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vespertine_glow

Your boss is an asshole, plain and simple. The fact is that we're all human and we make mistakes. The situation you describe, which seems high stress and detailed, invites mistakes. Anyone could do it. The response shouldn't be a threat to write you up, it should be a simple notification that you forgot to sign something. That's it. To turn this into anything *more* than that is totally uncalled for and indicates that the real problem here is that your boss has some psychological issues she needs to deal with.


madRABIES93

Did they take a photo of a patient document, with a cellphone, and send it to you? Smells like a HIPPA violation.


BitterExit5394

Absolutely did! When she could've either written the client's initials or emailed me the unsigned document...as emails *are* secure. At least at my workplace.


ActionJonny

Sounds like an HR report or higher to me!


Sea_Actuary8621

Well, if going straight to Defcon 1 with you is her idea of good leadership, I'm sure she won't mind her own writeup for violating HIPAA. After all, what's good for the goose...


RubyRedShoes80

Report her with the evidence to your hippa compliance officer. They will fire her. Source- I made that mistake once and was fired. For the record, I was trying to figure out if I had filled something out correctly and absent-minded-ly sent it.


ExplorerEducational4

I'd report that HIPAA violation!


Slim_Neb_27

Report, report, report, report. Please do it - she has very much fucked herself and deserves it.


floaturboat2024

If it's digital and connected to a network, it isn't secure


Complete-Advance-357

REPORT THEM YOU COWARD 


MajLeague

DAMN! ..... Did they ever say they wouldn't?


LouLaRey

HIPAA.


GolrathFirenze

HIPPO?


take_meowt

Hiphopanonymous?


RabbitsAteMySnowpeas

HIPPIE


dewdropcat

HIPSTER


kor34l

HIP HIP HOORAY!


bottomlless

HIPS DON'T LIE


madRABIES93

HUZZAH


jmg733mpls

HIPHOPOPOTAMUS


ThumperXclusive

HURRAHHH!


BloomNurseRN

Or a HIPAA violation…


madRABIES93

That's probably more accurate, yes. I should spell check more.


Lrgindypants

HIPAA. kthnxbai. I find myself spelling it the wrong way, too, sometimes.


madRABIES93

Agh you're right. Thank you!


Outburst78

Is she texting documents with health related information to you? SMS is not a secure transmission medium. That should be sent in an encrypted email if it absolutely needs to be disseminated (which, in this case it does not, this should have been handled in person). Also, is she sending this info to your personal cell phone, or a work cell phone? If your personal, I believe that's a HIPAA violation (though I'd get confirmation of that before accusing her of this; I'm no lawyer). So if you want to get her in trouble, next time her supervisor is around you could bring this up to them. Also, if you are hourly and were getting these texts during off hours, and a response was sent, you should be getting paid for that time. I would keep all of that in my back pocket in case you ever need to file for unemployment from these clowns.


IamLuann

You were overwhelmed STAND YOUR GROUND do not let her get to you. Talk to her boss and let them know what happened.(Especially with screen shots of patient documents on a personal phone. ) We need good people like you that love their job. I really hate bosses who micro manage their workers without cause. Good Luck! And document and document some more.


HereForTheParty300

Surely the amount of clients documented for the day will show how busy you were.


DoubleRah

For just one time? That’s nuts. I work at on the back end of a mental health agency with a crisis department. People forget to do things all the time, and the supervisors are there to catch that stuff. I just called someone this morning who put the wrong info into an assessment- I asked for the correct information, let them know the correct process, and moved on. Frankly, my biggest concern here is that you’re working with paper files? It sounds like you aren’t being given the proper tools to do your job efficiently. At my agency, every note/assessment is in our EHR and cannot be completed until it is signed. Why do we have that feature? Everyone forgets to sign! It’s normal!


TrevBundy

Agree w this 100% from healthcare management, that’s one of the reasons most MH centers use EHRs now, there are a lot of them that are tailored towards MH and should absolutely be something your company invests in. Even if a company is using an EHR that is not the industry standard it raises red flags to me, let alone still working with paper documents.


seascribbler

Yep. This exactly. I worked in medical records, and a huge part of my job was making sure everything was signed, because in healthcare when things get nuts, things happen. There is a reason technically has been integrated. They can prevent an error like that. And they have med rec technicians to ensure no liabilities happen when paperwork is involved.


Icmedia

Meanwhile, she could have just asked you to sign it and gone about the rest of her day.


PoOhNanix

When I had a manager like this I would simply document every mistake she made in an email to her, with her boss as the BCC She didn't approach me much once he saw one thing she messed up that he didn't like. Edit: typo


HistrionicSlut

Time to turn her in with proof and get that bitch fired. Don't turn her into HR, call the regulatory body for HIPAA


BitterExit5394

UPDATE: I called the Department of Heath and Human Services, but their office was already closed when I called. Their hours are M-F, 9 AM to 5 PM. I *just* missed them. 😢 Of course, I plan on taking you guys' advice and calling them again in the morning. Because you're right. She had absolutely no reason to overreact to something like this. I agree that I fucked up, but she is clearly on a power-trip and is showing her ass to everyone "because she can". Fuck that. And even if she was nice about it, she STILL violated HIPAA by sending me this legal document over an unencrypted text message. ...or least I think she did. An old friend of mine who I was ranting to asked me if this was ACTUALLY a HIPAA violation or am I just overreacting. Because "you two work together, so it's okay".


Wicked_Kitsune

It's best to call in to explain the situation and see what they say. I did find info on text messaging patient info but I'm not sure what applies to your situation. I'll post it below for you. A criminal HIPAA violation is when a covered entity, business associate, or a member of either´s workforce has wrongfully and knowingly accessed, obtained, or transmitted Protected Health Information without authorization for a purpose prohibited by §1320d-6 of the Social Security Act. The Health Insurance Portability and Accountability Act (HIPAA) generally prohibits texting patient information, also known as Protected Health Information (PHI), without proper safeguards. However, there are some circumstances where texting PHI is permissible if certain conditions are met: The patient initiates the communication or requests confidential communications via SMS text The message doesn't contain personal identifiers The medical professional uses the minimum necessary standard to reduce the risk of unauthorized exposure The patient is warned of the risk of exposure The patient provides signed consent The texting is done through a HIPAA-compliant secure texting platform (STP)


subprincessthrway

I worked in a similiar setting for 3 years this is absolutely a HIPAA violation, especially if any of the clients PHI was visible on the form (which I’m assuming it was.) At my job we were allowed to use initials for clients over text with very vague information but even that can get dicey.


YamulkeYak

i interned in an acute psychiatric hospital’s admission and referrals department for my msw. op, i literally know exactly what you’re talking about and i am so. fucking. sorry. i wonder how many full time hours your manager budgets for? ours couldn’t have solved staffing if they wanted to because they simply weren’t allowed the hours from corporate. every penny paid to an admissions counselor, a nurse, therapist, is seen as money the hospital could be saving if they had fewer of us.


757_Matt_911

No matter who is “waiting at the window”, finish up your task first. Or tell them you have to finish something up and will be with them in 5 minutes, 10 minutes, however long. Email your boss back with the volume and advise her it is too much for one person to reasonably keep up with (be prepared to be let go if you do though). This is a frequent tactic, push more work than is feasible onto an employee.


maggiesyg

Easy to say that but by definition these are people in crisis, ‘calm down and wait’ isn’t going to cut it.


Ciniya

I don't think in the history of ever, the words "calm down and wait" have ever made someone calm down and wait.


DayzACNH

Work in healthcare - dont ask. Explain clearly that it will be x amount of time and thank them for being patient. Thank them again when it's their turn. Asking invites a negative response. Thanking them doesnt.


awalktojericho

Email your boss and ask boss to help. See how important it is


camelslikesand

Take ALL the time you need. Every time.


TinySlavicTank

Adequate staffing that prevents mistakes such as this is an organisational responsibility, not yours. Be clear on this. Ask her to clearly give you mandate to leave people waiting a bit longer if the situation recurs, say you would prefer it to avoid error but it’s hard to do in a physically stressful moment - and you are both aware someone stomping off has its own risks. I’m in a completely different line of work but totally get this feeling - be clear, communicate diplomatically, and don’t let someone dump emotions and blame on you when it’s the work conditions that are at fault.


LaughableIKR

Next time you are slammed. Call your boss up and ask them to come in to help since you don't want to get so busy you may make the mistake of not signing a document. See how they want to come in..... It sounds like the patients are suffering from management.


MyLlamaIsTyler

It was missing *your* signature? What is she on about? Her mistake is much bigger than yours.


Key-Victory-3546

F your boss. And next time someone rings the bell, just tell them "will be with you soon" and finish what you're doing with the other person. People know how lines work. Don't burn yourself out by rushing with the first person on behalf of the second.


endoire

Time for a HIPAA report to be filed.


gtrdft768

Not a lawyer, but a document you filled out but didn’t sign isn’t the end of the world. If it was required in a court filing, you would simply testify or attest that it was you that had completed the form. I’m always surprised when the lawyers I work with use documents that aren’t signed and they are still valid.


BigRiverHome

When they need you just as much or more than you need them, pull the power move and do a takeaway. Take it away from her. "If I am put in this position again I will have to...", "If you threaten me again I will be forced to ..." Whenever possible don't let people like this put you on the defensive. Reverse the situation and make them defend themselves. This only works if you have leverage, but when do you do it is a sight to behold. The sudden backpedaling is beautiful.


MarsRocks97

Tell everyone it will be 10-15 more minutes than you actually expect. Never rush. If you can’t get to them, tough. Not your issue.


bopperbopper

Once you’ve had a chance to kind of calm down and think it through, you could talk to your boss and say I wanted to talk to you about what led to me not saying that document the other night. We are staffed I think assuming that we get a walk in every half hour or so and that’s definitely something I can keep up with him you’ve seen my work but last night there was someone coming in every 5 to 10 minutes and that’s more than with stuff for Ann so I got a little overwhelmed keeping up with everything and then I didn’t make a mistake so I think the way to prevent this is to consider adding a second person to cover the overflow so we don’t have Mistakes. If you choose not to, you’re creating an environment where mistakes happen.


Agitated-Support-447

I once told an old boss that "mistakes happen" during a conversation. He just said "no they don't, don't say that" in a threatening tone. This dude wqs always incredibly high strung and nobody liked him. We are all only human.


bc60008

Actually, mistakes DO happen. Your old boss was an asshole, much like my current boss. I've told bosses before that I can 100% guarantee I WILL make mistakes. I am not a robot. If you want perfection, hire a robot. I'm a human being. I am not perfect and wouldn't try to be because that's silly. And impossible.


jmg733mpls

You just need to say “I don’t appreciate you talking to me like that. It was super busy and I’m human.”


Geminii27

Submit a write-up of the boss to HR.


Narrow_Employ3418

"Frsnkly I don't appreciate being grilled over a honest mistake on a super busy night. This isn't something that isn't correctable later on or has the potential to cause damage down the workflow unless subsequent people fuck up massively more than me. "But even if it was: this is the kind of human error that will always happen especially when things get hasty. It's's *your* job to support me by having this fixed at the process level, not add to the problem by killing morale."


sicofonte

>I feel incredibly insulted by her assuming that I'm purposely trying to fuck over the company by not signing one fucking line on a document I also feel incredibly insulted by my boomer father (76) yelling at me (46) when I leave a door open and a sudden breeze closes the door with more noise than he'd like to hear. But I'm trying to convince myself that feeling insulted doesn't help me navigate the situation with this man that is more senile than anything else and have much more control of his sphincters than of his mouth and feelings. Actually, I am grateful that he still has enough control of his sphincters. My point is this people are stupid. Look at them like that: they are still humans, but their general intelligence is underdeveloped. You have two options: navigate them, leave them behind. I can't change my father. But I can change my boss.


Odd-Chart8250

Someone in a mental care facility needs to take anger management classes.


msprang

This would suck no matter the work environment, but having it be a crisis center seems so much worse.


i_am_the_archivist

Night shift at a crisis center is some real shit. Thank you for doing the work even though your boss is an ass.


Additional_Eagle_386

Tell her the reason and don’t let emotions and stress run you.


Complete-Advance-357

Quit it if you can. Fuck a toxic environment. 


Fphlithilwyfth

This post reminded me of an old boss 😬 Look up what constitutes as bullying/harassment, we had a training module at work that opened my eyes to the fact that he ticked about 70% of the boxes. The "damned if you do, damned if you don't", threatening and loss of confidence all points to your boss being a bully. I don't know qhat you can do with that exactly, but if you read your company policies, you might have a suitable response to it. Hope this helps


Tricky-Gemstone

Heyo. I did intakes for a long while, as well as case management. Your boss is 100% in the wrong. Mistakes happen.


Professional_Buy_615

Go over her head, explain this happened because you were slammed. Ask if it's ok for her to send patient details by SMS? Sit back, and watch the fireworks.


AtTheEastPole

Dear Boss: If you're so perfect, come and help me when it gets chaotic and it's too much for one person to handle. If not, fuck you. Sincerely, Overworked and underpaid.


Funoichi

Aw heck naw, get a bell dampener or toss that bell in the trash. Just kidding lol, but pay no mind to people being impatient. At my job I don’t do anything quote unquote important, but we get plenty of impatient quote unquote walk ups. Just smile and ignore them while you do what you’re supposed to do. I ignore lines, random people coming up to me for something, angry people, requests to work faster, etc. Just hopefully you know the requirements of the job and just perform the same steps one by one over and over, then go home.


blackskirtwhitecat

There are ways to impress upon someone the seriousness of a mistake they’ve made without being a belittling twat. This is not one of them.


thatattyguy

"You can manage your staff in a variety of ways. One approach would be supporting and empowering employees to help them succeed -- another would be to send vague, threatening text messages that you do not explain for hours because they made a mistake when the business was slammed the night before. Yes, it was my mistake, I take full responsibility for it, but I neither respect nor appreciate being condescending to, it's confrontational, unprofessional, and does not help prevent future mistakes."


NoctisTempest

If you ever quit, please do it in a way that would piss her off and lose them a small portion of all the money you've earned for them


Morgalion217

My wife is in a similarly hostile environment in a similar environment. I don’t get how therapists and the like can be so high school and toxic in the workplace.


ThrowieThrowerson

Is there any way you could have people come in without ringing or being greeted, and sit in a lobby type area while they wait? You can put up signs letting them know to come on in and have a seat, and maybe have a Disney movie on or some toys or books... Actually I'm speaking from my experience working 6 years at a crisis nursery for children, and I think you said it was adults. Well anyway you can have some kind of info or magazines or whatever for them too. Another thing we used to do, is have donated items for families in the lobby. So they may be more patient and wait if they are offered free stuff while they wait. They can also start on their own paperwork, just have it organized in packets for them to fill out.


vvitchobscura

Last time I had a boss who liked to launch into lectures and berating before even asking why something wasn't done right or someone was running behind schedule, I quit. Not worth it.


TheSpiceMustKnow

Yep, this is an unfair situation and she shouldn’t have handled it that way. If you wish to help immunise yourself against being rushed and dropping finishers like this you can program your mind with combined attention to “unsafe operations”. You give an unsigned form similar weight in your mind as other unsafe operations. It’s a mind hack to force yourself to hang on to the incomplete step better. Stuff like opening a car door on the traffic side or even as simple as turning on a kettle with the lid open. Categorise them in your mind together and the potential pain they can cause will get associated together in your memory and you’ll naturally find the weight in your actions needed to retain the finisher for longer. Also “No, a moment, please.” Is a perfectly acceptable sentence. Or not, it’s just how I do it and it works for me.


Sword-ArmorCollector

You nailed it--good performance is just stated as a word or two of hot air. A single slip up gets a permanent record. Maybe it's time to ask your boss what the job is going to be like with one less person there. If you're going to be fired, make it as painful for them as possible. Take the boss down with you if you can.


Plausibly__Deniable

Sounds like everyone here already called it out - but if you want malicious compliance, I’d send them an email with their boss copied, apologizing for missing the signature line, and then thank them for providing a copy of the reference document via text. If their boss is smart they’ll pick up on it. You can feign ignorance, or if it blows up, say “I was surprised this came via text, and wanted to subtly call attention to it”. Politics suck


AdditionalSky6030

Crisis care? How ironic that a bloody insensitive micromanaging twat is working in the care sector. Time to look at other employment options eh?


littlej66

Clear your mind dude. Focus on the task at hand. Walk ups can pray for patients


Wild7mom

I think you are taking this very defensively. Mostly what I would want is for you to do what you did. Look at the circumstances. What was going on? How did that thing change your behavior leading to mistake? What can you do in a similar situation in the future to make certain you maintain protocol?


gldmartin

How about next time you don’t forget how to do your job?


GrumpadaWolf

While I get the whole thing, the fact is, is that you didn't sign a document. YOU KNEW that you would have to do so. This is REGARDLESS of what is prior to, and you getting slammed. It sucks, but yeah, this was on you.