Ron, 
     Sorry to hear of the struggle and I think a lot of us have been there 
before...getting the "OT slap in the face." We are the Rodney Dangerfields of  
the Rehab worll...we get "no respect...no respect at all". You have my 
admiration for your conviction to your ethics and principles which is all you 
have in the end. I often have days of wondering whether I chose the right 
profession...just due to the fact that I have to explain myself and earn 
respect and justify my serivices...it is hard work  Just stay strong and move 
on...some good may come from it all.
Brent Cheyne OTR/L

--- On Fri, 10/17/08, [EMAIL PROTECTED] <[EMAIL PROTECTED]> wrote:

From: [EMAIL PROTECTED] <[EMAIL PROTECTED]>
Subject: OTlist Digest, Vol 43, Issue 14
To: [email protected]
Date: Friday, October 17, 2008, 6:33 AM

Send OTlist mailing list submissions to
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To subscribe or unsubscribe via the World Wide Web, visit
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or, via email, send a message with subject or body 'help' to
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When replying, please edit your Subject line so it is more specific
than "Re: Contents of OTlist digest..."


Today's Topics:

   1. Lost My Home Health Job Today... (Ron Carson)
   2. Re: Lost My Home Health Job Today... (pat)
   3. Re: Lost My Home Health Job Today... (Ron Carson)
   4. Re: Lost My Home Health Job Today... (pat)
   5. Re: Lost My Home Health Job Today... (Marie Henderson)
   6. Re: Lost My Home Health Job Today... (Guy Montague-Smith)


----------------------------------------------------------------------

Message: 1
Date: Thu, 16 Oct 2008 16:18:40 -0400
From: Ron Carson <[EMAIL PROTECTED]>
Subject: [OTlist] Lost My Home Health Job Today...
To: [email protected]
Message-ID: <[EMAIL PROTECTED]>
Content-Type: text/plain; charset=windows-1252

Well sort of.

I  was  asked  to revert back to PRN status because my productivity is
not high enough. The goal is 30 visits/week and I've only been as high
as 24.

I guess I'm to blame because I give patients ONLY what they need. If a
patient  needs  5 day/week, that what they get. If they don't need any
OT,  then  that's what they get. I guess I could just see all patients
3x/week and that would take care of the productivity, but I don't feel
that's appropriate.

I  told  my  supervisor that I can not see patients if I don't get the
referrals.  I told my supervisor that I've always thought OT should be
the  premier  discipline  but  I don't think she agreed. I also had to
counter  the  OT  =  upper  extremity "thing" at least three times.
It
seems  that  no  matter  how  many times I explained that my OT is not
about  UE,  she  just didn't get it. She did ask me to do an inservice
for the nurses, but I'm not too optimistic...

I must say that my poor little OT feelings are deeply hurt. The agency
just  hired  2  new  PTA's.  I  must  say, I do get a wee bit tired of
fighting this battle.

Thanks for listening to me "cry".

Ron
-- 
Ron Carson MHS, OT




------------------------------

Message: 2
Date: Thu, 16 Oct 2008 17:21:45 -0400 (EDT)
From: pat <[EMAIL PROTECTED]>
Subject: Re: [OTlist] Lost My Home Health Job Today...
To: [email protected]
Message-ID:
        <[EMAIL PROTECTED]>
        
Content-Type: text/plain; charset=UTF-8

I'm sorry to hear that Ron, I guess it doesn't always pay to be
ethical.  
This could be a blessing in disguise though... you should be getting a 
higher hourly rate for PRN, plus it frees you up to also work PRN at 
other facilities.  I don't know about you, but I am constantly getting
calls and mail from headhunters looking for PRN OTs.  There are quite a
few agencies out there that are always scouting OTs.

Pat

-----Original Message-----
>From: Ron Carson <[EMAIL PROTECTED]>
>Sent: Oct 16, 2008 4:18 PM
>To: [email protected]
>Subject: [OTlist] Lost My Home Health Job Today...
>
>Well sort of.
>
>I  was  asked  to revert back to PRN status because my productivity is
>not high enough. The goal is 30 visits/week and I've only been as high
>as 24.
>
>I guess I'm to blame because I give patients ONLY what they need. If a
>patient  needs  5 day/week, that what they get. If they don't need any
>OT,  then  that's what they get. I guess I could just see all patients
>3x/week and that would take care of the productivity, but I don't feel
>that's appropriate.
>
>I  told  my  supervisor that I can not see patients if I don't get the
>referrals.  I told my supervisor that I've always thought OT should be
>the  premier  discipline  but  I don't think she agreed. I also had to
>counter  the  OT  =  upper  extremity "thing" at least three
times. It
>seems  that  no  matter  how  many times I explained that my OT is not
>about  UE,  she  just didn't get it. She did ask me to do an inservice
>for the nurses, but I'm not too optimistic...
>
>I must say that my poor little OT feelings are deeply hurt. The agency
>just  hired  2  new  PTA's.  I  must  say, I do get a wee bit tired of
>fighting this battle.
>
>Thanks for listening to me "cry".
>
>Ron
>-- 
>Ron Carson MHS, OT
>
>
>--
>Options?
>www.otnow.com/mailman/options/otlist_otnow.com
>
>Archive?
>www.mail-archive.com/[email protected]




------------------------------

Message: 3
Date: Thu, 16 Oct 2008 17:33:18 -0400
From: Ron Carson <[EMAIL PROTECTED]>
Subject: Re: [OTlist] Lost My Home Health Job Today...
To: pat <[email protected]>
Message-ID: <[EMAIL PROTECTED]>
Content-Type: text/plain; charset=windows-1252

Thanks Pat!!

You  know,  it's not the loss of the full-time job that hurts so much,
because I will probably make just as much money working PRN. But, it's
the "slap in my OT face" that really hurts.

I  just  don't  understand  why  OT  is  so  stinkin' far behind other
professions, namely PT.

Ron
--
Ron Carson MHS, OT

----- Original Message -----
From: pat <[EMAIL PROTECTED]>
Sent: Thursday, October 16, 2008
To:   [email protected] <[email protected]>
Subj: [OTlist] Lost My Home Health Job Today...

p> I'm sorry to hear that Ron, I guess it doesn't always pay to be
ethical.
p> This could be a blessing in disguise though... you should be getting a
p> higher hourly rate for PRN, plus it frees you up to also work PRN at 
p> other facilities.  I don't know about you, but I am constantly
getting
p> calls and mail from headhunters looking for PRN OTs.  There are quite a
p> few agencies out there that are always scouting OTs.

p> Pat

p> -----Original Message-----
>>From: Ron Carson <[EMAIL PROTECTED]>
>>Sent: Oct 16, 2008 4:18 PM
>>To: [email protected]
>>Subject: [OTlist] Lost My Home Health Job Today...
>>
>>Well sort of.
>>
>>I  was  asked  to revert back to PRN status because my productivity is
>>not high enough. The goal is 30 visits/week and I've only been as
high
>>as 24.
>>
>>I guess I'm to blame because I give patients ONLY what they need.
If a
>>patient  needs  5 day/week, that what they get. If they don't need
any
>>OT,  then  that's what they get. I guess I could just see all
patients
>>3x/week and that would take care of the productivity, but I don't
feel
>>that's appropriate.
>>
>>I  told  my  supervisor that I can not see patients if I don't get
the
>>referrals.  I told my supervisor that I've always thought OT should
be
>>the  premier  discipline  but  I don't think she agreed. I also had
to
>>counter  the  OT  =  upper  extremity "thing" at least three
times. It
>>seems  that  no  matter  how  many times I explained that my OT is not
>>about  UE,  she  just didn't get it. She did ask me to do an
inservice
>>for the nurses, but I'm not too optimistic...
>>
>>I must say that my poor little OT feelings are deeply hurt. The agency
>>just  hired  2  new  PTA's.  I  must  say, I do get a wee bit tired
of
>>fighting this battle.
>>
>>Thanks for listening to me "cry".
>>
>>Ron
>>-- 
>>Ron Carson MHS, OT
>>
>>
>>--
>>Options?
>>www.otnow.com/mailman/options/otlist_otnow.com
>>
>>Archive?
>>www.mail-archive.com/[email protected]


p> --
p> Options?
p> www.otnow.com/mailman/options/otlist_otnow.com

p> Archive?
p> www.mail-archive.com/[email protected]





------------------------------

Message: 4
Date: Thu, 16 Oct 2008 18:10:50 -0400 (EDT)
From: pat <[EMAIL PROTECTED]>
Subject: Re: [OTlist] Lost My Home Health Job Today...
To: [email protected]
Message-ID:
        <[EMAIL PROTECTED]>
        
Content-Type: text/plain; charset=UTF-8

I agree Ron.... when I made the decision to become an OT, I never imagined
how much time I would spend explaining and defending our occupation!  I
might have chosen differently had I known.  Fortunately, I fell into  a
position that I love... I just don't get why we can't make people 
understand what we do, AND the value of it!

Pat

-----Original Message-----
>From: Ron Carson <[EMAIL PROTECTED]>
>Sent: Oct 16, 2008 5:33 PM
>To: pat <[email protected]>
>Subject: Re: [OTlist] Lost My Home Health Job Today...
>
>Thanks Pat!!
>
>You  know,  it's not the loss of the full-time job that hurts so much,
>because I will probably make just as much money working PRN. But, it's
>the "slap in my OT face" that really hurts.
>
>I  just  don't  understand  why  OT  is  so  stinkin' far behind
other
>professions, namely PT.
>
>Ron
>--
>Ron Carson MHS, OT
>
>----- Original Message -----
>From: pat <[EMAIL PROTECTED]>
>Sent: Thursday, October 16, 2008
>To:   [email protected] <[email protected]>
>Subj: [OTlist] Lost My Home Health Job Today...
>
>p> I'm sorry to hear that Ron, I guess it doesn't always pay to
be ethical.
>p> This could be a blessing in disguise though... you should be getting
a
>p> higher hourly rate for PRN, plus it frees you up to also work PRN at 
>p> other facilities.  I don't know about you, but I am constantly
getting
>p> calls and mail from headhunters looking for PRN OTs.  There are quite
a
>p> few agencies out there that are always scouting OTs.
>
>p> Pat
>
>p> -----Original Message-----
>>>From: Ron Carson <[EMAIL PROTECTED]>
>>>Sent: Oct 16, 2008 4:18 PM
>>>To: [email protected]
>>>Subject: [OTlist] Lost My Home Health Job Today...
>>>
>>>Well sort of.
>>>
>>>I  was  asked  to revert back to PRN status because my productivity
is
>>>not high enough. The goal is 30 visits/week and I've only been
as high
>>>as 24.
>>>
>>>I guess I'm to blame because I give patients ONLY what they
need. If a
>>>patient  needs  5 day/week, that what they get. If they don't
need any
>>>OT,  then  that's what they get. I guess I could just see all
patients
>>>3x/week and that would take care of the productivity, but I
don't feel
>>>that's appropriate.
>>>
>>>I  told  my  supervisor that I can not see patients if I don't
get the
>>>referrals.  I told my supervisor that I've always thought OT
should be
>>>the  premier  discipline  but  I don't think she agreed. I also
had to
>>>counter  the  OT  =  upper  extremity "thing" at least
three times. It
>>>seems  that  no  matter  how  many times I explained that my OT is
not
>>>about  UE,  she  just didn't get it. She did ask me to do an
inservice
>>>for the nurses, but I'm not too optimistic...
>>>
>>>I must say that my poor little OT feelings are deeply hurt. The
agency
>>>just  hired  2  new  PTA's.  I  must  say, I do get a wee bit
tired of
>>>fighting this battle.
>>>
>>>Thanks for listening to me "cry".
>>>
>>>Ron
>>>-- 
>>>Ron Carson MHS, OT
>>>
>>>
>>>--
>>>Options?
>>>www.otnow.com/mailman/options/otlist_otnow.com
>>>
>>>Archive?
>>>www.mail-archive.com/[email protected]
>
>
>p> --
>p> Options?
>p> www.otnow.com/mailman/options/otlist_otnow.com
>
>p> Archive?
>p> www.mail-archive.com/[email protected]
>
>
>
>--
>Options?
>www.otnow.com/mailman/options/otlist_otnow.com
>
>Archive?
>www.mail-archive.com/[email protected]




------------------------------

Message: 5
Date: Thu, 16 Oct 2008 18:35:51 -0700 (PDT)
From: Marie Henderson <[EMAIL PROTECTED]>
Subject: Re: [OTlist] Lost My Home Health Job Today...
To: [email protected]
Message-ID: <[EMAIL PROTECTED]>
Content-Type: text/plain; charset=iso-8859-1

So the question arises....what are we going to do about it?? What actions need
to be taken to promote quality, awareness, and ethics..............

--- On Thu, 10/16/08, pat <[EMAIL PROTECTED]> wrote:
From: pat <[EMAIL PROTECTED]>
Subject: Re: [OTlist] Lost My Home Health Job Today...
To: [email protected]
Date: Thursday, October 16, 2008, 6:10 PM

I agree Ron.... when I made the decision to become an OT, I never imagined
how much time I would spend explaining and defending our occupation!  I
might have chosen differently had I known.  Fortunately, I fell into  a
position that I love... I just don't get why we can't make people 
understand what we do, AND the value of it!

Pat

-----Original Message-----
>From: Ron Carson <[EMAIL PROTECTED]>
>Sent: Oct 16, 2008 5:33 PM
>To: pat <[email protected]>
>Subject: Re: [OTlist] Lost My Home Health Job Today...
>
>Thanks Pat!!
>
>You  know,  it's not the loss of the full-time job that hurts so much,
>because I will probably make just as much money working PRN. But, it's
>the "slap in my OT face" that really hurts.
>
>I  just  don't  understand  why  OT  is  so  stinkin' far behind
other
>professions, namely PT.
>
>Ron
>--
>Ron Carson MHS, OT
>
>----- Original Message -----
>From: pat <[EMAIL PROTECTED]>
>Sent: Thursday, October 16, 2008
>To:   [email protected] <[email protected]>
>Subj: [OTlist] Lost My Home Health Job Today...
>
>p> I'm sorry to hear that Ron, I guess it doesn't always pay to
be ethical.
>p> This could be a blessing in disguise though... you should be getting
a
>p> higher hourly rate for PRN, plus it frees you up to also work PRN at 
>p> other facilities.  I don't know about you, but I am constantly
getting
>p> calls and mail from headhunters looking for PRN OTs.  There are quite
a
>p> few agencies out there that are always scouting OTs.
>
>p> Pat
>
>p> -----Original Message-----
>>>From: Ron Carson <[EMAIL PROTECTED]>
>>>Sent: Oct 16, 2008 4:18 PM
>>>To: [email protected]
>>>Subject: [OTlist] Lost My Home Health Job Today...
>>>
>>>Well sort of.
>>>
>>>I  was  asked  to revert back to PRN status because my productivity
is
>>>not high enough. The goal is 30 visits/week and I've only been
as high
>>>as 24.
>>>
>>>I guess I'm to blame because I give patients ONLY what they
need. If a
>>>patient  needs  5 day/week, that what they get. If they don't
need any
>>>OT,  then  that's what they get. I guess I could just see all
patients
>>>3x/week and that would take care of the productivity, but I
don't feel
>>>that's appropriate.
>>>
>>>I  told  my  supervisor that I can not see patients if I don't
get the
>>>referrals.  I told my supervisor that I've always thought OT
should be
>>>the  premier  discipline  but  I don't think she agreed. I also
had to
>>>counter  the  OT  =  upper  extremity "thing" at least
three times. It
>>>seems  that  no  matter  how  many times I explained that my OT is
not
>>>about  UE,  she  just didn't get it. She did ask me to do an
inservice
>>>for the nurses, but I'm not too optimistic...
>>>
>>>I must say that my poor little OT feelings are deeply hurt. The
agency
>>>just  hired  2  new  PTA's.  I  must  say, I do get a wee bit
tired of
>>>fighting this battle.
>>>
>>>Thanks for listening to me "cry".
>>>
>>>Ron
>>>-- 
>>>Ron Carson MHS, OT
>>>
>>>
>>>--
>>>Options?
>>>www.otnow.com/mailman/options/otlist_otnow.com
>>>
>>>Archive?
>>>www.mail-archive.com/[email protected]
>
>
>p> --
>p> Options?
>p> www.otnow.com/mailman/options/otlist_otnow.com
>
>p> Archive?
>p> www.mail-archive.com/[email protected]
>
>
>
>--
>Options?
>www.otnow.com/mailman/options/otlist_otnow.com
>
>Archive?
>www.mail-archive.com/[email protected]


--
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------------------------------

Message: 6
Date: Fri, 17 Oct 2008 10:45:19 +0100
From: "Guy Montague-Smith"
<[EMAIL PROTECTED]>
Subject: Re: [OTlist] Lost My Home Health Job Today...
To: <[email protected]>
Message-ID:
        <[EMAIL PROTECTED]>
        
Content-Type: text/plain; charset="iso-8859-1"

Get militant. I've noticed a real shift over the past 15-20 years in the UK
as more and more OTs have got into management positions and damn well made sure
that the OTs are now influencing and dictating corporate strategy and policy
decisions.  

I know that this doesn't help Ron in his immediate position and obviously I
can't speak for the American Healthcare system but when I first started as a
humble OT assistant (way too long ago), the vast majority of managers were
either social work trained or had a nursing background.  Thankfully this has
changed (our new Adult Social Care Director is an OT) as there was a
professional consensus to actively get in there and change things.  

Personally I was really worried that I'd be selling my professional soul if
I got into management but I'm applying OT principals to my work and am
making sure that the OT voice is being heard.

Guy Montague-Smith
Team Manager
Occupational Therapy Assessment Team
3rd Floor Bartholomew House
Bartholomew Square
Brighton BN1 1JP
Tel: 01273 290463
Mobile: 07799 696068
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of
Marie Henderson
Sent: 17 October 2008 02:36
To: [email protected]
Subject: Re: [OTlist] Lost My Home Health Job Today...

So the question arises....what are we going to do about it?? What actions need
to be taken to promote quality, awareness, and ethics..............

--- On Thu, 10/16/08, pat <[EMAIL PROTECTED]> wrote:
From: pat <[EMAIL PROTECTED]>
Subject: Re: [OTlist] Lost My Home Health Job Today...
To: [email protected]
Date: Thursday, October 16, 2008, 6:10 PM

I agree Ron.... when I made the decision to become an OT, I never imagined
how much time I would spend explaining and defending our occupation!  I
might have chosen differently had I known.  Fortunately, I fell into  a
position that I love... I just don't get why we can't make people 
understand what we do, AND the value of it!

Pat

-----Original Message-----
>From: Ron Carson <[EMAIL PROTECTED]>
>Sent: Oct 16, 2008 5:33 PM
>To: pat <[email protected]>
>Subject: Re: [OTlist] Lost My Home Health Job Today...
>
>Thanks Pat!!
>
>You  know,  it's not the loss of the full-time job that hurts so much,
>because I will probably make just as much money working PRN. But, it's
>the "slap in my OT face" that really hurts.
>
>I  just  don't  understand  why  OT  is  so  stinkin' far behind
other
>professions, namely PT.
>
>Ron
>--
>Ron Carson MHS, OT
>
>----- Original Message -----
>From: pat <[EMAIL PROTECTED]>
>Sent: Thursday, October 16, 2008
>To:   [email protected] <[email protected]>
>Subj: [OTlist] Lost My Home Health Job Today...
>
>p> I'm sorry to hear that Ron, I guess it doesn't always pay to
be ethical.
>p> This could be a blessing in disguise though... you should be getting
a
>p> higher hourly rate for PRN, plus it frees you up to also work PRN at 
>p> other facilities.  I don't know about you, but I am constantly
getting
>p> calls and mail from headhunters looking for PRN OTs.  There are quite
a
>p> few agencies out there that are always scouting OTs.
>
>p> Pat
>
>p> -----Original Message-----
>>>From: Ron Carson <[EMAIL PROTECTED]>
>>>Sent: Oct 16, 2008 4:18 PM
>>>To: [email protected]
>>>Subject: [OTlist] Lost My Home Health Job Today...
>>>
>>>Well sort of.
>>>
>>>I  was  asked  to revert back to PRN status because my productivity
is
>>>not high enough. The goal is 30 visits/week and I've only been
as high
>>>as 24.
>>>
>>>I guess I'm to blame because I give patients ONLY what they
need. If a
>>>patient  needs  5 day/week, that what they get. If they don't
need any
>>>OT,  then  that's what they get. I guess I could just see all
patients
>>>3x/week and that would take care of the productivity, but I
don't feel
>>>that's appropriate.
>>>
>>>I  told  my  supervisor that I can not see patients if I don't
get the
>>>referrals.  I told my supervisor that I've always thought OT
should be
>>>the  premier  discipline  but  I don't think she agreed. I also
had to
>>>counter  the  OT  =  upper  extremity "thing" at least
three times. It
>>>seems  that  no  matter  how  many times I explained that my OT is
not
>>>about  UE,  she  just didn't get it. She did ask me to do an
inservice
>>>for the nurses, but I'm not too optimistic...
>>>
>>>I must say that my poor little OT feelings are deeply hurt. The
agency
>>>just  hired  2  new  PTA's.  I  must  say, I do get a wee bit
tired of
>>>fighting this battle.
>>>
>>>Thanks for listening to me "cry".
>>>
>>>Ron
>>>-- 
>>>Ron Carson MHS, OT
>>>
>>>
>>>--
>>>Options?
>>>www.otnow.com/mailman/options/otlist_otnow.com
>>>
>>>Archive?
>>>www.mail-archive.com/[email protected]
>
>
>p> --
>p> Options?
>p> www.otnow.com/mailman/options/otlist_otnow.com
>
>p> Archive?
>p> www.mail-archive.com/[email protected]
>
>
>
>--
>Options?
>www.otnow.com/mailman/options/otlist_otnow.com
>
>Archive?
>www.mail-archive.com/[email protected]


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