Anybody Want An OT?

Okay. After three and a half years of watching my company drive itself into the ground and taking the quality of patient care with it I am finally ready for something different, I think.

I have developed a fondness for the place that I work in after all this time and the people that live and work there. I just can't stand the people that run the joint. I have watched as the company has changed one policy after the other, broken one promise after another and driven each employee over the brink. I have watched as the rehab department has experienced a nearly 200% turnover and twice that for nursing. I have watched 5 department managers and 2 regional managers come and go, each cursing the company as they left. I have watched as standards of care have dropped and "efficiency" requirements have risen.

What have I gotten out of this experience? I'm now on medication for depression, anxiety and sleep. I'm in a constant state of turmoil over giving my patients the level of care that they need and giving my company the productivity it requires because other therapists leave while I remain.

So, where does that leave me? Do I find another SNF and start this whole idiotic process over again? Or do I try to find another field and probably face a major pay cut? (note: I've got three young kids to worry about) Or in these economic times should I just keep my mouth shut and be glad that have a job at all?

I have given it some thought and decided upon investigating returning to hand therapy, getting trained in functional capacity evals and find that kind of work or just hanging out my own shingle and going at it alone. I would appreciate ANY comments or suggestions from anyone out there that might be going through similar experiences or have in the past. Because to be honest, I really don't know what to do. I am really reconsidering why I became a therapist in the first place. Maybe I should just go to law school at night? Do lawyers have anything like PPS?! Sorry for the purge! :(