RE: Post op staple removal

[Guest guest]

We have to carry suture removal trays (stitch and staple) in home health.

It's usually nursing but could hit PT. Occurs when they go to office and

the staples just need a few more days. I would guess it's more frequent in

Home Health where patient is homebound and office visits are taxing effort.

Nursing had to show me some tricks of the trade. Not sure how the agency

gets around it not being in the PT plan of care since it's a physician order

but not in our specific plan of care.

Dr. Steve Passmore PT

Healthy Recruiting Tools

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From: PTManager [mailto:PTManager ] On Behalf

Of Jarrett, Lori

Sent: Monday, August 06, 2012 1:42 PM

To: PTManager

Subject: Post op staple removal

We have started getting requests from out of the area physicians to have

PT remove the staples after knee replacements? I am interested to know

if most of you are doing this in your clinics? If so, do you have a

policy on this?

Thanks, Lori Jarrett

Lori L. Jarrett, PT, MHSc, MTC

Director of Rehab Services

Shaw Bethea Hospital

403 East First Street

Dixon, Illinois 61021

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[Guest guest]

We have to carry suture removal trays (stitch and staple) in home health.

It's usually nursing but could hit PT. Occurs when they go to office and

the staples just need a few more days. I would guess it's more frequent in

Home Health where patient is homebound and office visits are taxing effort.

Nursing had to show me some tricks of the trade. Not sure how the agency

gets around it not being in the PT plan of care since it's a physician order

but not in our specific plan of care.

Dr. Steve Passmore PT

Healthy Recruiting Tools

spass@...

Phone:

Fax:

" What We Did For You Yesterday is History. What Can We Do For You Today "

Recruiting Tools: Cold Calls ~ List Enhancement ~ Direct Mailers ~ Card

Design ~ Recruiting Software

From: PTManager [mailto:PTManager ] On Behalf

Of Jarrett, Lori

Sent: Monday, August 06, 2012 1:42 PM

To: PTManager

Subject: Post op staple removal

We have started getting requests from out of the area physicians to have

PT remove the staples after knee replacements? I am interested to know

if most of you are doing this in your clinics? If so, do you have a

policy on this?

Thanks, Lori Jarrett

Lori L. Jarrett, PT, MHSc, MTC

Director of Rehab Services

Shaw Bethea Hospital

403 East First Street

Dixon, Illinois 61021

P Please consider the environment before printing this email.

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whom this electronic mail transmission was sent as indicated above. If you

are not the intended recipient, any disclosure, copying, distribution, or

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identified above, you have received this transmission in error, and we ask

that you please call us collect at to report the receipt, and

that you immediately delete the transmission. Thank you. </font>

[Guest guest]

We have to carry suture removal trays (stitch and staple) in home health.

It's usually nursing but could hit PT. Occurs when they go to office and

the staples just need a few more days. I would guess it's more frequent in

Home Health where patient is homebound and office visits are taxing effort.

Nursing had to show me some tricks of the trade. Not sure how the agency

gets around it not being in the PT plan of care since it's a physician order

but not in our specific plan of care.

Dr. Steve Passmore PT

Healthy Recruiting Tools

spass@...

Phone:

Fax:

" What We Did For You Yesterday is History. What Can We Do For You Today "

Recruiting Tools: Cold Calls ~ List Enhancement ~ Direct Mailers ~ Card

Design ~ Recruiting Software

From: PTManager [mailto:PTManager ] On Behalf

Of Jarrett, Lori

Sent: Monday, August 06, 2012 1:42 PM

To: PTManager

Subject: Post op staple removal

We have started getting requests from out of the area physicians to have

PT remove the staples after knee replacements? I am interested to know

if most of you are doing this in your clinics? If so, do you have a

policy on this?

Thanks, Lori Jarrett

Lori L. Jarrett, PT, MHSc, MTC

Director of Rehab Services

Shaw Bethea Hospital

403 East First Street

Dixon, Illinois 61021

P Please consider the environment before printing this email.

<font color= " green " face= " Webdings " size= " 4 " >P</font><font color= " green "

size= " 2 " face= " verdana,arial,helvetica " > <strong>Please consider the

environment before printing this email.</strong></font>

<font color= " black " size= " 2 "

face= " verdana,arial,helvetica " ><strong>Confidentiality

Notice</strong></font>

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mail transmission and any accompanying documents contain information

belonging to the sender, which may be confidential and legally privileged.

This information is intended only for the use of the individual or entity to

whom this electronic mail transmission was sent as indicated above. If you

are not the intended recipient, any disclosure, copying, distribution, or

action taken in reliance on the contents of the information contained in

this transmission is strictly prohibited. If you are not the addressee

identified above, you have received this transmission in error, and we ask

that you please call us collect at to report the receipt, and

that you immediately delete the transmission. Thank you. </font>

[Guest guest]

Lori,

We always have a staple remover kit in the department as some Dr.'s will

miss one from time-time. We never had a policy for this, but this was not

routine either. I had no problem doing this for the patient or for the

physician.

Matt Dvorak, PT

Peloton Physical Therapy

Yankton, SD

From: PTManager [mailto:PTManager ] On Behalf

Of Jarrett, Lori

Sent: Monday, August 06, 2012 1:42 PM

To: PTManager

Subject: Post op staple removal

We have started getting requests from out of the area physicians to have

PT remove the staples after knee replacements? I am interested to know

if most of you are doing this in your clinics? If so, do you have a

policy on this?

Thanks, Lori Jarrett

Lori L. Jarrett, PT, MHSc, MTC

Director of Rehab Services

Shaw Bethea Hospital

403 East First Street

Dixon, Illinois 61021

P Please consider the environment before printing this email.

<font color= " green " face= " Webdings " size= " 4 " >P</font><font color= " green "

size= " 2 " face= " verdana,arial,helvetica " > <strong>Please consider the

environment before printing this email.</strong></font>

<font color= " black " size= " 2 "

face= " verdana,arial,helvetica " ><strong>Confidentiality

Notice</strong></font>

<font color= " black " size= " 2 " face= " verdana,arial,helvetica " >This electronic

mail transmission and any accompanying documents contain information

belonging to the sender, which may be confidential and legally privileged.

This information is intended only for the use of the individual or entity to

whom this electronic mail transmission was sent as indicated above. If you

are not the intended recipient, any disclosure, copying, distribution, or

action taken in reliance on the contents of the information contained in

this transmission is strictly prohibited. If you are not the addressee

identified above, you have received this transmission in error, and we ask

that you please call us collect at to report the receipt, and

that you immediately delete the transmission. Thank you. </font>

[Guest guest]

What ever happened to the tradition of a surgeon seeing a patient post-op,

removing the staples and checking his surgical craftsmanship and incision?

Slocum PT, AC, MSHA

Post op staple removal

We have started getting requests from out of the area physicians to have

PT remove the staples after knee replacements? I am interested to know

if most of you are doing this in your clinics? If so, do you have a

policy on this?

Thanks, Lori Jarrett

Lori L. Jarrett, PT, MHSc, MTC

Director of Rehab Services

Shaw Bethea Hospital

403 East First Street

Dixon, Illinois 61021

P Please consider the environment before printing this email.

<font color= " green " face= " Webdings " size= " 4 " >P</font><font color= " green "

size= " 2 " face= " verdana,arial,helvetica " > <strong>Please consider the

environment before printing this email.</strong></font>

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face= " verdana,arial,helvetica " ><strong>Confidentiality

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mail transmission and any accompanying documents contain information

belonging to the sender, which may be confidential and legally privileged.

This information is intended only for the use of the individual or entity to

whom this electronic mail transmission was sent as indicated above. If you

are not the intended recipient, any disclosure, copying, distribution, or

action taken in reliance on the contents of the information contained in

this transmission is strictly prohibited. If you are not the addressee

identified above, you have received this transmission in error, and we ask

that you please call us collect at to report the receipt, and

that you immediately delete the transmission. Thank you. </font>

[Guest guest]

What ever happened to the tradition of a surgeon seeing a patient post-op,

removing the staples and checking his surgical craftsmanship and incision?

Slocum PT, AC, MSHA

Post op staple removal

We have started getting requests from out of the area physicians to have

PT remove the staples after knee replacements? I am interested to know

if most of you are doing this in your clinics? If so, do you have a

policy on this?

Thanks, Lori Jarrett

Lori L. Jarrett, PT, MHSc, MTC

Director of Rehab Services

Shaw Bethea Hospital

403 East First Street

Dixon, Illinois 61021

P Please consider the environment before printing this email.

<font color= " green " face= " Webdings " size= " 4 " >P</font><font color= " green "

size= " 2 " face= " verdana,arial,helvetica " > <strong>Please consider the

environment before printing this email.</strong></font>

<font color= " black " size= " 2 "

face= " verdana,arial,helvetica " ><strong>Confidentiality

Notice</strong></font>

<font color= " black " size= " 2 " face= " verdana,arial,helvetica " >This electronic

mail transmission and any accompanying documents contain information

belonging to the sender, which may be confidential and legally privileged.

This information is intended only for the use of the individual or entity to

whom this electronic mail transmission was sent as indicated above. If you

are not the intended recipient, any disclosure, copying, distribution, or

action taken in reliance on the contents of the information contained in

this transmission is strictly prohibited. If you are not the addressee

identified above, you have received this transmission in error, and we ask

that you please call us collect at to report the receipt, and

that you immediately delete the transmission. Thank you. </font>

[Guest guest]

I do not think this QUESTION is a matter of who can do it (as we all have the

skill to remove staples), it is a matter of who should remove them based on

responsibility. Otherwise, we may be placing ourselves needlessly in the realm

of " liability " OR as a profession do we continually do things out of the

goodness of our physical therapy hearts without reimbursement. It is a fine

line between doing what is best for an individual and practicing withing our

current scope of practice.

BA Harper, PT

Post op staple removal

We have started getting requests from out of the area physicians to have

PT remove the staples after knee replacements? I am interested to know

if most of you are doing this in your clinics? If so, do you have a

policy on this?

Thanks, Lori Jarrett

Lori L. Jarrett, PT, MHSc, MTC

Director of Rehab Services

Shaw Bethea Hospital

403 East First Street

Dixon, Illinois 61021

P Please consider the environment before printing this email.

<font color= " green " face= " Webdings " size= " 4 " >P</font><font color= " green "

size= " 2 " face= " verdana,arial,helvetica " > <strong>Please consider the

environment before printing this email.</strong></font>

<font color= " black " size= " 2 "

face= " verdana,arial,helvetica " ><strong>Confidentiality

Notice</strong></font>

<font color= " black " size= " 2 " face= " verdana,arial,helvetica " >This electronic

mail transmission and any accompanying documents contain information

belonging to the sender, which may be confidential and legally privileged.

This information is intended only for the use of the individual or entity to

whom this electronic mail transmission was sent as indicated above. If you

are not the intended recipient, any disclosure, copying, distribution, or

action taken in reliance on the contents of the information contained in

this transmission is strictly prohibited. If you are not the addressee

identified above, you have received this transmission in error, and we ask

that you please call us collect at to report the receipt, and

that you immediately delete the transmission. Thank you. </font>

[Guest guest]

I do not think this QUESTION is a matter of who can do it (as we all have the

skill to remove staples), it is a matter of who should remove them based on

responsibility. Otherwise, we may be placing ourselves needlessly in the realm

of " liability " OR as a profession do we continually do things out of the

goodness of our physical therapy hearts without reimbursement. It is a fine

line between doing what is best for an individual and practicing withing our

current scope of practice.

BA Harper, PT

Post op staple removal

We have started getting requests from out of the area physicians to have

PT remove the staples after knee replacements? I am interested to know

if most of you are doing this in your clinics? If so, do you have a

policy on this?

Thanks, Lori Jarrett

Lori L. Jarrett, PT, MHSc, MTC

Director of Rehab Services

Shaw Bethea Hospital

403 East First Street

Dixon, Illinois 61021

P Please consider the environment before printing this email.

<font color= " green " face= " Webdings " size= " 4 " >P</font><font color= " green "

size= " 2 " face= " verdana,arial,helvetica " > <strong>Please consider the

environment before printing this email.</strong></font>

<font color= " black " size= " 2 "

face= " verdana,arial,helvetica " ><strong>Confidentiality

Notice</strong></font>

<font color= " black " size= " 2 " face= " verdana,arial,helvetica " >This electronic

mail transmission and any accompanying documents contain information

belonging to the sender, which may be confidential and legally privileged.

This information is intended only for the use of the individual or entity to

whom this electronic mail transmission was sent as indicated above. If you

are not the intended recipient, any disclosure, copying, distribution, or

action taken in reliance on the contents of the information contained in

this transmission is strictly prohibited. If you are not the addressee

identified above, you have received this transmission in error, and we ask

that you please call us collect at to report the receipt, and

that you immediately delete the transmission. Thank you. </font>