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Cheatography

SMHC Therapy Protocols Cheat Sheet (DRAFT) by

Acute care OT protocols and personal notes

This is a draft cheat sheet. It is a work in progress and is not finished yet.

AM Routine

White board/­message for assigned floor
Sign in
Print list
Highlight & prioritize (evals, ortho, IP, d/c)

Chart Review

Orders > notes > VS > flow > pain > avatar
Note...
Precau­tions, WBS, splint­/brace
BP/VS/pain
Prior assist level
Last therapy session

Appt Priority

High
Joint, spine, stroke, d/c to AR
Mod
5 days/week
Low
Decreased partic­ipa­tion, max Ax2

Common Precau­tions

Posterior THA
flex past 90°
 
toes inward
 
crossing legs
Anterior THA
extension
 
toes outward
 
crossing legs
Abdominal
roll & pillow
 
lifting > 5-10 lbs
 
pulling with UE
Sternal
straining
 
pushing up with UE
 
pulling with UE
Pacemaker
lifting > 5-10 lbs
 
shoulder flex/aBd > 90°
 
reaching back past 0°
 
pushing up
*Verify WBS
 

Hold OT if...

Bedrest or no activity, WB, or OT orders
MAP < 65
Hgb < 7
Na < 120 or > 160
K < 2.5 or > 6
D-dimer < 250
PICC in 24hrs (NWB)
DVT/PE test (doppler, NM lung, CT chest, VQ)
*Check red values

Stroke Specific

"­Stroke Protoc­ol" in orders
Evals complete set of orthos­tatic vitals
Must do Modified Rankin Score (flow)

CVA Locali­zation

Posterior Cerebral Artery
Contra­lateral homonymous hemianopia
 
Spell & write, unable to read
Anterior Cerebral Artery
Contra­lateral LE weakness & sensory deficits
 
Urinary incont­inence
Middle Cerebral Artery
Contra­lateral weakness of face and upper limb
 
+/- aphasia (dom hemisph) or hemine­glect (non-dom)
 
Wernicke's (Word salad - unable to understand speech)
 
Broca's (Broken articu­lation - can unders­tand, not produce)
 

Include in Eval Note

Precau­tions
fall, lines/­tubes, WBS, op s/p date
Pt goals
ADLs, fx mobili­ty/­tra­nsfers, safety

Common Screeners

Short Blessed
ROM/MMT
Clock Drawing
Sensation
Nose to finger
Vision (saccades, smooth pursuits, H/N)
MoCA
SLUMS

Ascom

Emily G
7954
Kellie
7369

Codes

2E
1010
Therapy rooms
5328

8-Min Rule Medicare

Minutes
Units
8 - 22
1
23 - 37
2
38 - 52
3
53 - 67
4
68 - 82
5
83 - 97
6