Papercutz

wow. how'd they figure out she was recording?

Hi all! I've been doing per diem in a nursing home, and I have a young patient constantly on a laptop. For some reason I think this patient might be recording me, no proof of that just a feeling. Is this legal? Has anyone come across this situation? Thanks in advance.

I understand what carwin says; but sounds like this is not a universal policy. I've been searcing the CDC website and others looking for this specifically and don't see it. Of course it talks about handwashing as a standard precaution, but nothing about turning the faucet on with a paper towel. If anyone has a reference i'd love to see it.

Can someone explain the rationale for using paper towels to turn on the faucet before washing? Is this every agency's policy?

Thank you. The supervisor is filling out the form and getting the answers from me. I don't have the form. I'll have to discuss with the office. TY

Greetings! I am a PT not long in homecare, still learning the ropes. My agency has no policy in place currently regarding PT only cases and the discharge oasis. RN does Soc. We had a patient who was PT only, the PT spoke to the supervisor in the office on the phone so the supervisor could answer the oasis. The supervisor fills out and signs the oasis but writes 'written with consultation from PT Smith'. Is this ok? What are your agency policies regarding PT only and oasis discharges?

Understood; wasn't really looking for med advice, just thoughts on bicitra; sorry if it was misleading. I'm just doing research about this medication and looking for input. Thanks for the info about the CT.

This thread popped up on my google search of 'bicitra and aspiration'. Unfortunately my mother just had a lumpectomy and was given the liquid bicitra prior to surgery by the anesthesiologist. Not being a nurse, I thought nothing of this (i mean, this was the anesthesiologist giving it!). Post op she developed hypoxia/hypotension and the anesthesiologist was saying 'she's got mild congestion, not sure why'. After a Chest CT/perfusion scan to r/o pulm embolism, a pulmonologist told my mother "you aspirated the medication you were given prior to surgery'. When we told the anesthesiologist what the pulmonologist said (imagine the catfight that caused), she said "no, there's no scientific evidence not to give the bicitrate. in fact, i'm glad i gave it because otherwise you would have aspirated pure acid into your lungs. you have a hiatal hernia which we didn't know about pre op which caused the aspiration. If we would have known about it, we would have intubated you instead of the iv sedation". Thoughts?

This is what I thought as well. But what if your patient is not a candidate for the TUG test? ie need assist to walk or are bed bound? The answer will always be technically "NO" but they are still at risk for falls. Our agency will document that and still do a PT referral, but answer "NO" because a multi factorial assessment was not done due to patient not qualifying for the test..

Just trying to get an idea of thoughts on this question about the multifactorial falls risk assessment. Seems to me that if a patient can't do a TUG test (bedbound, or needs physical assist to walk) that the answer to "have you done a multifactorial risk assessment?" is NO. Thoughts?

I'm new to homecare so I don't have much to compare to. That being said there are a lot of changes with regard to PTs answering drug regimen review questions. A big change for us is the timed up and go test (tug) to answer M1910.

thanks for the replies and the question. PT new to homecare here; a lot to learn!

I know how you feel....it's an awful gut wrenching thing, but sounds like you did everything correctly. I second guess myself a lot in certain situations...but you can only go forward and try to keep learning from every patient interaction or transfer. Yes, anything can go wrong during a transfer, and it's almost impossible to predict every type of scenario. I've been ambulating the most stable of patients (and I have to go on stairs with them as well!!), only one day to have their bp/bs drop suddenly or knee buckle down and bam we're almost both on the floor. My only advice is if i'm working with a new patient, regardless of what the care plan says, if the patient is large and I even suspect I might have a problem, I get another person. And believe me, i've gotten other people and there can STILL be a problem! Don't beat yourself up sounds like you did the right thing.

thank you very much for the info!!!

This happened quite a while ago, but I remember it was quite a difference, maybe 40mm/hg. That's my concern!