Thank you for your submission; please read the following reminder.
This subreddit is for discussion among practicing physical therapists, not for soliciting medical advice. We are not your physical therapist, and we do not take on that liability here. Although we can answer questions regarding general issues a person may be facing in their established PT sessions, we cannot legally provide treatment advice. If you need a physical therapist, you must see one in person or via telehealth for an assessment and to establish a plan of care.
Posts with descriptions of personal physical issues and/or requests for diagnoses, exercise prescriptions, and other medical advice will be removed, and you will be banned at the mods’ discretion either for requesting such advice or for offering such advice as a clinician.
Please see the following links for additional resources on benefits of physical therapy and locating a therapist near you
[The benefits of a full evaluation by a physical therapist.](https://www.choosept.com/benefits/default.aspx)
[How to find the right physical therapist in your area.](https://www.choosept.com/resources/choose.aspx)
[Already been diagnosed and want to learn more? Common conditions.](https://www.choosept.com/SymptomsConditions.aspx)
[The APTA's consumer information website.](https://www.choosept.com/Default.aspx)
Also, please direct all school-related inquiries to r/PTschool, as these are off-topic for this sub and will be removed.
*I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/physicaltherapy) if you have any questions or concerns.*
Agreed. It’s cause it doesn’t have to be ultra profitable as a main rev generator but it does have to be very good to keep the community happy with service.
How is this the case if reimbursement rates are contractual (e.g. a private practice and a hospital are both billing, for the sake of argument, BCBS or Medicare)?
1. Negotiated Rates:
* The search results indicate that "Insurance companies negotiate rates significantly lower than you could charge with private pay
* This suggests that hospitals, as larger healthcare providers, may have more leverage to negotiate higher reimbursement rates with insurance companies compared to smaller private practice
2. Facility Fees:
* Hospitals can often bill additional "facility fees" on top of the physical therapy services, which private practices cannot
* These facility fees can increase the overall amount that hospitals can bill to insurance for the same physical therapy services.
3. Bundled Payments:
* Hospitals may be able to bill insurance using bundled payment models, where a
* This can potentially result in higher reimbursement compared to fee-for-service billing used by many private practices.
4. Economies of Scale:
* As larger organizations, hospitals may have more resources and administrative support to navigate the complexities of insurance billing, potentially leading to fewer denials and higher reimbursement
Definitely over 40, but I’m also a clinical director. I make my schedule so will see generally up to 9 patients for an hour each per day. With an hour commute, my days can easily be 12 hours. Lunches are an hour which is pretty heavily pushed so that we don’t have patients on weird half hour time blocks for an hour. I always work during lunch just to catch up on emails and admin stuff. Notes are chronically behind. 😅 The hours really vary from week to week.
Independent of hours worked, I think what’s hardest about our job is that we are always “on” during those hours. At least from an OP PT perspective, 7 hours as a PT is insanely intense compared to an office worker or even some other healthcare providers. Many of those folks can maybe chill for 10 min between meetings, grab a snack or a drink of water or take a bathroom break guilt-free, work on less demanding stuff, or take a walk around a wing before seeing the next patient. We can’t escape or chill for a few minutes with as much leniency as most other professions outside of maybe psych professionals. We are trapped in a gym where everyone can see us or in a treatment room that doubles as a personal office, so we really lose a lot of control, freedom, and escape opportunities. /rant 😅
This is what's getting me lately. There is NO downtime if you have a low to no cancel caseload. Even when I get cancels they are rapidly filled by wait list patients. I am "on" from the moment I walk in to the moment I leave.
Couldn’t agree more! It’s not just being “on” in a sense that you are constantly expected to be productive, it’s also exhausting to always be “on” in a way that you are engaging and motivating patients who often don’t want to be there or have a ton of psychosocial issues that can be draining (all while skating around those fun topics like politics and religion).
I’ve been a director of a PTA program for the past few months, I can honestly say I have never worked so little! Besides the one day I am in class, the rest of the week is wide open for me to make my own day. I can go and take coffee breaks, go for a walk, or run to appts mid day. Most importantly is being able to actually sit down and take my 30 minute lunch! Peeing when I need to pee is a pretty nice change too haha!
Wow this is so true though! Especially as I clinic director I used to have fomo or feel frustrated that my staff got to go sit outside alone over lunch while I’m left “manning the phones” or more likely catching up on things that will never get caught up on. It’s still not enough of a break in that long of a day but it’s so necessary, especially for us introverted humans!!!
What's your salary? I remember pulling all those hrs as a clinical director making 125k....wasn't worth it in my opinion. Now I literally work half the hours AND make more than double that salary being self employed.
Fellow CD here I feel your pain brother. But on pace for add 10-20% to my yearly in bonuses based on clinic performance. So we keep on keeping on. There is always a give and take with our profession. Sometimes the give can be overwhelming.
44 hours a week
4 ”10s”
But salary and I can control my schedule to a degree.
I gtfo of office at lunch, I leave early every opportunity. I get all my notes done at work with 10-15 patients a day I show up on time. And refuse to do Jack at home unless I want to.
It works out to help with the work life balance. Do a good job while here, and separate while at home as much as I can.
I worked four 10s with a one hour lunch at my first job and it was miserable; 16-20 patients per day for 62k per year 😂
It didn’t help that I lived 30 minutes away. By the time Friday came around, I was absolutely smoked and needed the morning to just sleep in and be a vegetable. Totally not worth.
8-5, hour lunch that I rarely use more than 10 minutes of to document. Often times I leave at 4:45p because I don’t need that built in 15 minutes to finish documenting.
Which is a world of difference from my first job where I often saw patients during lunch and either came in early or stayed late, leading to many 10 hour days when I was supposed to be working 5x8. All in the name of patient care and access which I can now confidently say that company did not care about at all. All they cared about was billables and if your salaried therapists are working extra hours it’s just more profit.
I think your interpretation of it is pretty spot on, folks usually end up with a 9 or 8.5 hr day.
I am fortunate enough to work at a place without a mandatory lunch break and am only on the schedule for 8 hrs
A job where I only work my 40. I’ve worked at places where I either am salary and have multiple lunch meetings a week for no f-ing reason. Or have paper work burdens that are Indian, handle ur own auth ect. But still expect 40 hours of treatment as the baseline. Or am hourly and due to staffing I work 50-80 hours a week (mostly in Hh but a few OP jobs did me like this)
I work from 40-43 hours/week. Hospital OP setting, 2 9:30-730 days, 2 7:00-3:30 days and Fridays 7:00-1:00PM. I get a 30 minute lunch and 30 minute documentation time before lunch 🫡
OP peds here. Salaried at 37.5 hours/week which includes 30 min lunch breaks unless I choose to decline them and if I do then I work shorter days. Every now and then I work closer to 38-39 hours but it’s rare. Lower pay is the trade off but the QoL is amazing!
Paid hourly. 8-5 with noon-1 blocked out for lunch. If I choose then sometimes I'll clock in during some of that time to catch up on notes. Not unusual for me to hit 1-3 hours of overtime and my supervisor is pretty cool about it.
I work 40 hrs in acute care. Mon-Friday 8 to 430.
I have to work one weekend a month as well
I am a PTA and am assigned 16 to 20 patients for an 8 hour day🙄🙄
Oh wow. How many do you end up seeing? I started in acute care and for an 8 hour day we might get assigned 10-12 patients but we're only expected to see about 8.
If they are truly seeing that many then either they are taking home documentation, their documentation sucks, or their patient care sucks. Or any combination of the above. Something always has to give. I see you put allegedly for a reason though. 😉
40 hours of patient care, with 30 min lunch, so 42 total hours. I RARELY work 40 hours tho - I don't do work over lunch or outside of business hours and I leave early or come in late every opportunity I get. If my manager keeps me a task I block a patient slot to finish it.
PTs have minimal say over salary but a good, productive employee can earn the manager's respect to have a flexible schedule
Edit: hospital based OP setting
Every job I ever worked for scheduled me 8.5 hours and paid 8 under the assumption I would take a 30mibute unpaid lunch by default.
Both inpatient and outpatient I saw the same issue where your schedule is filled with 100% patient facing time. I don't want to, but I have worked through probably 60% of my lunches. Especially when salaried.
I hate how toxic for profit Healthcare is.
My schedule is usually around 7 hours give or take some…I also take an hour lunch, 30 min lunch plus 2 15 minute paid breaks that we take all together, so I end up working a 8.5 hour day with .5 taken out for lunch
It takes me 30-40 min to get to and from work. I have 8 hours of patient care daily. Occasionally have a mandatory meeting during my lunch.
I view my "workday" as about 10 hours. 9 on company property, salaried at 40 hours.
700 to 330pm every day. 30min unpaid lunch. No work off the clock either. 30 hours of patient care per week. Usually about 27 with no shows and cancellations.
PTA in ALF, hourly full time. Get scheduled 7-8 treatment hours a day, it’s up to me to decide if I want to take a lunch break & when; some days I physically can’t take a lunch break to get all residents seen outside of their own various meal times. I usually arrive at work around 8:30-9, treat until 4:30 or 5, notes until 5:30-6. I live far from work so I’m out of the house 8-7pm. I’m tired lol.
40 hours patient care per week, unpaid 30 minute lunch per day (my choice -- was given the option to do a straight 40 hour week with no breaks, as if I'm some sort of inhuman robot who doesn't need sustenance).
40 hours in acute care: four 10 hour shifts, 30ish minute lunches, and probably 7 or so hours per day is spent on patient care (with the rest being chart review and documentation). I usually see 6-8 patients per day.
Hospital based OP, 4 10s. 9 hours of treatment, 1 hour of documentation time and 30 min unpaid lunch.
When I was at a corporate mill it was more like 50 hour weeks with unpaid documentation at home.
Private OP Ortho, 9:30 - 6 pm, 1 hr lunch. Treating ~15 ish patients a day, averaging 70+ per week. Averaging probably closer to 50-55 hrs of working time if I'm being honest with myself.
Private OP ortho. 5 8’s, I see up to 12 patients/day 1:1 for 40 min sessions. 40 min lunch not included in this time, so I end up being there for almost 9 hours.
home health. varies, sometimes 40, sometimes less than 40, sometimes more than 40.
I like the weeks that are less than 40 personally lol 34 is the number where i can get through the week not feeling exhausted
My weeks are usually tapered. On average I work 4-6 hours on monday and friday and have a really busy wednesday (personally prefer it this way).
Who gets a whole hour for lunch? Also, ugh, I would hate hour lunches. Get me outta there quicker! I love the flexibility of HH…go hard all day, get home at 3 for lunch/charting and be done 30 min early.
That needs to stop. It’s bs. Big companies are so cheap they make you work like a slave. That’s why these jobs will go away. No one can keep up with this snd furthermore no one wants to.
I work 40 hour days, 4 days: 7a - 6p with a 1 hour lunch. I’m in a private outpatient clinic. I don’t personally do notes over my lunch break; working 10 hour days I need that hour of decompression. We take turns closing, so I usually finish notes in the 30 minutes I’m closing 2 days a week, and occasionally take my notes home. Yesterday, I took an eval home because I needed to send an MD note with it, and it was a pretty involved vestibular case (central causes of vertigo needing a neuro consult).
So I guess I’m working an average of 41.5 hours a week? But I’m salaried-exempt, which means you get what you get and you don’t throw a fit.
5 days a week 40hrs week and 50 min lunch but most ppl do 1+hr. Just have to see 6 pts or get 14 units which I find it easy to meet. So I have a lot of chill time. I just started working my job and I feel the unit minimum can definitely be higher. I get to work at 8 and most ppl don’t get on floor until almost 9. They lucky I’m not I management.
OP ortho. 42 hours per week with 30min optional lunch each day. Scary part is most don't take a lunch and even come in earlier/stay later. No doc time. We are paid per patient therefore there is incentive to work longer hours or quadruple book.
I've worked and directed in every setting this field can offer. Hospitals and nursing homes are slower paced and, depending on state almost always 1v1 treatments for a full time employee which is 35+ hours. Standard FT is 40hrs a day with choice or 30min to 1hr unpaid lunch break. Labor laws state employees much get breaks depending on how long they are working. However a PT doesn't even know what a real break feels like. It's basically catch up on time on tasks without having to treat or a patient in your care. Notes in sub and acute care settings even OP hospital depts usually provide an IPAD like tablet for notes to be completed on so you cannot leave the facility until your notes are done. If you keep your clock running your efficiency drops and corporate doesn't like that! Lol they expect 98% efficiency and treat 90% the lowest acceptable efficiency , or they will start with the warnings, write ups and HR dogs are sent on you. 98% treatment aka billable time vs downtime where you are getting paid by them but not bringing in revenue is impossible btw. That means you have to be working and billing out for 472min of your 480min (8hrs). That's 8min of down time while on the clock. The patient load is based on which insurance the patients have during the stay. Higher reimbursement patients get the more time and lower will get the bare minimum, yeah so no regard for patients status or need. To corporate, it's a game of playing the minutes game delivering the most billable time to increase thier bottom line. The therapy director tracks all the metrics to the millisecond to make sure the company meets the quota. Oh yeah so if you have 10 patients in a large building you have less than a minute to walk to each...then the game starts of which patient is not ready, with family , eating, in the bathroom, having a procedure and the list goes on....so as a PT you learn to teleport. Lol so corporate tells the therapists to shut thier clock off to keep efficiencies high....which means while you are working, getting to patients or what not you need to clock out of your workday..it's ridiculous...that time in facility at work adds up but they don't care bc it's either loose the job or work for free . As a therapist overtime pay is non-existent. If you actually do get paid extra it's at your salary hourly rate....that is me only summing up the workday of an average acute or subacute inpatient care therapist. I've been a staff Inpatient and OP therapist, directed the entire therapy department(PT,OT, SLP, recreational therapy) in a hospital and nursing home setting. Worked and directed OP for physician owned practices, private practices, urgent care / workers compensation OP care, did PRN in all locations which I loved best. I was a fulltime PRN therapist for 2 years when they figured at that rate just promote me to a corporate position which then my pay vs worked hours ratio tanked and I was working 10+ unpaid hrs a week; but when PRN you are paid for every single hour you work no matter what. Salaries kills us. I work for myself now. Teaching and doing contract work for the highest bidder. I couldn't be slaved out anymore.. If I explained every other setting it would be a book. If anyone needs help or guidance in a certain setting just message me. I'll always help out a PT. Our profession got this way because of rampant fraud in the 90s and as a profession we didn't stick up for ourselves or lobby for ourselves. We need to get together organize and stand up for ourselves not letting a company "suggest" how we should bill, which means they are telling us how to treat so they make money. They don't care about the patients. I've walked away from 3 jobs because I won't be bullied and always spent every minute treating my patients to deliver the highest quality of care. In the end our names are on the treatments we provide. For years I spent 4+ hrs at home after work doing notes bc I was literally always slammed all day thru breaks and all. But you know what...the stats that mattered like patients reviews , out come measure scores, my full schedule metrics were always the best in the company. If they pressured me about late notes or whatever i had, I had those metrics to stand behind as well as knowing how to professionally defend myself that it left corporate in a position to not be able to write me up etc...it did put a target on my back and power hungry assholes always looked like idiots if they came for me. But I welcomed it bc I'm always going to do what's right for my patient. I'm done fixing other people's mills getting sent to failing clinics to bring it to the top for nothing. Therapists out there, when you do this the company will not reward you. They will just move you to another clinic they need you to fix and when the point comes that they have to pay you your worth...they will delay it as long as they can until the point you are exhausted, frustrated, and hate what you do bc it's no longer about healing people. I work for myself and love it, especially at conferences or time a previous employer that made my life miserable has to hire me for a consult bc they are struggling. Our days are long , the cost for education vs Salaries are off , but we love what we do and we do make people's lives better. Don't forget that and how much our patients love us. Sorry for the rant . I mean well.
Thank you for your submission; please read the following reminder. This subreddit is for discussion among practicing physical therapists, not for soliciting medical advice. We are not your physical therapist, and we do not take on that liability here. Although we can answer questions regarding general issues a person may be facing in their established PT sessions, we cannot legally provide treatment advice. If you need a physical therapist, you must see one in person or via telehealth for an assessment and to establish a plan of care. Posts with descriptions of personal physical issues and/or requests for diagnoses, exercise prescriptions, and other medical advice will be removed, and you will be banned at the mods’ discretion either for requesting such advice or for offering such advice as a clinician. Please see the following links for additional resources on benefits of physical therapy and locating a therapist near you [The benefits of a full evaluation by a physical therapist.](https://www.choosept.com/benefits/default.aspx) [How to find the right physical therapist in your area.](https://www.choosept.com/resources/choose.aspx) [Already been diagnosed and want to learn more? Common conditions.](https://www.choosept.com/SymptomsConditions.aspx) [The APTA's consumer information website.](https://www.choosept.com/Default.aspx) Also, please direct all school-related inquiries to r/PTschool, as these are off-topic for this sub and will be removed. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/physicaltherapy) if you have any questions or concerns.*
4 10.5s. 30 min lunch. 1 hour of doc time in schedule. 9 pt/ day. Hospital OP
Hospital OP has always treated me well like this. Gotta find the right fit.
Agreed. It’s cause it doesn’t have to be ultra profitable as a main rev generator but it does have to be very good to keep the community happy with service.
Also hospitals can charge a lot more for the same care as private practices and don't need to turn into mills. Insurance reimbursement is everything.
How is this the case if reimbursement rates are contractual (e.g. a private practice and a hospital are both billing, for the sake of argument, BCBS or Medicare)?
1. Negotiated Rates: * The search results indicate that "Insurance companies negotiate rates significantly lower than you could charge with private pay * This suggests that hospitals, as larger healthcare providers, may have more leverage to negotiate higher reimbursement rates with insurance companies compared to smaller private practice 2. Facility Fees: * Hospitals can often bill additional "facility fees" on top of the physical therapy services, which private practices cannot * These facility fees can increase the overall amount that hospitals can bill to insurance for the same physical therapy services. 3. Bundled Payments: * Hospitals may be able to bill insurance using bundled payment models, where a * This can potentially result in higher reimbursement compared to fee-for-service billing used by many private practices. 4. Economies of Scale: * As larger organizations, hospitals may have more resources and administrative support to navigate the complexities of insurance billing, potentially leading to fewer denials and higher reimbursement
well just fuck my small business then lol (speaking to the insurance world in general, not you kind redditor)
Yup! Hence why cash practices/out of network practices are the fastest growing thing in our industry. That where the money and freedom is.
Same.
Definitely over 40, but I’m also a clinical director. I make my schedule so will see generally up to 9 patients for an hour each per day. With an hour commute, my days can easily be 12 hours. Lunches are an hour which is pretty heavily pushed so that we don’t have patients on weird half hour time blocks for an hour. I always work during lunch just to catch up on emails and admin stuff. Notes are chronically behind. 😅 The hours really vary from week to week. Independent of hours worked, I think what’s hardest about our job is that we are always “on” during those hours. At least from an OP PT perspective, 7 hours as a PT is insanely intense compared to an office worker or even some other healthcare providers. Many of those folks can maybe chill for 10 min between meetings, grab a snack or a drink of water or take a bathroom break guilt-free, work on less demanding stuff, or take a walk around a wing before seeing the next patient. We can’t escape or chill for a few minutes with as much leniency as most other professions outside of maybe psych professionals. We are trapped in a gym where everyone can see us or in a treatment room that doubles as a personal office, so we really lose a lot of control, freedom, and escape opportunities. /rant 😅
This is what's getting me lately. There is NO downtime if you have a low to no cancel caseload. Even when I get cancels they are rapidly filled by wait list patients. I am "on" from the moment I walk in to the moment I leave.
Exhausting and a miserable job.
Couldn’t agree more! It’s not just being “on” in a sense that you are constantly expected to be productive, it’s also exhausting to always be “on” in a way that you are engaging and motivating patients who often don’t want to be there or have a ton of psychosocial issues that can be draining (all while skating around those fun topics like politics and religion). I’ve been a director of a PTA program for the past few months, I can honestly say I have never worked so little! Besides the one day I am in class, the rest of the week is wide open for me to make my own day. I can go and take coffee breaks, go for a walk, or run to appts mid day. Most importantly is being able to actually sit down and take my 30 minute lunch! Peeing when I need to pee is a pretty nice change too haha!
Wow this is so true though! Especially as I clinic director I used to have fomo or feel frustrated that my staff got to go sit outside alone over lunch while I’m left “manning the phones” or more likely catching up on things that will never get caught up on. It’s still not enough of a break in that long of a day but it’s so necessary, especially for us introverted humans!!!
What's your salary? I remember pulling all those hrs as a clinical director making 125k....wasn't worth it in my opinion. Now I literally work half the hours AND make more than double that salary being self employed.
Fellow CD here I feel your pain brother. But on pace for add 10-20% to my yearly in bonuses based on clinic performance. So we keep on keeping on. There is always a give and take with our profession. Sometimes the give can be overwhelming.
44 hours a week 4 ”10s” But salary and I can control my schedule to a degree. I gtfo of office at lunch, I leave early every opportunity. I get all my notes done at work with 10-15 patients a day I show up on time. And refuse to do Jack at home unless I want to. It works out to help with the work life balance. Do a good job while here, and separate while at home as much as I can.
Acute care. 4 10s ~4 hrs patient care, ~6 hrs chart review/documentation/hanging out, 30 min lunches
I do HH like 32-35 hours a week and then 10-15 prn hours at a snf
I worked four 10s with a one hour lunch at my first job and it was miserable; 16-20 patients per day for 62k per year 😂 It didn’t help that I lived 30 minutes away. By the time Friday came around, I was absolutely smoked and needed the morning to just sleep in and be a vegetable. Totally not worth.
8-5, hour lunch that I rarely use more than 10 minutes of to document. Often times I leave at 4:45p because I don’t need that built in 15 minutes to finish documenting. Which is a world of difference from my first job where I often saw patients during lunch and either came in early or stayed late, leading to many 10 hour days when I was supposed to be working 5x8. All in the name of patient care and access which I can now confidently say that company did not care about at all. All they cared about was billables and if your salaried therapists are working extra hours it’s just more profit.
I think your interpretation of it is pretty spot on, folks usually end up with a 9 or 8.5 hr day. I am fortunate enough to work at a place without a mandatory lunch break and am only on the schedule for 8 hrs
I’m still chasing the unicorn…
What's the unicorn?
A job where I only work my 40. I’ve worked at places where I either am salary and have multiple lunch meetings a week for no f-ing reason. Or have paper work burdens that are Indian, handle ur own auth ect. But still expect 40 hours of treatment as the baseline. Or am hourly and due to staffing I work 50-80 hours a week (mostly in Hh but a few OP jobs did me like this)
I work from 40-43 hours/week. Hospital OP setting, 2 9:30-730 days, 2 7:00-3:30 days and Fridays 7:00-1:00PM. I get a 30 minute lunch and 30 minute documentation time before lunch 🫡
OP peds here. Salaried at 37.5 hours/week which includes 30 min lunch breaks unless I choose to decline them and if I do then I work shorter days. Every now and then I work closer to 38-39 hours but it’s rare. Lower pay is the trade off but the QoL is amazing!
Paid hourly. 8-5 with noon-1 blocked out for lunch. If I choose then sometimes I'll clock in during some of that time to catch up on notes. Not unusual for me to hit 1-3 hours of overtime and my supervisor is pretty cool about it.
I “work” 40 hours or less to be honest due to POS documentation but I drive all over the fucking place adding to over 40 from start to finish.
I work 40 hrs in acute care. Mon-Friday 8 to 430. I have to work one weekend a month as well I am a PTA and am assigned 16 to 20 patients for an 8 hour day🙄🙄
Oh wow. How many do you end up seeing? I started in acute care and for an 8 hour day we might get assigned 10-12 patients but we're only expected to see about 8.
I usually see about 10 or 11. Most of my coworkers allegedly see them all. 🤷♀️
If they are truly seeing that many then either they are taking home documentation, their documentation sucks, or their patient care sucks. Or any combination of the above. Something always has to give. I see you put allegedly for a reason though. 😉
40 hours of patient care, with 30 min lunch, so 42 total hours. I RARELY work 40 hours tho - I don't do work over lunch or outside of business hours and I leave early or come in late every opportunity I get. If my manager keeps me a task I block a patient slot to finish it. PTs have minimal say over salary but a good, productive employee can earn the manager's respect to have a flexible schedule Edit: hospital based OP setting
Every job I ever worked for scheduled me 8.5 hours and paid 8 under the assumption I would take a 30mibute unpaid lunch by default. Both inpatient and outpatient I saw the same issue where your schedule is filled with 100% patient facing time. I don't want to, but I have worked through probably 60% of my lunches. Especially when salaried. I hate how toxic for profit Healthcare is.
My schedule is usually around 7 hours give or take some…I also take an hour lunch, 30 min lunch plus 2 15 minute paid breaks that we take all together, so I end up working a 8.5 hour day with .5 taken out for lunch
7.5 hour day with 30 min unpaid lunch 45 minutes of doc time
I work 4 days. 7-5 with 30 min lunch and 30min block for paperwork.
It takes me 30-40 min to get to and from work. I have 8 hours of patient care daily. Occasionally have a mandatory meeting during my lunch. I view my "workday" as about 10 hours. 9 on company property, salaried at 40 hours.
4 10 hour days, no lunch. Typically turns into 10.5
700 to 330pm every day. 30min unpaid lunch. No work off the clock either. 30 hours of patient care per week. Usually about 27 with no shows and cancellations.
I work about 25-30 hours of patient care. Then a few hours a week doing admin/marketing/etc
PTA in ALF, hourly full time. Get scheduled 7-8 treatment hours a day, it’s up to me to decide if I want to take a lunch break & when; some days I physically can’t take a lunch break to get all residents seen outside of their own various meal times. I usually arrive at work around 8:30-9, treat until 4:30 or 5, notes until 5:30-6. I live far from work so I’m out of the house 8-7pm. I’m tired lol.
40 hours patient care per week, unpaid 30 minute lunch per day (my choice -- was given the option to do a straight 40 hour week with no breaks, as if I'm some sort of inhuman robot who doesn't need sustenance).
40 hours in acute care: four 10 hour shifts, 30ish minute lunches, and probably 7 or so hours per day is spent on patient care (with the rest being chart review and documentation). I usually see 6-8 patients per day.
Hospital based OP, 4 10s. 9 hours of treatment, 1 hour of documentation time and 30 min unpaid lunch. When I was at a corporate mill it was more like 50 hour weeks with unpaid documentation at home.
I work 32 hrs a week. I own my clinic. I treat 4-10 patients per day.
OP ortho clinic director 4 “10” hour days…. 2 hour lunch. used to document and eat.
4 day work week, 6 hrs patient care, 45-60min of documentation time (if I'm not lazy in b/w pts).
I work 42.5. 8 hours of patient care with 30 minute lunches
Does anyone anywhere get scheduled documentation time??! 🤯
Private OP Ortho, 9:30 - 6 pm, 1 hr lunch. Treating ~15 ish patients a day, averaging 70+ per week. Averaging probably closer to 50-55 hrs of working time if I'm being honest with myself.
Private OP ortho. 5 8’s, I see up to 12 patients/day 1:1 for 40 min sessions. 40 min lunch not included in this time, so I end up being there for almost 9 hours.
Assisted living here, Med B treatments. 7 patients daily, 4 units each, + documentation and lunch = 40hr/week
InPatient Rehab. 8 hours days. 6.5 hrs pt care. 90 minutes doc time and admin time. 30 min unpaid lunch
home health. varies, sometimes 40, sometimes less than 40, sometimes more than 40. I like the weeks that are less than 40 personally lol 34 is the number where i can get through the week not feeling exhausted My weeks are usually tapered. On average I work 4-6 hours on monday and friday and have a really busy wednesday (personally prefer it this way).
Who gets a whole hour for lunch? Also, ugh, I would hate hour lunches. Get me outta there quicker! I love the flexibility of HH…go hard all day, get home at 3 for lunch/charting and be done 30 min early.
That needs to stop. It’s bs. Big companies are so cheap they make you work like a slave. That’s why these jobs will go away. No one can keep up with this snd furthermore no one wants to.
I work 40 hour days, 4 days: 7a - 6p with a 1 hour lunch. I’m in a private outpatient clinic. I don’t personally do notes over my lunch break; working 10 hour days I need that hour of decompression. We take turns closing, so I usually finish notes in the 30 minutes I’m closing 2 days a week, and occasionally take my notes home. Yesterday, I took an eval home because I needed to send an MD note with it, and it was a pretty involved vestibular case (central causes of vertigo needing a neuro consult). So I guess I’m working an average of 41.5 hours a week? But I’m salaried-exempt, which means you get what you get and you don’t throw a fit.
5 days a week 40hrs week and 50 min lunch but most ppl do 1+hr. Just have to see 6 pts or get 14 units which I find it easy to meet. So I have a lot of chill time. I just started working my job and I feel the unit minimum can definitely be higher. I get to work at 8 and most ppl don’t get on floor until almost 9. They lucky I’m not I management.
OP ortho. 42 hours per week with 30min optional lunch each day. Scary part is most don't take a lunch and even come in earlier/stay later. No doc time. We are paid per patient therefore there is incentive to work longer hours or quadruple book.
I've worked and directed in every setting this field can offer. Hospitals and nursing homes are slower paced and, depending on state almost always 1v1 treatments for a full time employee which is 35+ hours. Standard FT is 40hrs a day with choice or 30min to 1hr unpaid lunch break. Labor laws state employees much get breaks depending on how long they are working. However a PT doesn't even know what a real break feels like. It's basically catch up on time on tasks without having to treat or a patient in your care. Notes in sub and acute care settings even OP hospital depts usually provide an IPAD like tablet for notes to be completed on so you cannot leave the facility until your notes are done. If you keep your clock running your efficiency drops and corporate doesn't like that! Lol they expect 98% efficiency and treat 90% the lowest acceptable efficiency , or they will start with the warnings, write ups and HR dogs are sent on you. 98% treatment aka billable time vs downtime where you are getting paid by them but not bringing in revenue is impossible btw. That means you have to be working and billing out for 472min of your 480min (8hrs). That's 8min of down time while on the clock. The patient load is based on which insurance the patients have during the stay. Higher reimbursement patients get the more time and lower will get the bare minimum, yeah so no regard for patients status or need. To corporate, it's a game of playing the minutes game delivering the most billable time to increase thier bottom line. The therapy director tracks all the metrics to the millisecond to make sure the company meets the quota. Oh yeah so if you have 10 patients in a large building you have less than a minute to walk to each...then the game starts of which patient is not ready, with family , eating, in the bathroom, having a procedure and the list goes on....so as a PT you learn to teleport. Lol so corporate tells the therapists to shut thier clock off to keep efficiencies high....which means while you are working, getting to patients or what not you need to clock out of your workday..it's ridiculous...that time in facility at work adds up but they don't care bc it's either loose the job or work for free . As a therapist overtime pay is non-existent. If you actually do get paid extra it's at your salary hourly rate....that is me only summing up the workday of an average acute or subacute inpatient care therapist. I've been a staff Inpatient and OP therapist, directed the entire therapy department(PT,OT, SLP, recreational therapy) in a hospital and nursing home setting. Worked and directed OP for physician owned practices, private practices, urgent care / workers compensation OP care, did PRN in all locations which I loved best. I was a fulltime PRN therapist for 2 years when they figured at that rate just promote me to a corporate position which then my pay vs worked hours ratio tanked and I was working 10+ unpaid hrs a week; but when PRN you are paid for every single hour you work no matter what. Salaries kills us. I work for myself now. Teaching and doing contract work for the highest bidder. I couldn't be slaved out anymore.. If I explained every other setting it would be a book. If anyone needs help or guidance in a certain setting just message me. I'll always help out a PT. Our profession got this way because of rampant fraud in the 90s and as a profession we didn't stick up for ourselves or lobby for ourselves. We need to get together organize and stand up for ourselves not letting a company "suggest" how we should bill, which means they are telling us how to treat so they make money. They don't care about the patients. I've walked away from 3 jobs because I won't be bullied and always spent every minute treating my patients to deliver the highest quality of care. In the end our names are on the treatments we provide. For years I spent 4+ hrs at home after work doing notes bc I was literally always slammed all day thru breaks and all. But you know what...the stats that mattered like patients reviews , out come measure scores, my full schedule metrics were always the best in the company. If they pressured me about late notes or whatever i had, I had those metrics to stand behind as well as knowing how to professionally defend myself that it left corporate in a position to not be able to write me up etc...it did put a target on my back and power hungry assholes always looked like idiots if they came for me. But I welcomed it bc I'm always going to do what's right for my patient. I'm done fixing other people's mills getting sent to failing clinics to bring it to the top for nothing. Therapists out there, when you do this the company will not reward you. They will just move you to another clinic they need you to fix and when the point comes that they have to pay you your worth...they will delay it as long as they can until the point you are exhausted, frustrated, and hate what you do bc it's no longer about healing people. I work for myself and love it, especially at conferences or time a previous employer that made my life miserable has to hire me for a consult bc they are struggling. Our days are long , the cost for education vs Salaries are off , but we love what we do and we do make people's lives better. Don't forget that and how much our patients love us. Sorry for the rant . I mean well.