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I think there's a two fold reason for the tech issue: 1) relying on word of mouth and not really knowing the guidelines for how a therapy aide should be used, on the otherhand 2) the absence of specific medicare guidelines on use of rehab techs.
the way i see it is that the PTs and PTAs should be responsible enough to know the limits of the their ...
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check http://jamesline.com. click tab on patient and visitors than click educational materials on the drop down menu that pops up. from the topics, you can find ''back care'' under physical therapy and specific transfer techniques under specific devices/equipment. i use their illustrations a lot in providing HEP and inservice from where i work.