at some places, the therapists are in a different part of the facility, off the nursing unit or even on a different floor. We are a 26 bed hospital based unit and have a therapy transport aide. Our therapist work with the patient in the therapy gym. They have mats/beds that the do to simulate transfers and bed mobility which I think is better because it has no side rails, since you normally don't have them on your bed at home. They have a bathroom in the gym that they use, have a simulated tub for tub transfers, stairs, etc, etc. This works well. I think it is unfair to judge the therapists approach of how they treat patients. Different facilities have different surroundings and equipment. Our therapist do 95% of the work in the gym, 5 % at bedside if that. 90% of our residents go home and their treatment is very effective to meet the needs of the residents
Tammy Gola BSN, RN, CRNAC Wilkes-Barre General Hospital Transitional Care Unit 575 North River Street Wilkes-Barre, PA. 187641-0001 570-552-5417 [EMAIL PROTECTED] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Sent: Tuesday, February 03, 2004 2:26 AM To: [EMAIL PROTECTED] Subject: Therapy In response to the two posts below: Therapists walking residents only in the 'therapy room' really pushes my buttons. I see this documented all the time. The RNAC has to figure out the coding. My concern is: Why isn't the therapist starting at the bedside with transfer? Who just walks without transferring from lying or sitting? I see residents placed in wheel chairs, taken to the therapy room and then the walking begins. I understand all about observation and gait training, but at some point in the therapy a realistic approach should begin, transfer from bed, walk to the bathroom, walk out of the room dodging furniture etc. When I wake up in the morning I do not find myself in the hall, I get out of bed [transfer] before I start walking. Also, why are therapists not teaching staff what to do so they can have the resident practice the skills that have been taught during the therapy sessions. I wonder if Yo-Yo Ma had 30 daily lessons from his teacher and then started playing the cello. Practice, Practice--and why do we not let the residents practice? Does anyone else see something wrong here? Or is it just me that thinks the way we deliver PT is not reasonable? Delores > Just want to clarify how will you code walking when resident only walk with therapist, but not with nurses or CNA. No notes anout walking in nurses notes. will I still code walking based on PT even just 3-5 steps? > Thanks. > Faye It depends WHERE the walking took place. If the resident only walked in the therapy department and NOT in the room or the corridor, then I don't count it. But if the therapist walks him in his room or the corridor, then I would count. ( count the walking in Section T no matter where walking was done) Delores L. Galias, RN, RHIT STATEMENT OF CONFIDENTIALITY: The information contained in this electronic message and any attachments to this message are intended for the exclusive use of the addressee(s) and may contain confidential or privileged information. If you are not the intended recipient, please notify D. Galias, RN, RHIT immediately at [EMAIL PROTECTED] and destroy all copies of this message and any attachments. Thank you for your cooperation /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
