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Clinical Research Monitoring: A Guide to Clinical Monitoring
Clinical research monitoring is a vital part of clinical trials and it involves various activities to ensure the safety and accuracy of the data collected. It is important that the clinical trial is conducted in a way that meets regulatory standards, protects human studies participants, and minimizes potential risks to their health and well-being. Clinical trial monitoring can include activities such as auditing study sites, evaluating data for accuracy and completeness, review of protocols and amendments, reviewing case report forms (CRFs), identifying any deviations from the standard operating procedures (SOPs) or protocols, managing corrective action plans (CAPs), following up on safety reports, tracking progress against enrollment goals and much more. Apart from evaluating data quality, clinical research monitoring also ensures compliance with all regulatory standards like GCP (Good Clinical Practices) ICH (International Conference on Harmonization), FDA regulations and local laws. In addition to this ongoing monitoring throughout a study's duration, there may be audits conducted by sponsors or regulatory authorities at any time during or after completion of a clinical trial. All these efforts are dedicated towards ensuring that the results obtained from a clinical trial are accurate, reliable and applicable for use in making medical decisions.
Steps to Clinical Monitoring
1. Establish an Effective Monitoring Plan: Ensure that the plan is comprehensive and contains all applicable elements, such as the types of monitoring activities to be conducted, frequency of monitoring visits, data collection methods, and specific criteria for acceptable performance.
2. Develop Appropriate Documentation: Design protocol-specific monitoring tools and forms to document information from site visits including source documents, data collection instruments, case report forms (CRF). In addition, develop a Monitoring Log or Tracking System which will enable better accountability for study activities.
3. Execute Monitors’ Visits: Depending on the complexity of the trial and regulatory requirements, conduct pre-study qualification visits (PSQV), pre-initiation visits (PIV), initiation visits (IVs), periodic monitoring visits (PMV) and close out visits (COV). During each visit, ensure that good clinical practice is followed at all times by reviewing source documents and data collection instruments. Review patient enrollment logs to ensure accuracy and record any discrepancies in the visit report.
4. Report Findings: Generate detailed yet concise reports per each monitor's visit with clear recommendations for corrective actions if required; provide professional feedback to investigators regarding their performance; identify any areas of noncompliance with protocol requirements or applicable regulations; recommend training or educational sessions when appropriate; track all follow up activities related to corrective actions taken in response to findings from monitors' visits; ensure that essential documentation is complete before closing out a particular study site.
5. Quality Assurance: Validate accuracy of tracking systems used by monitors during their visits; assess risk associated with various deficiencies identified during monitoring process; carry out periodic internal audits/assessments to ensure compliance with established SOPs/guidelines related to clinical research monitoring activities; take preventive measures based on audit/assessment results in order to strengthen internal quality system processes.
Types of Clinical Trial Monitoring
1. Types of Clinical Research Monitoring: Clinical research monitoring is the process to assess the quality and integrity of clinical trial data and ensure compliance with applicable regulatory requirements. It can be done through three primary methods: onsite monitoring, centralized or remote monitoring, and risk-based approaches.
2. Onsite Monitoring: Onsite monitoring is considered the "gold standard" for clinical research monitoring, as it requires the presence of a monitor at a study site during the entire duration of a trial. The monitor will typically review source documentation such as patient records, lab results, and investigational product dispensing logs to assess accuracy and conformance with study protocols and good clinical practices (GCP). The monitor also interviews staff members responsible for conducting the trial to verify that procedures are being followed properly.
3. Centralized or Remote Monitoring in Clinical Trials: Centralized or remote monitoring enables sponsors to conduct clinical research monitoring without needing to send someone onsite to each study location. This is accomplished by using technology such as web portals, video conferencing, and virtual meetings that allow monitors to remotely review data from various sites simultaneously and quickly flag any issues that arise. Additionally, centralized/remote monitoring allows sponsors to be more proactive in identifying potential risks associated with a trial prior to sending monitors onsite for an assessment.
4. Risk-Based Approaches: Risk-based approaches use data analytics tools such as descriptive statistics and predictive algorithms to identify potential trends or outliers in clinical trial data that may represent heightened risk of noncompliance with GCPs or other regulations. By leveraging technology, these approaches can help sponsors identify issues earlier in the course of a trial so they can take corrective action before something goes wrong.
5. Benefits of Clinical Research Monitoring: Utilizing effective clinical research monitoring strategies helps ensure that trials are conducted ethically, safely, correctly according to protocol standards, within timelines agreed upon with regulatory authorities, and within budget constraints set out by sponsors/CROs/investigators/other stakeholders involved in a study’s execution.. Clinical research monitors act as an independent third party who are able to provide objective insight into how studies are being conducted across multiple sites which helps minimize errors due to bias from investigators or other personnel who may have vested interests in outcomes associated with their studies.. In addition, effective clinical research monitoring helps ensure patient safety by providing oversight about how drugs or medical devices used in trials are administered as well as ensuring patient confidentiality is maintained throughout the course of a study.. Lastly, robust clinical research monitoring protocols help reduce costs associated with delays caused by errors made during trials which can add up significantly over time if not avoided through proper oversight methods both pre-study start up until closeout occurs after all enrolled patients have completed their participation in a given trial
Clinical Research Monitoring Guide
1. Understand the Basics of Clinical Research Monitoring: Clinical research monitoring is a key part of the clinical research process, ensuring the safety and accuracy of results. It involves periodically assessing study sites to confirm that data is being collected properly, according to ethical and legal requirements, as per Good Clinical Practice (GCP) guidelines.
2. Know What Types of Studies are Monitored: Clinical research monitoring can be used for a variety of studies, including clinical trials, observational studies, epidemiologic studies, and public health surveys. It is important to know what type of study you are monitoring in order to ensure that the appropriate procedures are followed.
3. Understand How to Monitor a Study Site: The primary goal of clinical research monitoring is to confirm that the protocol and informed consent form have been followed properly at each site. This requires a thorough review of all relevant documents such as case report forms (CRFs), source documentation (e.g., physician notes), internal audit reports (audit trails), and external quality assurance reports. Additionally, it involves evaluating compliance with GCP guidelines during study visits or remote reviews, as well as conducting interviews with staff members to assess how they are handling data collection and reporting processes.
4. Become Familiar With Regulatory Requirements: In addition to GCP guidelines, there may be applicable regulations from local governments or other institutions that must be adhered to when conducting clinical research monitoring activities. Understanding these regulations is essential for ensuring compliance with applicable laws and regulations related to clinical research activities.
5. Develop an Effective Monitoring Plan: An effective monitoring plan should include a detailed timeline for visiting sites, information about any specific areas where focused attention is required (e.g., enrolling/randomizing patients or managing adverse events), and plans for auditing/reviewing data generated by the study site(s). Additionally, it should incorporate measures for controlling risk associated with data collection processes so that issues can be identified early on in the study process before they become problematic later on down the line.
Clinical Research Monitor Job
The job of a Clinical Research Monitor is to ensure that clinical trials are conducted ethically, safely and in compliance with established standards. The primary responsibility of the monitor is to protect the rights, safety and well-being of the human subjects enrolled in the trial. Duties typically include developing protocols for clinical studies; coordinating study start up activities; conducting site visits; monitoring data for timeliness, accuracy and completeness; auditing files for regulatory compliance; managing investigator queries/issues; preparing visit reports; reviewing update protocols related to study operations; resolving issues raised through audit reports or other sources; providing technical guidance to sites regarding protocol implementation or study conduct; and escalating complex issues or potential risks as needed.
Clinical Research Monitor Salary
Salaries for this position tend to vary depending on education level, experience and geographical location but can range from $60,000 per year for entry level positions up to around $90,000 per year for more experienced professionals. In addition to salary many employers also offer benefits such as paid vacation days, health insurance plans and retirement packages.
Resources for Clinical Research Monitoring
1. National Institutes of Health (NIH): Clinical Research Monitoring
This link provides information on NIH's guidelines for monitoring clinical research, which include topics such as the roles and responsibilities of the investigator, data safety monitoring boards, and protocols for reporting unanticipated problems and adverse events.
2. National Institutes of Health (NIH): Guide to Clinical Research Monitoring
This comprehensive guide walks readers through all aspects of clinical research monitoring, including topics such as study design, randomization strategies, regulatory compliance requirements, data management, monitoring plans and reports, quality improvement initiatives, and safety assessments.
3. US Food and Drug Administration (FDA): Guidelines for Clinical Trials Monitoring
This resource from the FDA outlines the importance of effective monitoring in clinical trials and provides an overview of the different roles within a clinical trial as well as details about essential elements for implementation of an effective monitoring strategy such as risk assessments and adverse event tracking.
4. International Conference on Harmonization of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH)
ICH has developed standards that provide a set of harmonized technical requirements for clinical trials conducted across countries in the European Union (EU), Japan, and US with an emphasis on quality assurance and safety monitoring during trials.
5. Association of Clinical Research Professionals (ACRP)
ACRP's guidelines provide best practice recommendations for conducting clinical research studies in accordance with applicable regulations and standards to ensure patient safety monitoring during studies as well as data integrity throughout the process from start to finish.
6. Pharmaceutical Research & Manufacturers of America (PhRMA)
The PhRMA guidelines provide an overview of expectations around clinical research activities with respect to ethics, data integrity, safety reporting, resource allocation and more. It defines roles and responsibilities of all those involved in overseeing a clinical trial such as a Clinical Research Monitor or CRA who has primary responsibility for ensuring that the protocol is implemented correctly throughout a study’s duration
Clinical Research Monitoring Review
1. What is the main purpose of clinical research monitoring?
A) To ensure that a research study is conducted in accordance with applicable regulations and ethical standards
B) To ensure that data collected during a research study is accurate and reliable
C) To evaluate the safety of participants enrolled in a research trial
D) To oversee the financial management of a research project
Answer: A) To ensure that a research study is conducted in accordance with applicable regulations and ethical standards. Clinical Research Monitors are responsible for ensuring compliance with Good Clinical Practice guidelines, protecting participant privacy, verifying data accuracy, and evaluating protocol deviations. In addition, they may also be involved in reviewing participant eligibility requirements, conducting site assessments, providing training to investigators and staff on proper study procedures, as well as monitoring progress towards completion of all requirements of the study.
2. What type of individuals typically serve as clinical research monitors?
A) Physicians
B) Nurses
C) Regulatory specialists
D) All of the above
Answer: D) All of the above. Clinical Research Monitors can come from various backgrounds such as medical doctors (MDs), nurses (RNs), pharmacists (RPhs), regulatory specialists (e.g., Regulatory Affairs Professionals or Paralegals), or biostatisticians/data analysts who have experience in clinical trials and understand local regulations related to human subject protection. Each monitor has specific job duties depending on their education and experience, such as assessing compliance with regulatory guidance or analyzing data sets for accuracy, completeness, integrity, or validity.
3. What kind of activities do clinical research monitors need to perform?
A) Protocol reviews or verifications
B) Ensuring appropriate documentation completion
C) Site visits to observe investigator conduct
D )All of the above
Answer: D )All of the above. Clinical Research Monitors need to perform several activities including protocol reviews or verifications; ensuring appropriate documentation completion; site visits to observe investigator conduct; liaising between sponsors and sites; assisting with resolving issues associated with adverse events; reviewing case report forms for completeness, accuracy, consistency and correctness; evaluating subject safety throughout enrollment process;and writing reports detailing their findings at each visit.
4. What is one benefit gained from having an effective Clinical Research Monitor on-site? A) Reduced risk for legal liability stemming from negligence
B) Improved protocol adherence by investigators
C) Increased patient engagement during trial period
D )All of the above
Answer: D) All of the above . An effective Clinical Research Monitor encompasses several benefits such as reduced risk for legal liability stemming from negligence due to thorough oversight and accurate record keeping; improved protocol adherence by investigators through continued communication between sponsor representatives and researchers on-site regarding best practices; increased patient engagement during trial period due to more detailed explanations about potential risks/benefits offered by having monitor on-site ; and improved efficiency when dealing with complex protocols that require multiple levelsof oversight due to familiarity with protocol specifics which decreases time spent troubleshooting errors or unclear instructions..
5. How often should Clinical Research Monitors visit a particular site?
A) Weekly B) Biweekly C) Monthly D) Quarterly
Answer: C) Monthly . It is recommended that Clinical Research Monitors visit sites at least once per month in order to maintain active surveillance over ongoing studies at each location while also providing timely feedback regarding any issues discovered while on-site visits are taking place within a shorter timeframe if needed based upon changes made midstream or other unanticipated circumstances which might require immediate attention by sponsor personnel.
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So, I have another crazy story about the clinic where I used to work; this time as a patient instead of an employee. Under a cut because it's very long.
So back when I first got really sick, I was in the hospital a few times primarily for really high heart rate. I work out a lot and my normal resting heart rate is in the 60s; back in February I suddenly started getting palpitations, and my heart rate was going up to like 140 bpm just standing at my bathroom sink washing my face. I wore a seven day monitor at one point and my highest recorded heart rate on that was 157 bpm--just shuffling like a zombie around the house. I was also super weak and just felt overall like death.
Hospital runs a bunch of labs and imaging tests and can't find anything that would explain it. The last doc I saw said there was a bright spot on my echocardiogram monitor that could just be flashback from the monitor, but taken with some of my symptoms, he felt OK with a presumptive diagnosis of pericarditis (inflammation of the sac around your heart), especially as the treatment is just high dose ibuprofen for a week, nothing invasive or drastic. I need to follow up with a cardiologist, but I don't have a primary care physician who can refer me to the heart clinic. I had just turned in new patient paperwork at a local clinic so I contacted them to see if I could get in, but they said it would likely be a month before I could be scheduled with anyone.
In the meantime, the ibuprofen isn't working and my condition is getting worse. I have my next period, and after a couple of heavy days, I get even weaker, my heart rate goes even higher, and I get really dizzy all the time. I also am now short of breath just rolling over in bed. I legit feel like I'm dying. Because my symptoms get worse after blood loss, it suddenly pops into my head that about 17 years ago after a blood donation I got really sick, and all my symptoms that I can remember having at the time are the same, especially the cardiac issues. I took iron back then and that resolved it. I started wondering if my iron was low, did a bunch of research into iron deficiency without anemia, and realized every single symptom, including ones I had been having for a while prior to the heart issues (terrible fatigue, brain fog, headaches, sleep disruptions, restless legs at night) could be from low iron.
So I need to get labs done, and also I do still need a referral to make sure my heart is ok. I can't get in with anyone, so out of desperation, I go back to my old clinic because I know they'll get me in quickly. They schedule me an appointment for the next day with a doc who is going to turn out to be batshit crazy.
I go to my appointment with my presumptive diagnosis of pericarditis, and the doctor asks if I had the Covid shot. I tell him yes, but my last booster was in 2021, so not relevant here.
Well boy howdy was I wrong. He launches into a whole-ass rant about how bad the shots are, how many people have been injured by them, tells me I, a formerly very healthy, athletic woman, now have heart issues due to the shot, etc. etc. I say, 'Ok, but would the shot really randomly cause me issues three years later when I was perfectly fine after I got it?' (The answer is no.) Doc stays the course in blaming the shot. I have paperwork I need filled out for medical leave from my job, and he PUTS ON MY PAPERWORK THAT I HAVE TO TURN IN that my cardiac issues came on and progressed after the shot (three YEARS after, you DUMBASS) and that his impression is post vaccine injury. I feel too badly to do much more than sway on the exam table and occasionally interject that I had the shot three years ago and I don't think that's the problem. The majority of my appointment is him ranting about the shots. Whatever, I'm desperate, give me my fucking referral to the cardiologist and order my iron panel.
I get labs done and sure enough, my iron is low. I start supplementing and shortly afterwards get a call from the cardiac clinic; I lucked out and got in just a few days after my referral was sent to them because someone canceled their appointment last minute. I see an ARNP at my first visit and she says the echo I had done at the hospital looks fine to her, but they'll do a seven day monitor, a repeat echocardiogram, and have me follow up with the cardiologist just to make sure they don't miss anything.
So they do this, and in the meantime, after a couple of weeks on iron supplements, I start slowly but steadily feeling a bit better. My fatigue and brain fog that I was having every day improve significantly after only a week on supplements. My dizziness goes away. I feel a tiny bit stronger every day and now can sit up longer and start holding conversations with people. It's slow but steady progress for about three weeks: and then I get my period again. It doesn't knock me back to square one, but I definitely take a couple of steps back in my recovery. It's a little lighter this time, though, which is a good sign.
I follow up with the cardiologist. He says actually my heart is in really good shape; no signs of pericarditis or anything wrong with it; my high heart rate isn't due to a cardiac issue. Cool. I didn't think so at this point, but good to hear I don't have heart issues.
So I go back to follow up with my doc and plan to ask to really focus on the iron issue since the cardiologist confirmed my heart is fine. I have come a long ways but am still mostly bedridden; it is very slow to get your levels up on iron supplementation, and every time I get my period, it sets me back a little. Maybe some low dose iron infusions would help boost my levels so my recovery doesn't go backwards on account of me bleeding for a week every few weeks.
Doc comes in the room. He is clearly Not Happy cardiology did not confirm his conspiracy theories about the shot injuring me. I tell him about the symptoms I have seen improve and even resolve after about six weeks on iron supplements, and how I think most if not all of my problems are from low iron. He pretty much completely ignores this. He asks me if my fatigue and brain fog have improved. I say, yes, they were some of the first symptoms to improve after I started taking iron. He does not even acknowledge I have spoken. He tells me he thinks I have a combination of chronic fatigue syndrome and POTS (postural orthostatic tachycardia syndrome) caused by the shot. I remind him I just told him my fatigue had improved a lot since starting iron. And my heart rate is coming down too and not spiking as much, my issue is that every period after I've been improving, I suddenly get a little worse again. He ignores this. He tells me he is going to refer me to the neurologist to check for chronic fatigue and POTS. Ok, whatever, I'm pretty sure I don't have those things, but fine, have another specialist tell you you're wrong.
After about eight weeks on supplements, I really feel like I'm starting to turn a corner. I don't feel normal, but my heart rate has come down quite a bit, I can stand and walk around a lot longer without feeling like I'm going to pass out, and I feel the closest to normal that I have been in months.
And then I get my period again and my heart rate goes back up. I'm super frustrated at this point because I was So Close to being a functioning human again, so I decide to push for a low dose iron infusion. I just want to boost my levels high enough to get me over this hump so every period doesn't set me back right as I feel like I'm coming back to life. I've read lots of papers on iron deficiency without anemia (meaning your hemoglobin is normal) and decide to make an appointment armed with one paper in particular which was written by a doctor who has been treating iron deficiency for decades, and which lays out really comprehensively the numbers at which patients should be considered deficient based on their labs and symptoms, what numbers you should shoot for when treating the iron deficiency (I am higher now but still quite a ways away from the goal), and also lists a bunch of symptoms women in particular have reported that have resolved with iron treatment. I highlight all the symptoms on the list that I have had, as well as other sections particularly relevant to my specific case. (Spoiler alert: I did not even give him the paper.)
So I go to my appointment and he asks if I've heard from the neurologist yet. I say no, I'm sure it will be a while (there's only one in town, and I'm sure it takes a long time to get in). In the meantime, I really want to focus on getting my iron levels up. I lay everything out: all the improvements I've seen, how my period keeps setting me back, and how I want to try just a low 100mg infusion to boost me up so I don't take two steps back every time I get my period. He tells me I have chronic fatigue and POTS as a result of the Evil Shot. I tell him, once again, that my fatigue has greatly improved on iron supplements. He does not even acknowledge I have spoken. He tells me a local doctor is being PERSECUTED and PROSECUTED for prescribing Ivermectin for Covid. Ok, that doesn't relate to my personal medical issues that we are here to discuss, and also, Ivermectin is not approved for the treatment of Covid. I ask him again if I can get a low dose infusion. I understand insurance probably won't cover it, that's fine, I can pay out of pocket, I just need him to order it. He tells me he personally takes Ivermectin. Good for you. Again, not related to my medical issues that I am here to dicuss.
I mention that I have had restless legs at night for a long time, because I know this at least is commonly associated with low iron, maybe that will get his attention; nope. He totally ignores me again. I even try blaming the shot for low iron (sorry, Covid vaccine, sometimes you have to take one for the team). I say I have read Covid and maybe even the shot can deplete your iron; maybe the shot did this to my iron. No dice. (Mr. Jenn did applaud me for trying when I told him about it, though.)
He starts in about my POTS again. I say, ok, but POTS is a postural issue, right? He says, yes! I say, ok, then if I have an issue where my nervous system doesn't regulate my blood flow properly when I change from sitting to standing, why is my resting heart rate way higher than normal when I'm just lying in bed doing nothing, and why has my heart rate been coming down and is not spiking like it was after several weeks on iron supplements until I get my period? I'm not sure that fits with POTS.
He again does not even acknowledge I've spoken.
I ask again for an infusion to help boost me up so I'm not set back every period. He says as long as I'm menstruating it will set me back. Yes, I am aware I will lose more iron on my period, what I am asking is that while I am in ACTIVE CLINICAL IRON DEFICIENCY can we please do something to speed up getting my levels high enough so every time I bleed it doesn't knock me down again. He asks if I have considered a hysterectomy or uterine ablation for the bleeding (you know, invasive surgeries, instead of talking about birth control pills, which he didn't even mention). I said that was kind of extreme and I didn't want to consider that right now. I ask him about the infusion again. He says it's not a concern. I say, yeah, it is, I am having debilitating symptoms that have left me bedridden for three months. I need to get back to my life and my job. He tells me Congress is investigating the shots and it will come out how bad they are, but a lot of people won't believe it. I say, well, that's Congress' business, can I please have an infusion. He tells me insurance won't cover it. I say I know, I already mentioned that earlier (while you were ignoring me in favor of ranting about a vaccine I had three years ago), I have a health savings account, I can pay out of pocket. He tells me he's pretty sure I have chronic fatigue and POTS but we'll see what the neurologist says. I need to call and see if I can get in more quickly with the neurologist. I say, ok, in the meantime, since realistically it could take months for me to get in with the neurologist, can I PLEASE HAVE A FUCKING INFUSION. He tells me if I want one I will have to badger another doctor into it. (I can't remember the exact word he used, but the way he worded it made it sound like I was trying to bully him. No, you jackass, I am asking for an extremely common, low risk medical treatment for issues that have left me unable to work or leave my house for anything other than doctor's appointments for THREE MONTHS.)
So I left incredibly frustrated, needless to say.
Next day Mr. Jenn goes to his appointment at the clinic I initially tried to get into to follow up on labs he had done for an annual physical, and his doctor tells him his cholesterol is slightly high, but not enough to be concerned, he just needs to watch his saturated fats and red meat intake. Mr. Jenn tells him we've actually temporarily increased our red meat intake because of my health issues. He then mentions all of the issues I've been having, my lab results, and how I've improved a lot on supplements, but keep getting set back by my period. His doctors goes, 'Have you guys looked into infusions for her? You should try that.'
I DID BUT MY DOCTOR IS CRAZY.
Mr. Jenn explains that I had asked for an infusion and my doctor refused. His doctor gives him a weird look and wants to know why. Mr. Jenn explains it's because he's super set on it being chronic fatigue and POTS and won't consider anything else even though my 'chronic fatigue' and 'POTS' symptoms have both improved on iron supplements. The doctor again gives him a weird look and asks why he's stuck on those diagnoses and won't consider iron deficiency.
Because he's crazy, good sir.
Mr. Jenn's doctor then suggests we see if I can self-refer for an infusion and just pay out of pocket, but you need a doctor's order even if you're not going through insurance, so the next day when the clinic opens, I call, explain I tried to establish care there earlier so they have my new patient paperwork, but that I needed an urgent referral, and had to go somewhere else because they were a month out, but I really (REALLY) want to change doctors, is <Mr. Jenn's doc> taking new patients? He is not, but they'll put in a note with one of the ARNPs accepting new patients to see if they're willing to schedule me.
However, I know the new manager of the clinic (actually an old coworker from the crazy clinic that I'm friendly with), so the other day I texted her, briefly explained the situation, and she asked which doctor I wanted to see and said she'll talk to him when he's back from the long holiday weekend and see if he would be willing to see me. She will let me know later this week (he's not back in till Wednesday). So fingers crossed I can get in with a non-lunatic soon.
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I feel like there's an epidemic of businesses trying to make customers and applicants do free data entry for them and it's driving me crazy.
I have complained many times about how seeing a doctor now involves checking in online, and then entering duplicate information into something else when you check in physically, and then answering duplicate questions once you're actually inside the exam room. Sometimes somebody addresses this in a humane way: "Sorry, we're using a new CMS and we have to do all this stuff from scratch," or "Sorry, we have to use these three different systems and they don't communicate with each other." Last time I went I did all this like research into my past appointments because I never ever remember off the cuff exactly what day I had this or that procedure, and I had every impression that the clinic was dependent on me to have all my medical records memorized...so I got in there and started rattling off information, and the nurse asked "When was your last mammogram?", and I gave her the date, and she looked at her monitor and said, "...yup, there it is!" Like WHAT THE FUCK WAS THAT, IF IT WAS RIGHT IN FRONT OF YOU WHY ARE YOU QUIZZING ME ABOUT THIS, WHY IS THIS A TEST???
I actually asked about redundant check-in procedures on Quora of all places, figuring there had to be a few cantankerous cranks on there who could at least try to explain this to me, but there were absolutely no takers at all. As far as I can see, literally no one knows why this is happening, it's just The Way It Is.
But anyway. Now I'm having this experience with job applications where they request that you upload files for your resume and cover letter in specific formats...and then they direct you to this interface where you are made to transcribe every detail from the resume you just provided by hand, one field at a time. I've been confronted with this insanity when applying for jobs whose wages weren't even worth the mind-numbing exercise of the application process. And actually this is part of my point: Data entry is a JOB. I have had this job. I was paid to examine, reformat, and transcribe data, and upload it to a database for my company to search and cross-reference in the future. If you are an employer and you absolutely require BOTH a pdf of my resume and cover letter that a human being can read and evaluate, AND each piece of data from those documents individually entered into your database for some other form of storage and review, then it is seriously fucking Up to You to pay some wage slave to enter the data. I'm looking for a job. I'm not going to do a job for you for fucking free, in order to become eligible for a job that you might consider paying me for later. Like please don't call me a fucking idiot to my face--or at least, if it's the database part that's the most important thing to you, do not also require me to create a nicely-formatted document containing my history and intentions. Let's just get right to the forced data entry part, let's start this awful relationship from a place of honesty at the very fucking least.
N.B. I realize that there are multiple reasons an employer would do this to a person, ranging from algorithmic candidate-sorting to just having outdated-ass job site shit in place that they don't feel like reviewing or revising. I don't really care why it's happening, I just hate that it is. Recently I tried to apply for some $15/hr part-time job at a local museum that a caveman could do, and I stopped cold when I realized I had to transcribe every detail of the documents I just gave them into this bullshit backend website that looked like it was about a thousand years old. No Thank You. Currently I'm all worked up because I just applied to work at a hip, culty, local theater, and I was shocked that after completing the totally normal application routine, I received an automated email directing me to "complete your profile" as "an important part of the hiring process" on the website of the company they're outsourcing all their HR and billing stuff to. And I go look at the profile thingy, and of course it's just this needlessly complicated interface where I can individually enter each and every piece of information that I just provided in my resume--no more, no less. The theater has exactly two locations and is kind of a niche operation and it is absolutely crazy to me that they think they need to pay for this extra layer of stupidly bloated and redundant "talent acquisition" processing when they're hiring for like two or three basic ass hourly roles where half the question is going to be "have you done this normal shit before" and half will be "can we stand your personality". Nobody needs this garbage at all, least of all ME.
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15 questions for 15 friends
tagged by @korblez! thanks dearie <3
ARE YOU NAMED AFTER ANYONE?: My deadname was my mother's favorite name. My chosen name, Alex, is very similar--I kind of just flip-flopped the gender of it. I also chose my middle name when I was getting it legally changed, and I decided on my father's name.
WHEN WAS THE LAST TIME YOU CRIED?: Probably about ten months ago. I can't remember, but it's been way more difficult since starting testosterone ~2 years ago.
DO YOU HAVE KIDS?: No. Observe: A. I'm as gay as a room of monkeys on nitrous oxide, B. I'm a trans man who does NOT intend on using the uterus he was given, and C. I'm 20. We ain't ready.
WHAT SPORTS DO YOU PLAY/HAVE YOU PLAYED?: Was a cheerleader against my will for 12 years and a gymnast for 10. Those are. Uh. Very uncomfortable activities for a closeted trans man. Also messed up my body (abdominal issues, back issues, joints that crack like bubble wrap), but hey, I have a few cool party tricks to pull out now! I also played basketball for a few years and peewee soccer when I was real little.
DO YOU USE SARCASM?: No. (I am a liar.)
WHAT IS THE FIRST THING YOU NOTICE ABOUT PEOPLE?: How they hold themselves, i.e., body language like tense shoulders, a puffed-out chest, downcast eyes.
WHAT'S YOUR EYE COLOUR?: Green! Olive green with a few dots of brown.
SCARY MOVIES OR HAPPY ENDINGS?: Depends on my mood. Do I want a think piece? Psychological horror, all the way. Am I sad and need Comfort Content? Happy endings please or I will cry inside.
ANY TALENTS?: I can fall asleep anywhere, anytime, given five minutes. I can do a great worm and also flips. I can draw pretty pictures sometimes that usually have gay people or aliens (or both) in them.
WHERE WERE YOU BORN?: the USA BAYBEE RAHHHH 🦅🦅🦅 Ohio, specifically. It's mostly corn, highways, and the occasional building here (if you spot any signs of civilization, please let authorities know, as it is a rarity and must be documented for research purposes).
WHAT ARE YOUR HOBBIES?: Drawing, reading, writing, skiing, rollerblading, hiking, biking, embroidery, bracelet-making, video gaming, window shopping (poor college student with Spending Anxiety), taking care of my plant children, stopping my roommate's cat from eating plants (she has no survival instinct but is Very Cute), and many more that I can't think of at the moment.
DO YOU HAVE ANY PETS?: One dorm cat (my roommate's, she's a ragdoll mix) named Eda, and two dachshunds (my parents') named Dunkin and Bailey. Dunkin is barely out of his puppy years, and Bailey is Strange and Brick-Shaped.
HOW TALL ARE YOU?: 5'7. 5'8 if my spine is not Fucked-Up that day.
FAVOURITE SUBJECT IN SCHOOL?: Science, history, and English. Psychology, if that counts (it's what I study in college)!
DREAM JOB?: Clinical psychologist for NASA (basically I'd help research, implement programs for, and monitor the mental wellbeing of personnel). Pipe dream? Yes. More reasonable career path? Clinical psychologist working private practice somewhere nice (and warm and maybe not in the States). -----TLDR; Astronaut therapist.
I'll go ahead and tag (with care, no pressure!): @straypurplebread, @who-is-riley, @swaps55, @daisywalletchains, @sparatus, @thetrashbagswasteland, @whiskynorocks, @notjumpinglamps, @threewhiskeylunch, @westernlarch, @maxiepenguin,
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While You Were Sleeping
Pairing: Bang Chan x Superhero!Reader (fem)
Summary: You were a fan before you got your powers. You never imagined you'd meet him, let alone be able to help your favourite vlogger/singer/producer.
Warnings: none
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The sand people.
That was the name the public had affectionately given to the group of superheros that had a similar set of powers. But unlike the Star Wars characters that were often looked down upon, the sand people all over the world received high praise. With powers that could simply put a super-villain or terrorist to sleep or in a coma, without causing any damage to city or neighbour's property, it was easy to end up in their good books.
The powers came to you all in different ways. Your story was nothing to make headlines; you were working at the archives in a museum, doing the annual counts in person for the accountants you worked for, when you came across an unmarked box in the corner. Following procedure, you lifted it to find a large yellow jewel instead. You didn't get much of a chance to inspect it, when you touched it, you were later found asleep next to where it had been, with the box nowhere to be seen. You were never able to find that box again afterwards, much to your chagrin. And so you went about your week, not thinking much about it until a friend at work mentioned they couldn't sleep. All it took was a thought from you, and a small amount of sand appeared in your palm and streamed across the room, and your friend was asleep.
That was easily the freakiest day of your life, you had flipped out, vacuumed up the sand in the office, and woken up your coworker before anyone could see what happened. Then you had rushed to the security cams, and wiped the past few minutes before anyone could see. They weren't monitored, and you had been tasked to help set them up, so hopefully you could claim just doing maintenance if anyone asked.
A couple months into testing your powers on people on buses and trains (thinking no one would notice in a place people often fell asleep anyway), you were approached by one of the sand people, and the rest is history.
Being on their team hadn't affected your life too much, the teams costume covered your whole face and included a cape and hood, there weren't any crazy fights, and you were able to still work online at your old job. You had no boyfriend, stayed in touch with your friends, and still watched silly YouTube videos. You avoided teleporting too much as it took a lot of energy out of you.
Besides helping out with hero work, the sand people also ran much sought after sleep clinics, and worked with doctors and researchers on sleep science. So far you had discovered that you needed to be within a kilometer of the person you were focused on, which helped a lot for villans that could turn invisible. With that knowledge, you now knew exactly which street corner you needed to get to in order to help your mum with her insomnia. It had been a hard week for her, you sent a quick good night text to her before driving back home for the night.
You even still kept your JYP bubble app, which you kept secret from everyone you knew. The little messages brought a smile to your face, and it took so long to get enough space for decent replies, you just couldn't bring yourself to delete it.
Scrolling through short videos after you got back home, a bubble notification popped up. Once again, Bang Chan, one of the idols you had on bubble, couldn't sleep. You really wished you could help him, but felt like a bit of a creep to give sleep to those who hadn't asked for it or weren't villains.
Quickly, you checked Twitter for any upcoming events. Surely one time wouldn't hurt, right? He had sent so many messages about not being able to sleep lately. It should seem pretty natural if he finally got one good night's sleep, right? It was the least you could do, for all the free content he provided on his streams that kept you entertained. Mind made up, you stood up, preparing to teleport to Seoul.
Thankfully you had been to Seoul before, and landed softly at Namsan Tower. You had googled where the JYP offices were, but unfamiliar locations often required more energy to teleport to, so you opted for the tower and took a bus from there, payment card in hand from your last trip there.
You really hoped he was texting from his studio there, because you had no idea where the dorms were, and already felt intrusive enough showing up outside his workplace. This was already kind of crossing the self made boundaries you had put in place.
Reaching out and picturing his face, sand collected in your hand and soon streamed out to find its mark. Happy your trip had not been for nothing, you skipped happily down the street before teleporting back home.
You went over your actions once you returned, fretting over if you'd been noticed. You knew the sand was nearly invisible to any security cameras, and going without your costume drew less attention. You didn't need your fellow sand people up in your business about why you were in Seoul.
Feeling good about your (hopefully) good deed, you went to sleep after watching some TV.
------------------
The next morning, a new message showed on your Bubble app.
짜니 : I think I was visited by a sand person??
짜니 : Or one of the kids is pranking me.
짜니 : Probably pranking me lol
Eyes widening you threw your phone to your bed. Then paced the room. Then looked back at your phone. Yep, the messages were still there. It could be blamed on pranking someone, right? You just wouldn't do it again, and everything would be fine.
But not long after, Chan's insomnia and late night messages returned. He raved about how good he slept when he got a "sand visit", and wished he had time for one of their sleep clinics.
You paced the room, trying to figure out a way to get away unnoticed with gifting him some sleep. A small amount of sand, less than a handful, was always found around a targets head. If you could make sure the sleep was deep enough, you should be able to vacuum up the sand before anyone noticed. Unfortunately, a few problems still stood in your way. One, you had no idea where Chan was at any given time, and didn't want to turn to any sasaeng websites to find out, that definitely felt like it crossed a line. Two, you weren't sure how to keep others from hearing the vacuum. If where he was was loud enough to cover the sound of the vacuum, it wouldn't be believable enough for him to fall asleep on his own.
You really wished there was some way to just talk to him, if you could get permission, your conscience would be at ease. But how do you contact someone you don't personally know?
Frustrated, you gave up again and went to bed. Maybe in the morning you could bounce ideas off your best friend, she always had the best solutions.
----
Morning came and you felt guilty again seeing the app messages from after you fell asleep.
짜니 : Do you think sand people can make themselves fall asleep?
짜니 : I'm so jealous~~~
Unfortunately, the powers could not be used on yourself, but another sand person could help, if your mind was willing to accept the help. Maybe you could hold an info session with him. No. You still wanted to keep your Para social relationship with the guy a secret.
Determined to figure this out so you could stop thinking about it, you made sure to pick up a sleep clinic shift with one of your local teammates, another sand lady who went by "The Dame".
Waiting for the computer to process the test results, you bounced a few ideas off of her.
"So you want to help someone who has helped you a lot, but they don't know you, and they don't live nearby?"
"Ya, pretty much." You sighed in frustration, unable to have come up with a solution.
"Hmm, what if you did one of those clinic tours some sand people do? You could send him an official invite as a thank-you."
Your eyes brightened as you considered it. "That's perfect! Yes, and, and I could send invites to others too so that he doesn't feel singled out and doesn't get the creeps!"
"Haha, you're always so concerned with the creeps." She shook her head.
"Oh come on, you don't think some random super showing up and messing with your sleep is creepy?"
"I dunno, could be sexy." She wiggled her eyebrows through her mask.
"Uhhhhh, sure. Cause waking up to sand around you is so sexy."
"Could be. Just use your imagination." She grinned like a cat as she rested her head on her laced hands.
You covered your face with your hands. "Ya, my imagination doesn't need any more fuel, thanks. I'm already always imagining how people could get offended over crossing boundaries and consent and all that."
"It's just sleep, not sex. And we only put dangerous villains or medical cases in a coma." She reasoned, crossing her arms.
"Ya, I guess that's true. I'll see if the admins can set up a sleep tour for me, they're always asking for us to do at least one every few years, and I've never done one." You mirrored her crossed arms as you considered the logistics. A quiet moment passed.
"Do you want me to see who else is available?"
You tilted your head as you weighed the options."Nah, I'd like to try on my own, I've already shadowed a couple in the past when I was getting trained."
"Sounds like you've got yourself a plan." She grinned.
------
Sounds like a plan, indeed. You stared at the Seoul invite list on your laptop with your hands on your face, going back and forth over whether or not to hit send. The invites would go to their doctors first, and then the doctors would get in touch with the patients. Christopher Bahng's name blinked back at you.
This was the whole reason you were doing the tour, right? Well, you had to do one eventually, so it was like killing two birds with one stone.
Taking a deep shuddering breath, you closed one eye and clicked send.
There.
Now it was off in cyberspace, unable to be retrieved. You let out a breath and headed to the fridge for a drink.
----------------
About a week later, you received the replies of those that could make it. Seeing Bang Chan checked as attending, you couldn't help bouncing up and down. The sleep clinics would run for a week, helping attendees to fix their circadian rhythm by being put to sleep at a set time every night. It made a big impact for many who suffered from insomnia, and you hoped it would help Chan too.
You included a frequently asked questions page as well, including answers to questions like 'Can sand people make themselves fall asleep?'
Later that night, your phone lit up with a new message on your app.
짜니 : No way, was my question seen?
짜니 : Can't be, right? If a super was a stay, I wouldn't be able to believe it.
Well, crap. Maybe that was a slip up on your part, but it could also be easily denied. Plenty of people had asked that question before. You let go of the breath you were holding and breathed deeply to calm down. You could do this, you could help and he will never know the visiting super was a stay.
Right?
---
Maybe this was a bad idea. You were supposed to be focused on everyone at the clinic, but your eyes kept coming back to Chan as you went through more Q&A before the first session began, thank God for your full face mask.
Chan was listening attentively, and only took out his phone for a minute once the Q&A had ended.
You phone buzzed before you had a chance to get away from the mic.
"I'm so sorry, I thought I turned that off."
짜니 : Huh, it turns out I was wrong, sand people can't make themselves fall asleep. Gotta make sure I correct myself, not gonna spread misinformation.
You giggled before you realized you were being stared at, with the mic still on a foot away from you.
Clearing your throat, you redirected the attention elsewhere. "If you'll follow the staff to your left, you'll find your sleeping accommodations for this week." You knew the staff were meant to announce directions, but the distraction did its job, and and you let the MC take over the rest of the directions.
You didn't seen Chan staring at you since the giggle you let out, all the way till you exited the conference room.
The research center was set up like a hospital but without the hospital beds. Each room had an arrangement of equipment in the corner, but otherwise the rooms resembled hotel or inn like rooms, with simple beds, many pillows and blankets to choose from, and side tables and chairs. TVs and books were pointedly left out to not give any more extra causes for sleep deprivation.
----
A week later found you in the observation chair with Chan to see if the machines showed any changes in his sleep rhythms. It was the last day of the sleep clinic, and notes needed to be made for the next sand super that came into town to do sleep clinic follow ups.
"I like that phrase, sleep rhythm, maybe I'll use it in our groups next song."
You let out a smothered chuckle, a little exasperated. "Mr. Chan-"
"I know, I know, I should be trying to sleep. Not every day you meet a favourite super."
Your face heated and once again you were glad for the mask. "Well, you're one in a million then, we're not usually anyone's favourites, not very flashy." You admitted.
"I wish I could wear a mask more often like you, I think I look a lot better with a face mask. Maybe I could talk to my staff about it. And I thought I asked to just be called Chan?" He teased.
Oh please no, if you didn't nip this in the bud, he might get ideas about covering his pretty face and then you'd be kicking yourself. "If I call you Chan, will you promise not to wear a mask all the time? I think your fans would cry."
He shook his head and changed the subject. "Is there anyway I can have sand visits all the time? This is the most energy I've had in years, it's like life is in HD." He looked up hopefully, eyes sparkling.
Many patients had made the same comment to sand people in the past, but at the prospect of helping Chan more often with his full consent, you thought of an idea.
"I won't be moving here, but I can let you know when I'm in town? I usually come by a couple times a year for personal or super business."
"Really!?" Chan leapt to sitting up in the bed next to your chair.
"Uh-huh. But just like your phone number is confidential, so is mine. And you'll have to save me under a name that's not suspicious." You quickly added.
"Hmmm, 'Sandy' too on the nose?" He grinned.
You laughed back. "Hmm, ya I think so. Any other ideas?"
"I wish I just knew your name. You know my stage name and my real name. Doesn't that bug guy and other supers not have a secret identity?"
"It's true that sand people can loose the mask if they get their PhD, but it's never been on my to do list. And it makes life that much more difficult. You should know, it's not easy to always be recognized everywhere you go. And in my case, the sand people have a few enemies, if they knew who I cared about, those people would be in danger."
"Awwwe, are you saying you care about me? Are you possibly a fan?" He sing-songed.
"What- why would-?" Your voiced came our cracked and squeaky. "Look, I care about a lot of people, that's why I'm not a villain."
"Haha, Fair enough. Well, I'm honoured to have your contact. I will list it under 'sleep doctor abroad' until I think of something better, deal?"
Happy with the outcome beyond what you had hoped for, you agreed "Deal."
-----
Later while you were almost asleep in your bed, your last night in Seoul before the next city, a message appeared on your Kakao app.
짜니 : HI <sticker>
짜니 : By the way, I forgot to ask, what name did you save me under?👀👀
Sleepyly, you took a screenshot of your screen and sent it.
You stared at the screen for a few seconds while you woke back up, seeing if you would get a reply.
짜니 : Channie?! No way, are you a stay?
Eyes widened as your heart raced, cursing, you were now fully awake. Oh crap. You hadn't even thought of that, you had just copied and pasted his name from the bubble app to your kakao. Unsure of what to do, you tried to play it cool. What could you say to not make it awkward?
You: I like some songs. :)
짜니 : Oh my God, Holy F- Okay, cool, that's cool. What's your favourite song?
You: My first favourite was...
And the conversation carried on back and forth, until you realized the events of the day had made you forget to send the sleep sand to Chan.
You: It's past sleep time! I'm so sorry, sending over the sand now. I can do a follow up visit to make it up to you after my tour is over.
You: That was so unprofessional of me, I'm so sorry.
짜니: Unprofessional means we're friends, right? But I won't say no to another good sleep visit ;)
A winky face?! Oh my God. Was he flirting? Why did he have to make the sleep visits sound like something else? No, it didn't mean anything. Seeing clips of different fan-calls, you knew he did that all the time. Sitting down, you tried to calm down and type your reply.
You: OK, good night. 💤
----------------
You kicked off your slippers, stepped from the hotel shower, and changed into your pajamas for the last night on your tour. The time difference wasn't too bad between Sydney and Seoul, and you had found little messages from Chan on your phone throughout your tour. Thankfully, the tour went from Mongolia down into Australia, so you were usually still in his time zone or close to it.
Before going to sleep, your opened your phone to check for any missed messages. The notification for the bubble app popped up, bringing a smile to your face. So far, you had neither confirmed nor denied to him that you had that app.
짜니: ugggh, can't sleep again.
짜니: Stay, what are you doing?
Remembering you had promised him one more sand visit once your tour ended, you shot him a text on Kakao.
You: I'm done my tour. Are you sleeping ok? Do you need a follow up visit tonight?
짜니: wow, that was fast.
You: what? My tour? Chan, it's been a few months. Felt pretty long to me.
짜니: No, it's just I just messaged stays that I was tired.
짜니: Preeeeetty sure you have bubble, that's too many coincidences 🤔
You giggled in your bed and sat up to text him more. You side stepped admitting you had bubble and changed the subject.
You: Should I land outside the JYP building? I think that will be close enough to send the sand from if you're there.
짜니: Can't you teleport inside? It's cold out, and I'm sure Sydney is nice and warm right now.
You: It's dangerous to teleport inside buildings I'm not familiar with, someone could get hurt. And I'll put a coat on. I didn't say I was in Sydney, are you following my tour updates in Twitter? 👀👀
짜니: Maybe... are you on bubble?
You: Fair enough. I'll be there in a minute, just grabbing my coat.
짜니: where are you teleporting to? The street? The roof?
You: I'll take a look at google street view and aerial view first, the roof next to, less people get scared that way.
Putting on your coat from your visit to Mongolia, you scrounged up the last of your energy to teleport.
----------------------
The sound of the streets below filled your ears while you took in your new surroundings. You wish you had the energy to enjoy being in Seoul, but you really needed to rest. You had already expended most of your energy on the last reports for the sleep clinic tour that day and sending sleep sand to a last few clients. Gathering the sand to your hand, you jumped when your phone rang, the sand falling to the ground.
You couldn't believe your eyes, it was Chan calling. Shakily, you looked around and hit the answer button, holding it up to your ear. Was he okay? Was something wrong?
"H-Hello? Chan?"
"You picked up! Awesome! Look across the street!"
Looking up you couldn't help but giggle at the sight of Chan jumping up and down at the JYP roof, waving his arm in the air frantically, the other holding his phone to his ear.
"I think it's you who just waved back, but just checking, your not in your costume?" His excited voice rang back.
"Ha, Ya that's me." You stalled, still a little in awe and relived that he was okay. "The costume draws too much attention if I just planned on being in and out."
"Your leaving already?" His voice sounded sad as you saw his hand stop waving and slowly lower. How was he so adorable? It broke your heart.
Your pause left him to fill the silence. "Well at least I know your hair colour now, it looks really pretty, from what I can see over here."
You laughed again into the phone, trying to find the words. Chan was quickly becoming one of your favourite persons to talk to, and you could see yourself quickly falling for him too. You even felt you trusted him enough to let him see you without your costume from far away.
"Chan, I-"
"Don't send the sand just yet. Can we talk for a little more, just like this?"
The emotion in his voice made you want to cry. He used to be just your favourite comfort vlog to watch, but was worming his way further into your heart, and you found it so hard to say no to him, especially when you wanted to spend more time with him too.
"Okay, but just for a little bit, I'm in my pjs and a winter coat."
"Oh! I have some hand warmers! I'm not sure how to get to the roof of that building tho." He looked around to the street below.
"Chan, I'm not wearing my mask."
"Oh..." You weren't sure how to interpret the emotion there. "Um, ya that's OK, I can grab you a face mask too if you're not comfortable with me yet." He sounded a little hurt.
"Hey! I didn't mean it like that, it's just, it's a big step, ok? Only my closest friends know it's me behind the mask."
Silence answered you on the line, and you wondered what you said wrong, how could you make him understand?
"What if I come again another time without the mask? I'm so sorry Chan, it's just teleporting takes a lot out of me and I've already spent most of my energy today." You explained.
"Do you wanna come to my studio and take a nap? Hear a track? Trade a secret for a secret? Only my closest friends hear me making tracks." His voice went higher and higher, sounding hopeful.
You stared in disbelief. Was this really happening? Your little stay heart was jumping up and down at the prospect of hearing a new track from him.
"Ok" Your mouth had already answered before you could really think about it. "But I'd like a mask at first please, at least till we get to the studio." You quickly added. You found reveals were always easier in steps.
You found the alley next to the building and floated down to ground level. Sandies couldn't usually fly, it was almost always more of a controlled fall and some could float. Getting settled, you peeked out of the alley way before you felt a tap on your shoulder.
"I'm not looking!" Chan was in front of you, covering his eyes. "Here's a mask for you." You looked to his outstretched arm to find a mask matching the one on his face. It made sense, being so close to the building, he probably got stopped by fans a lot.
"Thank-you." You took it from his hands and put it on. "You can open your eyes now."
Chan let his hand drop from his eyes and stared.
"Oh wow, damn, ok. Sorry, you, you're gorgeous." He looked at you in adoration.
"Chan," You giggled. "You haven't even seen the rest of my face. It could be severely distorted for all you know."
"Nope. Impossible, I can tell even from when you have your mask on that you have a nice jawline and lips." He crossed his arms in triumph.
You crossed your arms too, matching his stance. "Oh really? You've been looking at my lips?" You flirted.
The tips of Chan's ears went red. "Hey, stop that." He said halfheartedly.
-------
You followed Chan with your eyes as he took to the stairs with a windows facing you, looking for where he stopped so that you could try teleporting and skip the security questions. You appeared behind Chan, and had fun tapping him on the shoulder and scaring him. He took you down the hall to his current studio. Once you settled into a seat near his laptop, you took your mask off. You found in the past that it was like ripping of a band-aid, and much easier if you just got it over with. "Okay, I've revealed my face, time to keep up your end of the deal."
Chan looked over and stared. A smile grew on his face. "See, I told you it's impossible. You're more beautiful than I imagined."
Your face turned beat red. "Hey, you stop that. I know you're used to flirting with stays, but if you keep it up you're going to give me ideas."
Chan grinned back at you and leaned in, even as red covered his cheeks. "And what if I want you to get ideas?"
You stared at him as he stated back at you. You couldn't believe him an shook your head. "Very funny. Actually, no, not funny. Stop playing with my feelings and show me the song."
He paused, looking a little offended, and turned around, apparently letting up to give you some breathing room. You saw his eyes from the side keep glancing back at you as his face stayed turned to the laptop screen. After finding the right file, and listening to make sure it was acceptable, he took the headphones off and put them on your head. The song that played was in English, with only Chan's vocals. It told of a story of a mysterious lady he only ever saw when he couldn't sleep, or in his dreams. There were even a few quotes that you had shared with him as your favourite sayings in your conversations over text. Your eyes teared up at the thought of Chan writing a song for you. You covered your mouth with your hand and tried not to cry, the tiredness of the day and all the excitement and feelings taking over.
Chan turned at the sound of your big sniff, and was alarmed out of his seat. "Hey! Are you ok? I didn't mean to make you cry!" He put his hands on your shoulders.
"I'm so sorry, I'm just a mess. It's just pretty overwhelming to have you write a song for me. I didn't think I'd ever even get to meet you, just see you at concerts." You wiped your tears away while he stared in concern, rubbing your arms.
"Aha! So you have been to our concerts. But we'll talk about that later, come here." He drew you into his arms. You hesitated at first, but quickly hugged back. His hugs were better than you imagined through his vlogs.
Once you calmed down, you let out a deep breath and let go. "I'm so sorry, I can go now, I'm such a mess."
"What? No, you need to take a nap, remember?" His puppy dog eyes looked back at you. Your resolve to run away in embarrassment crumbled. He had you wrapped around his little finger and he didn't even know it.
"Okay, but I'm setting a timer on my phone. Just twenty minutes and that will be enough for me to teleport back. And then you're getting sleep sand mister, don't think I forgot." You tried to sound authoritative but it just came out sleepy.
Chan stared back at you chuckling, seeming to debate arguing. "Okay. I'll finish up what I'm doing and then wake you up."
You fell asleep very quickly after that on the couch while Chan tidied up his things from the day at the studio. Before your alarm went off, Chan sat down next you to get a closer look at your face. He tried to memorize it best he could, feeling taking a picture would break your fragile trust that he had finally built up enough to get this far. His phone lit up in his phone, a message from Han, wondering if he Changbin left his phone in the studio. Chan quickly tried to come up with an excuse, saying he was just packing up before the door opened.
Chan stared at Han, feeling he was caught red-handed.
"Umm, this is not what it looks like." Chan tried to explain.
"Really, cause it looks like you let some lady in her pajams sleep in your studio. Is this that girl you've been texting that you won't tell us about?"
"What? I haven't-. Ok. Yes, you're right, but keep your voice down, take the phone and close the door before she wakes up, I'll explain when I get home."
"Ok hyung, you better have a good explanation, this would be a huge scandal."
'I know." His voice let Han know he knew how serious this was for all of them.
-----------------------
Preview of Part 2:
"She's in a coma."
"I was gonna marry that girl."
"Chan's gonna marry my sister, you know."
"Did you see the headlines?"
#bang chan fluff#bang chan x reader#bang chan x y/n#bang chan#skz#reader insert#female reader#skz imagines#x reader#stray kids#Chris bang#superhero#fanfic#skz fanfic
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Meg's (unnamed) Post Canon AU: What Happened To The Bosses?
As fits my personal Post Canon AU, everybody lived. Yes, even the ones who exploded on camera. They did all end up hospitalized: Some in rougher physical condition than others.
Figuring out legal repercussions is making my brain melt, partly because we don't know ANYTHING about Vandelay Island's legal system. (And the fact we have carte blanche when it comes to world building based on the Game Maker's Notebook interview.) My first thought was that there'd be a trial, but after some brief research I'm shelving that.
What I am confident about is taking a rehabilitation approach with the bosses. (I don't have any interest in writing a prison fic, and this is personally more enjoyable for me.)
Once the old bosses recovered from their injuries, they agreed to an arrangement consisting of electronic monitoring, community service, and fines. Another element to this is that the bosses are prohibited from communicating with each other.
Roxanne keeps the old bosses employed at Vandelay Technologies. (Albeit in lower ranked positions.) This stems less from altruism and more from pragmatism because the company needs all the help it can get to rebuild.
With that established, character specific details are listed below. 👇
Rekka ⚡: Production Supervisor. Does physical tasks and event organizing. Required to take anger management classes. She let Chai keep her belt because he earned it. Overall, Rekka is handling things like a BOSS.
Zanzo 🍍: Associate Engineer under Macaron's watchful eye. For the first few months, Zanzo attempted to be a good worker in hopes of regaining some of his Creative Freedom. His community service is web and graphic design for local small businesses, but it doesn't scratch the same itch as building a robot. Bribed a TEC-78 to install a temporal displacement device on the arcade machine so Chai could receive his gift basket. Had to pay his parking tickets and enroll in a financial management course. Zanzo... struggles for a while.
Mimosa 🍹: Social Media Account Manager. She was assigned to the Vandelay Island Community Theater for her service, and became an assistant acting coach at a community theater. (I referenced this in my post about Violet, my self insert OC. But not with this much detail). Mimosa flies no more- the explosion totaled her wings. Despite some bumps along the way, she is doing okay.
Roquefort 🐺: Senior Accountant. Provides financial counseling for Vandelay staff (besides Zanzo) + organizing fundraising events as community service. Also required to take anger management classes. Inhibitor installed to prevent him wolfing out. (Which can't POSSIBLY be overridden 😉) You think Roquefort has a contingency plan?
Kale ☕: For humor, Kale's new job is making coffee in the Café because the machine is STILL broken. (Who knows, he might even enjoy it sometimes.) He got more say with community service, as he volunteers at a pet clinic. (OC & Canon specific - As they serve on different days, Kale and Violet haven't crossed paths. YET.) Frustrated that his SPECTRA AI backup plan fell through. He doesn't have a plan C… as far as anyone knows.
Not everyone on Vandelay Island is content with this outcome. Certain characters believe the punishment dealt isn't harsh enough for the crime. Some may be plotting vengeance from the shadows… 😱
#hi-fi rush#hfr#hfr rekka#hfr zanzo#hfr mimosa#hfr roquefort#hfr kale#hfr spoilers#small ones#post canon au#everybody lives/nobody dies#so much intrigue!#will I do anything with it?#maybe
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Why study epidemiology?
I love my field, but I didn’t even know what it was when I was entering college! I think more people would study it if they knew what it was, so here’s a little intro post for anyone considering it!
What's epidemiology?
Epidemiology is the study of the distribution of disease in a population. Epidemiologists investigate the causes of disease and use what they learn to prevent the spread of disease. Unlike medical doctors, we study illness on a large scale instead of just looking at individuals. Epidemiology is an interdisciplinary field, which means we pull from a lot of other fields including math, computer science, biology, sociology, and psychology.
People study epidemiology for many reasons, but the primary two career pathways are public health practice (meaning you work for the government or a hospital to help monitor and control disease outbreaks) and academia (meaning you work for a university and do research).
Many people also choose to get epidemiology degrees in addition to a medical degree. This is useful if you primarily want to practice medicine, but also want to do a little bit of research on the side. It's not as useful if your primary interest is research or public health practice. It also takes longer, is more competitive, and is often more expensive than just getting one degree.
You might consider a career in epidemiology if you:
Like math and computing, but also enjoy subjects like history and psychology.
Have a strong sense of ethics and are passionate about social justice
Want to focus on healthcare, but don’t want to work directly with patients
Are interested in curing a specific disease (e.g. Alzheimer’s) or want to promote health for a specific group of people (e.g. Latinx health)
Some major sub-fields of epidemiology include:
Social Epidemiology: The study of how social categories (like race, class, gender, etc) impact health. This is what I do!
Genetic epidemiology: The study of genetic predictors of disease
Clinical and translational research: Testing new drugs or treatments to see if they're safe and effective
Maternal and child health: The study of pregnancy, childbirth, and related conditions.
Okay, but are there actually any jobs in that?
Yes! Epidemiology is a very young field that was only made possible by recent technological advances. It's still growing rapidly, and the pandemic has also increased the need for people with epidemiology training. It is definitely a competitive field (you will need good grades and lots of experience!), and it's not as in-demand as a medicine or computer science, but it's easier to find a job in public health/epidemiology than in, say, physics.
How do I get started?
You can major in pretty much any social or hard science, but most colleges offer a Bachelor's degree in public health, which will help you meet all the prerequisites. The most important thing is to take a wide range of classes in high school and college, including biology, statistics, computer science, sociology, and anthropology. Most people also choose to get graduate degrees later on.
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Open Your Future: Essential Guide to CNA Training in Ohio for Aspiring Healthcare Heroes
Unlock Your Future: Essential Guide to CNA Training in Ohio for Aspiring Healthcare Heroes
Are you looking to embark on a rewarding career in healthcare? Becoming a Certified Nursing Assistant (CNA) can be your stepping stone into the healthcare field. In this comprehensive guide, we will explore everything you need to know about CNA training in Ohio, showcasing the benefits, practical tips, and the significance of your role as a healthcare hero. Let’s unlock your bright future together!
What is a CNA?
A Certified Nursing Assistant (CNA) provides essential care to patients in hospitals, nursing homes, and other healthcare settings. Their duties typically include:
Assisting patients with daily living activities.
Monitoring patient health and reporting changes to nursing staff.
Providing emotional support and companionship.
Maintaining a clean and safe environment.
Why Choose CNA Training in Ohio?
Ohio is home to numerous reputable CNA training programs, offering a variety of options to help you kickstart your healthcare career. Here are some compelling reasons to consider CNA training in Ohio:
High Demand: The healthcare industry in Ohio is growing rapidly, leading to an increased need for qualified CNAs.
Career Advancement: Starting as a CNA can open the door to further career opportunities in nursing and healthcare administration.
Personal Fulfillment: Working as a CNA allows you to make a tangible difference in patients’ lives.
CNA Training Requirements in Ohio
To become a CNA in Ohio, you must complete specific training and certification requirements:
Complete a state-approved nursing assistant training program (often around 75 hours).
Pass the Ohio nurse aide competency exam.
Register with the Ohio Nurse Aide Registry.
Steps to Become a CNA in Ohio
Here’s a simplified pathway to becoming a CNA in Ohio:
Step
Description
1. Research Training Programs
Find accredited CNA programs within your vicinity.
2. Enroll in a Program
Submit an application and complete enrollment requirements.
3. Attend Classes
Participate in both classroom instruction and hands-on training.
4. Pass the Competency Exam
Take and pass the written and skills portions of the exam.
5. Register with the Ohio Nurse Aide Registry
Complete registration to legally work as a CNA.
Where to Find CNA Training Programs in Ohio
Ohio offers a variety of options for aspiring CNAs. Some of the most notable institutions include:
Community colleges
Vocational schools
Nursing homes and healthcare facilities
You can check the Ohio Department of Health’s website for a list of approved training programs in your area.
Benefits of CNA Training
Choosing to pursue CNA training comes with numerous benefits, including:
Affordable Education: CNA programs are generally more cost-effective compared to other healthcare educational paths.
Quick Entry to Workforce: Training typically takes a few weeks, allowing for faster entry into the job market.
Hands-On Experience: Gain practical skills through clinical rotations, enhancing your employability.
Practical Tips for Successful CNA Training
To thrive in your CNA training program and future career, consider these practical tips:
Stay organized with your class materials and schedules.
Engage actively during training sessions to enhance learning.
Connect with instructors and classmates for support and networking.
Practice your skills regularly to build confidence.
Real-Life Experiences from CNAs in Ohio
It’s always inspiring to hear from those who’ve successfully navigated the training process:
“Becoming a CNA was the best decision I ever made. I found my passion for helping others, and I’ve since gone on to pursue my RN degree.” – Emily, CNA Graduate
“Training was intense but incredibly rewarding. The hands-on experience made me feel prepared for real patients.” – James, CNA Graduate
Conclusion
Becoming a Certified Nursing Assistant in Ohio is a fulfilling pathway for anyone eager to make an impactful difference in the healthcare field. With the right training, support, and dedication, you too can become a vital healthcare hero. Remember, each step you take brings you closer to achieving your dreams. Your journey begins with CNA training—start today, and unlock your promising future!
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Opening the Essentials: What Phlebotomy Involves and Its Vital Role in Healthcare
Unlocking the Essentials: What Phlebotomy Involves and Its Vital Role in Healthcare
Phlebotomy is a critical practice within the healthcare system, essential for diagnostics and patient care. Understanding what phlebotomy involves can enhance your insight into its importance and potentially inspire a career in this growing field.
What is Phlebotomy?
Phlebotomy is the practice of drawing blood from patients for various medical purposes, including testing, transfusions, donations, or research. Qualified professionals known as phlebotomists perform this procedure using specialized techniques.
Key Responsibilities of a Phlebotomist
Preparing patients by explaining the procedure and providing comfort.
Choosing appropriate equipment and ensuring sterile conditions.
Accurately locating veins and performing the venipuncture.
Collecting blood samples into the right containers.
Labeling specimens and ensuring correct storage and transport.
Maintaining patient records and contributing to clinical documentation.
The Importance of Phlebotomy in Healthcare
Phlebotomy plays a vital role in patient care through several essential functions:
1. Diagnostic Testing
Blood tests provide insights into the patient’s health status, helping doctors diagnose conditions like anemia, diabetes, and infections.
2. Treatment Monitoring
Regular blood draws can monitor the effectiveness of treatments, such as chemotherapy or anticoagulant therapies.
3. Blood Donations and Transfusions
Phlebotomists facilitate safe blood collection for donations, ensuring hospitals have the necessary transfusion supplies.
Benefits of Phlebotomy
Choosing a career in phlebotomy can offer various advantages:
Job Security: The demand for skilled phlebotomists continues to rise as healthcare grows.
Flexible Hours: Many phlebotomists can find part-time work or shifts that suit their lifestyle.
Direct Patient Interaction: Enjoy a rewarding experience by helping patients on their healthcare journey.
Short Training Programs: Many phlebotomy programs allow you to start working in less than a year.
Practical Tips for Phlebotomists
Success in phlebotomy relies on both technical skills and interpersonal abilities. Here are some practical tips:
Always **practice good hygiene** to minimize infection risks.
Be **empathetic and patient-focused** during procedures.
Stay up-to-date with **training and certifications** to enhance your skills.
Communicate clearly with patients, addressing any concerns they may have.
Organize your workspace efficiently to ensure smooth procedures.
Case Studies: Phlebotomy in Action
Here are a couple of illustrative case studies demonstrating the importance of phlebotomy:
Case
Description
Outcome
Patient with Diabetes
Blood samples taken regularly to monitor glucose levels.
Adjusted treatment based on trends in data.
Pre-Operative Testing
Blood drawn to assess blood type and hemoglobin levels.
Ensured patient was eligible for surgery without complications.
First-Hand Experience: A Day in the Life of ��a Phlebotomist
To give you a clearer image, let’s explore a typical day for a phlebotomist:
Arrive at the clinic and prepare your workstation.
Greet patients, explain the procedure, and answer any questions.
Draw blood efficiently while ensuring patient comfort.
Label specimens accurately and document them in patient records.
Engage in ongoing training to improve skills and knowledge.
Conclusion
Phlebotomy is more than just a technical skill—it is a crucial component of healthcare that aids in diagnosis, treatment, and ultimately, patient health outcomes. Whether you are considering a career in this field or simply want to understand its importance better, knowing what phlebotomy involves can unlock a wealth of knowledge about the healthcare system. By embracing the essentials of phlebotomy, you appreciate its role in saving lives and improving health globally.
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Open Your Future: Top CNA Courses in Atlanta, GA for 2023
Unlock Your Future: Top CNA Courses in Atlanta, GA for 2023
Introduction
Are you considering a career in healthcare and looking to make a positive impact in people’s lives? Becoming a Certified Nursing Assistant (CNA) is a fulfilling path that opens doors to numerous opportunities. In Atlanta, GA, aspiring CNAs can find various training programs to equip them with the skills they need. In this article, we will guide you through the top CNA courses available in Atlanta for 2023, highlighting their key features, benefits, and how you can take the first steps towards a rewarding career in nursing.
Why Choose a CNA Career?
Choosing to become a Certified Nursing Assistant offers several advantages:
High Demand: The healthcare industry continues to grow, especially in urban areas like Atlanta.
Short Training Period: CNA programs typically last between 4 to 12 weeks.
Job Satisfaction: CNAs play a vital role in patient care, making a difference in the lives of individuals.
Career Advancement: Beginning as a CNA can lead to further education and roles such as LPN or RN.
Top CNA Courses in Atlanta, GA for 2023
Here’s a list of some of the best CNA programs in Atlanta:
School/Institution
Program Length
Cost
Highlights
The Georgia Nurse Aide Registry
4-6 Weeks
Approx. $700
State-approved, hands-on training.
Atlanta Technical College
10 Weeks
Approx. $1,200
Comprehensive curriculum with clinical hours.
Emory University
8 Weeks
Approx. $1,500
Reputable institution with job placement services.
Southwest Georgia Technical College
6 Weeks
Approx. $800
Flexible scheduling options.
Gwinnett Technical College
4 Weeks
Approx. $850
Hands-on practice and state certification preparation.
Benefits of Taking CNA Courses
Investing in a CNA course has numerous benefits for your career:
Hands-On Training: Most programs include clinical practice, providing real-world experience with patients.
Networking Opportunities: You’ll connect with healthcare professionals who can help you in your job search.
Job Ready Skills: Courses are designed to equip you with the necessary skills to work effectively in healthcare settings.
Financial Aid: Many colleges offer financial aid or scholarships for CNA training.
Practical Tips for Aspiring CNAs
To successfully navigate your CNA training, consider the following tips:
Research Your Programs: Investigate different courses to find one that fits your learning style and schedule.
Attend Open Houses: Many institutions host informational events that allow prospective students to meet instructors and ask questions.
Make the Most of Clinicals: Take clinical sessions seriously—they are your chance to gain hands-on experience.
Prepare for Your Certification Exam: Dedicate time to study and review all the materials provided during your course.
Seek Feedback: Regularly ask your instructors for feedback on your progress and areas for improvement.
First-Hand Experience: A Day in the Life of a CNA
To provide you with real insights, here’s a brief case study from a Certified Nursing Assistant, Sarah:
“Every day is unique as a CNA. I assist patients with their daily activities, monitor vital signs, and communicate with healthcare team members. The job can be challenging, but the satisfaction of knowing I make a difference drives me every day. My training prepared me well, and I appreciate the hands-on experience I gained in my program.”
– Sarah, CNA
Conclusion
In Atlanta, GA, aspiring CNAs have several excellent courses to choose from in 2023. Each program offers unique features and benefits, making it essential to choose the one that aligns with your personal goals and learning preferences. By completing a CNA course, you not only gain the skills needed for a rewarding career in healthcare but also step into a field that is growing and filled with opportunities. Take the first steps towards your future today, and consider enrolling in one of Atlanta’s top CNA programs!
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Open Your Future: Discover Free CNA Classes in PA for Aspiring Healthcare Heroes
Unlock Your Future: Discover Free CNA Classes in PA for Aspiring Healthcare Heroes
Are you passionate about helping others and considering a career in healthcare? Becoming a Certified Nursing Assistant (CNA) is an excellent way to kickstart your journey. In Pennsylvania, free CNA classes provide aspiring healthcare heroes with the opportunity to gain valuable skills and turn their dreams into reality. This guide will explore where to find these classes, the benefits of enrolling, and practical tips to make the most of your training.
What is a CNA?
A Certified Nursing Assistant (CNA) plays a critical role in healthcare facilities, providing essential support to nurses and directly assisting patients with their daily needs. From monitoring vital signs to offering companionship, CNAs make a meaningful difference in the lives of those they care for.
Why Choose Free CNA Classes in Pennsylvania?
Investing in your education can be overwhelming, especially when costs are involved. Fortunately, free CNA classes in PA enable prospective students to gain credentials without incurring heavy debt. Here are some compelling benefits:
No Tuition Fees: Free classes eliminate financial barriers, making healthcare training accessible.
Hands-On Training: CNAs gain practical skills through supervised clinical experiences.
Job Market Demand: The healthcare industry continuously seeks qualified CNAs, providing ample job opportunities.
Flexible Scheduling: Many programs offer night or weekend classes to accommodate working students.
Where to Find Free CNA Classes in PA
Numerous organizations and institutions in Pennsylvania offer free CNA training. Here’s a list of avenues to explore:
1. Community Colleges
Many community colleges in Pennsylvania partner with healthcare facilities to offer free CNA training programs. Opportunities may vary, so contact your local community college to learn more.
2. Non-Profit Organizations
Organizations dedicated to workforce development often provide free CNA training. Some notable examples include:
Job Corps
Goodwill Industries
YWCA
3. Healthcare Facilities
Some hospitals and nursing homes offer free training in exchange for a commitment to work for them for a certain period post-training. Reach out to facilities in your area to inquire about their programs.
4. State-Funded Programs
The Pennsylvania Department of Human Services offers funding for training programs. Check their official website or contact local offices for more details.
How to Enroll in Free CNA Classes
Enrolling in free CNA classes generally involves several steps:
Research: Investigate various programs offering free CNA classes in your area.
Eligibility: Determine if you meet the eligibility requirements (e.g., age, background checks).
Application: Complete the application process as specified by the training institution or organization.
Attend Orientation: Some programs may require an orientation session before beginning the classes.
A Day in the Life of a CNA: First-Hand Experience
To emphasize what being a CNA truly entails, we spoke to Sarah, a newly certified CNA from Pittsburgh, PA:
“My days as a CNA are both challenging and rewarding. I thrive on the relationships I build with patients. Every day, I learn something new, whether it’s a medical skill or something more personal about those in my care. It’s a demanding job, but knowing I make a difference is fulfilling.” – Sarah, CNA
Practical Tips for Success in Your CNA Class
Starting your journey as a CNA can be both exciting and overwhelming. Here are practical tips to help you succeed in your classes:
Stay Organized: Keep all your materials, notes, and schedules organized to manage your studies effectively.
Practice Skills Regularly: Spend time practicing your skills, as hands-on experience is key to mastering them.
Ask Questions: Don’t hesitate to ask instructors questions for clarity–understanding concepts is crucial.
Network: Connect with fellow students; they can provide support and additional resources.
Funding Your CNA Education
If you find it challenging to get a full free program, consider additional funding options:
Financial Aid: Fill out the FAFSA to potentially qualify for federal financial aid.
Scholarships: Look for healthcare scholarships offered by local organizations or colleges.
Payment Plans: Some programs offer installment plans to help spread out the cost.
Case Studies: Transformative Journeys of Successful CNAs
Many individuals have transformed their lives through CNA training. Below is a brief comparison of two CNAs:
Name
Background
Current Position
Impact
John
High school dropout
CNA at a local hospital
Mentors others on the importance of healthcare
Lisa
Recently moved to PA
CNA in a nursing home
Developing a wellness program for residents
Conclusion
Embarking on a career as a Certified Nursing Assistant in Pennsylvania is a stepping stone toward a rewarding future in healthcare. With free CNA classes available through various channels, aspiring healthcare heroes can gain the training they need without the financial strain. By taking the first steps today, you can unlock your future and contribute to the well-being of your community.
Start your journey now—research, apply, and become a part of a growing field that makes a significant impact on lives daily!
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Work from Home CRA Job vacancies at Syneos Health Syneos Health is hiring Clinical Research Associates for remote positions in Hyderabad/Bangalore. Minimum 03 year of CRA experience required. Apply now for a chance to work with a leading biopharmaceutical solutions organization. Job Title: Clinical Research Associate I (CRA I) Job ID: 24005945 Location: India-Asia Pacific - IND-Home-Based Description: Syneos Health® is a leading fully integrated biopharmaceutical solutions organization focused on accelerating customer success. We are currently seeking Clinical Research Associates for remote positions in Hyderabad/Bangalore. Job responsibilities Performs site qualification, site initiation, interim monitoring, site management activities and close-out visits (performed on-site or remotely) ensuring regulatory, ICH-GCP and/or Good Pharmacoepidemiology Practice (GPP) and protocol compliance. Uses judgment and experience to evaluate overall performance of site and site staff and to provide recommendations regarding site-specific actions; immediately communicates/escalates serious issues to the project team and develops action plans. Maintains a working knowledge of ICH/GCP Guidelines or other applicable guidance, relevant regulations, and company SOPs/processes. Verifies the process of obtaining informed consent has been adequately performed and documented for each subject/patient, as required/appropriate. Demonstrates diligence in protecting the confidentiality of each subject/patient. Assesses factors that might affect subject/patient’s safety and clinical data integrity at an investigator/physician site such as protocol deviation/violations and pharmacovigilance issues. Per the Clinical Monitoring/Site Management Plan (CMP/SMP): Assesses site processes Conducts Source Document Review of appropriate site source documents and medical records Verifies required clinical data entered in the case report form (CRF) is accurate and complete Applies query resolution techniques remotely and on site, and provides guidance to site staff as necessary, driving query resolution to closure within agreed timelines Utilizes available hardware and software to support the effective conduct of the clinical study data review and capture Verifies site compliance with electronic data capture requirements May perform investigational product (IP) inventory, reconciliation and reviews storage and security. Verifies the IP has been dispensed and administered to subjects/patients according to the protocol. Verifies issues or risks associated with blinded or randomized information related to IP. Applies knowledge of GCP/local regulations and organizational procedures to ensure IP is appropriately (re)labelled, imported and released/returned. Routinely reviews the Investigator Site File (ISF) for accuracy, timeliness and completeness. Reconciles contents of the ISF with the Trial Master File (TMF). Ensures the investigator/physician site is aware of the requirement of archiving essential documents in accordance with local guidelines and regulations. Documents activities via confirmation letters, follow-up letters, trip reports, communication logs, and other required project documents as per SOPs and Clinical Monitoring Plan/Site Management Plan. Supports subject/patient recruitment, retention and awareness strategies. Enters data into tracking systems as required to track all observations, ongoing status and assigned action items to resolution. For assigned activities, understands project scope, budgets, and timelines; manages site-level activities / communication to ensure project objectives, deliverables and timelines are met. Must be able to quickly adapt to changing priorities to achieve goals / targets. May act as primary liaison with study site personnel, or in collaboration with Central Monitoring Associate. Ensures all assigned sites and project-specific site team members are trained and compliant with applicable requirements.
Prepares for and attends Investigator Meetings and/or sponsor face to face meetings. Participates in global clinical monitoring/project staff meetings (inclusive of Sponsor representation, as applicable) and attends clinical training sessions according to the project specific requirements. Provides guidance at the site and project level towards audit readiness standards and supports preparation for audit and required follow-up actions. Maintains a working knowledge of ICH/GCP Guidelines or other applicable guidance, relevant regulations, and company SOPs/processes; completes assigned training as required. For Real World Late Phase, the CRA II will use the business card title of Site Management Associate II. Additional responsibilities include: Site support throughout the study lifecycle from site identification through close-out Knowledge of local requirements for real world late phase study designs Chart abstraction activities and data collection Collaboration with Sponsor affiliates, medical science liaisons and local country staff The SMA II may be requested to train junior staff Identify and communicate out of scope activities to Lead CRA/Project Manager Proactively suggest potential sites based on local knowledge of treatment patterns, patient advocacy and Health Care Provider (HCP) associations Qualifications What we’re looking for Minimum 3yrs of experience in onsite monitoring and remote monitoring. Should have Neurology, immunology, rare diseases, CVD and Oncology therapeutic area experience preferred. Candidate from Mumbai, Delhi, Bengaluru, Hyderabad, Ahmedabad preferred. Bachelor’s degree or RN in a related field or equivalent combination of education, training and experience Knowledge of Good Clinical Practice/ICH Guidelines and other applicable regulatory requirements Must demonstrate good computer skills and be able to embrace new technologies Excellent communication, presentation and interpersonal skills Ability to manage required travel of up to 75% on a regular basis [caption id="attachment_66251" align="aligncenter" width="1200"] Work from Home Clinical Research Associate Opportunities at Syneos Health[/caption] Get to Know Syneos Health: Over the past 5 years, Syneos Health has worked with 94% of all Novel FDA Approved Drugs and 95% of EMA Authorized Products across 73,000 sites and 675,000+ trial patients. Join us in a highly competitive and ever-changing environment. Additional Information: Tasks, duties, and responsibilities as listed in this job description are not exhaustive. The company may assign other tasks as needed. Equivalent experience, skills, and education will also be considered. The company is committed to complying with applicable legislation and providing reasonable accommodations as needed. Apply now for a rewarding career opportunity with Syneos Health in the clinical research field! Apply online
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Mastering Phlebotomy: Essential Training Steps to Launch Your Career in Blood Collection
Mastering Phlebotomy: Essential Training Steps to Launch Your Career in Blood Collection
Phlebotomy, the practice of drawing blood for tests, transfusions, or donation, is a vital component of healthcare. With an increasing demand for skilled phlebotomists, understanding the essential training steps, certifications, skill requirements, and career prospects can set you on the right path. Whether you’re a new graduate or considering a career change, this guide will provide you with the necessary tools to master phlebotomy and launch your career in blood collection.
Understanding Phlebotomy
Phlebotomy involves the collection of blood samples through venipuncture. This practice is necessary for various medical purposes, including:
Diagnostic testing
Blood donation
Research
Monitoring therapy
Phlebotomists play a crucial role in the healthcare system, ensuring that blood collection is performed safely and efficiently while maintaining patient comfort.
Essential Training Steps to Become a Phlebotomist
To become a phlebotomist, you need to follow specific training steps. Here’s a breakdown:
1. Obtain a High School Diploma or GED
The first requirement to pursue a career in phlebotomy is a high school diploma or equivalent. Basic education prepares you with essential skills in math, biology, and communication.
2. Choose a Phlebotomy Training Program
Enroll in a certified phlebotomy training program. These programs combine classroom instruction with hands-on training. Courses typically cover:
Human anatomy and physiology
Medical terminology
Blood collection techniques
Safety and infection control
Many community colleges and vocational schools offer phlebotomy programs, ranging from a few weeks to several months.
3. Gain Practical Experience
Hands-on experience is essential in mastering phlebotomy. Most training programs include a clinical component, where students practice blood collection under supervision. Aim to complete:
30-50 successful blood draws
Experience in varied settings (hospitals, clinics, blood donation centers)
4. Obtain Certification
While certification is not mandatory in all states, it significantly enhances your career prospects. Several organizations offer certification exams, including:
American Society for Clinical Pathology (ASCP)
National Phlebotomy Association (NPA)
American Medical Technologists (AMT)
Certification demonstrates your competence and commitment to the profession, making you a more attractive candidate to employers.
5. Secure Employment
After obtaining your certification and completing your training, begin the job search. You can find job opportunities in:
Hospitals
Diagnostic laboratories
Blood banks
Physician’s offices
Benefits of a Career in Phlebotomy
Pursuing a career in phlebotomy offers several advantages, such as:
High Demand: The healthcare industry is consistently growing, leading to increasing opportunities for phlebotomists.
Job Stability: With a certification, you can enjoy a stable job with numerous locations and sectors to choose from.
Gateway to Further Education: Experience as a phlebotomist can be a stepping stone to careers in nursing, laboratory technology, or other health professions.
Flexible Hours: Many phlebotomy positions offer flexible schedules, allowing for better work-life balance.
Essential Skills for Phlebotomists
Successful phlebotomists possess numerous skills, including:
Communication: Clear communication helps in explaining procedures and calming anxious patients.
Attention to Detail: Accuracy is vital in blood collection and labeling samples correctly.
Empathy: Being sensitive to patient needs and fears creates a more positive experience.
Physical Stamina: The job may require standing for long periods and working with various patients.
Practical Tips for Aspiring Phlebotomists
Before launching your phlebotomy career, consider these practical tips to enhance your journey:
Participate in workshops or additional training to improve your skills.
Network with professionals in the field through conferences or social media groups.
Stay updated with the latest techniques and regulations by subscribing to relevant journals.
Case Study: Real-Life Experience in Phlebotomy
Maria, a new graduate in healthcare, decided to pursue phlebotomy after volunteering in a local clinic. She enrolled in a six-month phlebotomy program, gaining comprehensive knowledge and practical experience. Upon certification, she secured a position at a nearby hospital.
Today, Maria enjoys her role, contributing to patient care while also finding opportunities to advance her career in nursing.
Conclusion
Mastering phlebotomy is both an exciting and rewarding pursuit. By following the essential training steps, acquiring necessary certifications, and developing vital skills, you can successfully launch your career in blood collection. As the demand for skilled professionals continues to grow, now is the perfect time to embark on this fulfilling journey. By investing in your education and practical experience, you’ll position yourself for a stable and rewarding career in the healthcare sector.
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Open Your Future: Free CNA Training Opportunities in Brooklyn, NY
Unlock Your Future: Free CNA Training Opportunities in Brooklyn, NY
Are you looking to jumpstart a rewarding career in healthcare without incurring hefty tuition fees? If so, becoming a Certified Nursing Assistant (CNA) in Brooklyn, NY, might be your perfect pathway. This article will unveil various free CNA training opportunities available in Brooklyn, along with insights, benefits, and practical tips to help you succeed in your new career.
What is a Certified Nursing Assistant (CNA)?
A Certified Nursing Assistant (CNA) plays a crucial role in healthcare settings, providing essential care to patients under the supervision of registered nurses (RNs) and licensed practical nurses (LPNs). CNAs help with daily living activities, monitor patient health, and ensure a positive environment for their patients.
Benefits of Becoming a CNA in Brooklyn, NY
High Demand: With the aging population, CNAs are in high demand, especially in urban areas like Brooklyn.
Quick Entry: CNA training programs can often be completed in just a few weeks, leading to quick job placement.
Cost-effective: Free training options reduce the financial burden, making this career accessible to everyone.
Flexible Work Options: CNAs can work in various settings, including hospitals, nursing homes, and home care.
Free CNA Training Opportunities in Brooklyn
Brooklyn offers several free CNA training programs aimed at providing aspiring healthcare workers with the necessary skills and certifications without financial strain.
1. Local Community Colleges
Many community colleges in Brooklyn provide free CNA training through various grant programs. For instance:
College Name
Program Duration
Contact Information
CUNY Kingsborough Community College
8 Weeks
(718) 368-5000
CUNY Borough of Manhattan Community College
6 Weeks
(212) 220-8000
2. Non-Profit Organizations
Various non-profit organizations offer scholarships and free CNA training programs. Here are a couple of notable ones:
Brooklyn Workforce Innovations (BWI): They provide a six-week CNA training program, including job placement.
Institute for Workforce Education: Offers free training and career support for eligible individuals.
3. State-Funded Training Programs
The New York state government often funds programs aimed at boosting healthcare worker numbers. Visit the New York State Department of Health website for updated information on free training initiatives.
How to Apply for Free CNA Training Programs
Follow these steps to secure a spot in a free CNA training program in Brooklyn:
Research Opportunities: Use local resources, online searches, and community bulletin boards to find training programs.
Check Eligibility: Many programs have specific eligibility criteria, including income limits and residency requirements.
Prepare Necessary Documents: Prepare your ID, proof of address, and any required educational qualifications.
Submit Applications: Complete and submit applications as early as possible, as spots can fill up quickly.
Personal Experience: A Case Study
Maria, a recent graduate of a Brooklyn CNA program, shares her journey:
“I always knew I wanted to help people, but I didn’t know where to start. I discovered a free CNA training program through BWI and enrolled immediately. The instructors were supportive, and the clinical practice was invaluable. Within a few weeks of completing the course, I landed a job at a local nursing home!”
Practical Tips for Success in CNA Training
Stay Organized: Keep track of your assignments and schedule study times to stay ahead.
Ask Questions: Don’t hesitate to clarify any doubts with your instructors during training.
Practice Skills Regularly: Regular practice of clinical skills will prepare you for real-life scenarios.
Network: Connect with fellow trainees and professionals in the field for future job leads.
Conclusion
Embarking on a career as a Certified Nursing Assistant is a fulfilling choice that can open doors to multiple healthcare paths. With numerous free training opportunities available in Brooklyn, NY, you can pursue this rewarding career without the burden of tuition fees. Take the first step today, explore your options, and start unlocking your future in the healthcare industry!
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Leading CNA Schools in Los Angeles, CA: Your Guide to Becoming a Certified Nursing Assistant
Top CNA Schools in Los Angeles, CA: Your Guide to Becoming a Certified Nursing Assistant
Are you considering a career as a Certified Nursing Assistant (CNA) in Los Angeles, CA? The journey starts with choosing the right CNA school. This article serves as your comprehensive guide, detailing the top CNA schools in Los Angeles, the benefits of becoming a CNA, practical tips for success, and firsthand experiences to help you make an informed decision. Let’s dive in!
What is a Certified Nursing Assistant (CNA)?
A Certified Nursing Assistant plays a crucial role in the healthcare field. CNAs support patients with daily activities, monitoring their health, and assisting healthcare professionals. The demand for CNAs is rising, making it a great career choice.
Why Choose a CNA Career in Los Angeles?
High Demand: The healthcare industry in Los Angeles is booming, and skilled CNAs are in high demand.
Competitive Pay: CNAs in LA earn competitive wages, with many opportunities for overtime.
Flexible Hours: Many healthcare facilities offer flexible scheduling options.
Pathway to Advancement: Becoming a CNA can be a stepping stone to further nursing education and specialized fields.
Top CNA Schools in Los Angeles, CA
When selecting a CNA school, consider factors including program length, cost, and location. Here are some of the top CNA schools in Los Angeles:
School Name
Program Length
Tuition Cost
Location
Los Angeles Community College
6 weeks
$1,200
Los Angeles, CA
West Los Angeles College
8 weeks
$1,400
Los Angeles, CA
American Career College
10 weeks
$1,500
Los Angeles, CA
Platt College
7 weeks
$1,800
Los Angeles, CA
Southern California Institute of Technology
12 weeks
$1,600
Los Angeles, CA
Benefits of Attending a CNA School
Enrolling in a CNA program offers numerous advantages:
1. Comprehensive Training
CNA programs offer hands-on training in various settings, including labs and clinical environments, which is vital for your education.
2. Certification Preparation
Top schools prepare you to take the CNA certification exam, ensuring you have the knowledge and skills needed to succeed.
3. Networking Opportunities
Studying at a recognized institution allows you to connect with other aspiring CNAs and professionals in the field, helping in future job placements.
Practical Tips for Success in CNA Programs
Stay Organized: Keep track of your assignments, tests, and practical hours.
Engage with Instructors: Don’t hesitate to ask questions and seek help when needed.
Form Study Groups: Collaborating with peers can improve your understanding of complex topics.
Practice Skills Regularly: Hands-on practice enhances muscle memory and builds confidence.
Firsthand Experience: A CNA Graduate’s Journey
Meet Jane, a graduate from American Career College. She shares her experience:
“I chose American Career College because of its comprehensive curriculum and great reviews. The instructors were incredibly supportive, and I felt prepared for the certification exam. After completing my CNA training, I landed a job at a local hospital within a month!”
How to Enroll in a CNA Program
Enrolling in a CNA school is straightforward. Follow these steps:
Research Schools: Use the information provided to shortlist schools that suit your needs.
Check Admission Requirements: Ensure you meet the prerequisites for your chosen program.
Prepare Your Documents: Gather necessary paperwork, including identification and any prior educational credentials.
Apply for Financial Aid: Investigate scholarship opportunities and financial aid if necessary.
Attend Orientation: Participate in orientation sessions to get a feel for the program and meet your instructors.
Conclusion
Choosing to become a Certified Nursing Assistant in Los Angeles is a rewarding decision that contributes significantly to the healthcare community. With the top CNA schools offering quality training, various benefits, and solid career prospects, you’re well on your way to a fulfilling career. Remember to stay motivated, seek support from peers and instructors, and keep your end goal in mind. Good luck on your journey to becoming a CNA!
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Phlebotomy Technician Explained: Role, Skills, and Career Insights
Phlebotomy Technician Explained: Role, Skills, and Career Insights
In the healthcare field, Phlebotomy Technicians play a crucial role in patient care, handling blood collection and ensuring laboratory samples are accurately processed. If you are considering a career in healthcare, understanding the responsibilities and skills required to become a successful Phlebotomy Technician can help you make an informed decision. In this article, we will delve into the role of a Phlebotomy Technician, essential skills for success, career insights, and tips for aspiring professionals.
The Role of a Phlebotomy Technician
A Phlebotomy Technician specializes in drawing blood from patients for various medical purposes. The responsibilities are diverse and essential within the healthcare system. Key duties include:
Collecting blood samples by venipuncture or capillary puncture.
Labeling and managing samples for laboratory testing.
Ensuring patient comfort and safety during blood collection.
Maintaining sterile techniques to avoid contamination.
Documenting procedures and reporting any issues to medical staff.
Educating patients on the blood draw process.
Essential Skills for a Phlebotomy Technician
To excel as a Phlebotomy Technician, certain skills are indispensable. Below are some of the key competencies needed:
Skill
Description
Attention to Detail
Accurately labeling and handling samples is critical.
Communication Skills
Effectively communicating with patients and healthcare staff.
Manual Dexterity
Precision in drawing blood and handling equipment.
Interpersonal Skills
Building rapport with patients to ease anxiety.
Problem-Solving Skills
Identifying and addressing complications during blood draws.
Education and Certification Requirements
Most Phlebotomy Technician programs require a high school diploma or equivalent. Several accredited institutions and community colleges offer phlebotomy training programs, which typically include both classroom instruction and hands-on practice. These programs usually take a few months to complete. Upon finishing your program, obtaining certification through organizations like the National Phlebotomy Association (NPA) or the American Society for Clinical Pathology (ASCP) can dramatically enhance your job prospects. Here’s a brief overview of the certification process:
Complete a recognized phlebotomy training program.
Gain hands-on experience through clinical practice.
Pass a certification exam from a recognized body.
Career Insights for Phlebotomy Technicians
Phlebotomy Technicians have various career paths available. Besides working in hospitals and clinics, some may choose to work in blood donation centers, research labs, or even in mobile lab units. The demand for skilled phlebotomists remains robust, particularly due to the increasing reliance on blood tests for disease diagnosis and monitoring.
Job Outlook and Salary Expectations
The U.S. Bureau of Labor Statistics projects that employment for Phlebotomy Technicians will grow by 10% from 2020 to 2030, which is faster than average for all occupations. As of the latest data, the median annual wage for phlebotomists is approximately $36,000, but this can vary significantly based on factors like location and experience. Here’s a breakdown of potential salaries:
Location
Average Salary
California
$45,000
Texas
$35,000
New York
$42,000
Florida
$39,000
Benefits of a Career in Phlebotomy
Choosing a career in phlebotomy offers several benefits, such as:
High Demand: With a growing population and advances in medical technology, phlebotomists are consistently in demand.
Flexibility: Many positions offer flexible hours, making it achievable to balance work and personal life.
Opportunity for Growth: Experienced phlebotomists can advance to supervisory or laboratory management roles.
Patient Interaction: Phlebotomy provides direct patient care, allowing you to make a tangible difference in their healthcare experience.
Practical Tips for Aspiring Phlebotomists
If you’re interested in becoming a Phlebotomy Technician, consider the following practical tips:
Choose the Right Program: Research different training programs to find one that fits your career goals and schedule.
Get Hands-On Experience: Participate in practicums or internships during your training to gain real-world experience.
Stay Current: Attend workshops or continuous education programs to keep your skills and certifications up to date.
Network: Engage with professionals in the field through social media or professional bodies to advance your career.
First-Hand Experience: A Day in the Life of a Phlebotomy Technician
To give you a better understanding of the phlebotomy profession, here’s a brief account of a typical day for a Phlebotomy Technician:
“I start my day by reviewing the schedule for patient blood draws. Once I arrive, I check the supplies to ensure everything is in order. My first patient is a bit anxious, but I take the time to explain the procedure and reassure them. After a successful draw, I label the tubes carefully and send them off to the lab. Throughout the day, I interact with doctors and nurses, making sure all samples are handled correctly and efficiently. Seeing patients leave with a smile makes my job rewarding.” – Jamie, Phlebotomy Technician
Conclusion
Becoming a Phlebotomy Technician is an excellent career choice for those interested in the healthcare field. With a strong job outlook, competitive salaries, and the opportunity to directly impact patients’ lives, phlebotomy offers a rewarding and dynamic work environment. By developing the essential skills, gaining the necessary certification, and staying informed about industry trends, you can forge a successful path in this vital healthcare profession. If you’re ready to embark on this career journey, explore educational programs and certification opportunities today!
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