A while back, I wrote a post about the ISO device. Find the ISO post here. I still use this device with my patients in home health as appropriate. A few months back, Jolie sent me her 3 new models of devices to trial. I’ll have to admit that I really like the sleek new look.
I always like to reflect on my year and all of my accomplishments (or all those tasks I have to carry over from my to-do list. I also like to challenge myself for the next year and this year, I will challenge all of you as well!
A new year means new beginnings. Everyone always jokes about how the current year has beaten them down and they’re hoping for better times in the new year.
- Don’t let the new year lead you. Grab it by the throat and own it! There are so many new adventures in this new year, don’t be afraid to get to it! Many people do the #onelittleword hashtag for the new year. My #onelittleword for 2018 is #adventure as I adventure out into the world of private practice.
- If you’ve been doing therapy the same way for the past 20 years, maybe it’s time for a change. When you think you know everything about dysphagia is when you need to brush up. There have been so many changes and new findings. Read some journal articles, start a journal club or join one if there is one in your area. Keep updated on the latest in swallowing management and treatment.
- Stop taking continuing education courses because they’re free or convenient. Find something that is worth the money. That may be your state convention or the ASHA convention (in Boston in 2018). If you want quality, you will have to pay. It takes many, many hours to put together quality continuing education. Some courses that I really enjoyed from 2017 or even developed are:
- FEES Basic Course by Eric Blicker
- Deciphering Dysphagia the Ampcare Way
- The Cranial Nerve Examination: Integrating Assessment and Treatment in Dysphagia Management
- Esophageal Dysphagia: Evaluation and Treatment Options
- Critical Thinking in Dysphagia Management
- The McNeil Dysphagia Therapy Program
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: