Questions that I need to know

Question 1

Always ask for consent

Question 2

What is the AOx4 questions

Answer 2

1. Name and Date of Birth
2. place- where are we today? (what city and what hospital)
3. situation- why are you here?
4. Month and the year

Question 3

Assist Levels

Answer 3

Independent – The patient can perform a transfer without any type of verbal or manual assistance.

Modified Independent – The patient may require verbal cues or uses assistive equipment or adaptive equipment (bed rail, grab bars, transfer board, furniture).

Assisted – The patient requires assistance from another person to perform the activity safely in an acceptable time frame; physical assistance, verbal or tactile cues, directions, or instructions may be used.

Standby (Supervision) Assistance – The patient requires verbal or tactile cues, directions, or instructions from another person positioned close to, but not touching, the patient to perform the activity safely and in an acceptable time frame; the assistant may provide protection in case the patient’s safety is threatened.

Contact Guarding – The caregiver is positioned close to the patient with his or her hands on the patient or a gait belt; it is very likely the patient will require protection during the performance of the activity.

Minimal Assistance – The patient performs ≥75% of the activity; assistance is required to complete the activity.

Moderate Assistance – The patient performs 50%–74% of the activity; assistance is required to complete the activity.

Maximal Assistance – The patient performs 25%–49% of the activity; assistance is required to complete the activity.

Dependent – The patient requires total physical assistance from one or more persons to accomplish the activity safely; special equipment or devices may be used.

Question 4

In acute care how often do we do hip replacements

Answer 4

twice a day

Question 5

PT frequency days a week

Answer 5

Everyone is 3-6 days a week unless it is a post op or stroke. Post op and stroke is 5-7 days a week. Joint replacement is twice a day monday- fri and once a day saturday and sunday.
Remember post op does include cabbage as well.

Question 6

How to fit someone to a walker?

Answer 6

You use the crease of the patients wrist to line up the walker

Question 7

CabbX4 mean what?

Answer 7

Four bypass grafts

Question 8

Chronic venous insufficiency causes what

Answer 8

Venous statis like leg swelling and varicose veins

Question 9

Ther x =

Answer 9

Therapeutic exercise this includes seated marches, mini squats, ankle pumps, things of that nature

Question 10

Ther act

Answer 10

This includes bed mobility, transfers, toilet transfers, stood and pulled pants up.

Question 11

Therapeutic gait training

Answer 11

This is when we walk with the patient

Question 12

How is ther x, act, and gait training billed compared to evals

Answer 12

Evals are always the same while the other is billed in units using the rule of 8.

Question 13

In ARU how much therapy will the patient get no matter what?

Answer 13

3 hours of therapies a day and this includes speech, OT, All of it.

Question 14

oxygen at baseline

Answer 14

This means that the patient was on oxygen prior to when they came in

Question 15

What does semi fowlers mean

Answer 15

45 degree angle sitting in bed

Question 16

Bed positions

Question 17

What is a heart hugger

Answer 17

Device used to keep chest from opening up. If they have this it can be used as a gait belt.

Question 18

What is a wound vac

Answer 18

A device used to suck out blood. Is usually a black pouch that goes on wound. This can be external and internal

Question 20

Telemetry

Answer 20

Means they are hooked up to the monitor or are being remote monitored.

Question 21

When are cabg normally seen for pt.

Answer 21

POD 1. Post op day 1. This is one day after surgery

Question 22

Assisted living is not quite a nursing home. It is a living facility where the patient can get a range of assisted health care based on the tier. The patients can actually leave and drive. There can be home health at this including home health PT.

Question 23

Important info for leg mobility

Answer 23

We follow wb status but a lot of times we can see the patient and do mobility on them even if they are non weight bearing. For example a lady we did had surgery on big toe and her her foot was ace wrapped. She did active rom on herself such as ankle pumps and stuff like that. If they didn’t want the foot to move they would have it in a cast or boot.

Question 24

What is an irf.

Answer 24

This is an in patient rehab facility.

An IRF (Inpatient Rehabilitation Facility) is a type of hospital or a separate unit within a hospital that provides intensive rehabilitation therapy to patients who require a high level of medical care and rehabilitation after an illness, injury, or surgery. Patients in an IRF typically receive at least three hours of therapy per day, five days a week, and are medically stable enough to participate in this level of rehabilitation. Common therapies include physical, occupational, and speech therapy.

In contrast, a SNF (Skilled Nursing Facility) provides less intensive rehabilitation and more long-term care for patients who need ongoing medical or nursing care but do not require the intensity of services offered in an IRF. Patients in a SNF may receive rehabilitation, but it is typically less frequent and intensive than in an IRF.

The main difference lies in the level of rehabilitation intensity and medical oversight provided in each facility.

Question 25

What is the difference in assisted living, snf and personal care home

Answer 25

Personal care home is in between assisted living and SNF. For SNF if you can walk over a certain amount which I think is 200 ft you can’t go there. So too high functionality is a problem