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Is There an 'S' on my Chest?

Published June 11, 2009 3:26 PM by Jason Marketti
I see patients that often require two people to assist with transfers or the nursing staff uses mechanical devices to get these people up in a chair.  The problem is that I don't always have a second person to assist me when I get someone up in a chair and the nursing staff is busy. 

So what do I do?  I pivot the patient using techniques that I learned from the years I have been doing this.  Is it safe? Always.  I would never intentionally jeopardize a patients safety.

If I can do it using transfer techniques that will get a patient up and moving faster then I would expect the same from others that see the patient for therapy.  This is the problem.  Not everyone can do a pivot transfer safely. 

Am I given these patients to see because I am able to effectively get them up and moving and I don't need a nurse to assist me or devices to get a patient up?  Are my techniques better than the PT's with transfers, or is it that I am stronger?

I recognize that some therapists and assistants are lazy and do not want to put in the full effort to get people up and moving.  They would rather see a patient in bed for supine leg exercises or after nursing has transferred them (via Hoyer lift) they will have a patient do sitting LE exercises. 

It is easier for me to take on those patients because I know they will get transferred to and from a plinth and if all goes well they will stand using a FWW within a week.  I would hope most PT's and PTA's would not "cheat" a patient out of therapy by doing simple treatments an aide can do.  I figure if I can transfer a 300+ pound person from supine to sit at the edge of bed and then pivot that person into a wheelchair every other therapist should be able to do that as well. 

Is this a superhero complex? No I just want the patient to succeed and if one person is not capable of doing it then step aside and let another take the place.

2 comments

Amen brother

Rochelle lujan, PTA July 8, 2009 9:01 PM
AZ

Hi Jason,

Great Blog! I found you by Google. We were once neighbours in The Netherlands! My mom is trying to find your mom! Please please email me!

Greets, Marijn

Marijn Langedijk June 16, 2009 2:28 PM
The Netherlands

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About this Blog


    Jason J. Marketti
    Occupation: Physical Therapist Assistant
    Setting: San Jacinto, CA
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