I don't need an order in a SNF but I need an order in Home Care - might be
the agency policy but all agencies I've worked for required an order for
this. laura W.
----- Original Message -----
From: "Audra Ray" <audra...@yahoo.com>
To: <OTlist@OTnow.com>
Sent: Tuesday, March 03, 2009 10:14 PM
Subject: Re: [OTlist] What Would YOU Do?
If a patient has an order for O2 sats to stay above 93%, then you usually
have to take the pulse ox to determine that. I work in SNF and have never
heard you had to have an order to use it. To me it's like blood pressure,
if you think you should take it, take it. Use professional judgement.
My two cents,
Audra Ray, OTR/L
--- On Tue, 3/3/09, Ron Carson <rdcar...@otnow.com> wrote:
From: Ron Carson <rdcar...@otnow.com>
Subject: Re: [OTlist] What Would YOU Do?
To: "Sue Doyle" <OTlist@OTnow.com>
Date: Tuesday, March 3, 2009, 4:18 AM
When I worked in rehab, we always used pulse ox. But, I guess it's
different in home health.
----- Original Message -----
From: Sue Doyle <sue...@hotmail.com>
Sent: Monday, March 02, 2009
To: otlist@otnow.com <otlist@otnow.com>
Subj: [OTlist] What Would YOU Do?
SD> I work in Inpatient Rehabilitation and I have never had a
SD> restriction. We use the O2 monitor all the time without needing an
SD> order. We generally report the results if anything unusual to the MD
or
RN.
SD> Sue D
From: thegoo...@aol.com
Date: Mon, 2 Mar 2009 20:06:28 -0500
To: OTlist@OTnow.com
Subject: Re: [OTlist] What Would YOU Do?
Hi..I worked in a SNF and also never heard that restriction. If we
want to
take someone's O2 STATs then we just do...Cindy
In a message dated 3/2/2009 7:50:50 P.M. Eastern Standard Time,
caguirr...@msn.com writes:
I work in SNF. Never heard such restriction. I hope I'm not
alone!!
Carmen
> Date: Mon, 2 Mar 2009 07:44:14 -0500
> From: neal.lut...@advhomecare.org
> To: OTlist@OTnow.com
> Subject: Re: [OTlist] What Would YOU Do?
>
> It simply requires the order as a "modality". It is not
for whatever
> reason considered a vital sign.
>
>
> Neal C. Luther,OTR/L
> Advanced Home Care, Burlington Office
> 1-336-538-1194, xt 6672
> neal.lut...@advhomecare.org
>
> Home Care is our Business...Caring is our Specialty
>
>
>
> The information contained in this electronic document from
Advanced Home
Care is privileged and confidential information intended for the sole
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and discard the original.-----Original Message-----
> From: otlist-boun...@otnow.com [mailto:otlist-boun...@otnow.com]
On
> Behalf Of Carmen Aguirre
> Sent: Friday, February 27, 2009 7:23 PM
> To: otlist@otnow.com
> Subject: Re: [OTlist] What Would YOU Do?
>
>
>
>
> I wonder why
>
>
>
> Carmen
>
>
>
>
> > Date: Thu, 26 Feb 2009 21:14:29 -0500
> > From: rdcar...@otnow.com
> > To: OTlist@OTnow.com
> > Subject: Re: [OTlist] What Would YOU Do?
> >
> > Interesting that you mention pulse ox. My clinical director
has
> > repeatedly told that staff that pulse oximetry can only be
taken under
> > an MD's order.
> >
> > Regarding the baseline, could you use a patient's
self-reported
> fatigue
> > level during the desired activity of ambulating to the
dining room?
> Then
> > use this as the measurable outcome.
> >
> > Ron
> >
> > ----- Original Message -----
> > From: Carmen Aguirre <caguirr...@msn.com>
> > Sent: Thursday, February 26, 2009
> > To: otlist@otnow.com <otlist@otnow.com>
> > Subj: [OTlist] What Would YOU Do?
> >
> >
> > CA> I would start with breathing exercises, 6-min
activity testing to
> > CA> meassure fatigue and shortness of breath to get a
meassurable
> > CA> baseline. Take pulse oxymetry and BP to help educate
when rest is
> > CA> needed if not aware of it and to manage energy
levels. Work on
> basic
> > CA> routines he wants to improve performance and
quality; besides the
> > CA> actual tasks/activities teach maint. pulmonary
exercises to manage
> > CA> his disease. Medication management to assess how he
manages his
> > CA> disease as well. Community resources and overall
health management
> > CA> skill. Balance retraining, strengthening would be
part of my
> > CA> treatment plan.
> >
> > CA> Carmen
> >
> >
> > CA>
> >
> > >> Date: Thu, 26 Feb 2009 20:15:25 -0500
> > >> From: rdcar...@otnow.com
> > >> To: OTlist@OTnow.com
> > >> Subject: [OTlist] What Would YOU Do?
> > >>
> > >> Evaluated a man today, recently discharged from
rehab. His primary
> > >> diagnosis is congestive heart failure.
> > >>
> > >> He's presents with decreased fine motor
control from an unknown
> > >> etiology. He has decreased lower extremity
strength and decreased
> > >> balance. He is also short of breath during
exertion.
> > >>
> > >> He is unable to do dishes, zip and button his
clothes. He is unable
> to
> > >> independently sit/stand and has difficulty getting
into his shower
> Also,
> > >> he is unable to consistently and safely walk to
the dining room of
> the
> > >> ALF. He desire to NOT use a wheelchair. His
primary concern is
> > >> mobility-related daily living activity.
> > >>
> > >> What treatment MIGHT you provide this patient and
why?
> > >>
> > >> Thanks,
> > >>
> > >> Ron
> > >>
> > >> --
> > >> Ron Carson MHS, OT
> > >> www.OTnow.com
> > >>
> > >>
> > >> --
> > >> Options?
> > >> www.otnow.com/mailman/options/otlist_otnow.com
> > >>
> > >> Archive?
> > >> www.mail-archive.com/otlist@otnow.com
> >
> > CA>
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