I work in a major trauma center in pittsburgh. I think that it was a combination of people, you know, multiple commitees, yada yada. but i think we also may have had a hand in it, don't quote me though. b/c we didn't have enough staff to cover all 8 floors of patients, and we needed to prioritize.
jo ----- Original Message ----- From: "The Butterfields" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Sunday, November 11, 2001 10:57 PM Subject: Re: OT and Acute Care > Thanks for replying! > > I work in a very small hospital in costal town in Maine. Only 32 > beds. I am just curious who took you off the hip pathway? the MD's or PT's? > > Mike Butterfield > ----- Original Message ----- > From: Jo Eates <[EMAIL PROTECTED]> > To: <[EMAIL PROTECTED]> > Sent: Sunday, November 11, 2001 2:50 PM > Subject: Re: OT and Acute Care > > > > Hello. I also work in a large acute care hospital. We too, have a TKR > > pathway, however, OT is not on it. PT sees the patient POD #1 and will > get > > us a consult if it is warranted. The only way that we see any TKR > patients > > is if the order is handwritten by a physician, and usually that is for > > insurance purposes if they are going to rehab. I agree, I feel that, in > most > > circumstances, OT is not required fo TKR. Our only problem is that they > > took us off of the total hip pathway, and that is one that we are fighting > > to get back on! I don't know if this helps, but it's another perspective. > > > > Jo Eates > > > > > > ----- Original Message ----- > > From: "The Butterfields" <[EMAIL PROTECTED]> > > To: <[EMAIL PROTECTED]> > > Sent: Saturday, November 10, 2001 10:43 PM > > Subject: OT and Acute Care > > > > > > > Hello All, > > > > > > I am writting this post to get some feed back from other OT's that > > treat > > > acute status post total knee and hip replacements. I think I actually > will > > > talk just about total knee arthroplasty since this seems to be my area > of > > > confusion. > > > In my hospital there is a five day pathway for TKR. OT's go in > on > > > day 3 of the pathway. Each day there are certain goals that we are > suppose > > > to do with the patient and then "check" them off in the pathway. For > > > example, on day three contact gaurd with commode transfer and > independence > > > with lower extremity bathing after set up are some of the goals we have > to > > > work on. By day five patients are suppose to be independent with lower > > > extremity dressing with adaptive equipment and be independent with > > personal > > > self care. > > > I guess feel that there is not really a need for OT with TKR. I > > > feel that once pt gets enough knee rom and hip flexion strength they > will > > > not need any adaptive equipment. In my experience I have found if a pt > can > > > get to 85-90 degress they dont need any AE. A majority of the time the > > knee > > > patients by day 3 have already gone to the bathroom with cna's. I guess > I > > am > > > rambling so I will cut to the chase. I really feel dislike treating TKR > > > because I feel there outcome would not change if they did or did not > > recieve > > > OT in the acute care setting. Maybe a part of my dislike is because I am > > > going by the pathway (groan) to determine my goals, not very > > > person-centered. Yes there are exceptions, the older patients some times > > do > > > need AE and ADL/transfer training but they seem to be the exception. > > > I would love to here from other OT's who work in acute care and > treat > > > TKR. Feel free to email me personaly or you can keep it on the list. I > > have > > > other questions, gripes, comments about OT in acute care that I would > love > > > to talk about. > > > > > > Take care, > > > > > > Mike Butterfield > > > > > > > > > *********��*********** > > > > > > Unsubscribe? Send a message to [EMAIL PROTECTED] > > > > > > In the message's *body*, put the following text: > > > > > > unsubscribe OTlist > > > > > > List messages are archived at: > > > > > > http://www.mail-archive.com/[email protected] > > > > > > *********��*********** > > > > > > > > > > *********��*********** > > > > Unsubscribe? Send a message to [EMAIL PROTECTED] > > > > In the message's *body*, put the following text: > > > > unsubscribe OTlist > > > > List messages are archived at: > > > > http://www.mail-archive.com/[email protected] > > > > *********��*********** > > > > > > *********��*********** > > Unsubscribe? Send a message to [EMAIL PROTECTED] > > In the message's *body*, put the following text: > > unsubscribe OTlist > > List messages are archived at: > > http://www.mail-archive.com/[email protected] > > *********��*********** > > *********��*********** Unsubscribe? Send a message to [EMAIL PROTECTED] In the message's *body*, put the following text: unsubscribe OTlist List messages are archived at: http://www.mail-archive.com/[email protected] *********��***********
