of pizza, you can pretty much count that as sucking up the calories that should have gone to TWO BFL meals. A doughnut...maybe just one. I find it best just to have a variety of authorized foods on hand that are taste substitutes for the bad foods I normally crave, including those microwave muffins (good doughnut substitute), BFL chocolate mousse, and frozen BFL chicken pita pizzas. That way I KNOW each one is 200-275 calories and balanced. And if I MUST have some M & Ms, I make sure I just grab a set number like 5 of them, and once they finished, I don't have any more. I can't let myself just grab one or two every time I pass the candy dish or it's all over. Maggie RE: Accountability I think part of what happens to me when I get off track is that I have no clue how much what I've eaten will impact my daily total. (Since I utterly refuse to count calories...) So once I have a slice of pizza or a donut... I give up on eating clean for the whole day. I know that's stupid... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 27, 2004 Report Share Posted August 27, 2004 > I think part of what happens to me when I get off track is that I have no > clue how much what I've eaten will impact my daily total. (Since I utterly > refuse to count calories...) > > So once I have a slice of pizza or a donut... I give up on eating clean for > the whole day. I know that's stupid... > Hi lydia, Don't beat yourself up. Cut yourself some slack, but a little bfl is better than none! I'm hearing you that you don't want to count calories, but I was curious.... I've been known to stop by krispy kreme on a free day ..... So I wanted to know just how bad they are. after checking out their nutritional info, - of course they are just pure crap, but at least, I know just how bad they are and realized that if I just kept it to one " original glazed " its much better than some of those creme filled ones, (and a TON better than having say THREE......) plus then I realized I should maybe have that glass of milk with it for the proteins sake! (bad jojo!) original glazed: 200 calories, 100 cal from fat, 12g fat, 3g sat fat, 5mg cholesterol 22 carbs, 2g protein------ that's a lot of carbs and calories for one measly doughnut. but oh so delectable. and if it makes me feel like I'm not missing out on the joys of being alive, its definately worth it. A typical BFL meal for me ends up being between 250-350 calories, (without counting.......) I guess the point is, one doughnut isn't as bad as more than one donut! and knowledge is power! That being said, bad carbs make me crave more bad carbs. So if I start my day with krispy kreme its pretty much downhill from there for me as well. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 28, 2004 Report Share Posted August 28, 2004 Reply at bottom: Re: Accountability > I think part of what happens to me when I get off track is that I have no > clue how much what I've eaten will impact my daily total. (Since I utterly > refuse to count calories...) > > So once I have a slice of pizza or a donut... I give up on eating clean for > the whole day. I know that's stupid... > Hi lydia, Don't beat yourself up. Cut yourself some slack, but a little bfl is better than none! I'm hearing you that you don't want to count calories, but I was curious.... I've been known to stop by krispy kreme on a free day ..... So I wanted to know just how bad they are. after checking out their nutritional info, - of course they are just pure crap, but at least, I know just how bad they are and realized that if I just kept it to one " original glazed " its much better than some of those creme filled ones, (and a TON better than having say THREE......) plus then I realized I should maybe have that glass of milk with it for the proteins sake! (bad jojo!) original glazed: 200 calories, 100 cal from fat, 12g fat, 3g sat fat, 5mg cholesterol 22 carbs, 2g protein------ that's a lot of carbs and calories for one measly doughnut. but oh so delectable. and if it makes me feel like I'm not missing out on the joys of being alive, its definately worth it. A typical BFL meal for me ends up being between 250-350 calories, (without counting.......) I guess the point is, one doughnut isn't as bad as more than one donut! and knowledge is power! That being said, bad carbs make me crave more bad carbs. So if I start my day with krispy kreme its pretty much downhill from there for me as well. Thanks, Jodi! I DID eat clean for my first two meals today... then it was Coca Cola, Oreos, a slice of pizza, a Stouffer's, and more Coca Cola. At least I had a kickass w/o this morning! ; ) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 18, 2005 Report Share Posted September 18, 2005 I start tomorrow morning. Good luck with your journey. -- Accountability My next challenge starts today. Today I weighed in at 201. My goal is 180, a 21 pound weight loss, sort of, I'm up a little from relaxing for four days after the last challenge, but it's probably nonsense weight that'll be off by Tuesday. I really didn't get off the program too much, I just didn't go to the gym yesterday and had a big steak last night. I'm hoping to start benching again tomorrow, it's been five weeks since my shoulder injury and I have followed the Doc's orders to a T. I have taken 55 pounds off of my target bench for the first 4 week cycle so I hope to come back strong. My next competition is the first weekend in December, and I have to behave through 5 days in Maui in November, but I'm focused and ready to go. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 19, 2005 Report Share Posted September 19, 2005 Yeah, I'm starting my second one. I didn't do too great with the first one, but I hung in there and finished. I WILL do better with this one! -- Accountability My next challenge starts today. Today I weighed in at 201. My goal is 180, a 21 pound weight loss, sort of, I'm up a little from relaxing for four days after the last challenge, but it's probably nonsense weight that'll be off by Tuesday. I really didn't get off the program too much, I just didn't go to the gym yesterday and had a big steak last night. I'm hoping to start benching again tomorrow, it's been five weeks since my shoulder injury and I have followed the Doc's orders to a T. I have taken 55 pounds off of my target bench for the first 4 week cycle so I hope to come back strong. My next competition is the first weekend in December, and I have to behave through 5 days in Maui in November, but I'm focused and ready to go. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2006 Report Share Posted February 5, 2006 From Lund-Lack I totally agree with you Margeret. As far as using non-NMC registerd staff we have a quality standard that addresses this issue. The strategy is that they work within agreed competencies (A4C will also support this) and that they have adequate training, supervision and personal development opportunities. We give clients a leaflet about the health visiting team and what the role of nursery nurses is. This makes clients aware that they may recieve services from non-registered nurses but that does not mean that they get any less of a service, actually they get added value. They are also aware that these members of staff work under supervision and that the named health visitors delegate the work to them. Locally we feel that it is important that delegation is as a result of initial assessment work by a registered nurse or health visitor therefore antenatal and transfer in visits are not the responsibility of non-registered staff. Some nursery nurses run Baby Clinics but this depends on the level of their experience, training and the client group. Clients know that the nursery nurses will defer to the HV if necessary. Most nursery nurses are more than competent to know when something needs referring for more specialist advice, it's not rocket science. Parents do it all the time without any training. accountability Dear all I was quite concerned about the implied implications of the discussions earlier in the week around accountability - as some people reading the discussion might think that a qualified HV or SN holding a caseload was ultimately accountable for everything that happened to any clients on that caseload whether she had had contact with them, knew them or not. Obviously this is not true - a HV/SN can only be held accountable for work she does and this might include inappropriate delegation to a team member or failing to follow the agreed programme of visiting and not raising it as an issue if she does not have the time to do so - she cannot be accountable for missing something on a family she has not seen if the policy is to only do so many visits or to delegate work to others in the team. The issue is the competency and of course the education and training of the team member the work is delegated to. If that person is a registered nurse then he/she has their own accountability and to only do things they feel they are competent to do. IF the team member is a nursery nurse or an HCA and the trust policy is for them to do the work as a delegate task then they as an employee and the Trust has the accountability as does the manager of the service. Lamming in his report on Climbie was very clear about managerial accountability - and it is well worth a revisit. I feel very strongly that accountability today within a multi agency and multi professional agenda is a much wider issue than the NMC imply in the code of conduct and I think requires much wider debate. Margaret No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 267.15.2/251 - Release Date: 04/02/2006 No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 267.15.2/251 - Release Date: 04/02/2006 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 5, 2006 Report Share Posted February 5, 2006 From Lund-Lack I totally agree with you Margeret. As far as using non-NMC registerd staff we have a quality standard that addresses this issue. The strategy is that they work within agreed competencies (A4C will also support this) and that they have adequate training, supervision and personal development opportunities. We give clients a leaflet about the health visiting team and what the role of nursery nurses is. This makes clients aware that they may recieve services from non-registered nurses but that does not mean that they get any less of a service, actually they get added value. They are also aware that these members of staff work under supervision and that the named health visitors delegate the work to them. Locally we feel that it is important that delegation is as a result of initial assessment work by a registered nurse or health visitor therefore antenatal and transfer in visits are not the responsibility of non-registered staff. Some nursery nurses run Baby Clinics but this depends on the level of their experience, training and the client group. Clients know that the nursery nurses will defer to the HV if necessary. Most nursery nurses are more than competent to know when something needs referring for more specialist advice, it's not rocket science. Parents do it all the time without any training. accountability Dear all I was quite concerned about the implied implications of the discussions earlier in the week around accountability - as some people reading the discussion might think that a qualified HV or SN holding a caseload was ultimately accountable for everything that happened to any clients on that caseload whether she had had contact with them, knew them or not. Obviously this is not true - a HV/SN can only be held accountable for work she does and this might include inappropriate delegation to a team member or failing to follow the agreed programme of visiting and not raising it as an issue if she does not have the time to do so - she cannot be accountable for missing something on a family she has not seen if the policy is to only do so many visits or to delegate work to others in the team. The issue is the competency and of course the education and training of the team member the work is delegated to. If that person is a registered nurse then he/she has their own accountability and to only do things they feel they are competent to do. IF the team member is a nursery nurse or an HCA and the trust policy is for them to do the work as a delegate task then they as an employee and the Trust has the accountability as does the manager of the service. Lamming in his report on Climbie was very clear about managerial accountability - and it is well worth a revisit. I feel very strongly that accountability today within a multi agency and multi professional agenda is a much wider issue than the NMC imply in the code of conduct and I think requires much wider debate. Margaret No virus found in this incoming message.Checked by AVG Free Edition.Version: 7.1.375 / Virus Database: 267.15.2/251 - Release Date: 04/02/2006 No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.375 / Virus Database: 267.15.2/251 - Release Date: 04/02/2006 Quote Link to comment Share on other sites More sharing options...
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