In which State are you, Cim? 

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Cim Viken
Sent: Thursday, January 11, 2007 10:47 AM
To: [email protected]
Subject: [OTlist] reply for OT acute

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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