Hi..I worked in a SNF and also never heard that restriction. If we want to  
take someone's O2 STATs then we just do...Cindy
 
 
In a message dated 3/2/2009 7:50:50 P.M. Eastern Standard Time,  
[email protected] writes:


I  work in SNF. Never heard such restriction. I hope I'm not  alone!!


Carmen




> Date: Mon, 2 Mar 2009  07:44:14 -0500
> From: [email protected]
> To:  [email protected]
> Subject: Re: [OTlist] What Would YOU Do?
>  
> It simply requires the order as a "modality". It is not for  whatever
> reason considered a vital sign. 
> 
> 
>  Neal C. Luther,OTR/L
> Advanced Home Care, Burlington Office
>  1-336-538-1194, xt 6672
> [email protected]
> 
>  Home Care is our Business...Caring is our Specialty
> 
> 
>  
> The information contained in this electronic document from Advanced  Home 
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this communication in error, please immediately notify the  person listed above 
and discard the original.-----Original  Message-----
> From: [email protected]  [mailto:[email protected]] On
> Behalf Of Carmen Aguirre
>  Sent: Friday, February 27, 2009 7:23 PM
> To: [email protected]
>  Subject: Re: [OTlist] What Would YOU Do?
> 
> 
> 
>  
> I wonder why
> 
> 
> 
> Carmen
>  
> 
> 
> 
> > Date: Thu, 26 Feb 2009 21:14:29  -0500
> > From: [email protected]
> > To:  [email protected]
> > Subject: Re: [OTlist] What Would YOU Do?
>  > 
> > Interesting that you mention pulse ox. My clinical director  has
> > repeatedly told that staff that pulse oximetry can only be  taken under
> > an MD's order.
> > 
> > Regarding  the baseline, could you use a patient's self-reported
> fatigue
>  > level during the desired activity of ambulating to the dining  room?
> Then
> > use this as the measurable outcome.
>  > 
> > Ron
> > 
> > ----- Original Message  -----
> > From: Carmen Aguirre <[email protected]>
>  > Sent: Thursday, February 26, 2009
> > To: [email protected]  <[email protected]>
> > Subj: [OTlist] What Would YOU  Do?
> > 
> > 
> > CA> I would start with  breathing exercises, 6-min activity testing to
> > CA> meassure  fatigue and shortness of breath to get a meassurable
> > CA>  baseline. Take pulse oxymetry and BP to help educate when rest is
> >  CA> needed if not aware of it and to manage energy levels. Work on
>  basic
> > CA> routines he wants to improve performance and  quality; besides the
> > CA> actual tasks/activities teach maint.  pulmonary exercises to manage
> > CA> his disease. Medication  management to assess how he manages his
> > CA> disease as well.  Community resources and overall health management
> > CA> skill.  Balance retraining, strengthening would be part of my
> > CA>  treatment plan.
> > 
> > CA> Carmen
> > 
>  > 
> > CA> 
> > 
> > >> Date: Thu, 26  Feb 2009 20:15:25 -0500
> > >> From: [email protected]
>  > >> To: [email protected]
> > >> Subject: [OTlist]  What Would YOU Do?
> > >> 
> > >> Evaluated a  man today, recently discharged from rehab. His primary
> > >>  diagnosis is congestive heart failure.
> > >> 
> >  >> He's presents with decreased fine motor control from an  unknown
> > >> etiology. He has decreased lower extremity  strength and decreased
> > >> balance. He is also short of  breath during exertion.
> > >> 
> > >> He is  unable to do dishes, zip and button his clothes. He is unable
>  to
> > >> independently sit/stand and has difficulty getting  into his shower
> Also,
> > >> he is unable to  consistently and safely walk to the dining room of
> the
> >  >> ALF. He desire to NOT use a wheelchair. His primary concern  is
> > >> mobility-related daily living activity.
> >  >> 
> > >> What treatment MIGHT you provide this patient  and why?
> > >> 
> > >> Thanks,
> >  >> 
> > >> Ron
> > >> 
> >  >> --
> > >> Ron Carson MHS, OT
> > >>  www.OTnow.com
> > >> 
> > >> 
> >  >> --
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> > >> 
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> > 
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