Saturday, December 21, 2013

This OT's Top 3 Favorite Devices (aka. "Gadgets")

One of the things I love about OT is that we have countless tools to make everyday living easier. A number of patients refer to these devices as "gadgets" because they're cool! Our job is to ensure that the equipment that they use will help promote their independence in different ways.

Anyway, here are my top 3 Favorites!

3. Dycem
I've used this with my patients, and it's amazing. You can cut it in any shape, and it's so versatile and easy to clean. The best thing about this is that you can come up with creative solutions.

2. TheraPutty
What can I say? I'm a kid at heart. This is like Play Doh but more durable and has anti-bacterial properties. It's really used for therapeutic purposes, and is color-coded ranging from very soft to firm.

1. Long-Handled Dressing Stick
This assistive device may look like it's designed for dressing only, but I found 10+ things you can do with it. This is actually my favorite, and I call it the "Multipurpose Stick"!

10+ Things I Could Do With a Dressing Stick 
(Multipurpose Stick)!

1. Use pointed end to remove socks and shoes.

2. Put on pants. (Flattened end can keep one pant leg from sliding out of place and long handled reacher can be used to hold and pull up the other pant leg.)

3. Dry legs and feet. (Hooked end can hold one end of the towel and long handled reacher can hold the other). 

4. Press elevator buttons.

5. Press ATM keys.

6. Flush toilet.

7. Grab loops of jacket/coat.

8. Use hook end to pick up empty soda cans or dump them into recycling bins/trash.

9. Grab hard-to-reach items (e.g. under the bed).

10. Flip on/off light switch.

11. Gently yank chain (e.g. ceiling fan)

12. Press down lever handles (e.g. door)

13. Hang clothes in hangers or bring down clothes in hangers.

14. Pull against handle (e.g., closet door) or pull open door (e.g. dryer door).

15. Use hook end to open soda can!
      CAUTION: The stick should be parallel to the table and make sure there are no objects or people nearby. (Even though I tried this out and it worked, I would NOT use this as an intervention.)

Monday, December 16, 2013

Officially an OTR/L = Occupational Therapist, Registered, Licensed

It's funny to see how much can change in one month. On Tuesday, November 12th, I took the NBCOT exam. Two weeks after that, I found out that I passed. Last week, I received my NY State License certificate in the mail. Today, I received my NBCOT official score and certificate, which means I can write "OTR" after my name.

As I look back, I realize that I've been working towards this goal for four years. At this time four years ago, I was in the process of completing OT program applications and preparing to enroll at a community college to take Anatomy & Physiology, one of the prerequisite courses I had to take.

It's such an amazing feeling when everything in my life is finally coming together. I must admit that it required pure grit to get through this long and hard journey to becoming an OT. Now, I can be proud to say that my hard work paid off despite all the sweat and tears. I'm so excited to moving forward. This is just the beginning of a new chapter in my life, and there are wonderful things that lie ahead.

Tuesday, December 3, 2013

All About the NBCOT!

While I'm job-hunting, I realized that the completing the NBCOT certification and licensure (for New York State) were two separate processes, which got a bit confusing. Thus, I decided to share the steps I took to complete the application to take the exam AND registration to obtain the license. At the time of writing, the information I provided below is accurate, and I did not encounter any problems. I hope you will find the information helpful and that everything goes smoothly for you as well.

Successfully completed your final fieldwork? Check.
Successfully completed all your coursework? Check.
Graduated? Check.

Congratulations on completing your OT program, which is a big accomplishment! There's one BIG final step to take. 
This is the goal you've been working towards: taking AND passing the NBCOT exam!

1. Licensure Process (NB: for New York state only)
    - Downloaded and printed out Form 1 and TWO copies of Form 2 from http://www.op.nysed.gov/prof/ot/
    - Obtained a passport-sized photo of myself
    - Had Form 1 notarized by teller at my bank
    - Initial Registration Fee: Check was made payable to New York State Education Department
    - Notarized Form 1, passport photo, AND initial registration fee were mailed out to: 
                                New York State Education Department
                                Office of the Professions
                                P.O. Box 22063
                                Albany, NY 12201 

    - Completed TWO copies of Form 2 and submitted both to my program (in person) to have them fill out the rest and mail out
    - Included with one Form 2, one envelope was addressed to:
                                 New York State Education Department
                                 Office of the Professions
                                 Division of Professional Licensing Services
                                 Occupational Therapy Unit
                                 89 Washington Avenue
                                 Albany, NY 12234                                                     

2. Certification Process:
    - Downloaded the Academic Credential Verification Form (ACVF) from www.nbcot.org since I planned on taking the exam before my official graduation date (as stated on my diploma)
    - Submitted the ACVF to my program (in person) for them to complete and mail out

    - Submitted my NBCOT Certification Exam application on www.nbcot.org
    - Online Exam Application Fee plus NY Initial Score Report: Check was made payable to NBCOT
    - Printed receipt and check were both mailed out to:
                                  National Board for Certification in Occupational Therapy
                                  Attn: Certification Examination
                                  12 South Summit Avenue, Suite 100
                                  Gaithersburg, MD 20877-4150

    - Printed my Authorization to Test (ATT) letter that was sent to me via e-mail
    - Selected my testing location and scheduled day and time to take the exam on www.prometric.com

3. FINAL Official Transcripts (ordered after official graduation date)
    - Transcripts were ordered electronically through my student online account 
    - One paper transcript was sent to:
                                  NYSED Office of the Professions
                                  Division of Professional Licensing Services
                                  Occupational Therapy Unit
                                  89 Washington Avenue
                                  Albany, NY 12234
                                  518-474-3817 x270
    - One e-transcript was sent to NBCOT via e-mail: transcripts@nbcot.org

***************************************************************************

Preparing for the Exam:

It is really up to you to decide the length of time you want to spend preparing for the exam. Everyone is different. Some are comfortable taking it soon after they graduate or successfully complete their final fieldwork. Others may spend a month or more preparing for it. (I took TWO months, but it was worth taking the extra time to study!)

I highly recommend that you attend a review course that may be offered by your program, possibly for free or at a discount rate. I used Rita Fleming-Castaldy's National Occupational Therapy Certification Exam: Review and Study Guide (6th Edition) and attended TherapyEd's NBCOT Preparation Course. For more information, go to http://www.therapyed.com/nbcot.htm#otreg
This helped structure my study time and target some areas that I needed to focus on.

Another helpful resource is AOTA's NBCOT Online Exam Prep (used after I took the NBCOT and before I found out that I passed). It has over 900 practice questions and 77 Clinical Simulation scenarios. One con is the price tag, but it is REALLY useful and can help you target your weaker areas. For more information, go to http://nbcotexamprep.aota.org/

What really made the difference is creating my own study guide. Also, redoing the practice questions and spending time to understand why I answered questions incorrectly helped tremendously. Don't forget to review class notes and/or textbooks when necessary.

Stay focused, but remember to make time for yourself! :)

***************************************************************************

On the Day of the Exam

1. Get a good night's sleep and eat well.

2. Bring a printed copy of your ATT letter and 2 forms of government-issued ID's with you.

3. Arrive early to your testing site because the signing in process can take a while.

4. Don't bring a lot of stuff. Everything goes into the locker except your 2 ID's and locker key.

5. You will be fingerprinted (electronically), have a metal detector scanned and your clothing checked to ensure you don't have any "illegal" items on you. You will sign and write the time in a log book.

6. They will provide you with two dry-erase boards and dry-erase markers. Do use them!

7. Make sure you are comfortable and complete the tutorial so you know what to do.

8. Take 2-3 quick water/bathroom breaks, but remember that the clock doesn't stop. As you leave, your fingerprint is checked and you sign out. When you return, fingerprint is checked, you are scanned and clothing checked, and you sign in.

9. Be VERY careful with the Clinical Simulation section because you can't change your answer choices. Also, don't select answer choices that you're unsure of since you WILL be penalized for choosing the wrong action. 

10. Budget your time wisely and do your best not to overthink it. You can go back to tackle the tough multiple-choice (MC) questions. Also, you may use the remaining time to review your answers.

11. Feeling tired and/or feeling that you don't know or remember anything is perfectly normal after spending 4 hours taking an intense exam. Relax because you did your best... and you earned it!


**Remember, you've come this far and successfully completed the OT program. Thus, you have what it takes to pass the exam. The most important thing is that you effectively and efficiently use your time to prepare for it. 
Good Luck! You got this!** 


***It you didn't pass the exam the first time: it's okay to feel upset, but you shouldn't be discouraged. This is the opportunity to focus on areas that you can improve on and retake the exam. There's no shame. Keep your head up and remember that you worked too hard to give up at this point!***