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“I’m not a nurse!”
by
Jason Marketti
This phrase comes up way too often in nursing facility therapy departments. If a patient needs an assessment on blood pressure, oxygen saturation, pulse rate, respirations, etc., therapists often divert to nurses. WHY? The therapy community is trying
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Desk Space
by
Jason Marketti
I have had two desks in my career. One was when I worked acute care (many years ago) and the other was last year in a SNF. Currently my "desk" is the top of the therapy steps where it is level with a shelf. This is where I chart on a computer notepad.
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Being Physical
by
Jason Marketti
I see some "heavy" patients. By heavy I mean they are difficult to position and transfer; some require two people to transfer from the mat to the wheelchair and back. The aide and myself have a pretty good routine when doing this and we ensure we are
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PT/PTA Relationships
by
Jason Marketti
The PT asked me one day if there was anyone I thought was appropriate for the restorative nursing assistants (RNAs) to work on. Well, if a PT asks for my input I am not shy about giving it. I listed about five patients and the reasons why the RNAs should
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Money Makers
by
Jason Marketti
I have thought of a new way to supplement my income. I am going to sell space on the back of my name badge. What!?! You see, we have lanyards that we use for our name badges and often times my name badge gets turned around and my name is not shown, so
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Health Care Unions
by
Jason Marketti
I got to thinking, what if therapy was part of a union which would help us keep patient-to-therapist ratios to a limit, allow us 40 hours a work week no matter if the case load is there or not, and limit our productivity standard to 80 percent with a
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Life Goals
by
Jason Marketti
Randy Pausch's book, The Last Lecture is excellent. Section V has been re-read multiple times. It was like taking his short but successful career with all his knowledge and experience and condensing it into 30 small chapters. Another book that should
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Out to Lunch
by
Jason Marketti
Recently I went out to lunch with my co-workers. One asked about my family, so I layed it all out, my wife was fine, my son was adjusting well, youngest one was great, but my middle daughter has a new diagnosis; Schizophrenia. I went on briefly to describe
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Reading My Documentation
by
Jason Marketti
Before computors I wrote all my notes out in long hand and could scrible the "n's" and "m's" or add a dot above the word if I wasnt sure the word had and i or an e. There was no spell check with red underlnes or grren wavy lines if the sentances didn't
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Lack of Effectiveness
by
Jason Marketti
Like Laodicea, the department was "lukewarm" and lacked the desire to be effective in the delivery of physical therapy. They were content about where they were going and happy to do as little as possible in the way of making it better. I saw a need to
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Kudos to PTs
by
Jason Marketti
Often I will write about the bad experiences I have working with PTs. About 10 percent of the PTs I encounter are similar to the ones I have described in previous blogs. It is those PTs who make the profession difficult. I am sure there are other PTs
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Reuse, Recycle, Rehabilitation
by
Jason Marketti
Ed Begley is a nut. He is also one heck of an environmentalist. As I was watching his program, "Living with Ed," I got to thinking about how many resources we (in therapy) might waste. What happens to all of the paper charts after 10 years? Are these
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Chairs, Stairs and Ramps: Part II
by
Jason Marketti
A couple of weeks ago I wrote about a PT not writing a gait goal for a patient and me walking with them. Apparently this was done to thwart the insurance company. Insurance companies are notorious for looking at gait goals and discharging a patient when
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Rural PTAs
by
Jason Marketti
Practicing therapy in rural areas requires the therapist to think a bit more independently than one in an area where there are a lot of therapists to bounce treatment techniques off of. In home health situations, the homes may be spread out for miles,
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Chairs, Stairs and Ramps
by
Jason Marketti
"Watch my hands and legs!" I yelled to the HOH, 781.2 patient. I demonstrated the sequencing of getting up and down from a chair. I took him to the stairs after that, again demonstrating with verbal cues for the patient to do as I do. The ramp was next.
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About this Blog
Jason J. Marketti
Occupation:
Physical Therapist Assistant
Setting:
San Jacinto, CA
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