Speech and Language Pathology

LTAC vs Home Health vs SNF
halloween
[info]jsem_le_best
Hello,

I just recently graduated from grad school and am in the midst of my job search as a CF. Ideally, I would LOVE to work in a hospital in an acute or acute rehab setting, but seeing as these positions are few and far between, I am exploring other options as well. I was wondering what people's personal experiences are in long term acute care settings, SNFs and home health settings. What is your general opinion of working in one or any of these settings? What goals did you target with people in these settings? Do the jobs mostly consist of therapy? Or is there any assessment included? Did you apply for jobs directly or through agencies? Any and all information would be helpful as I am just not very well versed on these environments. At this point, I have been hesitant to apply to jobs in these settings as I have felt they might be depressing or that I would become discouraged due to lack of progress on goals.

Thanks so much!
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Job Interview Tips?
silhouette
[info]girlunraveling

I recently graduated with my M.S. in Speech Pathology and am beginning the job search. I am applying to jobs with the school district of Palm Beach County. Does anyone have any pre-interview preparation tips? What kinds of questions should I expect? How can I cover all my bases?

Thanks, anyone, for any input.

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What to ask for when signing a contract....
[info]rednibs
Hi everyone! I'm interested in knowing what type of packages people have gotten when signing a contract for a job (employer paying for CEUs/ASHA conferences, extra time off, different work schedules etc.) If anyone could offer tips or suggestions as to what is smart to include within your 'package' when hired or just the various things you can ask for, that would be helpful. I feel like school doesn't really prepare us for these types of things, so answers from everyone with experience is appreciated!
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CF in SNF
angry
[info]irinalicious
Hi guys! So I'm nearing the end of my graduate career (can't believe it came so fast!). Seems like yesterday I was on this board seeking advice about grad schools.

Regardless, I have realized I would love to work in a SNF or hospital. I realize that hospital jobs are unlikely to find for CFs, so I was hoping someone could give me some pointers on how to look for SNF jobs. I've been using indeed and simplyhired. I've spoken to some agencies but I'm a little worried because of some of the things I've read here.

I've had interviews with private practices, which I'm not opposed to working in, BUT I don't want to give up hope on working with adults just yet.

Any help would be GREATLY appreciated. Thanks a lot!
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Can you have your CFY working with Pediatrics and Geriatrics?
[info]shewipie
Just curious,can you have your CFY working with Pediatrics and Geriatrics? Is that possible?
OR will that be difficult? I would assume that I might have two supervisor and will be working for two companies.
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Literacy/reading clinics that employ CFYs/SLPs?
[info]pinkdiamond0
Sorry if I'm bombarding this community with too many questions--I've just found the forum to be extremely helpful!

I was wondering if anyone knows of any reading/literacy oriented clinics that employ CFY Speech-Language Pathologists? They can be anywhere in the US, although East Coast is preferable. Yes, I'm considering yet another option, I know, lol (those who've seen my posts know that I'm having a hard time with the idea of working in a "traditional" SLP setting like a school, hospital, or SNF because I get overwhelmed easily). I have done a search online and found a couple of clinics, but search results mostly keep coming up with the city of Reading in Pennsylvania, which obviously doesn't help. Thanks!!!
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documentation
[info]apples2apples5
Hi All-
I am currently near the end of my cfy (3 more weeks) but I have a questions regarding documentation.

This Monday, my Cfy supervisor's husband was killed in a car accident. Understandably, she is taking some time off. We both work for the same contract company but in different buildings- hers being a mile away from me. Our boss has asked me to cover for her for 2 weeks until the new SLP can start.

I went to the building yesterday to see some patients and I noticed she has a lot of weekly progress notes that were due on the 21st. How does this work? My first time seeing these patients will be today the 24th. THese notes are for the 17-21. Am i supposed to write a recommendation to see previous notes? Do I not write anything at all? Leave it alone? Kinda stuck and unsure of what to do and really don't want to bother my supervisor at this difficult time.

Any help would be greatly appreciated.
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Carry-over ideas for interdental lisp
[info]sessabee
Hi All-

I am brand new to this community, and I would really appreciate feedback/ideas for a couple kids I am working with.  

Child #1 - 7-year-old boy, started therapy about 1 year ago for misarticulations of /r/, vocalic /r/, voiceless -th, /l/ blends, and an interdental lisp (trouble with /s/ and /s/-blends).  Everything has resolved with therapy except for the lisp.  He can produce a perfect /s/ in therapy during structured tasks, but has virtually no carryover into conversational speech.  He is cooperative and motivated, although a bit timid to state his opinion and his mother is very involved in helping him practice.  I have videotaped sessions and had him analyze them and promoted him tracking and correcting his own errors, and he struggled with both tasks.  I'm not sure if his struggle is because he can't detect his errors or because he is timid to point out areas of difficulty-he constantly looks to me to tell him whether he is right or wrong.  He can differentiate a correct /s/ and a misarticulated /s/ when I demonstrate them, but when he is speaking he seems to have no awareness of his errors and does not attempt to correct himself unless prompted.  I find this strange because when he was working on /r/ he was very quickly able to identify and self-correct his misarticulations.

Child #2 - 5-year-old boy, started therapy 4 months ago for misarticulations of voiceless -th and an interdental lisp.  I feel like it's almost the same story as child #1, he is able to produce /s/ correctly in the therapy room during structured tasks, but does not show any carry-over into his conversational speech.  He actually said to his mom this morning "I can have my tongue sticking out for saying /s/, Ms. Sarah said it's the right way", when we go over correct tongue position with a mirror and cues during almost every session!

Both boys are developing normally (no cognitive problems), and English is their first language.  I have tried many different methods for both of them (using -ts to shape s (trying to "fool" the child into producing a "lazy t" (t +s)) to get around the habit of producing /s/ incorrectly, tongue-lip-jaw placement work, /s/ through a straw to train airflow, and drills with /s/ cards, reading, various conversational tasks (typical therapy stuff), and nothing seems to stick.  The moms are discouraged and I'm feeling like a failure...I feel like treating a lisp shouldn't be this difficult!  Am I doing something wrong?  Any ideas/suggestions would be so appreciated!

Also, an important side note, I am a U.S. citizen living in a remote part of Indonesia, so the only therapy materials I have access to are online or ones I create.  

Sorry for the LONG post!  Thanks for reading and helping!
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Making Best Use of Commute Time
[info]speechgoddess
Hi everyone! I've been following this community for a long time, but this is my first post. I will be attending grad school full-time at the University of Memphis in August 2012, and I will also be doing a traineeship in their cultural and linguistic diversity clinic. I currently live about a 90 minute drive from the clinic, and because of family considerations (Husband is also full-time student, stepdaughter in high school, 4 year old starting pre-K, and 2 year old) will not be moving closer to campus. I will have class 5 days per week and clinic Monday-Thursday. My plan is to find somewhere local to stay (rent a room/hotel/crash at a friend's house) the 2 nights a week that we have class late, plus maybe 1 more night, which would have me driving round trip 2-3 times per week. Does anyone have suggestions for how to make good use of the 6-9 hours a week I'll be spending on the road? I know that it is going to be a difficult 2 years, but feel like this is the best decision for our family, so I'm determined to make it work. Thanks in advance for any advice!
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Telepractice
[info]ohiomex

I am currently living in Mexico and have been for the past 10 years but recently started looking at the possibility of going back to the U.S. to get my M.S to become a bilingual SLP.  I looked into that possibility many years ago but decided it was not a good idea since I am settled in Mexico and the salaries are very low even for bilingual SLPs and I thought I would not find much work. 

However, I saw that telepractice is becoming more common and thought that it might be a good option for me since I could continue to live in Mexico but give telepractice sessions to people in the U.S. and therefore supplement the not so high salary in Mexico with the dollars I would earn from the telepractice.

Just wanted to know what kind of experiences people on here have had with this type of work.  I have seen many agencies like Tiny Eye and Presence Learning which say they can give you full time schedules in schools while you work from home.  Does that tend to be true or is it more irregular?  Is the pay hourly or salary and is it comparable to what you would earn in a traditional school setting?


Any comments would be welcome!

Thanks.

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