At your facilities--do the therapists (PT, OT or ST) give their recommendations to the Dr and the Dr then writes them as orders for the nursing staff or does your nursing staff follow their recommendations directly?
At my facility, recommendations such as the use of braces, e-stim, and diet consistency are communicated to the MD and then written as an order. Anything else, such as whether a patient is min/mod/max assist, doesn't require a MD order.
Most of our PT/OT orders are Nursing initiated (under MD approved protocols). Therapy plans and Assistive device orders are written by PT/OT as protocol orders, so the communication is essentially directly between PT/OT and nursing.
afteralltheseyears
45 Posts
At your facilities--do the therapists (PT, OT or ST) give their recommendations to the Dr and the Dr then writes them as orders for the nursing staff or does your nursing staff follow their recommendations directly?