NSSLHA Meeting 11/5/2012

CSULA NSSLHA Meeting
Monday, November 5, 2012
Speaker :Giny Nagy M.A., CCC-SLP
Topic: Working in a hospital setting

1. WIDE VARIETY OF SETTINGS AND JOBS WITHIN SETTINGS

                 ACUTE CARE  (INCLUDES ICU, CCU, ED ON OCCASION
               
                 ACUTE REHAB

                 SUB ACUTE CARE

                OUTPATIENT

                  HOME HEALTH

                 EXTENDED CARE FACILITIES-

 May have one setting or may cross over into several settings, dependent on size of facility.

1. STIMULATING ENVIRONMENT  (PARTICULARLY IF TEACHING HOSPITAL)

     
                   COLLEAGUES

                    NEW TECHNOLOGY, NEW PROCEDURES, NEW MEDICATIONS

                   SPECIALIZED EDUCATION, LIKE BRAIN CUTTINGS

1. HELPING PEOPLE AT IMPORTANT, STRESSFUL TIME---DOING SOMETHING WORTHWHILE IS ENRICHING-JOB SHOULD BE SATISFYING IN SOME WAY.

Won’t always feel that you are able to help-sometimes frustrating-need tolerance for frustration

1. FLEXIBLE-

                 ONCE YOU HAVE SOME EXPERIENCE

                 FULL, PART TIME, WEEKENDS, TAKE OFF AND RETURN
                 COMPATIBLE WITH RAISING A FAMILY
                  BUT MUST STICK WITH ANY SCHEDULE YOU ACCEPT
                 (Pt. must be seen to meet requirements  and  for revenue/reimbursement for  
                        hospital)
          
.                      

1. SATISFACTORY PAY  AND EMPLOYMENT OPPORTUNITIES

                       
           ASHA SURVEY 2009

                         57% SCHOOLS
                         38% HEALTH CARE FACILITIES                                                                  
                                  (Hospitals, SNF/ECF)
                          15% OTHER    Private practice, speech and hearing clinics

                         64% full time
                         36% part time

                         35% annual salary, rest per hour or per visit

                         Median annual salary in hospitals 70K  80K SNF (Pays more)

                                                  60K 4-6 yrs experience
                                                  80K with 22 or more yrs experience
                                                  80K in West  (all higher???)
                         usually figure 1/3 more in benefits (contributions to social security, medicare,
                      unemployment, health and dental insurance, retirement plans)

                       HOURLY PER DIEM-COMMON-NO BENEFITS-AROUND $50
                       (Particularly good if get benefits elsewhere-spouse or another job)

                      UNCERTAIN WHAT CHANGES WILL OCCUR IN FUTURE
                     (TREND TOWARD LESS INSURANCE COVERAGE)

                      BILINGUALISM BIG ADVANTAGE (NOT JUST SPANISH)

1. USE EXPERIENCE TO DO SOMETHING ELSE

                     PRIVATE PRACTICE
                      TEACHING
                     ADVANCED DEGREE  (CLINICAL EXPERIENCE IMPORTANT)
                      SCHOOLS   (harder to get into hospital from school background)
                                            (easier to get from hospital to school)
                      SPECIALIZE  within setting   (Voice, dysphagia, etc.)

1. CHALLENGING, STIMULATING

                      FAST PACED
   
                 ASSESSMENTS, PICKING GOALS, PLANNING TX at fast pace

                 FOLLOWING SCHEDULE –TIME MANAGEMENT/ORGANIZATION

             
                         ½ HR. TO 45 MIN SESSION, OCC 1 HOUR  (OP)
                         6 HOURS OF PRODUCTIVITY OUT OF 8 HR DAY
                         8 PTS PER DAY-AVERAGE
                         Some speech/language, some dysphagia, some both
                       
                  COMPLETING DOCUMENTATION
                           “If not documented, it wasn’t done:
                             COMPUTERIZED, must be done that day

1. MULTIFACETED JOB

                            SPEECH/LANGUAGE/DYSPHAGIA THERAPY
                            COUNSELING//EDUCATION    
                                               Family and Staff
                                                Fulfills social work instinct
                            REPORTING TO OTHER TEAM MEMBERS

                                          Physicians
                                          Physical Therapist
                                          Occupational therapist
                                           Recreational Therapist
                                          Neuropsychologist      (example of weekly goal)
                                           Dietician
                                           Social Worker
                                           Nurse

                     

1. GREAT CAMARADERIE AND FRIENDSHIPS-WORKING TOGETHER TOWARD COMMON GOAL IN INTENSE ENVIRONMENT  (BEST FRIENDS)

 

1. GETTING FIRST JOB

                   Flexible-weekends-hard to do, can’t work unsupervised
                      SNF (Claire in Chicago)   Hard way to start-burn out
                      Move from Los Angeles
                      Network
                                  Externships
                                  ASHA-CSHA
                                 *MSCC (Medical Speech-Language Pathology Council of Ca.)
                                               Inservices
                                               Volunteers
                                                Job postings
                                                      Website:  www.slp-ceu.org