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Checking Oxygen
by Jason Marketti
The patient's SPO2 was 81%, she had shallow rapid breathing and a heart rate of 135. I looked and noted her oxygen tank had run out. After replacement of the oxygen tank and cues for deep breathing, her saturation returned to 94%. This got me wondering Read More...
2 comments »     
60 Minutes of Activity
by Jason Marketti
I step into the patient's room and immediately my billing clock begins to tick. After introductions and some small talk of who I am and what I would like the patient to do, I have 54 minutes left. We begin with supine LE exercises with instruction on Read More...
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Nursing Notified
by Jason Marketti
Documentation is extremely important regarding patient care and services delivered. We should be able to justify our services in writing based on the plan of care established. When a patient has a complaint regarding pain, a new injury, or other symptom, Read More...
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A New Scenario
by Jason Marketti
Let's suppose a surgeon defines a technique that allows total joint replacements to leave the hospital sooner than three days. The patient will not qualify for Medicare Part A coverage in a SNF, so the patient is sent home. Home health nurses and therapists Read More...
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I Need a Backpack
by Jason Marketti
The patient I went to see was agreeable to do therapy but wanted to take some things along to the therapy room. "No problem," I replied, "we can take whatever you want." As the patient handed me a tissue box, I assured her there was tissue available in Read More...
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Skilled Mechanical Lifts
by Jason Marketti
Apparently a mechanical lift is not a skilled source of treatment. Maybe that's why there are therapists out there who have no idea how some of the lifts work. If they did, they would realize there is a skilled component to ensure the patient is safe, Read More...
1 comments »     
Wisely Spent Time
by Jason Marketti
The billing clock stops ticking when the patient is no longer in front of me, but this doesn't stop family, nurses and other colleagues from talking to me about the patient when the patient isn't present. If I see six patients a day and the nurse and Read More...
1 comments »     
No Families Allowed
by Jason Marketti
Normally I welcome family members with open arms to therapy so they can watch and learn what we do. But when family begins to speak for the patients or tries to assist too much with their care, I want to draw the line. If families become intrusive and Read More...
3 comments »     
Older Workers Benefit Protection Act
by Jason Marketti
Federal age discrimination laws state that an employer may not discriminate on basis of age for those who are 40 years old and older (provided your employer has more than 20 employees). I am over 40 years old so this affects me personally. Last week, Read More...
5 comments »     
Mandatory Retirement
by Jason Marketti
To drive an automobile, you must pass several tests before you're issued a license. There is the eye test, the written test, and then the practical driving test. In some states, young drivers are encouraged to take a driving course while in high school Read More...
6 comments »     
Therapy Buddy
by Jason Marketti
Group physical therapy was a way to have patients come together and participate in activities where they could encourage one another and watch each other progress. Since the decline in reimbursements for this type of activity, it's no longer economically Read More...
1 comments »     
The Perfect Therapist
by Jason Marketti
Finding the right PT or PTA for the right position can be difficult for any employer. There's a culture in the workplace and employers want to ensure their therapists are successful and fit into the group. Below are examples of some therapists I've come Read More...
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Question Practices of Care
by Jason Marketti
I believe we should all question what we do and why we do it, especially when it comes to patient care. We should be asking ourselves, "Is this the best I can do under the circumstances I have to work with?" We should also question whether adding more Read More...
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Therapy Pay Rates
by Jason Marketti
After negotiating wages for our skilled service, we may run into someone who gets paid more. Or worse, who does less and performs mediocre treatments for the patients we normally see. Maybe having a national standard pay scale could rectify this. I've Read More...
2 comments »     
Patterns in Patient Care
by Jason Marketti
Suddenly our facility will receive patients who have had joint replacements. Hips, knees and even back surgeries will flourish in our department. I took several CEU courses specifically for this reason, so I could better treat the patients we see. Then Read More...
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About this Blog


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