Hello and Welcome Debbie!

I didn't find your message bitter!

Write more when you can.

Ron

----- Original Message -----
From: [EMAIL PROTECTED] <[EMAIL PROTECTED]>
Sent: Sunday, August 26, 2007
To:   [email protected] <[email protected]>
Subj: [OTlist] SNFs

oac> Jenny and Bill, thank you so much for writing this rant. I am a COTA who 
has worked in
oac> pediatrics for 7 years and I just recently moved to?a state where I have 
found there is not
oac> much opportunity for COTA's with pediatric exp. unless it is in the school 
system and I can
oac> not afford to be out of work for three months of the year. So, I went to 
the contract
oac> companies and I am now working in an SNF and I love the clients. And, hate 
all this paper work
oac> and productivity, stuff. Last week I found myself speaking to the regional 
manager who came in
oac> to do an audit on the SNF, and I remember thinking to myself what does any 
of this have to do
oac> with OT or the welfare of my patients. Infact, her visit has managed?to 
upset my boss who is
oac> now a real monster to be around. So now I am pondering the whole field of 
OT. I moved here to
oac> go back to school to be an OTR, but ouch! I have had to do a lot soul 
searching, still am. I
oac> have not written to this list yet so please do not think I am always this 
bitter, it is just
oac> that working with children I could match an activity with the child's 
personality, there was
oac> room for creativity and I just dont see this happening in an SNF (at least 
not where I am at).
oac> It is all?transfer belts and machines, wee haaaa!!! With all this said, I 
still have to earn a
oac> living, and while I am hunting down that just right job, can anyone give 
me?some?examples of
oac> SOAP notes or where I might find some online. Seems mine are
oac> not?relaying skilled OT. I wish I
oac> had longer to write. You all seem like very nice people so thank you 
for?letting me share with
oac> you.
oac> Debbie?



oac> Tnow.com
oac> Sent: Sun, 19 Aug 2007 7:31 pm
oac> Subject: Re: [OTlist] SNFs



oac> Bill,
oac> My experience is a mirror reflection of yours. I was so fed up with working
oac> my tail off in nursing homes, doing absolutely terrific therapy and 
spending
oac> tons of time thinking out of the box while chasing my tail in circles to
oac> meet my quotas that I burned out too. When I finally returned I insisted on
oac> working only PRN as a contract therapist (with my OWN contract). I 
explained
oac> that I don't waste a single minute but that I would be billing for all of 
my
oac> time so don't waste it with extra paperwork or cleaning the therapy room
oac> unless you want to pay a therapist's wage to have the work done.
oac> (Fortunately, my husband has the benefits so I could do this.) We just
oac> decided that we were going to do therapy our way (my husband was an OT at
oac> the time) and that was the way it was. I talked to administration-types and
oac> was very up front with my focus and if my way of doing therapy didn't jive
oac> with their ideas, I didn't take the job. I have had to bounce around from
oac> time to time as administration changed but in the end, I felt great about
oac> sticking to my morals. I often ended up working in high need areas where an
oac> OT was hard to find. Once they got me in their facilities, they were
oac> thrilled with the patient's progress and the family's satisfaction (as
oac> compared with the contract companies who had breezed in and out and left 
the
oac> patients with a sense of "what did I just spend the last hour doing that
oac> would help me get better?" I now work in a different field within OT and
oac> have only self-induced pressure. I make sure I'm making a profit or 
breaking
oac> even for my employer each month and everyone is happy. The high pressure,
oac> money chasing life just wasn't for me. 
oac> Jenny

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oac> Archive?
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oac> 
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oac> Enroll in Boston University's post-professional Master of Science for OTs
oac> Online. Gain the skills and credentials to propel your career.
oac> www.otdegree.com/otn
oac> 
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