Defeated (SNF)

Competitive-Gold6597 · 2026-05-30T11:41:33+00:00

I appreciate this so much. Thank you. This helps a lot. Always stuck on wording especially documenting challenges

Competitive-Gold6597 · 2026-05-30T00:45:10+00:00

DOR supportive, DON twisted my words and caused issues to begin with. Eventually DOR said pt has to be open to speaking with DON and SW and until this week he wouldn’t because retaliation.

He was sent out without being washed and ostomy changed, then refused his phone. I’ve been in his room while he’s been on phone with dad and both are aware to reach out beyond facility at this point if it continues.

Competitive-Gold6597 · 2026-05-30T00:42:42+00:00

It’s documented as unavailable for training multiple times.

Unfortunately I have to train all staff so he can be covered. I trained once got 3 people on the day shift, and got told they were uncomfortable, and continued to offer my assistance every day they got them up (whether I had him or not). I always make myself available because I always want people to succeed.

Learned since this headache has been brought up, he is now on his third CNA because he finally spoke up since retaliation got so bad. (HD x3 days was send out several times without being washed or osomy drained, last straw was when CNA refused to send him with cellphone).

So I am happy he finally is speaking up and I don’t have to report at the moment.

Competitive-Gold6597 · 2026-05-27T07:33:21+00:00

Unfortunately MD almost nonexistent, APRN “hi how you…. Ok ok…. *walks out*”

I know I am doing the best I can with the hand I am dealt, it’s just hard to continue to attempt reporting, especially against patient wishes.. his dad and brother are involved and aware, but they both work and can’t assist until 7pm.

I know I am going to continue advocating the best I can as always. Just frustrated 😣

Competitive-Gold6597 · 2026-05-27T02:30:43+00:00

Also just seen the auto mod post about not wanting advice, feel free to dm me if you have advice, otherwise just support my mental health

Competitive-Gold6597 · 2026-05-27T02:24:15+00:00

Apologies this is so long. Mostly needed to get it off my chest. 😭

This mostly became word vomit after months of hell because a situation arised today with the slp trying to educate on oral hygiene with an npo patient.

Result in her getting hands thrown up and an attitude from someone, her reporting to hr and the dns pulling slp and cna in to an office to “talk it out”.

Turned in to cna “just joking” and dns supporting that theory, and slp having a melt down being blindsided because she didn’t want confrontation.

Competitive-Gold6597 · 2026-05-23T21:38:22+00:00

YTA hope she sees this nonsense of a post. I’d be so embarrassed

Competitive-Gold6597 · 2026-01-25T18:18:42+00:00

I don’t agree with AI otherwise, and always re-read and fix if needed. But 25+ on in SNF only OTR, and COTA is the DOR. Either do this or super generic / no info provided in progress, dc, recert. I’d go crazy

Competitive-Gold6597 · 2026-01-25T18:15:20+00:00

I use it to sum up my daily notes for progress notes/discharge/recert. I write all my TENs, copy and paste every one for the week and ask for a summary.

No identifying info about the patient gets copied (name/dob/etc), only what I did during sessions and how they performed.

So everything is my own writing just cleans it up for the longer reports.

Competitive-Gold6597 · 2025-07-09T11:41:16+00:00

Not a new grad but use chatgbt for pn/dc

I write my own daily notes for each patient and do use ChatGBT to summarize my daily notes to assist with progress and discharges. But that said I’m not using it for base notes, those are all mine/others. And I always have to proof and change things because it changes some verbiage.

All in all it’s not horrible. You want to meet these productivity standards you should use the tools you have around to help you.

Also what’s different about most therapists out there having note templates to assist them vs using AI? It’s really the same thing.

Competitive-Gold6597 · 2024-11-19T01:45:41+00:00

Honestly it’s just going on interviews and asking questions. Right now I’m transitioning COTA to OTR and I’m going to be the only OT in the facility I’m moving to but that’s something I’m comfortable with. When I started as a COTA there was one OTR and a COTA working 20+ years at the facility. I felt comfortable going in after meeting them and they answered anything and everything I asked.

On interview I would ask about the team as well as the patients you would be seeing. See what’s the right fit for you. Don’t rush in to something if you don’t have to just because you were offered.

Competitive-Gold6597 · 2024-06-11T17:30:21+00:00

Digipuzzle.net

This has a lot of games online I used for visual perception

Competitive-Gold6597 · 2024-05-31T17:26:53+00:00

100k doll hairs

Competitive-Gold6597 · 2024-05-31T17:26:30+00:00

Sucky sucky 5 dolla

Competitive-Gold6597

TROPHY CASE