We are self-employed so basically yes, she can only bill our payment agency for the work she’s done (or I did for her but she was technically there so her name goes on the patient’s chart so she gets the full amount).   We don’t have a supervisor, that’s the problem...we get contracted out and the person who signs the contract doesn’t have any power to tell us how to work nor does she really give a shit. Plus she is overweight herself. We are accountable to our professsional College so that’s about it.  Being a softie, I tried giving her other duties to perform, like paperwork, or patient education where you can just basically sit there but my back wasn’t happy about that. Then I got mad and stepped back to let her do what she’s supposed to but everything just took so long and when you are tired and want to get the heck out, the last thing you want to see is a fatty waddling down the hallway looking for a wheelchair or something.  So I stopped calling her altogether and she’s genuinely not understanding why I’m suddenly ‘mad at her’. If I tell her the truth, it’s going to be tears and ‘discrimination’.  See, it’s all effe’d up.