- Transfers/Independently Ambulating New Pts- Since I left my rehab fieldwork, my transfer skills have seriously declined. I always doubted my general strength and body mechanics, but I used to be able to do a DEP transfer alone (and had to, as there was no support staff!). Now I've grown lax, since there are helpful nurses/techs, rehab aides, and PT staff abounding. I often hold off on my evals if I can tag team w/ PT, which is not a totally bad thing but I should have more confidence in getting pts up on my own. I have gotten a lot better about that, but do try to play it safe when possible.
- Stroke Treatments- compared to my fieldwork, we get absolutely zero CVAs, so I haven't had a chance to really hone my treatment skills for this diagnosis. This would include the following:
- Scapular mobilizations
- Motor control theory- my husband was swift enough to spy an old textbook w/ pictures of Brunnstrum and Rood movement methods at a yard sale. I haven't had a chance to review this, and I know that I don't have a solid practice base in old principles of motor recovery or the new motor control theory, and really need to.
- Time Management- this has improved greatly since fieldwork, but I still find myself struggling to get everything done in a day
- Pediatric Goal Writing- admitted bad habit: I often delay writing my pediatric pt's goals and have a hard time making them SMART, as they say. Sensory goals are especially challenging and I've been trying to get some advice on that.
- Occupation-Based Sessions for Adults- I am good at incorporating BADLs into treatment, but I should be getting my adults to do some more fun things.
- Laying Down the Law- it seems that a lot of my pediatric pt's parents do things that make my life a lot harder, such as no-show'ing, leaving the waiting room while the child is in therapy, etc. I need to be better at drawing the line with people when necessary.
- Explaining OT to Adults- I know, this should be second nature and part of my eval spiel, but I do get in a hurry. Sometimes it seems like there's no way to make people care about what we do, no matter what is offered.
- Sensory-based treatments- I would really like to have a better plan about conducting these during pediatric sessions so that things go smoothly more often. I have some materials to help, but I need time to review everything and make changes.
- Turning it all off- I need to get better at compartmentalizing work away from the rest of my life. I also need to de-stress better, do more ME time things. I get in a habit of just relaxing and watching tv, but I need to work out more, get back into pilates, read books for fun, spend time with friends.
Wish upon a star
I'm now at that momentous 1-year-since-graduation mark. Still close enough to remember being a student (which is why I try to post tips and helpful things) but also wanting to be a full-fledged totally-awesome practitioner. I've always been a little critical on myself, and don't like to just sit back and relax, as I'm afraid of waking up one day and finding that I'm actually terrible at what I do. So though I recognize that it's way too early to be a 100% awesome OT, I know that there are things that I should be doing more of to be my best. So, as a 'year in review,' here's a list of things that I would like to be doing more or generally better at.