Acute care


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  • Tara, your power point was very informative! I did not realize that the percent of PTA's in this setting had so few. Leonard answer helped me understand why this is. I now understand what is all entailed in working in Acute care/Hospital setting.
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  • (National averages)
  • Mean percentages of the major cases seen
  • Percentage of patients seen
  • For example, years ago a TKA (total knee arthroplasty) patient may need to be in the hospital for 7-10 days. Now a LOS may be 3-4 days- and for patients that are still requiring some help- they would get discharged to home health, a SNF, or simply start outpatient PT sooner
    Also, people are more aware of the PT that is offered so they get help sooner before surgery is necessary.
    Q2: You also have immediate access to other healthcare professionals that are working with patients at the same time- OT/SP/Respiratory/Nursing ect so you are more
  • Q: In this type of setting it seems that there can be a lot of prep work before actually doing a therapy session, such as, positioning the machines and cords, making sure they are wearing appropriate clothing for a transfer (most likely are in a gown but..) BUT what then is the schedule set up like since these kinds of patients take a little longer to deal with. I dont see it being much of an in and out and on to the next patient sort of thing. So, does the scheduling usually accomodate for these types of things?

    A: summarization: With team work and experience the “set up” does not take as long as one might think but yes the scheule will accommodate for these types of things.
  • Acute care

    1. 1. T A R A B R U N S Acute Care/Hospital Physical Therapy Setting
    2. 2. Overview  Acute care defined  % of PTAs in the setting  Salaries  Types of patients (dx and ages)  Interview with director of physical therapy at Avera St. Luke’s
    3. 3. What is Acute Care?  Physical therapy is provided for patients in hospitals who are there for short term care. Could be due to:  Illness  Trauma recover  Surgery  accident  Goal: discharge the patient in a timely manner as soon as they are medically healthy and have a place to go.
    4. 4. According to In 2009: estimated 8.6% of MEMBERS of apta worked in the acute setting How many PTAs Work in the Acute Setting?
    5. 5. Do they make the Big Bucks? PTAs working in the acute care setting, on average make close to: $48,590 $23.36/hr
    6. 6. MOST FREQUENTLY SEEN CONDITIONS JOINT REPLACEMENT: 13.6% CARDIAC DISORDERS:7.7% STROKE: 7.4% (MEAN PERCENTAGES) What Types of Diagnoses and Treatments are Dealt With in Acute Care?
    7. 7. Types (percentage of time spent on each area of the body)  Musculoskeletal: 44%  Neuromuscular: 26.4%  Integumentary: 10.4%  Cardiopulmonary: 19.2%
    8. 8. Ages  Infants: 1.9  Toddlers:1.4  Children: 2.2  Adolescents: 4.0  Adults: 38.6  Older: 51.8
    9. 9. Q 1 : T H E R E I S A L O W E R P E R C E N T A G E O F P T S A N D P T A S W O R K I N G I N T H E A C U T E C A R E S E T T I N G C O M P A R E D T O T H E O T H E R A R E A S . W H A T D O Y O U T H I N K T H E R E A S O N I N G I S B E H I N D T H I S ? Email Interview Leonard Suel: PT, DPT Director of Physical Therapy at Avera St. Luke’s
    10. 10. Questions/Answers:  A1: “Healthcare has changed from an inpatient focused model over the years to a greater emphasis on outpatient care.”  Q2: working in acute has its challenges as do the other areas but what is the most rewarding thing about working in that type of setting? A2: “Inpatient can be very fast paced and for people that like a challenge- the day goes by very quickly. It also is very physical and the work day is actually also a good work out. Patients typically are only in the hospital a few days, which means your caseload turns over very quickly. -involved in providing a “team” service.
    11. 11. Questions/Answers Continued:  Q3: Are there any additional skills or training that would be helpful for a PT or PTA to have when choosing to work in the acute setting.  A3: “There is a lot of “on the job training” required in inpatient- but any additional education that applies to working with patients with medical conditions is helpful- in inpatient you are more likely to have patients that have dvts and all sorts of other things- yes you will see this in outpatient- but more of it will be seen in inpatient. Knowledge of lab values ect are important.”
    12. 12.  Final Answer:  Well you hope the PT/PTA is getting some good support/ has good communication with other team members. If PT is scheduled at 9 am for example and has sent that schedule to the floor- a good nurse will make sure pain meds are given ahead of time, and a good nurses aide will make sure that ted socks are on and the patient has gone to the bathroom and is ready for PT…..all things in this world balance themselves out- outpatient has it’s own problems such as patients arriving late….in inpatient, pretty much your patient will be in the room when you go to see them (unless they are having a test or procedure that was not communicated to the PT or another department was not following the patient’s schedule- and then that becomes an administrative issue). So what I am saying is we do not provide extra time for in patient as a general rule. The inpatient PTs/PTAs get very good about working with tubes ect- yes it takes a little extra time but only on some patients. Inpatients can have a lower activity tolerance than outpatients – so that factors into the equation as well. So the answer is yes the schedule accommodates these types of things.
    13. 13.  H T T P : / / W W W . A P T A . O R G / A M / T E M P L A T E . C F M ? S E C T I O N = W O R K F O R C E _ S A L A R I E S _ A N D _ S T A T S & T E M P L A T E = / M E M B E R S O N L Y . C F M & N A V M E N U I D = 4 5 5 & C O N T E N T I D = 7 1 4 9 1 & D I R E C T L I S T C O M B O I N D = D  H T T P : / / W W W . A P T A . O R G / A M / T E M P L A T E . C F M ? S E C T I O N = S U R V E Y S _ A N D _ S T A T S 1 & T E M P L A T E = / M E M B E R S O N L Y . C F M & C O N T E N T I D = 4 7 2 8 4  H T T P : / / W W W . A P T A . O R G / A M / T E M P L A T E . C F M ? S E C T I O N = P R O S P E C T I V E _ S T U D E N T S & T E M P L A T E = / C M / H T M L D I S P L A Y . C F M & C O N T E N T I D = 7 4 6 9 0  H T T P : / / W W W . B L S . G O V / O E S / C U R R E N T / O E S 3 1 2 0 2 1 . H T M SOURCES:
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