What I have found most upsetting when I have covered prn in acute hospitals is 
when you talk with the other non-rehab disciplines and they express their idea 
of what is OT.  Generally you here things like, "Oh your the OT?  Man I'm glad 
to see you.  You can get everybody up and bathed for me" (i.e. OT the nursing 
aide.)  O comments like, "he is here to do your arm exercises" (i.e. OT the 
PT.)   I try to explain to them and then go off and do my own thing.  I don't 
care if the manager sets guidelines like the OT = UE thing.  I'll damn well do 
what I think is best for the patient.
   
  Jimmie

"R. Eren Can" <[EMAIL PROTECTED]> wrote:
  
Ron, I see your reason for frustration- I would think that the person 
interviewing you somehow has magical powers because how can you work on 
bathing without getting the person up? I know I know, they will say, in the 
bed!!! that is insane as when is the last time someone went home from Acute 
care and decided they will just shower in their beds for the rest of their 
life (oh and lets add that they are 50) :)
I have run into this and usually this is due to (or in part) a strong P.T. 
manager who insists these things- but this is where we need to stand strong, 
because these are great complimentary skills but they cannot exist without 
each other by sheer definition (bathing and getting to the bathroom, or 
eating and getting and making the ingrediants)
So the answer? well since you were interviewing, I say, shake your head yes 
and then get in there and straighten things out for the OT's who are working 
during the week and not quite standing as proud as they maybe should!

Ryan Can, OTR.L
E-bird Therapies
Stowe, Vermont

>From: Ron Carson 
>Reply-To: [email protected]
>To: [email protected]
>Subject: [OTlist] Acute Care OT?
>Date: Wed, 10 Jan 2007 13:11:49 -0500
>
>I went on a PRN OT interview the other day. The position was for acute
>care weekend coverage. The person interviewing me worked in both
>outpatient and inpatient care.
>
>The OT duties for the acute care setting were explained something like
>this. We don't get people out of bed or work on mobility issues
>because this is what PT does. Basically what we do is address
>self-care issues such as dressing, bathing, etc. The is situation is
>both frustrating and confusing. Of course, I understand not wanting to
>duplicate services, but should OT be the profession getting people out
>of bed??
>
>And, to continue with my "rant" about OT and UE, the outpatient side
>of the facility basically did UE rehab.
>
>If anyone on this list has acute care OT experience I would love to
>hear from you. And of course, other's opinion (including spouses :-))
>are also welcome!!
>
>Thanks,
>
>Ron
>
>
>
>
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