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Toni Talks about PT Today

How Can This Be a Safe Discharge?
by Toni Patt
This morning I was working on discharge planning with one of our case managers. A doctor was ready to discharge a patient and she had asked me for recommendations. I immediately said SNF. He wasn't able to safely transfer out of bed. I had yet to see Read More...
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Strategic Meeting
by Toni Patt
As part of my leadership program, I attended the Texas Physical Therapy Association (TPTA) strategic planning meeting last weekend. The idea was to get newer and upcoming leaders to meet and mingle with people in leadership positions. We also got insight Read More...
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My Latest Continuing Education Course
by Toni Patt
Last month I went to an onsite CEU course. Back in the day, I was a CEU junkie. I'd go not just for CEUs but if the topic sounded interesting. More recently I've had to cut back and limit myself to CSM. This year I got burned by the stroke course at CSM Read More...
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HIPAA Violations Can Be Overheard Too
by Toni Patt
The other day, I was sitting at a nursing station and overheard a conversation between a patient and a physician. I wasn't trying to eavesdrop. The patient was very hard of hearing and the doctor had to yell to be heard. The patient was yelling back. Read More...
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She Loves Her Job
by Toni Patt
I always enjoy talking to the therapists who come to my course. Last week I met a PT I'll call Dottie. I don't want to use her real name, but she reminds me of someone named Dottie. Dottie has been a therapist since back in the day. She graduated years Read More...
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Selection for Recognition
by Toni Patt
Driving home from work today, I was listening to a podcast of a morning radio show. They were making fun of a man who had been given some awards because he had been contributing regularly to the organizations. Because it's a local show, I knew who they Read More...
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Blatant Rudeness
by Toni Patt
Usually when I go on a teaching trip, I have wonderful students. For the most part they pay attention. I get good questions. Some have fallen asleep because they drove three hours to get there. Others are obviously there for the CEUs. Last week I had Read More...
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Dosage Matters
by Toni Patt
There were two common themes at CSM this year: dosage and intensity. Every clinical presentation I attended mentioned one or the other. Intensity was defined as how hard the patient is working. Dosage referred to the number or reps or duration in the Read More...
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It's Time for CSM
by Toni Patt
It's almost that time of year again when thousands of us gather for the APTA Combined Sections Meeting. This year we're in Las Vegas. According to what I've read, they're expecting more than 10,000 PTs and PTAs to attend. I'm going. To use a Texas-like Read More...
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The Declining Census
by Toni Patt
In previous posts, I've discussed staffing issues where I work. Those problems continue. So does the return of the frequent flyer. Now we have something even more troubling. Our census continues to drop. The facility is at one-tenth of its capacity. There Read More...
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Comeback Stories
by Toni Patt
"Frequent flyer" is a term given to any patient with serial admissions to a facility. They discharge. They admit. They discharge. They admit. Eventually everyone on the staff will have worked with the patient. Some are remembered fondly. Some never see Read More...
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Overtime Issues
by Toni Patt
I've noticed a growing trend to prohibit overtime. Until recently, overtime was frowned on but permitted if caseload supported it. That isn't happening anymore. The same is true to a lesser extent for using contract labor to fill staffing gaps. Many facilities Read More...
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Horse Show or TPTA Conference?
by Toni Patt
This afternoon I received the monthly email from the Texas Physical Therapy Association. It contained a prospectus for the upcoming annual conference and early registration. This is much smaller than the APTA's Combined Sections Meeting, probably not Read More...
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Volunteering Update
by Toni Patt
In past posts, I've expressed frustration at volunteering for various opportunities within the APTA and the Neurology Section. A few months ago, I was nominated for a position on the nominating committee for the stroke special interest group. The results Read More...
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My Fear of Maintenance Therapy
by Toni Patt
Last week in his post, fellow ADVANCE blogger Dean Metz shared some good news . CMS has ruled the need for skilled intervention, not functional improvement, makes therapy reimbursable. This means, as he pointed out, patients with chronic conditions can Read More...
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