I am a COTA/L as well as an OTR/L. I visit with my COTA/L that I supervise once week minimum to go over case load co-sign, iron out any issues. I also document these meetings, print out the email etc.. I usually co-treat their toughest clients once or twice a month. I have daily phone contact and email contact too. At first it is more time consuming to do supervision, until you get to know and are comfortable with the people you are supervising. I think as a new grad, your new place of employment has put too much on you. To learn a case load, supervise 2 COTA/L s and hone your therapy and evaluation skills in a busy clinic that has school contracts is quite a chunk of responsibility and transition. I hope that they have provided an orientation, an abbreviated schedule to allow you to become familiar with all of the duties, and will let the PRN OT's supervise the COTA/L's too. Mentorship is so important. IT is a necessity while you are transitioning from school to work. Sandra Caskey, OTR/L
----- Original Message ----- From: [EMAIL PROTECTED] Sent: Monday, January 26, 2004 2:58 PM To: [EMAIL PROTECTED] Subject: OTlist Digest, Vol 4, Issue 8 Send OTlist mailing list submissions to [EMAIL PROTECTED] To subscribe or unsubscribe via the World Wide Web, visit http://otnow.com/mailman/listinfo/otlist_otnow.com or, via email, send a message with subject or body 'help' to [EMAIL PROTECTED] You can reach the person managing the list at [EMAIL PROTECTED] When replying, please edit your Subject line so it is more specific than "Re: Contents of OTlist digest..." Today's Topics: 1. Re: OT Supervision (Ron Carson) 2. Re: OT Supervision (Ruth Meyers) 3. Re: OT Supervision (Sue Hossack MOTR/L) ---------------------------------------------------------------------- Message: 1 Date: Mon, 26 Jan 2004 01:52:54 -0500 From: Ron Carson <[EMAIL PROTECTED]> Subject: Re: [OTnow] OT Supervision To: Sue Hossack MOTR/L <[EMAIL PROTECTED]> Message-ID: <[EMAIL PROTECTED]> Content-Type: text/plain; charset=us-ascii Hello Sue: I think that Ruth Meyers' has the best suggestion but my interpretation of the regulation is that you only need to meet face to face with the COTA to review client's treatment. It doesn't seem like you are required to see actual treatment. Of course, there may be times when a visit is warranted, such as poor documentation by the COTA or an extremely difficult case. I am sure the law is written to ensure that clients are getting treated appropriately. On a whole different topic. In my opinion, it certainly isn't what I consider 'best practice' to have a new graduate OT being the only supervisor of two COTAs. New graduates require supervision themselves. (This comment has NOTHING to do with you as an individual, it is a general statement about all new grads) Be very careful with what you co-sign because it is your license that is on the line and most importantly it's clients lives who are being affected. Ron ======================================================= On Sunday, January 25, 2004, @ 9:12 AM, you wrote: SHML> Hi all, SHML> I have recently graduated with an Masters in OT, and moved to SHML> Virginia.I am working at a private clinic with a big school-system SHML> practice. I am the only OT, with 2 COTAs whom I am expected to SHML> supervise. I have a question about supervision, since I have not SHML> experienced this situation before in my field work. SHML> According to the state regulations: SHML> The occupational therapist providing clinical supervision shall meet SHML> with the occupational therapy personnel to review and evaluate treatment SHML> and progress of the individual patients at least once every fifth SHML> treatment session or 21 calendar days, whichever occurs first SHML> Does this mean I have to observe the COTA's treatment of every one of SHML> their patients, or can I just meet with them and discuss each case? The SHML> way they have been doing it is with a 'supervisory visit' for each SHML> client once a month, i.e. the OT accompanies them to each treatment SHML> session, but their case loads are so high that it takes 2 weeks out of SHML> every month for me to visit with the COTA for each client. It would make SHML> much more sense to me, and a better use of my time, if I can just get an SHML> update from the COTA every 21 days. SHML> Could anyone give me some guidelines? Thanks SHML> Sue Hossack MOTR/L SHML> Ron Carson wrote: >> >>_______________________________________________ >>To unsubscribe, visit: http://otnow.com/mailman/listinfo/otlist_otnow.com >> >>The OTnow Mail Archive: >>www.mail-archive.com/[EMAIL PROTECTED] >>=============================================== >> >> >> >> >> SHML> _______________________________________________ SHML> To unsubscribe, visit: SHML> http://otnow.com/mailman/listinfo/otlist_otnow.com SHML> The OTnow Mail Archive: SHML> www.mail-archive.com/[EMAIL PROTECTED] SHML> =============================================== ------------------------------ Message: 2 Date: Mon, 26 Jan 2004 06:22:48 -0500 From: "Ruth Meyers" <[EMAIL PROTECTED]> Subject: Re: [OTnow] OT Supervision To: <[EMAIL PROTECTED]> Message-ID: <[EMAIL PROTECTED]> Content-Type: text/plain; charset="iso-8859-1" Hi All - Ruth Meyers here- have been pondering on the phenom. of new grads being thrown in to the fire too soon; unfortunately the need for staff is great & this is the result. I certainly was fortunate enough early in my career to have great mentors, folks who guided ( and pummeled) me into development and greater awareness as a clinician and a person. I wonder if we couldn't do something here - perhaps develop an on-line mentorship network ( I know the listservs function, quite well ) in this way- but does anyone envision something complementary? Just a thought. r. ----- Original Message ----- From: Ron Carson To: Sue Hossack MOTR/L Sent: Monday, January 26, 2004 1:52 AM Subject: Re: [OTnow] OT Supervision Hello Sue: I think that Ruth Meyers' has the best suggestion but my interpretation of the regulation is that you only need to meet face to face with the COTA to review client's treatment. It doesn't seem like you are required to see actual treatment. Of course, there may be times when a visit is warranted, such as poor documentation by the COTA or an extremely difficult case. I am sure the law is written to ensure that clients are getting treated appropriately. On a whole different topic. In my opinion, it certainly isn't what I consider 'best practice' to have a new graduate OT being the only supervisor of two COTAs. New graduates require supervision themselves. (This comment has NOTHING to do with you as an individual, it is a general statement about all new grads) Be very careful with what you co-sign because it is your license that is on the line and most importantly it's clients lives who are being affected Ron ======================================================= On Sunday, January 25, 2004, @ 9:12 AM, you wrote: SHML> Hi all, SHML> I have recently graduated with an Masters in OT, and moved to SHML> Virginia.I am working at a private clinic with a big school-system SHML> practice. I am the only OT, with 2 COTAs whom I am expected to SHML> supervise. I have a question about supervision, since I have not SHML> experienced this situation before in my field work. SHML> According to the state regulations: SHML> The occupational therapist providing clinical supervision shall meet SHML> with the occupational therapy personnel to review and evaluate treatment SHML> and progress of the individual patients at least once every fifth SHML> treatment session or 21 calendar days, whichever occurs first SHML> Does this mean I have to observe the COTA's treatment of every one of SHML> their patients, or can I just meet with them and discuss each case? The SHML> way they have been doing it is with a 'supervisory visit' for each SHML> client once a month, i.e. the OT accompanies them to each treatment SHML> session, but their case loads are so high that it takes 2 weeks out of SHML> every month for me to visit with the COTA for each client. It would make SHML> much more sense to me, and a better use of my time, if I can just get an SHML> update from the COTA every 21 days. SHML> Could anyone give me some guidelines? Thanks SHML> Sue Hossack MOTR/L SHML> Ron Carson wrote: >> >>_______________________________________________ >>To unsubscribe, visit: http://otnow.com/mailman/listinfo/otlist_otnowcom >> >>The OTnow Mail Archive: >>www.mail-archive.com/[EMAIL PROTECTED] >>=============================================== >> >> >> >> >> SHML> _______________________________________________ SHML> To unsubscribe, visit: SHML> http://otnow.com/mailman/listinfo/otlist_otnow.com SHML> The OTnow Mail Archive: SHML> www.mail-archive.com/[EMAIL PROTECTED] SHML> =============================================== _______________________________________________ To unsubscribe, visit: http://otnow.com/mailman/listinfo/otlist_otnow.com The OTnow Mail Archive: www.mail-archive.com/[EMAIL PROTECTED] =============================================== ------------------------------ Message: 3 Date: Mon, 26 Jan 2004 07:54:48 -0500 From: Sue Hossack MOTR/L <[EMAIL PROTECTED]> Subject: Re: [OTnow] OT Supervision To: [EMAIL PROTECTED] Message-ID: <[EMAIL PROTECTED]> Content-Type: text/plain; charset=us-ascii; format=flowed Hi Ron, I agree with you about me, a new graduate, being the only OT. When I interviewed for the job I expressed this concern,(and this was before I knew about the superivising part!) and they told me they had three OT PRNs that I would be able to work with. So far I haven't met or talked to any of them. How am I going to grow in knowledge and experience without someone to guide me? One of the COTAs is very experienced and I am learning from her, but of course I cannot learn eval techniques from her. The other COTA needs guidance, and while I have lots of ideas, I am not sure until I practise myself how good my ideas are. Sue Ron Carson wrote: >Hello Sue: > >I think that Ruth Meyers' has the best suggestion but my interpretation of >the regulation is that you only need to meet face to face with the COTA to >review client's treatment. It doesn't seem like you are required to see >actual treatment. Of course, there may be times when a visit is warranted, >such as poor documentation by the COTA or an extremely difficult case. I am >sure the law is written to ensure that clients are getting treated >appropriately. > >On a whole different topic. In my opinion, it certainly isn't what I >consider 'best practice' to have a new graduate OT being the only supervisor >of two COTAs. New graduates require supervision themselves. (This comment >has NOTHING to do with you as an individual, it is a general statement about >all new grads) > >Be very careful with what you co-sign because it is your license that is on >the line and most importantly it's clients lives who are being affected. > >Ron > >======================================================= >On Sunday, January 25, 2004, @ 9:12 AM, you wrote: > >SHML> Hi all, >SHML> I have recently graduated with an Masters in OT, and moved to >SHML> Virginia.I am working at a private clinic with a big school-system >SHML> practice. I am the only OT, with 2 COTAs whom I am expected to >SHML> supervise. I have a question about supervision, since I have not >SHML> experienced this situation before in my field work. > >SHML> According to the state regulations: > >SHML> The occupational therapist providing clinical supervision shall meet >SHML> with the occupational therapy personnel to review and evaluate treatment >SHML> and progress of the individual patients at least once every fifth >SHML> treatment session or 21 calendar days, whichever occurs first > >SHML> Does this mean I have to observe the COTA's treatment of every one of >SHML> their patients, or can I just meet with them and discuss each case? The >SHML> way they have been doing it is with a 'supervisory visit' for each >SHML> client once a month, i.e. the OT accompanies them to each treatment >SHML> session, but their case loads are so high that it takes 2 weeks out of >SHML> every month for me to visit with the COTA for each client. It would make >SHML> much more sense to me, and a better use of my time, if I can just get an >SHML> update from the COTA every 21 days. > >SHML> Could anyone give me some guidelines? Thanks > >SHML> Sue Hossack MOTR/L > > > >SHML> Ron Carson wrote: > > > >>>_______________________________________________ >>>To unsubscribe, visit: http://otnow.com/mailman/listinfo/otlist_otnow.com >>> >>>The OTnow Mail Archive: >>>www.mail-archive.com/[EMAIL PROTECTED] >>>=============================================== >>> >>> >>> >>> >>> >>> >>> >SHML> _______________________________________________ >SHML> To unsubscribe, visit: >SHML> http://otnow.com/mailman/listinfo/otlist_otnow.com > >SHML> The OTnow Mail Archive: >SHML> www.mail-archive.com/[EMAIL PROTECTED] >SHML> =============================================== > > > >_______________________________________________ >To unsubscribe, visit: http://otnow.com/mailman/listinfo/otlist_otnow.com > >The OTnow Mail Archive: >www.mail-archive.com/[EMAIL PROTECTED] >=============================================== > > > > > ------------------------------ _______________________________________________ OTlist mailing list [EMAIL PROTECTED] http://otnow.com/mailman/listinfo/otlist_otnow.com End of OTlist Digest, Vol 4, Issue 8 ************************************Get more from the Web. 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