Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 Regarding traction: It is not a PT function at this facility or previous facilities where I worked. Nursing or the Orthopedic MD/staff set it up. Pat -- In PTManager , " Myrna Lakner " wrote: > > I would appreciate advice and information from other physical therapists > regarding application of traction. > I am a nurse who manages the rehabilitation service department at a CAH that > provides therapy services for acute care, Swing Bed, contracted outreach > services and outpatients. Historically (since 1980's), our facility has had > the physical therapist set-up/apply ordered traction. The therapist applies > the simple tractions, Bucks and Pelvic, without physician assistance. The > ordering physician assists with the complicated tractions, Splint, > , Humeral, Skeletal and Cervical. > Traction is rarely ordered at our facility, and when it is ordered, neither > the nursing service employees or physical therapists feel > knowledgeable/comfortable applying traction as they have not been educated > on traction. The therapists currently working in our physical therapy > department did not receive training in their physical therapy education for > applying traction. We have contacted Zimmer to provide education on traction > application to nursing service employees and physical therapists. My > question that I am throwing out to our group is this: I would like to know > who applies traction at other CAH/PPS hospitals - does nursing service or > the physical therapists apply traction when ordered? > Thank you for your help! > Myrna Lakner > Myrna Lakner RN, BSN > Director Rehabilitation Services > Huron Regional Medical Center > 172 4th St. SE > Huron, SD 57350 > > office: > fax: > email: mlakner@... > > > " We make a living by what we do, but make a life by what we give " > Winston Churchill > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 I had the same concerns when I started in the department I currently work. I have been trained on traction however, it is so few and far between, and I do not feel comfortable setting it. We have gradually involved nursing in traction. When we do get an order now, nursing has usually already set it and then we double check it but orders for it are very few and far between. The orders are only from our more experienced ortho MDs. M. Trevor Huffman, P.T., M.S., S.C.S., A.T.C. Director of Rehabilitation Services Passavant Area Hospital ville, IL trevor.huffman@...<mailto:trevor.huffman@...\ > ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of Myrna Lakner Sent: Tuesday, October 23, 2007 2:45 PM To: PTManager Subject: traction I would appreciate advice and information from other physical therapists regarding application of traction. I am a nurse who manages the rehabilitation service department at a CAH that provides therapy services for acute care, Swing Bed, contracted outreach services and outpatients. Historically (since 1980's), our facility has had the physical therapist set-up/apply ordered traction. The therapist applies the simple tractions, Bucks and Pelvic, without physician assistance. The ordering physician assists with the complicated tractions, Splint, , Humeral, Skeletal and Cervical. Traction is rarely ordered at our facility, and when it is ordered, neither the nursing service employees or physical therapists feel knowledgeable/comfortable applying traction as they have not been educated on traction. The therapists currently working in our physical therapy department did not receive training in their physical therapy education for applying traction. We have contacted Zimmer to provide education on traction application to nursing service employees and physical therapists. My question that I am throwing out to our group is this: I would like to know who applies traction at other CAH/PPS hospitals - does nursing service or the physical therapists apply traction when ordered? Thank you for your help! Myrna Lakner Myrna Lakner RN, BSN Director Rehabilitation Services Huron Regional Medical Center 172 4th St. SE Huron, SD 57350 office: fax: email: mlakner@...<mailto:mlakner%40huronregional.org> " We make a living by what we do, but make a life by what we give " Winston Churchill Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 Our facility has specially trained ortho techs who are under nursing that apply bed traction. I have never worked at a facility where therapists apply traction, and I have never heard of such training in the clinical education of PT students. Proffitt, PT Massillon, OH Acute/outpatient traction I would appreciate advice and information from other physical therapists regarding application of traction. I am a nurse who manages the rehabilitation service department at a CAH that provides therapy services for acute care, Swing Bed, contracted outreach services and outpatients. Historically (since 1980's), our facility has had the physical therapist set-up/apply ordered traction. The therapist applies the simple tractions, Bucks and Pelvic, without physician assistance. The ordering physician assists with the complicated tractions, Splint, , Humeral, Skeletal and Cervical. Traction is rarely ordered at our facility, and when it is ordered, neither the nursing service employees or physical therapists feel knowledgeable/comfortable applying traction as they have not been educated on traction. The therapists currently working in our physical therapy department did not receive training in their physical therapy education for applying traction. We have contacted Zimmer to provide education on traction application to nursing service employees and physical therapists. My question that I am throwing out to our group is this: I would like to know who applies traction at other CAH/PPS hospitals - does nursing service or the physical therapists apply traction when ordered? Thank you for your help! Myrna Lakner Myrna Lakner RN, BSN Director Rehabilitation Services Huron Regional Medical Center 172 4th St. SE Huron, SD 57350 office: fax: email: mlakner@... <mailto:mlakner%40huronregional.org> " We make a living by what we do, but make a life by what we give " Winston Churchill Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 24, 2007 Report Share Posted October 24, 2007 In my experience ortho technicians set these traction units up. Kathy e, PT HSA Rehab Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2008 Report Share Posted November 5, 2008 A recent study was performed by the folks at evidence in motion which should be published now (check recent issues of SPINE). I believe the lead authors were Flynn, Cleland and Whitman. There study looked at Cervical traction and active exercise. Traction sessions lasted approx 15 min. Average force was 23.2 pounds (force was based on the patient's prior tolerance and symptom response). Traction was intermittent. Check out the evidence in motion website. They have continuing education in the cervical and lumbar spine as well as suggested classification systems for each. Within the classification system you will find traction recommendations and they have a wealth of links to relevant research. Newton, PT In a message dated 11/5/2008 7:23:16 A.M. Central Standard Time, kbisesi@... writes: Does anyone have a research reference for standard cervical and lumbar traction settings? I have a referring physician whom always specifies 10 lbs for cervical, and 20 lbs for lumbar traction. I'd like to provide him with literature supporting more appropriate parameters. Bisesi MPT COMT Winter Haven, Fl **************Plan your next getaway with AOL Travel. Check out Today's Hot 5 Travel Deals! (http://pr.atwola.com/promoclk/100000075x1212416248x1200771803/aol?redir=http://\ travel.aol.com/discount-travel?ncid=emlcntustrav00000001) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2008 Report Share Posted November 5, 2008 In short, those patients that met the criteria benefited from traction and active exercise. Newton, PT In a message dated 11/5/2008 3:06:46 P.M. Central Standard Time, hitendave@... writes: Thanks ....but what was the outcome?! Did Traction help or not? Sorry I did not get a chance to get on the website but your info would help a lot of PTs coming on this site. Hiten Dave' PT ----- Original Message ----- From: _Pulaskipt@..._ (mailto:Pulaskipt@...) To: _PTManager@yahoogrouPTMana_ (mailto:PTManager ) Sent: Wednesday, November 5, 2008 6:08:02 AM GMT -08:00 US/Canada Pacific Subject: Re: Traction A recent study was performed by the folks at evidence in motion which should be published now (check recent issues of SPINE). I believe the lead authors were Flynn, Cleland and Whitman. There study looked at Cervical traction and active exercise. Traction sessions lasted approx 15 min. Average force was 23.2 pounds (force was based on the patient's prior tolerance and symptom response). Traction was intermittent. Check out the evidence in motion website. They have continuing education in the cervical and lumbar spine as well as suggested classification systems for each. Within the classification system you will find traction recommendations and they have a wealth of links to relevant research. Newton, PT In a message dated 11/5/2008 7:23:16 A.M. Central Standard Time, _kbisesi@..._ (mailto:kbisesi@...) writes: Does anyone have a research reference for standard cervical and lumbar traction settings? I have a referring physician whom always specifies 10 lbs for cervical, and 20 lbs for lumbar traction. I'd like to provide him with literature supporting more appropriate parameters. Bisesi MPT COMT Winter Haven, Fl ************************<WBR>**Plan your next getaway with AOL Travel. Check 5 Travel Deals! ( _http://pr.atwola.http://pr.atwhttp://pr.atwolahttp://pr.atwolahttp://pr.http://\ pr.atwohttp://pr.atwolahttp://pr.atwhttp://pr.atwolahttp_ (http://pr.atwola.com/promoclk/100000075x1212416248x1200771803/aol?redir=http://\ travel.aol.com /discount-travel?ncid=emlcntustrav00000001) ) Quote Link to comment Share on other sites More sharing options...
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