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Toni Talks about PT Today

This Department is in Crisis
by Toni Patt
I'm working in an acute care rehab department this month. It is in crisis. There has been a leadership void for three weeks because a decision was made to change the direction of the department. As so often happens in these situations, the manager was Read More...
32 views     0 comments »     
In Defense of Experience
by Toni Patt
Last week I found myself in the position of defending experienced therapists, specifically those who have been practicing 15 years or more. I was talking to a newer graduate, SB. He was finding fault with therapists who have been practicing awhile but Read More...
106 views     3 comments »     
A Disturbing Trend
by Toni Patt
The old ladies of therapy have been talking again. This time we were discussing a trend we've noticed. We're concerned because what we've seen doesn't bode well for the future of our profession. None of us are excited with the new graduates we've been Read More...
523 views     10 comments »     
I'm Confused About Something
by Toni Patt
I work as a contract therapist. Using me is expensive. In Houston the rates for contract services keep going up. I think there have been two rate hikes in the last 6 months. Facilities use us to fill vacant positions until someone can be hired. Many facilities Read More...
175 views     0 comments »     
Right Where I Want to Be
by Toni Patt
I'm back in the ICUs again. These aren't just any ICUs. They are in one of Houston's major hospitals, the place you want to be if anything bad happens to you. This is where I want to be. This is what I think of when I say ICU. These are among my favorite Read More...
194 views     0 comments »     
If You Want My Respect, Earn It
by Toni Patt
Currently I'm working in a SNF. Every Monday we have our weekly meeting to go over proposed discharged dates. Our census generally runs 125-135 which is a lot of patients to keep track of. Since we're all together in one place we frequently have a department Read More...
377 views     2 comments »     
We Just Don't Get Along
by Toni Patt
What do you do when you have a patient you don't like? I don't mean one you are unsure how to treat or one who drives you crazy. We've all had those. We've all learned to take a deep breath and just do it. I think we all have patient types we prefer to Read More...
533 views     3 comments »     
Not All Refusals Are Created Equal
by Toni Patt
Last week I heard something that made me stop in my tracks. A PTA was going to treat a CVA patient who was new to her. When the PTA attempted to initiate the treatment the patient refused the standing frame. The PTA sent the patient back to the room, Read More...
699 views     5 comments »     
Experience Counts
by Toni Patt
An OT friend and I were talking the other day. Between the two of us, we have almost 50 years of experience. There doesn't seem to be that many of us "old ladies" around any more. Frequently I'm the most experienced person in the facilities where I work. Read More...
527 views     3 comments »     
Quality Help is Hard to Find
by Toni Patt
Remember the days when the only people who worked for contract staffing companies were the ones who couldn't get a job anywhere else? Those days are long gone. Some very good therapists work for these companies. Using a contract therapist can be expensive. Read More...
240 views     2 comments »