Get a lawyer  this is really important does your state assoc. have a lawyer 
they keep on retainer or one they refer to call AOTA Susan



Susan N. Schriber Orloff
CEO/Exec.Director Children's Special Serivces, LLC
770-394-9791
[EMAIL PROTECTED]
www.childrens-services.com


-----Original Message-----
From: Ron Carson <[EMAIL PROTECTED]>
To: Brent Cheyne <[email protected]>
Sent: Fri, 17 Oct 2008 7:21 pm
Subject: Re: [OTlist] Lost my OT job today








Thanks EVERYONE.

I  just  don't  get  it.  I  just  don't  understand  how OT is so far
behind...

I don't know if I shared this or not, but one of the other therapists,
a  PT,  documented  over 45 visits in one week. Now, tell me how can a
therapist make 45 visits in one week, especially when they are driving
100+  miles each day? The answer of course, is that each visit is 20 -
30 minutes. How is that quality therapy? Is that even therapy?

I  thought  about  going back to the manager and explaining that OT is
vastly  different  and that OT takes more time than other professions.
And  that  I  can't  do  quality  OT in 20 - 30 minutes, it's just not
possible.  But,  like  my  lovely  wife  pointed  out,  the  HH agency
obviously  cares  more  about money than quality therapy. I understand
that  as a corporation, there are revenue goals to be met but come on.
You  know,  it  would  be difficult meeting 30 visits/week. For one, I
routinely  drive over 100 miles/day and som
etimes 150. That's a LOT of
drive time. So, when is paperwork, phone calls, family calls, etc?

It really is a shame. I give 100% to patient's outcomes, I often leave
patient's  homes wringing wet with sweat, and yet my agency is "upset"
because  I'm  not  meeting  productivity.  Sadly, I could go sit on my
butt,   counting   exercise  reps  for  30  minutes  and  easily  make
productivity. But, how much benefit is that?

I  am so stinkin' frustrated with OT and AOTA. You know we've got that
"great" centennial vision of OT being:

        "a    powerful,   widely   recognized,   science-driven,   and
        evidence-based   profession  with  a  globally  connected  and
        diverse workforce meeting society's occupational needs"

At  times  like  this I think some people at AOTA are TOTALLY clueless
just  how  bad  it  is.  How can we meet society's needs when the VAST
majority  of  society has no earthly idea what we do. Or when OT's are
practicing  so different from our framework that we are seen by almost
EVERYONE  working in phys dys as UE therapists. Almost every patient I
meet  in  home health is either clueless about OT or they know that we
do  pegs,  cones, etc. Or, I really love it when a patient who does NO
cooking  says  she  "baked  brownies"  in OT!!! My gosh, people, GET A
STINKIN' CLUE ALREADY!

The situation STINKS !!! and I'm tired of it!!!!!!!!!

OK, time to move=2
0on, right?

Ron

-- Ron Carson
MHS, OT

----- Original Message -----
From: Brent Cheyne <[EMAIL PROTECTED]>
Sent: Friday, October 17, 2008
To:   [email protected] <[email protected]>
Subj: [OTlist] Lost my OT job today

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

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

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

BC> Send OTlist mailing list submissions to
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BC> Today's Topics:

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


BC> ----------------------------------------------------------------------

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

BC> Well sort of.

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

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

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

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

BC> Thanks for listening to me "cry".

BC> Ron



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