Ron, I too lost my position at a nursing home working for a contract company. I repeatedly told my boss that my job was physically and ethically impossible. Not only was I expected to consistently get 80% productivity, I was site coordinator two nursing homes and had to complete extensive month end number crunching and call in Speech and PT as needed when evals came in. We had to keep the minutes for each CPT code for each patient in 4 different places and it was my job to make sure they ALL matched at the end of the month. I was fired because I was behind in my daily documentation because I tried to make sure my patients received the treatment they needed, despite time limitations. I was told I should not do toileting or showers my patients, yet most of my patients were planning to go home. I also got in trouble for putting very involved patients in the higher minutes category. My argument was that in reality it took more time to complete basic tasks with them because they responses were slower and less consistent. Many of my very involved patients did not improve and then I would discharge or put in a lower category, but some of them made almost miraculous gains. I felt that every patient deserved to have that chance. I loved working with the frail elderly population, but I could not go back to that type of situation. I'm one that has trouble doing through documentation while I'm working with my patients as I feel I need to be observing how and what they are doing in able to assess and adapt my treatment to best assist their recovery. I think it's a sad situation and at the end of the day I was the one that had to live with how I acted toward the people in that nursing home. Not just my patients, but all the residents. I believe everyone working in that environment should be allowed the time to briefly say Hi and encourage any of the residents that reach out to you. They are going through so many adjustments and losses, they need to be treated with dignity and not just shuffled here and there. Anyway, that's my story. Marcia
Ron Carson wrote: > Hello: > > Last week, I was fired from the SNF I was working because I told the > company's area manager that I could not ethically complete the required > job demands in the time I was given. > > They wanted me to provide a minimum of 6 hours of treatment/day. Given > the vast amount of paperwork, constant interruptions, inept paperwork > system and no therapy aides, it was ethically impossible to complete my > daily job in the agreed upon 8 hour day. > > I was basically told that I wasn't a good fit for the company and was > fired. > > I am wondering what other therapist who work in SNF's feel about the > productivity demands of their settings. > > Thanks, > > Ron > > *********��*********** > > Unsubscribe? Send a message to [EMAIL PROTECTED] > > In the message's *body*, put the following text: unsubscribe OTlist > > ** List messages are archived at: > > http://www.mail-archive.com/[email protected] > > *********��*********** *********��*********** Unsubscribe? Send a message to [EMAIL PROTECTED] In the message's *body*, put the following text: unsubscribe OTlist ** List messages are archived at: http://www.mail-archive.com/[email protected] *********��***********
