SNF OCCUPATIONAL THERAPY EVALUATION

[@keyboard11111111]

I am starting a new job in SNF with no experience in SNF so this is going to be a learning curve but this helped so much to know what to look out for and a foundation set to build off. Thank you!

[@LovelyyOT]

Welcome

[@dr0pthebeat]

I'm starting a job at a SNF tomorrow, and I haven't interacted with any patients in a while, so I really appreciate this video. It was a good refresher!

[@LovelyyOT]

Glad it helped : \)

[@amberapplegate6601]

Your videos are so helpful and honestly a life saver! I'm starting my first job in a SNF and feel less anxious after watching your videos!

[@LovelyyOT]

Good luck!! :) email me if you have questions

[@celineetky]

Just started at a SNF and this is so helpful! If you ever get a chance to do the demo - would still love that!

[@LovelyyOT]

Thk you so much! i will certainly work on it

[@mstapleton49]

you are amazing. thank you so much for making these videos- they are so helpful as a new OT out in the field! :)

[@LovelyyOT]

yayy awesome ! so happy to hear its helpful :)

[@kaitseb8053]

This was such a huge help, doing my first Eval today and I have no idea what I’m doing haha. THANK YOU

[@LovelyyOT]

Happy to help! i made an updated version

[@nataliyamcguire614]

Please make a demo! Thank you!!

[@inactiveme32]

Girl! Great video as always! But I just followed you on IG and I have to say you page gave me sooo much life! ❤️

[@LovelyyOT]

aww thnks hun : )

[@christableofori9322]

oh my God you are Ghanaian?? I'm so thrilled. I'm thinking of going into OT. Thank God i came by this video will definitely contact you. And oh, i am Ghanaian too... God Bless you!!!

[@LovelyyOT]

Belle O heyyyy Yes I am :) yes pls contact me if you need anything :) thank you soo much :)

[@christableofori9322]

Yesss I will. Thank you so much for replying. :) have a great day :)

[@shawna6962]

I’m loving these videos! I’m currently taking pre requisites to get into OT school. Thank you for these videos

[@LovelyyOT]

thank you so much :)

[@Kay929]

Thankyou so much for making this video. I like the fact that you went through it step by step it was clear and easy to understand. It has been a while since my program focused on the basics of evals so I was not too confident in my abilities to perform them accurately for my Level II FW that is coming up soon. Thanks!

[@LovelyyOT]

Thank you so much am glad it helped ! I tried to make it as simple as possible :) Dont be scared you got this!!! I will film my FW video soon :) am wishing you all the best :) Also , I do think schools should start including eval demos in curriculum , I learned during my fw though

[@Kay929]

LovelyyOT I totally agree. In my program we did mock evals on one another however I don't think it was enough. I guess nothing beats real life experience. However my goal is to go into these next FW assignments with at least a basic understanding.

[@LovelyyOT]

amyer_OTR/L totally agree :)

[@mdaniels3377]

Would you provide a refresher on muscle, ROM and balance testing? Thanks

[@beyondthemoon444]

Great video, thanks

[@LovelyyOT]

YOU WELCOME

[@stephanielawruk8]

Can you do a demo please!!

[@kaydenise237]

Yess i would love to see a demo or take us to work with u.

[@LovelyyOT]

I cant film at work due to HIPAA regulations , everyone I come in contact would have to sign a consent which is impossible cuz these settings are busy n filled with people going in and out

[@kaydenise237]

ok thats understandable

[@melissathayer9812]

Thanks for the walk-through! In a SNF setting, do you tend to have higher productivity requirements than in other settings? And how long do you usually need to write an initial evaluation vs. a progress note?

[@LovelyyOT]

Melissa Thayer Yes we tend to have higher productivity in SNF; Most people don’t like SNF because of this. I can write an eval in about 30 to 35 minutes and a progress note in about 15 minutes or less depending on the patient; some are more straightforward than others

[@jenniferrollman9274]

Love your videos!! If you could please do a demo of a SNF eval that would be awesome! I'm applying for SNF jobs as a new grad OT :)

[@LovelyyOT]

Jennifer Rollman am traveling so I might not have someone to do it on; I might have to do it on my lil sis when I get back to Jersey :)

[@JasmineJoi]

Thanks for sharing!! I’m a new grad and I just wanted some extra tips ☺️

[@LovelyyOT]

Jasmine Joi you are welcome 🙏

[@kperfectsketch]

How do you usually plan your day , sequence Do you keep the evals as first then the treatments and discharge ? On what basis do you decide or any advices for it , switching from outpatient to snf so thinking a bit

[@LovelyyOT]

I usually do my evals first in the morning and then I will finish typing it out during lunch ( since patients are not available during that time). However, if am taking lunch, I will finish the entire eval in the am ( my brain is the most alert at this time ) and then treatments as patients are available, some patients do better in the AM versus PM.. I also like to do my morning check-ins when I get there in the morning with everyone on my schedule just to give them a heads-up that I will be seeing them that day. Once you get used to the setting, you can figure out what works best for you.

[@allthingsholisticwithkb]

This was very helpful; did you get around to doing a demo?

[@LovelyyOT]

nope - i made an updated eval video thou :)

[@inactiveme32]

Oh and is a SNF only for geriatrics? I googled it and I saw was care for geriatrics. I would love to work with young adults.

[@LovelyyOT]

Yes mostly geriatrics ( older adults) , my youngest patient was late 20s. OT have a place for that as well :)

[@nikkistahr7105]

If you have ever done outpatient, i would love to hear about how that type of evaluation is done. I have worked in snf as a OTA but now im a OTR/L working in outpatient and the population is different and they schedule them every 30 mins at this place so its very different. I appreciate any advice. Great upload Thank you XoXo Nikki

[@LovelyyOT]

NIKKI STAHR I did a hand therapy outpatient during my fieldwork level 1 but I was only there for a week so I didnt get into the nitty grittyof things

[@nikkistahr7105]

@@LovelyyOT Thank you babes..i appreciate the feedback. I am prn there so im just taking things one day at a time..snfs are more my thing but i am trying to broaden my horizons by diversifying my job site experiences because i want to teach in the next 5 years so you know how it is. I love your channel and enjoy seeing young beautiful black OTRs (im Haitian, Dominican, French and unapologetically black.. patients love to assume once they see my sunkissed naturally dark tan skin that im the private duty or cna..i never get offended but educate the hell out of them.....until their ears bleed n fall off lol... we are definitely changing the landscape and im proud of that💃 so keep doing your thing and promoting your channel and sharing your knowledge/ experiences..im so very proud of you sis) Peace & Blessings XoXo Nikki Ps: You are so pretty you should also do some tutorials etc..just have fun with your channel luv.

[@LovelyyOT]

NIKKI STAHR DM me it would be nice to feature you and talk about your outpatient experience once you get your feet wet !! And I love everything you said we need to continue to push and support each other ! We wont accept mediocrity as the norm regardless of our color and background periooodddtttt !!! :) goodluck and stay in touch email me:) would love to continue our chat :)

[@kaitseb8053]

I’m currently a student deciding between going into OTA or OT.... could you let me know what you liked and didnt like between either profession?

[@ebrark.5555]

Hello, how do OTs do toilet management in elders? Can you inform?

[@LovelyyOT]

Will add a video

[@meridethbutler5682]

do you have any advice about transferring? as a new grad starting at a job I dont feel confident transferring solo

[@LovelyyOT]

Get assist to transfer if you not comfortable

[@lynseyschafer8002]

Would you typically do dressing standing or seated since you do not know the client well?

[@LovelyyOT]

Always seated position

[@lydaneuville8365]

Hello! I am starting a position in a SNF and I am brand new to this setting. I was wondering if you could do a follow up video showing a demo of an evaluation? I would really appreciate it!

[@LovelyyOT]

I will see what I can cook up

[@LovelyyOT]

I have a post on it on Instagram

[@inactiveme32]

Would you ever start doing vlogs?

[@LovelyyOT]

I will think about it

[@amberbartle1724]

Do you bring a notepad with you to write things down during evaluations?

[@LovelyyOT]

you can do that , yes

[@pootandbeans5956]

I thought everything was computerized, oh Lord I can't imagine having to try and decipher those doctors notes that are written like a 5 y/o. And what if the SNF keeps people that will never be able to go home? Most of them just stay in there due to cognitive issues and have no family to go back to and can't live alone. This is what I was told when I applied for a job at this specific SNF. Rarely any hip or knee replacements, just patients with mainly cognitive issues who want to stay there because they are given attention and you have to give them 30 min of therapy 5 days of week due to Medicaid. How do you function as a therapist in a SNF when it is mainly upkeep instead of progress? I read that you can't bill for the time you spend writing up the eval or treatment. Does that mean you aren't paid for your time? Even transferring the patient room their room to the OT gym isn't chargeable. So you can work 8 hours a day and only get paid for 5. Am I right on this?

[@LovelyyOT]

You get paid for how ever many hours you are there but your productivity will be affected , if you are scheduled for 6 hours and you there for 10 hours , what were you doing for the extra 4 hours ? productivity is to minimize this occurrences. You can pick up LTC patients/ nursing home patients who live there and work on things they may need ; trust me progress is always there even if its small. if there is absolutely no progress after like a month , its ok to discharge them .I hope this helps.

[@hertersarel]

Hi, do you have spouse or family while Evaluating? As patient can be groggy and will answer anything

[@LovelyyOT]

It depends , if the family/ spouse is a POA .. if I have further questions and patient don’t have the cognitive ability to answer ; I usually call . It’s not a requirement for them to be there ..

[@chosangho23]

Gait is PT word. Use “functional mobility”. Please

[@LovelyyOT]

I certainly don't document gait but thank you