In a message dated 7/17/2006 4:06:02 PM Eastern Standard Time,  
[EMAIL PROTECTED] writes:

Our  Service is proposing that all therapy staff work 7 days. We within  a
intermediate care setting and we are wondering if anybody else works 7  days
and what shift pattern that works.

What evidence is there that  doing therapy 7 days a week works and what
continuity it brings and if the  therapist keeps changing?


Steve       


Steve,
I work in an acute and subacute rehab. setting, and we provide therapy 7  
days a week, but this doesn't mean that every patient receives 7 days of  
therapy.  It is more to ensure that most get 6 days a week, and that  patients 
admitted late in the week are started on their program  efficiently.  
Admissions are 
arriving later and later in the day, as the  acute care hospitals are looking 
to discharge as soon as possible, and having  someone arrive on a Friday 
afternoon and then just sit until Monday is not  viewed as providing optimum 
care. 
 We have a variety of ways of  coordinating this - our OT dept. has staff who 
work Sun - Thurs, or Tues - Sat.,  and their caseloads are covered by other 
therapists on their "off"  weekdays.  The PT dept. handles it more through the 
use of a rotation  schedule and per diem staff.  I share your concern about 
constantly  shifting staff in terms of continuity of care, but I feel that our 
compromise in  the OT dept. minimizes this as much as possible.
 
Ann
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