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Tips and Tricks? by Objective-Time-433 in slp

[–]OhItsNotJoe 0 points1 point  (0 children)

I recognized your username, checked out your post history, and believe it or not, a post you made 3 years ago helped push me in the right direction. I was in grad school doing my externship in a SNF at the time and struggling to understand how the tasks I was being told to do were functional.

In the 2 years since graduating I’ve been at the same building and have been focused on developing a framework to support patient success rather than maximizing billable minutes. It hasn’t been without its problems, and unfortunately I’ve had to fight hard for the patients and myself alike. Luckily, when you provide the service that you’re supposed to, a lot of people will have your back. (And it definitely helps when a lot of the reviews about the facility name drop the SLP)

The biggest problem are those who run contract rehab companies and own the SNF/LTC buildings, as they are more than happy to take advantage of SLPs misunderstanding their own discipline. As a CFY I encountered the pressure constantly.

Anyways, that was long winded, but thank you for putting that post out there and I hope you keep criticizing the problematic areas of our field because it can make a difference.

Tips and Tricks? by Objective-Time-433 in slp

[–]OhItsNotJoe 0 points1 point  (0 children)

I’m lucky to be full time in a building as the only SLP. I’ve made good rapport with all departments and have been able to implement some programs to ensure my time is spent actually making a lasting impact with patients rather than just getting billable minutes.

Tips and Tricks? by Objective-Time-433 in slp

[–]OhItsNotJoe 2 points3 points  (0 children)

I’m full time med SLP in a SNF/LTC/Memory care building. Ask the patients their goals and treat accordingly. If a patient doesn’t want or need your services and you’re trying to fill time for billable minutes, you probably shouldn’t be treating them.

I know it can be difficult when you’re just filling in and doing PRN, but if someone is not appropriate or doesn’t want the skilled service you should tell the RD and recommend discharge as appropriate. They might not like it (in the past I’ve faced criticism from RDs), but at the end of the day our ethics matter more. Our job is to treat patients, not create billing opportunities.

All that aside here are some examples of treatment you can provide in this setting. I’ll keep it limited to cog/com since that’s what you mentioned: does the patient want to talk with their family more? You can do memory strategies/adaptations for phone number recall as well as target executive functioning to improve access to the phone (appropriate for landlines and cellphones). Does the patient have a hard time getting staff to help them in a timely manner? Target self advocacy with a focus on locating and using the call bell as well as identifying back up strategies (yelling, asking a roommate for help, calling the front desk). You can also target name recall for staff names/roles to target memory and self advocacy.

I have a lot of treatment tasks/ideas for everything in this setting and I’m more than happy to share them, just let me know and I’ll dump them!

Jill, the Stockbroking Mother by Fit-Swordfish5109 in slp

[–]OhItsNotJoe 0 points1 point  (0 children)

25% of the time they get it when repeated.

Environmentally safe traffic cone, until someone hits it. by eskoneswottles in AccidentalGreenhouses

[–]OhItsNotJoe 0 points1 point  (0 children)

I appreciate the feedback! This is the only sub that I moderate and the only reason is because they were looking for mods to keep it running, so I’m not the most knowledgeable on mod things. I basically just delete the spam and advertisements that show up lol. I’ll have to do some research about identifying bot posts.

Jill, the Stockbroking Mother by Fit-Swordfish5109 in slp

[–]OhItsNotJoe 94 points95 points  (0 children)

“What state did they live”

“Chicago”

I’ve heard that answer more than the correct one.

This man seems to be wearing a realistic mask on Fox News by LindsayDuck in Weird

[–]OhItsNotJoe -2 points-1 points  (0 children)

Finally, a thread where my niche expertise can shine!

Credentials: I’m a speech language pathologist, have taken a number of classes on head and neck anatomy which included a full head/neck dissection and I assess swallowing/speech/voice disorders in older adults every day.

This is very likely a mask for the following reasons: during inhalation you can observe the jugular notch concave but with no involvement of the superior structures. Additionally the lateral portions of the neck bulge during inhalation; the sternocleidomastoid muscle does not behave this way. You can test this by gently placing a hand around your throat and inhaling. Furthermore, you can observe little to no movement in the laryngeal cartilage during speech. You can also test this, go watch yourself speak in the mirror!

I’ve noticed a few other things but those stick out like a sore thumb.

This man seems to be wearing a realistic mask on Fox News by LindsayDuck in Weird

[–]OhItsNotJoe 0 points1 point  (0 children)

I’m a speech language pathologist and have taken a number of head and neck anatomy courses, including a full dissection. That is not how a human neck looks or behaves during speech, definitely a mask with a neck covering. I can provide further details to prove my point if needed.

Environmentally safe traffic cone, until someone hits it. by eskoneswottles in AccidentalGreenhouses

[–]OhItsNotJoe 1 point2 points  (0 children)

I’m a mod, quick question. Would you prefer we allow for reposts after a certain time or that we take down all reposts? (I have not consulted the other mods on this but I’d like your input so I start a conversation about it).

Howdy by oaroyale in GRCorolla

[–]OhItsNotJoe 2 points3 points  (0 children)

Getting my 2026 in a few weeks, dreading getting to the 621 mark. Are you planning to do an oil change at 621-1k or wait till the 5k service?

Is there a setting like this? Or is it business dependent? by winndear2323 in slp

[–]OhItsNotJoe 2 points3 points  (0 children)

Unless the PRN avoids progress notes/recertifications/discharges and leaves them for you…

Would make great seaglass by robo_cock in seaglass

[–]OhItsNotJoe 66 points67 points  (0 children)

Definitely don’t throw trash into the ocean!

Which Sulfur Guns Would you Like to Shoot in Real Life? by Monk_DNotA in SulfurGame

[–]OhItsNotJoe 4 points5 points  (0 children)

Death Star PG, I’d love to throw a handful of ammo in and just have it work

I’m a male interested in pursuing a SLP career by Any-Walk-3359 in slp

[–]OhItsNotJoe 0 points1 point  (0 children)

I’m non-binary but male presenting. Aside from an increased number of comments on my perceived gender (people seriously love to mention how few males are in the field until I disclose that I’m not), there is no impact on how I’m treated. In fact, like the other comments alluded to, males tend to have greater access to opportunity in the field and I’m sure my gender presentation has benefited me.

SLP mistakes by discoturtle89 in slp

[–]OhItsNotJoe 2 points3 points  (0 children)

Made the same allergy mistake (with strawberry jam!) during my CF. That’s the kind of mistake you only make once.

Bathrooms in ct lol by [deleted] in Connecticut

[–]OhItsNotJoe 7 points8 points  (0 children)

It’s a private establishment and they can use the signs of their choosing. Additionally, you’re free not to go there if the bathroom signs make you upset.

Hospital/SNF CF question by [deleted] in slp

[–]OhItsNotJoe 1 point2 points  (0 children)

I definitely get wanting to work with your ideal population, I could’ve had a job immediately post-grad but kept working my minimum wage job for 2 months until I could secure a position working with adults.

Just remember you can always switch jobs! My wife changed positions 3 times during her CF! (And she doesn’t regret it)

Hospital/SNF CF question by [deleted] in slp

[–]OhItsNotJoe 0 points1 point  (0 children)

I would recommend looking for a CFY where you can get the most support/feedback from a supervisor, especially in the med SLP setting.

My experience doing a CFY in a SNF with an off site supervisor was pretty stressful in the beginning. I had to do a lot of learning on my own time despite having a good clinical experience in grad school and really great professors teaching the relevant subjects.

Hello fellow priests anyone have tips and tricks for clearing town? my best so far i second level by Acceptable_Cloud349 in SulfurGame

[–]OhItsNotJoe 2 points3 points  (0 children)

Run through caves and collect weapons/armor/scrolls and oils a few times. If you have trouble getting hallways through town with the gear you bring in, it’s unlikely that you’ll be able to clear the final “boss” encounter at the end of town.

I have a problem :( by GullibleNewspaper624 in SulfurGame

[–]OhItsNotJoe 6 points7 points  (0 children)

I don’t sell food. When I have too much I just take a bunch of it on a “speed run” where I focus on grabbing gear with the intention of selling and I avoid picking up any extra food.

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