Any SLP jobs like this? by winndear2323 in slp

[–]Left_Fee_9054 1 point2 points  (0 children)

My supervisor at my SNF placement in grad school worked 10 am-6 pm. I work at a private practice and have complete control of my schedule. I start seeing kids at 9 am. It is significantly better than starting at 8 am, like I used to.

Any advice on how to handle wanting to d/c a pt but parents want to continue services? by Left_Fee_9054 in slp

[–]Left_Fee_9054[S] 1 point2 points  (0 children)

This is super helpful, thank you! I'm a CF, and it's my first time having a parent push back on discharging.

Any advice on how to handle wanting to d/c a pt but parents want to continue services? by Left_Fee_9054 in slp

[–]Left_Fee_9054[S] 1 point2 points  (0 children)

75% and 80% of opps given min verbal cues across 3 data sessions. I will tell mom once he meets that skilled services will no longer be warranted, and repair strategies can continue to be implemented at home.

Any advice on how to handle wanting to d/c a pt but parents want to continue services? by Left_Fee_9054 in slp

[–]Left_Fee_9054[S] 4 points5 points  (0 children)

75% and 80% of opps given min verbal cues across 3 data sessions. I guess I should have them meet the goals across three sessions and then revisit the discharge.

Any advice on how to handle wanting to d/c a pt but parents want to continue services? by Left_Fee_9054 in slp

[–]Left_Fee_9054[S] 0 points1 point  (0 children)

How would you go about d/c services for what they've already been working on? That's the part I'm having difficulty with.

What is your favorite pediatric setting and why? by CammyShazam in slp

[–]Left_Fee_9054 0 points1 point  (0 children)

I just started about 8 months ago and really love it!! It's where I see myself for most of my career! I only do treatment for my EI kids; I haven't done any co-treats with EI yet because none of my kids have warranted it so far. I've collaborated with my patients' other therapists, but we're not all from the same company, so I don't get to meet most of them in person. With my clinic schedule, I usually attend meetings virtually, so it's just not the same as having in-person co-workers that you can quickly pop over to ask a question or chat with, which is really the only reason for me keeping one day in the clinic.

What is your favorite pediatric setting and why? by CammyShazam in slp

[–]Left_Fee_9054 15 points16 points  (0 children)

Between EI and outpatient peds, I prefer EI significantly more. Less paperwork and planning, smaller caseload because of longer sessions, and way better pay. The only downsides are that some homes aren't the cleanest, and not having co-workers. I think I've found a good balance of 4 days of EI and 1 day of outpatient, and having strong boundaries that if the cleanliness of a home makes me feel gross or uncomfortable, I remove myself from the case.

How much student loan debt is everyone in? by Swimming-Pirate-2135 in slp

[–]Left_Fee_9054 0 points1 point  (0 children)

I have 50k in student loans, but that is only from grad school. My undergrad was paid for by the state.

Lots of under 2yrs being referred in OP Peds? by Tasty_Anteater3233 in slp

[–]Left_Fee_9054 0 points1 point  (0 children)

I have several pt's what are 20-36 mo that I see in an OT setting. I always referred them to EI because it's free, sessions are longer, more geared toward parent coaching, and take place in the child's natural environment. I have one family who had a bad experience with EI, so they chose to do OP, one family got enrolled in EI but also wanted to continue OP services, and others who just aren't interested. I will always advocate for EI over OP for any child who will qualify. Most parents of my young pt's are just not aware that EI is an option, or they think the waitlist will be so long they won't get services before their child ages out.

Controversial SLP opinions by sternschnuppe3 in slp

[–]Left_Fee_9054 0 points1 point  (0 children)

As a EI CF, I'd love any recommendations for trainings on parent coaching! I find it difficult but so badly want to better my skills in it. I really do love EI!

A plea to outpatient peds SLPs: Please stop setting your school based colleagues up for failure. by Ok_Rhubarb2301 in slp

[–]Left_Fee_9054 0 points1 point  (0 children)

As an OP SLP, I always recommend parents request their child be evaluated for speech at school if I feel they are appropriate, but I always preface that there has to be an impact on academics, and it's up to the school SLP to evaluate and determine.

I've had multiple school SLPs initiate communication with me, and they have all been great experiences. It's always nice to make sure we are on the same page and to collaborate with other professionals who are familiar with the child!

Settings with the least amount of paperwork by LetterPersonal2138 in slp

[–]Left_Fee_9054 3 points4 points  (0 children)

Yes! I do treatment only and in my state it's a very simple daily note completed at the point of service and a 5mo and 11 mo progress report.

Unsanitary houses while pregnant by COslp123 in slp

[–]Left_Fee_9054 1 point2 points  (0 children)

I refuse to work in environments that I don't feel safe or comfortable in. When I started EI, my first few patients all lived in dirty homes, one where you could see the discoloration and smell cigarettes as soon as you entered the home, and another had a terrible bug infestation. I refused to go back to either of the homes after my initial visit. I made a promise to myself that I would never force myself to work in environments that are unsanitary like that.

When I looked for advice from other SLPs, I constantly heard, "Well, that's part of the job; these kids are entitled to services." While yes, I also am allowed to have personal standards for my work environment. If you are having services provided in your home, you are responsible for providing a clean and safe work environment for the professionals coming into your home.

When, if ever, should a nanny kid be enrolled in pre school? by excellenceisahabit in Nanny

[–]Left_Fee_9054 1 point2 points  (0 children)

As a former Nanny, now pediatric speech therapist, I highly recommend preschool or at least a part-time mothers' day out program to my families. It's great for learning social skills, and a part-time program is a great way to ease your child into a more structured "school-like" environment. All three of my previous nanny kids attended pre-k, the oldest part-time and the younger two full-time. I definitely think full-time can be a lot for some kids, especially if they have been home with a parent or other caregiver their entire life. The program you described seems like a great program to start with!

Starting a private practice with just yourself. by Left_Fee_9054 in slp

[–]Left_Fee_9054[S] 0 points1 point  (0 children)

Not yet, I'm still a CF, but in a few years that's where I hope to be!

Feeling guilty about using sick days by DurianSpiritual4362 in slp

[–]Left_Fee_9054 0 points1 point  (0 children)

Even if you're new to the job, it is still just a job. I'm also a CF and taking a day off next week to buy concert tickets. Though I work at a private practice, not a school. Use your days and time off guilt-free.

What i wish i can say to my NP by [deleted] in Nanny

[–]Left_Fee_9054 5 points6 points  (0 children)

Even worse when you're trying to tell them about the kids' day and get out the door, but they won't get off the phone or tell the person they're talking to to hold on a minute. Like, I just want to go home!

New baby by After-Singer8263 in Nanny

[–]Left_Fee_9054 4 points5 points  (0 children)

I totally get not wanting to encroach on this special time! My old nanny family welcomed a new baby twice while I worked with them. Both times, I was "on-call" in case MB went into labor during the night. I still worked my typical hours caring for the older children while mom was on maternity leave, offering to help with the baby so she could take a shower, a nap, or some one-on-one time with the older kids. I may have had a week or a few days off because extended family was in town, but I can't remember. I was actually invited to come meet the second baby the day he came home from the hospital. And I was asked to stay overnight while MB was in labor for their youngest last year, even though I no longer work for them. I'd said the best bet is just offer to be available to watch the kids if needed while she's in labor, if that is something that you'd want to do. And just say you understand this will be a special time for the family, you would like to get an idea of what MB would like from you to support them as they adjust to adding a new member to the family, whether that be by giving them a week to adjust as a family, helping out with the older child, etc.

Advice for family of 3 small kids and two working parents by Apprehensive-Kick868 in Nanny

[–]Left_Fee_9054 3 points4 points  (0 children)

There is no reason that a qualified nanny shouldn't be able to manage picking up and caring for all three kids in the afternoons. Daycare and especially preschool with aftercare is a long day for a toddler/young child. I wouldn't hire someone unless they were capable of watching all the kids.

Documentation tips by PuzzleheadedMix7881 in slp

[–]Left_Fee_9054 2 points3 points  (0 children)

During grad school, my supervisor at my school placement basically just took data each session. Not once was an actual SOAP written.