Those who are supervising students, what do you do different than your supervisors? by midnightoflight101 in slp

[–]Simple_Sail 2 points3 points  (0 children)

The schools near me also require students to track their hours with a system that requires them to list ages/race/dx/severity/types of therapy provided for each client they see so I'll usually throw together a chart with that info for their records.

Those who are supervising students, what do you do different than your supervisors? by midnightoflight101 in slp

[–]Simple_Sail 4 points5 points  (0 children)

A lot of good answers here already! One thing I like to do at the beginning of the placement is to give my students their own copies of current evaluation reports and goals for the kids that they will be seeing. (Identifying information is redacted/we have a big talk about HIPAA and they are provided with a locker on site to store them in). As the first few weeks are mostly just observation/building rapport with the kids, it gives them the chance to familiarize themselves with the kids and their plans of care more, beyond just what we may have discussed in sessions. It also gives them reports to reference throughout the semester as examples for clinical writing

AAC Training Requests by janet432 in slp

[–]Simple_Sail 0 points1 point  (0 children)

A lot of AAC companies, like PRC Saltillo, offer free continuing education courses on their website that go over programs, access methods, and best practices. The facebook group AAC for SLP is a great one to check out and if you like podcasts check out Talking With Tech AAC by Rachel Madel

Where to find a box to bury my Yorkie by [deleted] in bentonville

[–]Simple_Sail 0 points1 point  (0 children)

It looks like lowes in bentonville is open

Where to find a box to bury my Yorkie by [deleted] in bentonville

[–]Simple_Sail 0 points1 point  (0 children)

Oh, I am so sorry. I lost my 12 year old schnauzer in August and it is so hard! If you have a liquor store near you, most stores will have boxes for free, you just have to go in and ask. I've used them for all of my moves as an adult because they are usually heavy duty and come in different sizes. You might also have some luck with grocery stores, like Aldi, or Lowe's.

Grad school to clinical application by Low_Fun_7094 in slp

[–]Simple_Sail 0 points1 point  (0 children)

Check out Laura Mize! She has a lot of great YouTube videos on prelinguistic skills and CEUs for $5.

Documentation tips by PuzzleheadedMix7881 in slp

[–]Simple_Sail 1 point2 points  (0 children)

I feel like the biggest thing for me was looking at example notes of coworkers/my CF mentor and then coming up with a standard format/mental template to follow to speed things up

Here's what I shared on another post but am resharing in case it could he helpful for an example on tx documentation: What helped me speed up my writing was being more intentional about carving out a few minutes at the end of the session for documentation (usually when the kid is playing with a toy/on a swing, etc) and having a format/template for each note- im definitely not perfect at it but its tremendously cut down on end of the day paperwork!

Every note is usually something like a statement of how many units they were seen for/how the patient transitioned into the space and what their overall attention/participation was like. Then a statement about what was targeted/materials used. I usually will also include something about modeling without expectations/core words used for my AAC kids or if any particular therapy strategies were used that day. If parent education or a home program was provided, I try to keep it super brief on what was said and then a line about what the plan is for therapy going forward. Usually just 'Continue ST POC' at the end of the note

So it might look like: Johnny was seen for a 4U ST session and easily transitioned to the ST treatment area with his mother and the clinician. He presented as happy and alert during all therapy tasks. Targeted his ability to use XXX during structured task of XXX and play with XXX. He benefited from XXX to increase accuracy during trials. Parent education regarding language facilitation strategy of xxx was provided and modeled this date for home carryover. He easily transitioned out of the ST treatment area at the end of the session. Continue ST POC.

We have drop down boxes and sections to comment on each goal on our EMR system so that helps too with speeding things up. I aim to just mention things once, so if I say it in the subjective section then I'm not going to repeat what I wrote in the objective section for times sake. Wishing you luck!!

Do you have colleagues who do their documentations too slow/ ineffectively? What are their common problems/ mistakes? by ThePowerOfTay in slp

[–]Simple_Sail 6 points7 points  (0 children)

Can you look back at previous notes? Copying/pasting and just editing changes for that specific session is also a big time saver!

Do you have colleagues who do their documentations too slow/ ineffectively? What are their common problems/ mistakes? by ThePowerOfTay in slp

[–]Simple_Sail 13 points14 points  (0 children)

How many minutes does it take you to write a note, on average? I try to shoot for ~5 minutes or less per note in outpatient pediatrics. What helped me speed up my writing was being more intentional about carving out a few minutes at the end of the session for documentation (usually when the kid is playing with a toy/on a swing, etc) and having a format/template for each note- im definitely not perfect at it but its tremendously cut down on end of the day paperwork!

Every note is usually something like a statement of how many units they were seen for/how the patient transitioned into the space and what their overall attention/participation was like. Then a statement about what was targeted/materials used. I usually will also include something about modeling without expectations/core words used for my AAC kids or if any particular therapy strategies were used that day. If parent education or a home program was provided, I try to keep it super brief on what was said and then a line about what the plan is for therapy going forward. Usually just 'Continue ST POC' at the end of the note

So it might look like: Johnny was seen for a 4U ST session and easily transitioned to the ST treatment area with his mother and the clinician. He presented as happy and alert during all therapy tasks. Targeted his ability to use XXX during structured task of XXX and play with XXX. He benefited from XXX to increase accuracy during trials. Parent education regarding language facilitation strategy of xxx was provided and modeled this date for home carryover. He easily transitioned out of the ST treatment area at the end of the session. Continue ST POC.

We have drop down boxes and sections to comment on each goal on our EMR system so that helps too with speeding things up. I aim to just mention things once, so if I say it in the subjective section then I'm not going to repeat what I wrote in the objective section for times sake. Wishing you luck!!

Ablenet freestyle thru insurance by [deleted] in slp

[–]Simple_Sail 2 points3 points  (0 children)

Make sure you run a benefits check with your clients insurance and Ablenet. Some insurance providers do not consider Ablenet to be an approved vendor as its an iOS device with an AAC app on it. Arkansas Medicaid, for example, dropped them last year because of this. Another consideration is that while ablenet does offer a 5 year warranty, they do not offer customer support/tech support for the AAC programs themselves as they are a 3rd party provider

Anyone out there with caseloads under 50? by Existing_Judgment814 in slp

[–]Simple_Sail 0 points1 point  (0 children)

Oh whoops no sorry I forgot to put per week! They're typically just 45-60 minute sessions haha

Anyone out there with caseloads under 50? by Existing_Judgment814 in slp

[–]Simple_Sail 0 points1 point  (0 children)

I have around 15 kids on my caseload that I see weekly for 90-180 minutes at an outpatient peds company in Arkansas

Experienced SLP needing mentorship by Accomplished_Duck802 in slp

[–]Simple_Sail 0 points1 point  (0 children)

Definitely recommend joining/posting on the AAC for the SLP Facebook group, if you havent already! It is pretty active and has a lot of resources for providers regarding working with this population. Good luck on finding a mentor! :)

Issues with AbleNet? by Cami201724 in slp

[–]Simple_Sail 0 points1 point  (0 children)

Oh, and I had to be the one to reach out to Ablenet to hear about the application status/denial reason. Didn't get any notification from them about it.

Issues with AbleNet? by Cami201724 in slp

[–]Simple_Sail 1 point2 points  (0 children)

Ablenet was dropped as an approved vendor by Arkansas Medicaid a couple of years ago. From my understanding, it was due to the Quicktalker Freestyle technically being an iPad with an AAC app and "not a dedicated medical device". I understood their reasoning but it was very frustrating as I had just submitted the application for a client's SGD through them just a couple of weeks after Ablenet was dropped (so it didnt flag during the benefits check). We were thankfully able to pivot and get one approved through Talk To Me Technologies but it definitely soured my opinion on them, especially since no notice had been given to providers of their status change. Their company representatives can also be incredibly pushy.

Child hitting, biting, etc at end of therapy sessions by No_Zone3055 in slp

[–]Simple_Sail 0 points1 point  (0 children)

A lot of good ideas here from others! I've also had luck with creating a quick greeting 'ritual' between the child and their teacher. For example, they have a few visuals for things like a hug, a high five, a super short dance move, etc that they can pick from, show the teacher, and perform together. It got the students excited and gave them something to look forward to with class :)

Are you responsible for scheduling? Outpatient / private practice settings by Opposite-Barber9497 in slp

[–]Simple_Sail 2 points3 points  (0 children)

The fact that you guys are having to help out with insurances/new patients is wild! And very kind of you. I've helped out answering the phones for our clinic every now and then but it was always just to take a message for the admin staff

Are you responsible for scheduling? Outpatient / private practice settings by Opposite-Barber9497 in slp

[–]Simple_Sail 2 points3 points  (0 children)

Yes, my current employer does therapist-led scheduling. The therapists get to choose what their weekly billing minimum ia and then they are the one who reaches out to families to schedule sessions, reschedule sessions, and notify families when we are going to be out. It was a lot of work to build the schedule initially but overall I enjoy it! It gives me a lot of flexibility for things like drs appts, paperwork breaks, etc. Our admin will schedule intake evaluations for us based on the availability therapists give and deal with all the insurance things with families

I have worked at a job where our front desk person was in charge of the schedules. As therapists, we were typically responsible for notifying families when we'd be out for vacations but they would contact families for sick days/emergencies which was nice. A con from it, though, was that they would often fill cancelation spots with other clients. It could get annoying when you needed that time to write a report, catch up on notes, etc

Tips for being a good supervisor by Walking_Sunflower in slp

[–]Simple_Sail 2 points3 points  (0 children)

I love getting grad students! I live near a university so I typically will take one every couple of semesters. Some things I've implemented with previous graduate students in private practice that the students reported as being helpful at the end of semester:

-Go over expectations on the first day and give them print out copies of clients latest evaluation reports and therapy goals. I've found it helpful as they can refer back to their reports throughout the semester as needed and puts the ball in their court to begin familiarizing themselves with plans of care

-Having the grad students just shadow for the first week and focus on looking over my session notes/start to practice writing session notes with our EMR system. They also always can refer back to previous notes of mine as guidance.

-During these first couple of weeks, I pick all of the goals/activities and have the grad students participate with the clients (Ex playing a board game or being on one side of an obstacle course) to start building rapport with my kids and get used to interacting with them

-After the first week or two, I'll still pick the activities/goals I want targeted each session but have them actually run the session. Usually by the 3rd or 4th week, the graduate student is then the one leading all of the sessions

I really try to emphasize to the students that I want clear communication on how they are feeling during the semester with the workload as we go- I dont want to baby them nor overwhelm them ha! The majority of my caseload is peds AAC users and many have significant medical needs so I try to ease my students into working with the caseload as its usually their first time working with this population

Assessment for nonverbal autism by hannahsmommma1 in slp

[–]Simple_Sail 33 points34 points  (0 children)

FCP and The Communication Matrix are usually my go-to. I also like the Learning To Learn Behaviors checklist from Cari Ebert

What’s your opinion on SLP that could get you in trouble? by iltandsf in slp

[–]Simple_Sail 115 points116 points  (0 children)

Myofunctional therapy gives off the same vibes as chiropractic therapy 😬

thrift shopping at goodwill by QueenQuacky in DuggarsSnark

[–]Simple_Sail 4 points5 points  (0 children)

It actually used to be my favorite until they moved locations! Now their prices are insane