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RE: Are PTs Ordered?

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I have stated that many times , PT is not an ordered service but a professional

consultation. In my area it has taken 20 plus years to get that across to the

professional community. This takes gaining respect, which means that the PT's

MUST be up on evidenced based practice, and be willing to communicate

respectfully

Ron Barbato PT

Corporate Director, Rehabilitation Services

Program Director, Cancer Support Services

Kentucky Board of Physical Therapy

________________________________

From: PTManager on behalf of katesel strimbeck

Sent: Sat 2/5/2011 7:45 AM

To: PTManager

Subject: Are PTs Ordered?

Really great discussion on PT vs Nursing. To take this in a bit of a different

direction, which one of the posters made a comment on: Are we ordered? I have

been trying to change that culture for a while at my hospital. Right now on

some order sheets we are listed under ACTIVITY. So are we an ACTIVITY? I see

us as a consultant service.

I understand the " old fashioned " hospital culture, I understand the need to

educate physicians, administrators. But despite YEARS of trying to meet,

educate, talk, it feels so futile to me and I must admit a bit of a burn out

producer at times for me. My staff feels that sometimes I don't stand up for

them, but if people say " we just need PT done now " , and order it and wont' give

time or respect to listen to why it isn't even appropriate, it gets a bit

tiring. We are used quite a bit now to " mobilize pts " , because nursing doesn't

have time to get pts out of bed.

Now that said, I love acute care, I work in a place I like, these aren't " bad "

people, but busy people. I am still chipping away, but respect comes VERY

slowly. The big picture is PT practice has come a long way, I need to take a

deep breath and keep chipping away. Kind a like all the snow I have been

shoveling lately, eventually I have a clearer path.

Katesel strimbeck PT, MS

PT Supervisor

St. 's Hospital

Albany, New York

katesels@...

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