WAKEY WAKEY SORE AND ACHY
When performing an Ultrasound on a patient per the therapists request, what is the correct order of procedure?
1) Turn on the machine (plug in).
2) Place gel on the correct area and then put the us head on the area.
3) Set time and intensity.
4) Start the US.
Should an ExT work with a Fall Risk Patient?
yes and no. You CAN work with them with table or sitting exercises. CANNOT do any balance or gait training
What is the process for when you are done with the US
1.) Spray the US head with alcohol and wipe off
2.) Use the same paper towel on the patient to wipe off gel and oil
3.) Once mostly clean, spray patients with alcohol and wipe with a cloth towel
4.) IF YOU HAVE TO USE MORE THAN ONE PAPER TOWEL YOU ARE USING TOO MUCH GEL
If a patient returns to the clinic with 7/10 pain, what should you do?
When working with a patient what should you be doing?
paying attention to their form and engaging them in conversation appropriate with work topics (weather, sports, weekend plans, work, family - something that doesn't trigger that person)
T/F: I am allowed to start a US with combo or EMS
FALSE
Do we change the pillow case if it was not used?
NO
What should you check in the clinic before going lunch?
Lights off, music off, door locked, machines put away, rooms ready for afternoon shift
True or Falce.
If the Red X is not marked on the treat & flow, you should start with the HEP.
FALSE.
Go ask the therapist to mark off the treat & flow. Therapists should be "DELETING" activities every visit, and progressing patients.
Ask the therapist if they want to remove any activity. They will mark "DELETE" and you can remove it for them.
When a manager asks you to do something within your job, what should you do?
Say Yes & Smile.
Do whatever is asked of you without complaining
What can you do to remove dry needles that are stuck?
Tap around the area.
Push the needle in and out a few times.
Wait.
Go get the therapist.
Why do we change pillow cases every 2 hours and spray/flip them the second hour?
We flip to make sure the unused side of the pillow is being used for the second patient and we spray to kill any germs on the used side.
What is the correct soap to water ratio?
75% water 25% soap
A patient fell outside in the parking lot on the way into the building and tells you they are fine with her Neck (PT case). What is the proper procedure?
Have the patient sit in a chair and tell the therapist right away!!
When a patient tells you how they are doing that day, where does that information go?
In the subjective section (please type in for therapist or minimum tell the therapist if you are the first one working with them?)
Patient starts sweating while DN are in their arm. They tell you they are fine, but start turning pink and breathing funny. What should you do?
Immediately go get the therapist.
Reasoning - PT/PTA might keep the DN decide that alcohol water and deep breathing helps, or take them out or call 911. This is a license medical professional decision.
How close do you stand to a patient doing balance?
Arms length, close enough to guard them should they start to lose balance. NEVER LEAVE THEM ALONE.
If you notice a machine isnt working, a table is ripped or it is wobbly, what do you do?
1.) Ask Nick
2.) Tell the therapist who is working with that patient
3.) Tell management in your chat
4.) Let someone else deal with it
3.) Tell management in your chat
When a patient with a brace lays on the table, what should the ExT make sure to do?
put a towel under the brace in order to not rip the table
If a patient expresses an exercise is to hard or hurting them, what should you do? (choose all that apply)
1) Come up with something yourself.
2) Move onto an easier exercise in the treat & flow that the therapist X off.
3) Ask the therapist what you should do with them.
4) Ignore them and let them keep doing the exercise.
5) Reduce the resistance to make the exercise easier.
2, 3, 5
You could move onto an easier exercise or come to the therapist and ask how to proceed.
At minimum should tell the therapist a patient was struggling with an exercise.
You can always reduce resistance, but let the therapist know and mark that in the notes of the exercise (Date, Reduced Resistance YTB) as RTB will be clicked in the exercise.
T/F : I can apply heat or ice to a patient if they ask me to
FALSE. Applying heat or ice needs to come from the therapist themselves not the patient.
What's an appropriate amount of time to look away from a patient?
Checking the computer 10 seconds.
Giving the patient a task that is safe without supervision they have good form. 30 seconds.
Otherwise, you should be watching patients consistently to ensure proper form and patient safety.
If you notice there is not 2 double books on the schedule, what should you do?
1.) Whatever you think you should do
2.) Ask managers if there are any tasks to complete
3.) Mark it on the schedule on ExT block
4.) Clock out and leave
2 & 3
2.) Ask managers if there are any tasks to complete
3.) Mark it on the schedule on ExT block
In a professional medical office what might be appropriate to discuss:
1) New policies in world news
2) Other patient's status
3) Therapist daily routine
4) Drama of FIFA Final
5) Staff members preferences
4) Soccer game
What is one of the most important things to look at in the documentation prior to starting any patient?
PRECAUTIONS.
Safety. Need to ensure we keep people safe. If a patient tells you they can do something outside of that .... TALK to the THERAPIST for permission on how to alter treatment.
Scope of Practice. Know what you can and can't do vs the therapist.