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PTA Blog Talk

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.


Amen brother

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

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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