RE: question on 3 hour rule

[Guest guest]

We do not provide any therapy on day of d/c, unless absolutely necessary

due to family training needs or an unplanned d/c and the discharge eval

is not yet completed. We do follow the 7 day pattern for the last week

up until the d/c date. We target the d/c for 11:00 so that we can bring

a new patient in on the same day, if our beds are full. Nursing

provides some discharge teaching, review of going home instructions,

appts that have been scheduled, on the day of discharge.

Brownrigg

Inpatient Therapy Manager

Acute Care and Inpatient Physical Rehabilitation Therapies

PeaceHealth St. ph Medical Center

2901Squalicum Parkway

Bellingham, WA 98225

sbrownrigg@...

www.peacehealth.org

our success is in the being, not just the doing

From: PTManager [mailto:PTManager ] On

Behalf Of Stoddart, Lori

Sent: Wednesday, April 13, 2011 8:26 AM

To: PTManager

Subject: question on 3 hour rule

My question is about the intensity on the final days. here's the

scenario:

first 7 day period---patient received 15 hours (5/7 days)

second 7 day period----same as above

next period---patient discharges on the 4th day of this period. Is the

patient suppose to receive 3 hours a day for each of these days? To meet

the 3 hour rule?

Even if you exclude the day of discharge, what about the other 3 days?

If they don't receive 3 hours each day in the final days, would you

consider them as meeting the 3 hour rule for the entire stay?

I've been told that each of the final days must meet the 3 hour rule.

That's what we strive for it but sometimes get caught on this because we

gave the patient a day off (over the weekend).

For example--The beginning of their cycle (7 day period) is a Saturday

and they discharge on Wednesday. My understanding is that they must

receive 3 hours on Saturday, Sunday, Monday, Tuesday, and Wednesday.

We rarely provide therapy on day of d/c.

I would really appreciate any insights, references, guidance you can

provide.

Lori Stoddart, OTR/L

Inpatient Therapy Manager

Physical Rehabilitation Services

Henry Ford Wyandotte Hospital

2333 Biddle Avenue

Wyandotte, MI 48192

734/246-8963

lstodda1@... <mailto:lstodda1%40hfhs.org>

Be kinder than necessary because everyone you meet is fighting some kind

of battle

========================================================================

======