OK, time for me to chime in. Been reading long enough, and felt the need to offer some thoughts, hopefully insightful and helpful but more than anything else just an "amen", to this thread.
The productivity "problem" isn't unique to HH, or any other profit-driven setting. And, let's not kid ourselves here people....we hear all the fancy mission statements and "recruiter speak" from any/all organizations; and, while they sound good, at the end of the day the ONLY mission that matters is PROFIT. Like it or not, agree or not, that is the FACT. It's no wonder that those clinicians (of whichever discipline) who support that mission are the stars. So, there obviously is no solution to this situation. I've been fortunate enough over the years to dodge disciplinary action due to low productivity (which is almost a forgone conclusion if you focus on quality of care, or if the employer has low OT census). And, for what it's worth Ron, my current HH employers productivity standard for OT is 32 points/week (OT initial evaluation counts as 1.5 points and subsequent visits are weighted as 1). I have, for the past year and a half of employment, consistently run around 20 to 25 points. Of course, many of my PT colleagues run higher than that for the same reason you mentioned, they do 10 to 15 minute visits (yes, this is verified and factual). I have personally witnessed nurses do 5-minute visits. BUT, I literally cannot tell you how many patients say, unsolicited, to me things like, "I get so much more out of your visits than that other guy/gal." Duh! Of course they do!!! I am actually taking the time to listen, intervene, teach, treat, care...provide a valuable and obviously relevant (to them) service. This gets back to my employers, via various avenues, and I guess the positive PR in some ways outweighs the productivity deficit. I can relate to what you said, Ron, when you leave a patients home sweating and exhausted from your beautiful efforts, and the only feedback you get from the boss is that your productivity is low. All the while, the clinicians who exceed the quota, yet SUCK clinically and ethically, get the praise! It's honestly so disgusting at times, I wonder why I/we bother. But then I remember that little man/woman who looks me right in the eye and tells me, in their own words how much they appreciate what I do. That may not immediately impact others' knowledge of "what OT is" but I truly believe it's a start. I know that doesn't "solve" our plight, but isn't that why we do what we do anyway? At some point, I/we have to believe that we'll impact a difference in this grass-roots way. There is a new OT publication beginning circulation, "Today in OT" (GHG Gannett Healthcare Group, a subsidiary of Gannett Company, Inc. [USA Today]) which ended up in my mailbox this week. I also get "Advance for Occupational Therapy Practitioners" but not sure how these find me since I am not a current member of AOTA, or the Texas OT Assn. (a story for another time I suppose). I am not a literature snob, but know that these are not the benchmark references for evidence-based practice. But some of the articles are interesting, informative and thought-provoking nonetheless. Interestingly enough, one article in particular in "Today in OT" entitled "Improving Your Ability to Think Critically" was written by an RN who was highlighting OTs in particular for this being a leader in this skill. Also, the cover article was entitled, "By Leaps and Bounds - OT gains momentum as one of the best professions." I have to believe that at some point OT will evolve into what we all want and so richly have earned through our daily, grass-roots struggles. While I acknowledge my posting has not solved or resolved anything, I hope that I have placed at least a small amount of "hoorah" in your day. Hang in there. By the read of these postings, our profession is in good hands. I believe there are enough of us out here who practice sound, evidence-based and relevant Occupational Therapy to advance our profession. I enjoy reading these posts, so keep 'em coming. Bill Maloney, OTR Dallas, Texas On Sat, Oct 18, 2008 at 8:06 AM, <[EMAIL PROTECTED]> wrote: > Send OTlist mailing list submissions to > [email protected] > > To subscribe or unsubscribe via the World Wide Web, visit > http://otnow.com/mailman/listinfo/otlist_otnow.com > or, via email, send a message with subject or body 'help' to > [EMAIL PROTECTED] > > You can reach the person managing the list at > [EMAIL PROTECTED] > > When replying, please edit your Subject line so it is more specific > than "Re: Contents of OTlist digest..." > > > Today's Topics: > > 1. How Would YOU Treat This Patient? (Ron Carson) > 2. Re: How Would YOU Treat This Patient? (Mary Alice Cafiero) > 3. Re: Lost my OT job today.... plus.... (Kelly Hunt) > 4. Re: How Would YOU Treat This Patient? ([EMAIL PROTECTED]) > 5. Re: Lost my OT job today.... plus.... ([EMAIL PROTECTED]) > > > ---------------------------------------------------------------------- > > Message: 1 > Date: Fri, 17 Oct 2008 19:58:47 -0400 > From: Ron Carson <[EMAIL PROTECTED]> > Subject: [OTlist] How Would YOU Treat This Patient? > To: [email protected] > Message-ID: <[EMAIL PROTECTED]> > Content-Type: text/plain; charset=windows-1252 > > Did an eval today and wondering how other OT's might address the > situation. > > 94 y/o female living with her 70 y/o daughter. Recent fall resulting > in femur fracture. Ambulates with a rolling walker and supervision. > Independent with toileting. Requires assistance with upper body > dressing, independent with LE dressing. Requires assistance with > bathing. Patient previously received assistance with bathing and > dressing. > > Patient has pain 8/10 in right femur with weight bearing. She is > unable to raise her bi-lateral shoulders past approximately 90 degree > flexion/abduction. > > How would you treat this patient and WHY??? > > Thanks, > > Ron > -- > Ron Carson MHS, OT > > > > > ------------------------------ > > Message: 2 > Date: Fri, 17 Oct 2008 19:46:39 -0500 > From: Mary Alice Cafiero <[EMAIL PROTECTED]> > Subject: Re: [OTlist] How Would YOU Treat This Patient? > To: [email protected] > Message-ID: <[EMAIL PROTECTED]> > Content-Type: text/plain; charset=US-ASCII; format=flowed; delsp=yes > > I would ask both her and her daughter about their goals and start from > there. Maybe it is just education with the daughter on the safest most > effective way for her to offer help when she is alone with her mom. > > In any case, I wouldn't see it as a very long term thing! > Mary Alice > > Mary Alice Cafiero, MSOTR, ATP > [EMAIL PROTECTED] > 972-757-3733 > Fax 888-708-8683 > > This message, including any attachments, may include confidential, > privileged and/or inside information. Any distribution or use of this > communication by anyone other than the intended recipient(s) is > strictly prohibited and may be unlawful. If you are not the recipient > of this message, please notify the sender and permanently delete the > message from your system. > > > > > On Oct 17, 2008, at 6:58 PM, Ron Carson wrote: > > > Did an eval today and wondering how other OT's might address the > > situation. > > > > 94 y/o female living with her 70 y/o daughter. Recent fall resulting > > in femur fracture. Ambulates with a rolling walker and supervision. > > Independent with toileting. Requires assistance with upper body > > dressing, independent with LE dressing. Requires assistance with > > bathing. Patient previously received assistance with bathing and > > dressing. > > > > Patient has pain 8/10 in right femur with weight bearing. She is > > unable to raise her bi-lateral shoulders past approximately 90 degree > > flexion/abduction. > > > > How would you treat this patient and WHY??? > > > > Thanks, > > > > Ron > > -- > > Ron Carson MHS, OT > > > > > > -- > > Options? > > www.otnow.com/mailman/options/otlist_otnow.com > > > > Archive? > > www.mail-archive.com/[email protected] > > > > ------------------------------ > > Message: 3 > Date: Fri, 17 Oct 2008 20:13:37 -0500 > From: "Kelly Hunt" <[EMAIL PROTECTED]> > Subject: Re: [OTlist] Lost my OT job today.... plus.... > To: [email protected] > Message-ID: > <[EMAIL PROTECTED]> > Content-Type: text/plain; charset=ISO-8859-1 > > Ron, etc., > > I admit I am a lurker, and generally a more subtle advocate for our > profession, but even I get irked into irritation at times with the blatent > disregard for our profession by our Association, the medical community, and > other OTs. > > > Case in point. I was called in to work at a rural outpatient clinic today > at a hospital system that I work at PRN. On the wall there is a newspaper > article for the local paper with the title "New Physical Therapist" and a > picture next to it of someone I know to be an OT. The article was > welcoming > her to her new post (it was a few years dated) and in honor of OT month. > YET TITLED AS A NEW PT!!!!!!! Now maybe the paper made a mistake, but the > clinic chose to prominantly display this article for all the patients to > see. And many of her pts called me a PT or asked, "what is OT again? > What's the difference?" > > I was shocked! How as a profession can we expect to move forward and > gain > identity when our own colleagues don't distinguish us from other > disciplines? > > Humbly, > > Kelly the OT! > > > On Fri, Oct 17, 2008 at 6:21 PM, Ron Carson <[EMAIL PROTECTED]> wrote: > > > 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 sometimes 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 on, 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 > > BC> [email protected] > > > > BC> To subscribe or unsubscribe via the World Wide Web, visit > > BC> http://otnow.com/mailman/listinfo/otlist_otnow.com > > BC> or, via email, send a message with subject or body 'help' to > > BC> [EMAIL PROTECTED] > > > > BC> You can reach the person managing the list at > > BC> [EMAIL PROTECTED] > > > > BC> When replying, please edit your Subject line so it is more specific > > BC> than "Re: Contents of OTlist digest..." > > > > > > 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> referrals. 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 > > > > > > > > -- > > Options? > > www.otnow.com/mailman/options/otlist_otnow.com > > > > Archive? > > www.mail-archive.com/[email protected] > > > > > ------------------------------ > > Message: 4 > Date: Sat, 18 Oct 2008 07:59:36 -0400 > From: [EMAIL PROTECTED] > Subject: Re: [OTlist] How Would YOU Treat This Patient? > To: [email protected] > Message-ID: <[EMAIL PROTECTED]> > Content-Type: text/plain; charset="us-ascii" > > Sounds like she might be back to her baseline with her ADL performance.? > Her bi-lateral shoulder problem sounds like > either severe arthritis or torn RTCs.? At her age surgery not?likely for > the RT.? Is she ok with receiving assistance with bathing and dressing or is > it a goal of hers to improve?? If it a goal for her to improve in ADL > performance, I would attempt to teach her how to use adaptive equipment like > a dressing stick to pull the shirt over her head so her arms would not have > to go over 90 degrees.? I would also instruct the patient and family on heat > and slow stretching so the limitation in her arms will not become worse and > perhaps so she can lift her arms on a table or sink to slip on her shirt > over her head and to groom/eat.? I just had a man in a similiar situation, > but he was much younger.? The basic compensation techniques and exercises > worked like a charm, and he was very happy about the progress, but he was > very motivated to improve because his wife was unable to help him much. > > Chris Nahrwold MS, OTR > > -----Original Message----- > From: Ron Carson <[EMAIL PROTECTED]> > To: [email protected] > Sent: Fri, 17 Oct 2008 6:58 pm > Subject: [OTlist] How Would YOU Treat This Patient? > > > > Did an eval today and wondering how other OT's might address the > situation. > > 94 y/o female living with her 70 y/o daughter. Recent fall resulting > in femur fracture. Ambulates with a rolling walker and supervision. > Independent with toileting. Requires assistance with upper body > dressing, independent with LE dressing. Requires assistance with > bathing. Patient previously received assistance with bathing and > dressing. > > Patient has pain 8/10 in right femur with weight bearing. She is > unable to raise her bi-lateral shoulders past approximately 90 degree > flexion/abduction. > > How would you treat this patient and WHY??? > > Thanks, > > Ron > -- > Ron Carson MHS, OT > > > -- > Options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/[email protected] > > > > ------------------------------ > > Message: 5 > Date: Sat, 18 Oct 2008 08:33:21 -0400 > From: [EMAIL PROTECTED] > Subject: Re: [OTlist] Lost my OT job today.... plus.... > To: [email protected] > Message-ID: <[EMAIL PROTECTED]> > Content-Type: text/plain; charset="us-ascii" > > I have learned that OT is a hidden gem in the healthcare arena and I assume > that every patient that I encounter does not understand what I do.? That is > why I try to make a special point to educate every patient that I work with > about OT.? There are many professions that I know that have unclear names > and roles, take being a lawyer for example.? I have a vague sense of what > lawyers do, but I would have no clue what an intellectual property lawyer > does, unless I really need?one.? Same case with doctors.? I have no > clear?idea what a?otolaryngologist does, but I'm sure I would learn real > quick if I needed one. > > I think it is hard to quantify ourselves with other professions, because > you can't compare apples to oranges.? PT has a practical name and you can > find a PT clinic on every street corner nowadays.? Of course people are > going to have a vague sense of what they do.? > > Basically, I have accepted to teach the medical community what OT does, not > by my words but my actions.? I have done countless in services about what OT > does, but that only primes the pump.? What you have to do is become an > valued expert in what you do and the medical team around you will most > certainly identify your area of value.? Continuing education is a prime > example of how one can better there self and there profession.? I take > several course per year and then in service the entire team, so they know > that I have some special knowledge in an area.? One can't sit around and > expect referrals to come in, you have to build it yourself. > > Chris Nahrwold MS, OTR > > > > > > > > > > > -----Original Message----- > From: Kelly Hunt <[EMAIL PROTECTED]> > To: [email protected] > Sent: Fri, 17 Oct 2008 8:13 pm > Subject: Re: [OTlist] Lost my OT job today.... plus.... > > > > Ron, etc., > > I admit I am a lurker, and generally a more subtle advocate for our > profession, but even I get irked into irritation at times with the blatent > disregard for our profession by our Association, the medical community, and > other OTs. > > > Case in point. I was called in to work at a rural outpatient clinic today > at a hospital system that I work at PRN. On the wall there is a newspaper > article for the local paper with the title "New Physical Therapist" and a > picture next to it of someone I know to be an OT. The article was > welcoming > her to her new post (it was a few years dated) and in honor of OT month. > YET TITLED AS A NEW PT!!!!!!! Now maybe the paper made a mistake, but the > clinic chose to prominantly display this article for all the patients to > see. And many of her pts called me a PT or asked, "what is OT again? > What's the difference?" > > I was shocked! How as a profession can we expect to move forward and > gain > identity when our own colleagues don't distinguish us from other > disciplines? > > Humbly, > > Kelly the OT! > > > On Fri, Oct 17, 2008 at 6:21 PM, Ron Carson <[EMAIL PROTECTED]> wrote: > > > 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 b > e difficult meeting 30 visits/week. For one, I > > routinely drive over 100 miles/day and sometimes 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 on, 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 m > y 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 > > BC> [email protected] > > > > BC> To subscribe or unsubscribe via the World Wide Web, visit > > BC> http://otnow.com/mailman/listinfo/otlist_otnow.com > > BC> or, via email, send a message with subject or body 'help' to > > BC> [EMAIL PROTECTED] > > > > BC> You can reach the person managing the list at > > BC> [EMAIL PROTECTED] > > > > BC> When replying, please edit your Subject line so it is more specific > > BC> than "Re: Contents of OTlist digest..." > > > > > > 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 P > RN 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> referrals. 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 > > > > > > > > -- > > Options? > > www.otnow.com/mailman/options/otlist_otnow.com > > > > Archive? > > www.mail-archive.com/[email protected] > > > -- > Options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/[email protected] > > > > ------------------------------ > > -- > Unsubscribe? > [EMAIL PROTECTED] > > Change options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/[email protected] > > Help? > [EMAIL PROTECTED] > > > > End of OTlist Digest, Vol 43, Issue 17 > ************************************** > -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
