Ron: I work for a company that requires 90 percent productivity in a skilled nursing facility. I had a hard time convincing myself that this was ethical or plausible. I did work out a system where I could be 90 percent and knowing I was doing the best for the patients. I spent my morning doing selfcare ADL's which was planned from the day before so nursing knew who and what part of morning ADL's I was going to do. I usually spend 35-60 minutes with each patient (approx 4-5 patients). I work in a situation where I can carry the progress notes with me on a clipboard so I was able to write the daily PN immediately following the morning tx. The afternoon 4 hours I spent half of it doing group tx and the other half individual tx or evals. During the afternoon I try to write the daily note with the patient and I always complete the evaluation 700 with the patient. It is harder when the caseload is higher then 10. In that case I rotate between group and individual tx and seem like I spend half the day running around like a chicken with my head cutoff!!! However, on the days I do morning selfcare I usually spend more time education and instructing and get extra time( increasing productivity). Now, I do have to monitor minutes because the patient is only allowed 25% group tx a week under medicare A. It all seems to work out and I feel more patients then not like working with other people with similar situations for motivation and socialization.
Now on the other hand I work PRN at another SNF where I have to be 75 percent productivity. I thought this would be less stressful then my fulltime job. However, the paper work is in the patient's hard chart and I spend so much time looking and getting the charts from other professionals I feel like I am just as busy even though my billable time is much less! Jennifer *********��*********** Unsubscribe? Send a message to [EMAIL PROTECTED] In the message's *body*, put the following text: unsubscribe OTlist ** List messages are archived at: http://www.mail-archive.com/[email protected] *********��***********
