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[quote=Anonymous]On nannies: it depends on the nanny.  I would look for bare minimum requirements of
1) truly fluent in English
2) some college education (even if unrelated, it shows an ability to synthesize information)
3) previous experience handling doctor's appointments (e.g., kids with allergies or asthma or anything where she had to relay information back and forth).

If you could afford it/can find someone, the better option would be someone with a background working with SN kids, child development degree, etc.

You can also have the therapists call you at the end of a session and brief you rather than the nanny, and you can rotate taking DC to every 3rd or 4th appointment with a given therapist, which would allow you to keep tabs on everything, but still only have to take time off for one appointment per week--so you would attend PT appointment one week while nanny took her to ST and OT, then next week you do ST and nanny does OT and PT, etc.  That way you still have a finger on the pulse, but are not missing substantial amounts of work.  Other benefits to a nanny are that you could look for someone willing to help with DC laundry, do a little grocery shopping and maybe make dinner 2 nights a week.  That would enable you to use more of your non-work time on DC.[/quote]

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