Guest guest Posted January 7, 2008 Report Share Posted January 7, 2008 , We have a Routine Services program designed to meet the needs of those patients who need preventative, maintenance or supplemental services. In our large institution, they are a very valuable component of the patient care team and are supported by our administration. The services are all non-skilled and the employees providing the service are essentially rehab techs. If you want more detail, feel free to contact me at pkn2295@... Nellis Manager -Jewish Hospital Nellis, MBA, OT/L Manager, Rehabilitation Department -Jewish Hospital St. Louis, MO 63110 Office: Pager: Fax: >>> " iarehab " 1/7/08 3:25 PM >>> I was wondering if anyone would be willing to share their experiences with the list in regards to teams developed in hospitals to help mobilize routine patients that don't require the skills of a physical therapist. Nursing may be too busy to " walk " difficult people (have oxygen, may take two to push IV pole and oxygen, etc.) and the patient would benefit from increased activity. Rippey, PT, MPA Director of Rehab & Wellness/Pain Medicine Clinic Greeley Medical Center Ames, IA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2008 Report Share Posted January 8, 2008 , I am putting this program in place, it has been a 1 year process. The key we found was identifying fall/mobility risk at admission which results in a standard of care that then " orders " mobilization. We have " experts " on each floor that are staffed out of our central transport. I would be glad to chat, give me a call Ron Barbato PT Corporate Director, EMH Mobility Team I was wondering if anyone would be willing to share their experiences with the list in regards to teams developed in hospitals to help mobilize routine patients that don't require the skills of a physical therapist. Nursing may be too busy to " walk " difficult people (have oxygen, may take two to push IV pole and oxygen, etc.) and the patient would benefit from increased activity. Rippey, PT, MPA Director of Rehab & Wellness/Pain Medicine Clinic Greeley Medical Center Ames, IA In ALL messages to PTManager you must identify yourself, your discipline and your location or else your message will not be approved to send to the full group. PTManager encourages participation in your professional association. Join APTA, AOTA or ASHA and participate now! Visit the NEW and IMPROVED www.InHomeRehab.com. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 10, 2008 Report Share Posted January 10, 2008 Our " system " starts at admission. We use Meditec and I have developed an assessment in cooperation with nursing that places a patient in a falls/mobility risk category after the initial intake. This category automatically issues a care plan that includes mobilization, and fall prevention strategies. These were developed in concert with nursing , as mentioned, but also rehab, transport team and risk management. This assessment is completed every 24 hours because the patient's status and risk factors can change. The assessment is comprised of pre admission mobility, medications, orthostatic BP's , timed get up and go test, as well as fall history which automatically totals to categorize the patient. I have also developed a 'daily assessment that keeps all of this mobility and falls information updated every 2 hours or as the patient is contacted. We literally launched this at the beginning of the week , but it has been a 18 month process. I apologize for not getting back to all who have inquired personally but the launch is consuming a lot of time. We have trained the transport team to be the " experts " and although not responsible for all of the mobilization of patients, they are resources to use and ask. Our next step is to add 2 FTE's to this team to further facilitate the mobilization effort. We are nearly finished with the " mobility tech " job description. Our feeling is that since mobility and falls prevention is now incorporated into the care plan, that everyone that works with the patient has a part of the responsibility in making sure the patient moves, and moves safely. Rehab no longer needs to own routine mobility (which has been my battle cry!) Hope that helps Ron Barbato PT Corporate and Administrative Director, Rehabilitation Services Ephraim McDowell Health Voice: Fax: rbarbato@... PRIVILEGED AND CONFIDENTIAL: This transmission may contain information that is privileged subject to attorney-client privilege or attorney work product, confidential and/or exempt from disclosure under applicable law. If you are not the intended recipient, then please do not read it and be aware that any disclosure, copying, distribution, or use of the information contained herein (including any reliance thereon) is STRICTLY PROHIBITED. If you received this transmission in error, please immediately advise me, by reply e-mail, and delete this message and any attachments without retaining a copy in any form. Thank you. ________________________________ From: Leonard Paladino Sent: Tuesday, January 08, 2008 5:07 PM To: Ron Barbato Subject: RE: Mobility Team Ron, I am also interested in this info as my hospital is considering this preliminarily. Do you have any general outline of the program in writing you could share ? If not, I'd be happy to discuss via phone if you have the time. Thanks. Leonard Paladino, PT Team Leader of Rehabilitation Services - Inpatient Delnor-Community Hospital Geneva, IL 60134 leonard.paladino@... ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of Ron Barbato Sent: Tuesday, January 08, 2008 6:51 AM To: PTManager Subject: RE: Mobility Team , I am putting this program in place, it has been a 1 year process. The key we found was identifying fall/mobility risk at admission which results in a standard of care that then " orders " mobilization. We have " experts " on each floor that are staffed out of our central transport. I would be glad to chat, give me a call Ron Barbato PT Corporate Director, EMH Mobility Team I was wondering if anyone would be willing to share their experiences with the list in regards to teams developed in hospitals to help mobilize routine patients that don't require the skills of a physical therapist. Nursing may be too busy to " walk " difficult people (have oxygen, may take two to push IV pole and oxygen, etc.) and the patient would benefit from increased activity. Rippey, PT, MPA Director of Rehab & Wellness/Pain Medicine Clinic Greeley Medical Center Ames, IA In ALL messages to PTManager you must identify yourself, your discipline and your location or else your message will not be approved to send to the full group. PTManager encourages participation in your professional association. Join APTA, AOTA or ASHA and participate now! Visit the NEW and IMPROVED www.InHomeRehab.com. Quote Link to comment Share on other sites More sharing options...
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