Re: [OTlist] RELOCATING TO MISSISSIPPI

[SadieMoon]

Beng - are you in the US right now?  If so, I would say visit at SNFs there and talk to the therapists.  I don't think they vary that much from state to state.  But just some quick thoughts - its great if you can get there really early, as patients like to work on real ADLs during the time of day they are really doing them which in SNfs temd to be early.  I would say patients get out of bed from 6 AM to 8 AM.  They can use work on toileting, sink hygiene, wheelchair transfers, and dressing at that time.  Then comes breakfast.  You can work with any patients who have feeding goals then.  After breakfast is when most of the ones who are having a full bath that day have it.  Another good OT opportunity.  Later in the morning is a good time for UE exercises.  Mid- day, sometimes we work on meal prep, especially for those who plan to go home.  A different patient might wash up the dishes as a standing activity later on.  Afternoon is hard to get patients,  your really motivated ones might come then because you can give a longer time.  This is also when I work on splinting, positioning, wheelchair adaptations, screens, and care plans.  If you have come in quite early, and you have a normal good caseload, you will be gone before the residents have supper.  But if you were later coming or if you have a huge caseload, things pick up again around 4 and you can get some more active treatments in then and at supper.  Sink and toileting activities are repeated after supper.  I hope this is a little help to you. E-mail me off list and let me know where you are coming.  Maybe we could get together. -- Jody OTR/L Central Mississippi