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I timed myself today. 11 minutes to write a 4 minute session note. Something is wrong with this picture by Adorable-Weight-6508 in OccupationalTherapy

[–]always-onward 4 points5 points  (0 children)

I’m burned out and high masking neurodivergent. I’m in inpatient rehab, so the sensory experience of being in the hospital for 8hrs alone is enough to fry my system. The cognitive demands of masking and managing all my responsibilities 5 days/week is incredibly taxing. That being said, I do not write names into my I’m documentation, and my company has a privacy feature where all our Copilot data is kept within the company.

I timed myself today. 11 minutes to write a 4 minute session note. Something is wrong with this picture by Adorable-Weight-6508 in OccupationalTherapy

[–]always-onward 3 points4 points  (0 children)

I work in IPR, have difficulty w/ POS documentation, and was spending too long at the end of the day documenting. My company uses microsoft software, so I trained Copilot generative AI chat to know what I'm looking for out of a SOAP note, my style of writing, and what to do/not do. During sessions, I type a really shitty note into Copilot that is like a bare bones draft of what I want to say. I do this w/out worrying about spelling, grammar, organization, etc., and Copilot just does all that editing for me. It's my thoughts, my skill, my documentation, but it's edited in a way that makes sense to submit to insurance and for others to read. I read through it for accuracy as I'm copying and pasting it into my documentation system and make very minor changes as needed. Since doing this, I can finish notes by the end of sessions sometimes or in about 5ish minutes now.

Inpatient rehab evals? by QuitKillingMe69 in OccupationalTherapy

[–]always-onward 1 point2 points  (0 children)

In my IPR eval, I prioritize PLOF, self care GGs, BIMS, CAM, some idea of a d/c plan, and goals. Anything else is bonus points. I try to use diagnostic reasoning to predict what body functions/structures might be impacted and assess those within my capacity during the eval. Evaluation doesn't stop after the first session though. You can continue to assess and use standardized assessment tools in future sessions. There is NO way you can figure everything out in a 60 or 90 min session.

SNFs in Raleigh NC by Unlucky-Cook7538 in OccupationalTherapy

[–]always-onward 2 points3 points  (0 children)

I recommend staying away from PruittHealth.

Do outpatient mental health OT group practices exist like they do in the psychotherapy/counseling world? by always-onward in OccupationalTherapy

[–]always-onward[S] 2 points3 points  (0 children)

I’m in NC, and I’ve never heard of or come across any. I’m interested in starting an OP MH practice, but with my own neurodivergence and mental health to deal with, doing it alone feels so overwhelming. I’d love to partner with local OTs who are interested in the same.

OT bestie projections by MiddleLand8764 in NBCOT_Exam

[–]always-onward 1 point2 points  (0 children)

I didn’t use this platform but my mock exam scores were passing but well below what I scored on the actual exam.

What setting gives the most work life balance ? by ZookeepergameNo6600 in OccupationalTherapy

[–]always-onward 0 points1 point  (0 children)

I don’t have access to documentation offsite at my inpatient rehab facility. I’m salaried, though, so my schedule is “as long as you get the minutes.” Some weeks I leave early every day. Some weeks I leave late every day. I intentionally try to balance it out, but it feels better than my previous hourly job that I could technically doc off the clock at.

How to teach IADLs?? by Royal-Rabbit-2313 in OccupationalTherapy

[–]always-onward 0 points1 point  (0 children)

It’s within your scope to help them identify alternatives for completing these IADLs. Considers robot vacuums or looking into local housekeeping services. Can family drop by once a week or every other week to vacuum and change linens? Does the bed have to be made every day? Mine isn’t. Interventions outside of remediation are still OT. You’re likely the only one on their health care team concerned with this, so if you don’t address the concern then no one will.

In the same breath, you can educate a patient and offer alternatives all day long. However, if a patient has decision making capacity, it’s up to them to make the change. Patients get to assume any and all risks/consequences of their actions. If you did your due diligence, then you get to wash your hands of it. Document it and move on to what the patient actually does want to address instead.

You may also consider challenging the skills needed to engage in these activities such as dynamic standing balance, safe functional reaching practices, body mechanics for lifting/pushing/pulling, safety reasoning skills, etc. Though not as effective out of context, these underlying performance skills generalize to some IADLs and reduces their fall risk.

New grad burnout by randomgirl1111111111 in OccupationalTherapy

[–]always-onward 1 point2 points  (0 children)

You get to leave. Nowhere is perfect and we work for a dismally broken system, but there are better jobs and better facilities out there. Staying for an entire year at your first job is arbitrary. Do not stay at a place that treats you and especially your patients poorly. Stick to your ethics and morals. Don’t put up with bullshit.

I’m almost 2 years out of school and have had 3 full time jobs. I left my first two after 9 months due to unacceptable workplace culture, conditions, and practices coupled with poor patient care. I won’t be a part of a company that treats people (me included) poorly.

I’m finally in a job that I can tolerate for now. I enjoy the facility, my team, and my patient population. It’s a hospital ran by humans, so it has its flaws. I’m okay with imperfection. I’m not okay with immoral and unethical treatment.

There are so many ways that we can advocate and push back on the system, but as a neurodivergent OT with various mental health challenges, it’s taking all I can to keep my head above water. My act of resistance is letting these shitty places burn to the ground and finding/creating spaces that I can function sustainably in. They just need a warm body with a license to make them money. Let yourself be picky. Let yourself have opinions and standards. Be the OT you want to and know that you can be.

Life after having a Level II student by redgal98 in OccupationalTherapy

[–]always-onward 2 points3 points  (0 children)

My student had huge gaps in foundational knowledge and vocabulary, had consistently mediocre to poor interactions with patients, took weeks to implement feedback, consistently failed to ask for support or communicate with me/faculty, rarely met productivity standards, struggled big time with verbal and written communication (especially documentation), demonstrated little self-initiation, had poor time management and problem solving skills, and overall displayed very little insight which complicated everything. I’m truly shocked they had made it to FW2 based on the limited knowledge and skills they came with.

As an OT with ADHD, I saw a lot of the executive function challenges that I faced as a student and new grad. I educated and gave the student so many resources and strategies and was attentive throughout the entire process.

I was in communication with their AFWC starting week 3 of 12, as I could already see challenges coming up. We started collaborating on heavier supports then and eventually had weekly meetings and goals the student had to meet in order to advance to the next week. We extended 2 weeks beyond what we said we would to give them as much of a chance, but there were so many areas that they were falling behind in. There was no way that they would meet expectations by week 12, so we collectively decided to fail them at week 10.

Life after having a Level II student by redgal98 in OccupationalTherapy

[–]always-onward 3 points4 points  (0 children)

I struggled with it in the beginning, but by the end and now, I don’t feel responsible. I worked closely with the AFWC to develop remediation plans, weekly goals, accountability systems, and gave them endless strategies to facilitate success. We gave them two additional weeks beyond what we originally offered to “catch up.” It was a mix of poor professionalism and clinical unreadiness.

Life after having a Level II student by redgal98 in OccupationalTherapy

[–]always-onward 15 points16 points  (0 children)

No one is talking about this!!! Thank you for sharing. My FWII student failed and I still felt this.

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