Week 2: Documentation Flashcards
1
Q
What are 8 reasons PTs document?
A
- Legal record → needs to be correct and appropriate
- Communication
- Advocacy/documenting medical necessity
- Discharge planning
- Demonstrating clinical decision making
- Quality assurance and improvement processes
- Research
- Demonstrating compliance
2
Q
What are 3 principles of note writing? (ABC)
A
accuracy, brevity, clarity
3
Q
when would you use squat pivot
A
- paraplegic; SCI; can’t use legs
- for any reason, the pt is completely reliant on you to move from one place to another
4
Q
when would you use stand pivot
A
pt just needs help getting from sit to stand
5
Q
when would you use a slide board
A
want pt to be more independent getting from bed to wheelchair
6
Q
when would you use partial stand pivot
A
- if one leg is weaker than the other
- hemiplegic pt
