Acute Care and Core Competencies Flashcards
What is a specialty area in the hospital referred to?
“units or “floors”
Trauma centers levels
Level 1 is the highest!
5 different levels
Acute care competency is…
the ability to throughly examine and approriately intervine with patients with medically compromised situations in an acute care setting
Core Competentices List for Entry Level PT
- Clinical Decision Making
- Communication
- Safety
- Patient Management (Skills)
– Medical Record Review
– Documentation
– Early Interventions - Discharge Planning
Clinical Reasoning Definition
Course of action within a specific context and have the ability to anticipate outcomes by a framework of previous experiences and knowledge of best evidence.
What makes acute care different than other settings?
- Patients may have brought themselves in
- Patients status current does evolve and can change fast (vital signs, lab values, co-morbid conditions, etc.)
Entry-Level clinician is expected to demonstrate the following to make sound clinical decisions:
- Predict patient presentation and anticipate needed resources
- Screen the medical record and communicate with the appropriate staff to determine if the patient will benefit from physical therapy services at that point in time; communicate clinical rationale to the medical team
- Choose appropriate examination and intervention elements at onset and throughout the session
- Assess the patient in the moment and adjust intervention choices and dosage based on patient response
- Critically reflect on information, knowledge, experience, and evidence to create a comprehensive physical therapy care plan that is individualized and focused on patient and caregiver goals and circumstances
- Utilize evidence-based practice to predict the patient’s expected level of improvement in order to accurately determine goals, discharge needs, and rehab prognosis
- Prioritize and optimally dose specific interventions to improve function, safe mobility, and quality of movement, and to prepare the patient for discharge
- Always have a plan A, B, and C
When making a plan for a patient what would should you use to guide treatment plan?
When working in this setting, learning what ____ means will help in distinguishing who does what.
color of clothes
Take a look and/or fill out the ____ inside the patients room which tells you the patients abilities. If you update the board makes sure to communicate with the ____.
- board
- Nurses/CNA
With providers, communicate the PT clinical decisions regarding:
- Patient safe mobility status
- Need for ongoing therapy services
- Referral for additional services (Occupational therapy, Speech therapy, Social work, Chaplain, Psychology)
- Need for post-discharge services
In order to maintain safety for a patient when creating a plan you must consider…
- Past medical history
- Current medical status
- Laboratory Values
- Medications
- Mental status
- Fall risk
- Risk of medical deterioration
How do you know when to wear Don/Doff PPE?
Ask! Look at patient chart.
Prior to initiation of mobility, survey the patient and the environment for all safe movement barriers. This includes, but is not limited to:
- Locking all moveable objects
- Donning non-slip footwear
- Applying gait belt
- Clearing space to allow for maximal mobility
- Prepare for minimal mobility
- Position beds and chairs optimally
- Locate all lines, tubes, and monitoring equipment
In the list of orders will give you a good idea of what ____ and ____ the patients has.
lines and tubes
