I made it through another week to Friday! So, even though this post comes out on Monday, I’m celebrating! Unfortunately, some Fridays end up being my longest days!
Let’s jump right into this. After this post, I will definitely plan another post discussing my pros and cons of home health work.
Day 4 is Thursday. I don’t have to work the weekends unless I want to work a Saturday or Sunday. The great part of my job is that although I’m the only SLP for our area (job security!) I have a lot of flexibility! I can schedule myself Tuesday through Saturday or Sunday through Thursday if I want to take off some time through the week and not use PTO.
I mentioned in previous posts that we have to take vitals for every patient. There is a required section in our paperwork where we put in the patient’s vitals and we have a vital log in the home that we complete every visit so that the patient has a recorded list of their vitals.
We take blood pressure, temperature, respiratory rate and pulse. We can check oxygen levels if there is a doctors order in the chart. I wasn’t a fan of having to take vitals initially, however I have used that knowledge and the numbers to send 2 patients to the ER. One of whom ended up with a trach due to respiratory distress. It is very important to assess the patient overall prior to any treatment.
I have to admit, being a home health SLP is the first job I’ve had that I’ve had to take vitals for my patients. Every clinician for our company is required to take blood pressure, temperature, respiratory rate and pulse.
At first I wasn’t too keen on having to take vitals. I’m not a nurse nor am I a doctor. After sending my first 2 patients to the hospital, I realized the importance of vitals and even though they do take some of my treatment time, I know they are important for patient care.
Here it is. Part 2 of my week, or Tuesday as some like to call it.
I did have a question on my previous post, so let me break down a little of the paperwork and the time it takes me to complete it. We do use HCHB Pointcare so a LOT of the notes, etc are very repetitive making it a little easier to answer. As the ONLY SLP for our branch of the company, I am responsible for Start of Care for speech only patients which takes me 2-3 hours depending on the patient, Recerts which take me 45-60 minutes, Resumption of Care which I have never had to complete yet (fingers crosse), discipline evaluations which take me 45-60 minutes, reassessment which takes me 45 minutes and daily notes which take approximately 10-15 minutes to write.
Our company expectation is 45 in the home, but there are times that 45 is too long or not long enough. I see the patient the amount of time they need for that day.
There have been a lot of blog posts recently looking at a day in the life of an SLP in a variety of settings.
I took a job as a Home Health SLP 1 year and 2 months ago. In 2013, I was completely burnt out on the medical field and decided to take a job in the school system. For a change. I found that I missed the medical side. I continued in the hospital on a PRN basis and continued medical-based continuing education. In 2016, I decided to go back to the medical field because I really missed working with adults.
Here’s a look at my previous week in home health which will be written in 5 parts over 5 days:
I have been through A LOT of continuing education courses. I’m sure you’re thinking, yea, so have I. I really honestly do take a lot of courses. In fact, I’m working on my 12th ACE award.
I will definitely say that I’ve enjoyed some courses and thoroughly detested some courses. I have walked out of courses, vowed to never listen to certain speakers again and also vowed to see people any opportunity I have.