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 |
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crossing legs |
Abdominal |
roll & pillow |
| |
lifting > 5-10 lbs |
| |
pulling with UE |
Sternal |
straining |
| |
pushing up with UE |
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pulling with UE |
Pacemaker |
lifting > 5-10 lbs |
| |
shoulder flex/aBd > 90° |
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reaching back past 0° |
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pushing up |
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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) |
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) |
CVA Workup Assessments
ROM |
Serial opposition |
MMT + grip strength |
UE sensation |
Ask about vision, numb or ting |
Finger-to-nose |
RAMs |
ADLs: socks, standing grooming, toilet transfer |
*take orthostatic BP |
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Include in Eval Note
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Precautions fall, lines/tubes, WBS, op s/p date
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Pt goals ADLs, fx mobility/transfers, safety
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Additional Screeners
Short Blessed |
Vision (saccades, smooth pursuits, H/N) |
Clock Drawing |
SLUMS |
MoCA |
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 |
|
