I had the same situation with my current hospital of which I been here 1 ½
years now.  The first 6 months were not fun, but I had to get some “b_ _ _
s”.  The OT department before I was hired completed treatment for hands only
outpatient and completed bed baths inpatient.

 

 I tried to fight head on, but PT department ruled for so long and even the
local doctors referred patients to PT only and then only if the PT’s thought
it were more appropriate for OT, Then OT would get an order.  

 

So I took another approach. (I was able to do this because I am the director
of OT and the administrator is being “Pro-OT”.) The inpatient problem was
easily solved with nursing and now OT and nursing dept work together very
well.  OT is not bath aides, but we work on functional mobility during
ADL’s.  PT dept has kind a step aside on this matter and quite giving us
trouble over this matter. 

 

 

The outpatient problem has been revolving and improving in the long run.  I
took another approach and looked into areas PT wasn’t covering.  (I did
convince them to “send” me elbows.)  I did a marketing campaign for OT to
local and neighboring town doctors.  I received 2 certifications last year:
Saeboflex and Interactive Metronome and this summer plan to setup vision
program and a new hire OTR/L has Lymph edema certification.  The Saeboflex
has been exploding and I have 2 neuro doctors referring me patients even 100
miles away.  My name is getting more recognized with doctors both because of
the specialized programs and patients with more “traditional” OT.  

 

 Bottom line:  I knew I could compete over the type of patients PT was
seeing for years, but I added and started new programs.  The most
frustrating part is that I have to work really hard to get my caseload up
and I didn’t have to do that before.  I keep telling myself it’s a Challenge
and when it becomes more a burden I will be ready to move on to a different
employment.  

 

 

It’s nice to hear from other fellow OT’s.  Thank you. 

Cimberly Viken, OTR/L

 

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