Shoot, I was fired from a SNF because I was unwilling to meet their productivity standards. What they wanted was a total joke, unethical and probably illegal!!
Ron ----- Original Message ----- From: Jerome A Satorrre <[EMAIL PROTECTED]> Sent: Saturday, August 18, 2007 To: [email protected] <[email protected]> Subj: [OTlist] Marketing Results JAS> Hi JAS> I was really glad to read your email. You are right there are a lot of Dor's that really JAS> force productivity on therapist. But we have to remember that at the end of the day it is our JAS> clinical judgement to do what is appropriate or not. Productivity should be considered but JAS> shouldn't be the only consideration. We have be able to judge wether its appropriate to do JAS> group or concurrent treatments with certain patients or not. Most of the Dor's that I work JAS> with know that I work this way so they never give me a case load that is more than what is JAS> necessary. Thank you. JAS> Jerome JAS> On Aug 17, 2007, at 9:55 AM, [EMAIL PROTECTED] wrote: JAS> hi, JAS> i am a new OT and spent the summer working in a snf. i loved the patients JAS> and the staff i worked with were all caring and creative. While I agree that JAS> OT is not just upper extremity work I think it's a shame to spend so much JAS> time defending or trying to make people understand a philosophy and take that JAS> time and put it toward real issues. I always tried to make treatment sessions JAS> relevant, and what is important to one patient isn't to another. for JAS> example, I would gladly spend time problem solving with a patient on being JAS> independent in don/doff shoes and socks if that was important but some people say JAS> right now that isn't a priority to me or someone will help me with that when I'm JAS> home. but I'd really like to be able to make a cup of tea. all right then, JAS> we'll focus on that. OT involves dynamic interaction with the environment, JAS> which includes UE and LE. a patient said, well someone will give me a shower, JAS> and my sister will cook for me, so I said, well are you going to sit up in JAS> bed and get out of the bed. she laughed, but I explained that OT would help JAS> her learn and practice these skills so she'd feel comfortable doing these JAS> things at home. all this said, I see staff burn out when meeting minutes just JAS> keep piling on and on - 600 minutes in a day - 120% productivity - !! - meet JAS> that and more is added - working with 4 patients in one session, not in a JAS> group session. caseloads are switched to meet more minutes so that it doesn't JAS> matter what relationship you've developed over the course of a few weeks, you JAS> may come in one day and find that patient off your caseload now. staff and JAS> patient morale suffer. the mindset of the dor is getting the money - this JAS> makes for terrible OT. JAS> I joinged this list hoping to learn from experienced therapists and hear JAS> about a wide range of experiences and opportunities. JAS> Linda JAS> ************************************** Get a sneak peek of the all-new AOL at JAS> http://discover.aol.com/memed/aolcom30tour JAS> -- JAS> Options? JAS> www.otnow.com/mailman/options/otlist_otnow.com JAS> Archive? JAS> www.mail-archive.com/[email protected] JAS> ************************************************************************************** JAS> Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the JAS> skills and credentials to propel your career. JAS> www.otdegree.com/otn JAS> ************************************************************************************** -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************************
