RE: acute care plan of care

[Guest guest]

Norma,

Our elective TJ and spinal surgery patients are seen BID until the day of d/c

and QD on that day. It is the therapists discretion as to the POC beyond that,

but it needs to be warranted to be BID (ie, acute CVA) or TIW (low level ICU bed

ex only). Our med/surg/tele/ICU patients are generally seen QD 5-6x/week. The

frequency is written that way intentionally to allow forgiveness, and we try to

see all non-ortho patients either Saturday or Sunday. If there is a day that

patients are not seen, we track it so the patient is not missed more than once a

week. It also allows us to go to administration to justify more staff and to

look at trends for scheduling purposes. We have a high census policy, which we

reference when we chart that a patient is not seen d/t high census. I'd be

happy to discuss the details of how all this happens with you. Feel free to

call me.

Lauffer, MSPT

Lead Therapist

sdale Healthcare - Shea

(480)323-4290

plauffer@...

From: PTManager [mailto:PTManager ] On Behalf Of

msnorma816

Sent: Wednesday, February 23, 2011 3:33 PM

To: PTManager

Subject: acute care plan of care

I am looking for members willing to share their processes around the

plan of care in the inpatient acute hospital setting. More

specifically, do you use no of visits, frequency, duration. How do you

handle situations where you are unable to be compliant with the plan of

care because of the pts medical status or dare I say it - staffing

issues. As managers, do you audit the plan of care against actual

visits?

Thanks in advance for your time.

Norma Greenberg CPHQ, OTR/L

Quality and Compliance Supervisor

Respiratory and Rehabilitation Services

S T A N F O R D U N I V E R S I T Y H O S P I T A L + C L I N I C S

office |

email | ngreenberg@...<mailto:ngreenberg%40stanfordmed.org>

<mailto:ngreenberg@...<mailto:ngreenberg%40stanfordmed.org>>

[Guest guest]

We write inpatient orders for 1-2 x day to accomadate staffing and census

changes. We see ortho's, CVA and other pt's as deemed necessary M-Sat, all

others M-F.

We are a small rural facility, typically get TJ's 3-4 days post op.

No Sunday treatments unless patient is in need. nursing usually ambulates

appopriate patients on weekends.

Gwilliam, PT, CWS

Director of Rehabilitation

Bowie Memorial Hospital

>

>

> I am looking for members willing to share their processes around the

> plan of care in the inpatient acute hospital setting. More

> specifically, do you use no of visits, frequency, duration. How do you

> handle situations where you are unable to be compliant with the plan of

> care because of the pts medical status or dare I say it - staffing

> issues. As managers, do you audit the plan of care against actual

> visits?

>

> Thanks in advance for your time.

>

> Norma Greenberg CPHQ, OTR/L

>

> Quality and Compliance Supervisor

>

> Respiratory and Rehabilitation Services

>

> S T A N F O R D U N I V E R S I T Y H O S P I T A L + C L I N I C S

>

> office |

>

> email | ngreenberg@...

>

>

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>

>

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