I work in Inpatient Rehabilitation and I have never had a restriction. We use 
the O2 monitor all the time without needing an order. We generally report the 
results if anything unusual to the MD or RN.


Sue D 




> From: [email protected]
> Date: Mon, 2 Mar 2009 20:06:28 -0500
> To: [email protected]
> Subject: Re: [OTlist] What Would YOU Do?
> 
> 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 
> Care is privileged and confidential information intended for the sole use  of 
> [email protected]. If the reader of this communication is not the intended  
> recipient, or the employee or agent responsible for delivering it to the  
> intended 
> recipient, you are hereby notified that any dissemination,  distribution or 
> copying of this communication is strictly prohibited. If you  have received 
> 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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