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A Patient's Norm
by Jason Marketti
No one wanted to treat this patient. He was certainly different and at times difficult to understand. His goals often fluctuated based on his mood and he smelled of cigarette smoke and urine. I treated him though and we got along fairly well. His wife Read More...
1 comments »     
Safety First
by Jason Marketti
Patients expect health providers to keep them from falling, injuring themselves and free from harm. This is not a new expectation but one we should be mindful of. There are patients who have been convicted of crimes and require our assistance to improve Read More...
0 comments »     
Works Well With Others
by Jason Marketti
Looking over my yearly employment reviews of the past, I often came across standard phrases that could describe any person. I was surprised no supervisor wrote, "Jason is a patient advocate and will question decisions he deems not in the best interest Read More...
0 comments »     
Assistance Levels
by Jason Marketti
When we are documenting patient care and tracking progression of goals, we'll typically chart assistance levels and whether the patient required verbal cues as well as manual cues to complete a task. What if the assistance levels were eliminated from Read More...
2 comments »     
Time Off Work
by Jason Marketti
A recent study of surgeons who had a couple days off work showed an increase in patient mortality rates when they came back to the hospital and performed CABG surgery. This increase may have been from scheduling the sickest patients first, who would not Read More...
4 comments »     
Bubble-Wrapped Profession
by Jason Marketti
I get tired of reading and hearing about the audit triggers in our profession. It's part of the business we're in and if people don't want to risk an audit, they shouldn't be in our field. It's like an audit from the IRS -- you don't want one, you don't Read More...
0 comments »     
Supervision of Patients
by Jason Marketti
When a PT is in the facility, that person becomes the de facto supervisor for me. That means I can make his day very easy or a nightmare. I could easily present him with a long list of issues and clinical concerns that I feel need to be addressed with Read More...
0 comments »     
Disagreeing with Discharge
by Jason Marketti
Disagreeing with someone is not something new for me. I will freely voice my opinion (usually supported with data and anecdotes) to anyone who will listen and objectively discuss an issue with me. In the case of discharging a patient from therapy, the Read More...
3 comments »     
Collecting Data
by Jason Marketti
When United Parcel Service (UPS) began to collect data on drivers and their trucks, there were some improvements. These included no more key locks in doors because they slowed the drivers down and use of a computer clipboard that also held data on how Read More...
1 comments »     
Growing a Program
by Jason Marketti
It's not like you can plant some therapists in a gym and suddenly the department is busy. To adequately have a therapy program develop into the future, the way business is conducted today has to change. When looking at more cuts in reimbursements, hiring Read More...
0 comments »     
Leave of Absence
by Jason Marketti
I have heard nursing staff, therapists and even social services tell patients they are not allowed to leave the facility or they'll lose their benefits for Medicare. Simply not true, and, in fact, Medicare makes it clear facilities should not tell patients Read More...
0 comments »     
Getting Political
by Jason Marketti
If multiple Presidential administrations can find money for wars and conflicts to participate in, certainly there should be money available to feed, house, clothe and provide basic medical needs to the poor who live in the United States. When America Read More...
1 comments »     
One-Trick Pony
by Jason Marketti
While interviewing for jobs years ago, I met a therapist who primarily treated knee patients. He was looking for an experienced PTA to assist in this specialty. I ultimately declined the generous offer so I could explore other interests. I had difficulty Read More...
0 comments »     
To My Dissenters
by Jason Marketti
I have been accused of being ageist, burnt out and one anonymous reader said I should work in a fast food restaurant as a favor to the patients I see. A state licensing investigator even contacted me for something I wrote because a reader or two did not Read More...
5 comments »     
Addendums, Amendments, and Late Entries
by Jason Marketti
Our documentation is being held to a higher standard and scrutinized more frequently by insurance carriers. This can cause some concern among providers to ensure all pertinent information gets conveyed through the electronic health records. I was not Read More...
1 comments »     

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About this Blog


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