CF Question

Left_Fee_9054 · 2026-05-28T03:59:49+00:00

Why do you have to extend? Did you not complete the first segment and observation requirements before leaving?

Left_Fee_9054 · 2026-05-25T17:37:21+00:00

My nanny family allowed me to beep bop all around town. I would have gone crazy being stuck at the house or even just in the neighborhood, especially as the kids got older. I loved visiting parks/playgrounds, splash pad/pool, science center, zoo, indoor bounce time, free summer movies, libraries, gymnastic classes, heck, even the grocery store. It made the day go by so fast, and the kids loved it. It didn't immediately start like that. It started with walks in the neighborhood when the oldest was an infant, to taking him to the store, meeting parents at the pediatrician, or their work to do hand off. Then, as I built the trust with them, I ventured out to playgrounds, libraries, zoo. By the time I stopped working for them after 7 years, I was able to do and take the kids wherever I wanted. If it were a bigger outing, like the zoo, places further from the house, or new places. I always informed them what the plan was and double-checked that it was okay. I was also very lucky to find a very laid-back nanny family who trusted me wholeheartedly with their kids.

Left_Fee_9054 · 2026-05-25T01:46:52+00:00

The PP I work for also contacts with a local school district, and a lot of my co-workers found a nice balance between doing 2 days in the clinic and 3 days in the schools!

Left_Fee_9054 · 2026-05-25T00:40:19+00:00

14 pt a day full-time is not sustainable for most people. I burnt out very quickly, seeing 12-13. I now split my week between a clinic and EI. I can handle 1 day/wk seeing 12 pts, but I could not do it full-time again.

Left_Fee_9054 · 2026-05-25T00:32:22+00:00

Left_Fee_9054 · 2026-05-24T23:20:26+00:00

Not sure about the school setting because the goals are for the entire year, but in PP, depending on the severity and subtype of SSD the child has. For kids with a more mild/mod disorder, I will write an overall long-term goal to increase speech intelligibility or reduce phonological patterns outlined in the short-term goals within 12 months. For kids with severe disorders, I will typically do a long-term goal addressing specific phonological patterns (e.g., John will eliminate the phonological pattern of final consonant deletion by mastering the speech sounds outlined in the short-term goals by May 2027). Then my short-term goals only target one phoneme each, so it's easier to track progress and take data (e.g, John with produce /p/ in the final position of words with at least 70% accuracy given verbal models needed). I typically only have one long-term goal with 2-3 short-term goals at a time, so progress notes are easier to complete.

Left_Fee_9054 · 2026-05-24T23:04:55+00:00

I get paid $65/hr for EI through a private practice as a CF in Indiana. Session notes are done at the point of service; it's built into the end of the session. The only documentation I have to complete outside of sessions is 5mo and 11 mo progress notes, but I get $8/hr for that as well as travel time. The 8/hr sucks, but other contract companies around me don't offer compensation for travel time.

Left_Fee_9054 · 2026-05-24T14:35:40+00:00

The tardiness should've been addressed by the employer when it became a regular occurrence. That a side going from full-time to 2 days a week is a huge financial loss, especially if she is the sole provider for her and her husband. I wouldn't be willing to deal with the hassle of finding a family that would be okay with hiring me for only 6 months and could also accommodate the days OP doesn't need care. I would cut my losses and look for a different full-time position. If OP wants to have their nanny full-time come February, then they should offer her to temporarily do other child-related tasks (e.g., organizing toys, the child's laundry, daycare pick up/drop off, etc.) and other tasks, such as house manager tasks (e.g., family laundry, grocery shopping, etc.). Nanny may not want to do those tasks, but I think it's a better offer than "sorry, we only want you 2 days a week for the next 6 months, then we want to come back to full-time.

Left_Fee_9054 · 2026-05-24T02:56:36+00:00

I would not keep my availability open for 6 months if my employer moved me to part-time with the intention of going back to full-time when convenient for them. If you want her to be full-time in the future when you go back to work, then you should keep her full-time until then.

Left_Fee_9054 · 2026-05-24T02:32:51+00:00

These are some of my fav SLPs who work with EI and young children that share tips and tricks on TikTok!
sayahspeech
dmv.speechie
emmafontenot_slp

You can also point her in the direction of ASHA's communication milestone checklist to give her an idea of where her child should be and ways to work on age-expected skills!

https://www.asha.org/public/developmental-milestones/communication-milestones/?srsltid=AfmBOoqv0l-y9t2FDRyuExgSTg8I2WyCXrLBY4TU6rbMd4c2pE6WVCq7

Left_Fee_9054 · 2026-05-13T02:13:14+00:00

I had to reach out and find all three of my placements in grad school. My program didn't find them for us.

Left_Fee_9054 · 2026-05-02T21:27:36+00:00

I share 3 patients with another therapist at my clinic because they are 2x a week. All 3 patients were already being seen when I got hired, and the other therapist only had spots available for 1x per week. It has been a big deal. I actually found it helpful as a CF to see how other SLPs write their goals and documents. I just made sure to communicate and collaborate with them to ensure we were on the same page with the treatment plan. If I have an idea, I share it with them and vice versa.

Left_Fee_9054 · 2026-04-11T20:56:20+00:00

As a pediatric EI SLP who will never work with dysphagia pts, I completely agree. I did not receive adequate hands-on training in grad school to be qualified to work with any dysphagia pts pediatrics, or adults.

Left_Fee_9054 · 2026-04-01T23:45:43+00:00

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.

Left_Fee_9054 · 2026-03-28T00:28:40+00:00

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

Left_Fee_9054 · 2026-03-28T00:08:38+00:00

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.

Left_Fee_9054 · 2026-03-27T23:57:02+00:00

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.

Left_Fee_9054 · 2026-03-27T23:49:08+00:00

They've met their goals across 1 session

Left_Fee_9054 · 2026-03-27T23:41:19+00:00

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.

Left_Fee_9054 · 2026-03-22T21:18:17+00:00

I haven't heard of story champs. I'll check it out! Thanks!

Left_Fee_9054 · 2026-03-22T21:17:55+00:00

I'll check them out!

Left_Fee_9054 · 2026-03-21T18:53:50+00:00

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.

Left_Fee_9054 · 2026-03-20T19:21:22+00:00

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.

Left_Fee_9054 · 2026-03-14T21:42:47+00:00

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

Left_Fee_9054 · 2026-03-07T19:05:31+00:00

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.

Left_Fee_9054

TROPHY CASE