Guest guest Posted September 21, 2006 Report Share Posted September 21, 2006 Hi, I work at a critical access hospital and new to this type of setting. We have a swing bed unit and the staff here stated that OT and speech are unable to qualify patients-only PT. Any insights? Terri Green Rehabilitation Services Manager Hudson Hospital tgreen@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 2, 2007 Report Share Posted May 2, 2007 I have a swing bed question for the group. The Swing Bed MDS Training Manual under Ordered Therapies (page 2-76), states.... " If orders exist, consult with the therapists involved to determine if the initial evaluation is completed and therapy treatment (s) has been scheduled. " My questions are related to the patient whose status changes from acute care to swing bed -- within the same facility. My example: if a PT does an acute care eval on Tuesday and the patient's status changes to swing bed on Wednesday -- does that therapist need to do another eval on Wednesday, or can we use Tuesday's acute care eval for the swing bed stay??? Does " initial eval " refer to, or include the acute care eval? We have always done a new swing bed eval, but are now questioning if we really need to. I'm hoping someone can help shed some light on this question. Thanks in advance! Laurie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2007 Report Share Posted May 3, 2007 Laurie, We keep the same eval across the board. In Rehab, we start a new billing grid. Nursing does some minimal change over. The chart is stamped " Transfer Acute to Swing Bed " or something on all continuing pages and a new page is started (physician notes, nursing notes, etc.) We set a policy to that effect. Our Health Records Department Head at the time coordinated with the State Health Department to ensure our compliance. Health Records really worked out all the details. Makes sense. More efficient. Invisible to the patient. No concerns with physicians. Wade Wade McDowell, OTR Director of Physical Rehabilitation Activities Director Family Health West PO Box 130 228 North Cherry Fruita, CO 81521 Phone: Fax: _____ From: PTManager [mailto:PTManager ] On Behalf Of Olson, Laurie J Sent: Wednesday, May 02, 2007 4:07 PM To: PTManager Cc: Henry, Marla R Subject: RE: swing bed I have a swing bed question for the group. The Swing Bed MDS Training Manual under Ordered Therapies (page 2-76), states.... " If orders exist, consult with the therapists involved to determine if the initial evaluation is completed and therapy treatment (s) has been scheduled. " My questions are related to the patient whose status changes from acute care to swing bed -- within the same facility. My example: if a PT does an acute care eval on Tuesday and the patient's status changes to swing bed on Wednesday -- does that therapist need to do another eval on Wednesday, or can we use Tuesday's acute care eval for the swing bed stay??? Does " initial eval " refer to, or include the acute care eval? We have always done a new swing bed eval, but are now questioning if we really need to. I'm hoping someone can help shed some light on this question. Thanks in advance! Laurie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2007 Report Share Posted May 3, 2007 I believe you still need to do an evaluation. We have a swing bed eval that is a bit shorter that the original in this case, but it still reassess and sets new goals. Seems somewhat wasteful but I believe you need to view this pt as if they came from another hospital. Pierre H. Rougny, PT MTC Director of Rehab Sebasticook Valley Hospital 21 Leighton St. Pittsfield, ME 04967 (207)487-9293 ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of Olson, Laurie J Sent: Wednesday, May 02, 2007 6:07 PM To: PTManager Cc: Henry, Marla R Subject: RE: swing bed I have a swing bed question for the group. The Swing Bed MDS Training Manual under Ordered Therapies (page 2-76), states.... " If orders exist, consult with the therapists involved to determine if the initial evaluation is completed and therapy treatment (s) has been scheduled. " My questions are related to the patient whose status changes from acute care to swing bed -- within the same facility. My example: if a PT does an acute care eval on Tuesday and the patient's status changes to swing bed on Wednesday -- does that therapist need to do another eval on Wednesday, or can we use Tuesday's acute care eval for the swing bed stay??? Does " initial eval " refer to, or include the acute care eval? We have always done a new swing bed eval, but are now questioning if we really need to. I'm hoping someone can help shed some light on this question. Thanks in advance! Laurie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2007 Report Share Posted May 3, 2007 This occurs in our facility too. The patient may even stay in the same bed but their status has changed. When a patient moves to a Swing bed status (considered SNF) level of care, a re-eval must be done. The med surg medical record is 'closed out' and a 'swing bed' medical record is created. Our treatment goals for med surg patients are often very different that goals we may develop for a swing bed patient. I know it is a lot of paperwork... we struggle with that also. Ginny Ginny Dunn, PT, MSHCA, DPT Manager, Lake Arrowhead Physical Therapy & Mountains Community Hospital Rehabilitation Services, Lake Arrowhead, California FAX: ***Internet Email Confidentiality Footer*** Privileged/confidential information may be contained in this message. If you are not the addressee indicated in this message (or responsible for delivery of the message to such person), you may not copy or deliver this message to anyone. Mountains Community Hospital assumes no responsibility, expressed or implied, regarding inaccuracies or the consequences of any action taken as a result of the information provided herein. Any unauthorized disclosure, use, or dissemination, either whole or partial, is prohibited. RE: swing bed I have a swing bed question for the group. The Swing Bed MDS Training Manual under Ordered Therapies (page 2-76), states.... " If orders exist, consult with the therapists involved to determine if the initial evaluation is completed and therapy treatment (s) has been scheduled. " My questions are related to the patient whose status changes from acute care to swing bed -- within the same facility. My example: if a PT does an acute care eval on Tuesday and the patient's status changes to swing bed on Wednesday -- does that therapist need to do another eval on Wednesday, or can we use Tuesday's acute care eval for the swing bed stay??? Does " initial eval " refer to, or include the acute care eval? We have always done a new swing bed eval, but are now questioning if we really need to. I'm hoping someone can help shed some light on this question. Thanks in advance! Laurie Quote Link to comment Share on other sites More sharing options...
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