Intro to Occupational Therapy Chapter 13 – Flashcards
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What is patient documentation part of?
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Direct patient care.
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What is Productivity?
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The standard of efficiency set by each practice setting.
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What does it mean if productivity is 70%
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The billable patient therapy for the workday is also 70%
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Is 90% productivity an unrealistic standard for an OTA?
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It is unrealistic but some companies expect it.
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What could interfere with good time management with regards to shared supplies and work space in the OT environment?
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Needed supplies being left in a disorganized manner. Missing supplies and needed supplies being left in a disorganized manner.
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How do unorganized supplies interfere with the OT process?
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It infringes on good time management. Bottom line, it wastes time.
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What does the phrase, "many hands make light work" have to do with orderliness in the supply cabinet etc.
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Everyone on every shift should keep supplies in an orderly fashion. For shared equipment, each person is responsible for pitching in, reporting broken items, notifying others when supplies are low and cleaning up after themselves.
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An example of irresponsibility concerning tools etc.
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One shift using all the clean linens, gowns and towels and leaving no supplies for the other discipline to use in their learning lab that follows later in the day.
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What is the shared home living space in the OTA program at PV consist of?
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Kitchen, bathroom, laundry room, living room, office and bedroom. Assistive technology lab and splinting lab.
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What does it mean to use correct Body mechanics?
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Using proper form when using the body to prevent injury. Ex: bending at the knees to lift with the legs.
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What is involved in CPR?
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The ability to perform basic first aid and take vital signs, (pulse, respiration, blood pressure).
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What do most institutions require if one works to reduce your risk of contracting diseases?
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Medical examination, chest X ray, TB trest and HBV series (3 shots taken over time)
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In the state of Kansas OT practitioners must have how many continuing education units every two years and how do you prove it?
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40 CE units every two years proven by documentation
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Does the state of Ks give OT practitioners give CE credit for supervising Level 2 fieldwork students?
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Yes
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Clinical/fieldwork educators (OTs or OTAs) must have what before taking a level 2 student?
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At least one year of experience.
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An OT practitioner may take a level 1 Fieldwork student if they have less that one year experience?
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True
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According to AOTA what is the practitioner's professional responsibility ? What is one way to do so?
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To give back to the profession...one way is by becoming a clinical educator.
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Why are clinical educators (level 1 and 2 fieldwork supervisors) needed?
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Without them students would not be able to graduate from accredited OT and OTA programs.
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After an employee attends a conference, how may they be of benefit to their employer?
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Upon return from the workshop/conference the employee will do a department in-service so the other practitioners can benefit from the updated information gathered at the session.
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What does HOTFA stand for?
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Heartland Occupational Therapy Fieldwork Alliance
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What does membership in AOTA & KOTA do for the OT profession?
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It ensures the profession is represented and that we all have jobs that pay well.
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What is another way OT's help the profession?
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Through Public relations and MARKETING OF THE OT PROFESSION
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What is an example of EVIDENCE BASED PRACTICE: Researching information that supports clinical interactions.
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Knowing that medication from the doctor has research backing up the value of taking it for the intended purpose.
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Does evidence based research apply to OT interventions?
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OT's research and back up why we do and what we do. It is every OT's responsibility!
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During the OT evaluation what happens?
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Data is collected about the client An initial note/treatment plan is written.
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Who writes the initial note/treatment plan?
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The OTR with input from the OTA
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What is included in the initial note?
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Strengths, problems, long (LTG) and short term goals (STG) along with methods to be used and frequency of treatment.
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How does the practitioner determine what methods will be used?
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By using critical thinking skills to individualize the OT intervention program.
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What is treatment based on?
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Evidence or research that supports the practitioner's actions.
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What is another name for evidence based practice?
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Best practice
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Should an OT program should be repetitious?
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No. It should be novel and interesting to the patient.
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What is meant by the big broad picture?
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The long term goal.
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What does the long term goal emphasize?
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Promoting functional independence in the pt.'s environment. It is a statement of what the Pt will look like at discharge, about 3-4 weeks.
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What are short term objectives/goals?
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STB's are smaller steps toward the long term goal. What will be accomplished in 1 -2 weeks.
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What are identified in STG's and who establishes them?
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STG's are desired outcomes/solutions that the practioner and the CLIENT together establish.
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Going to Hawaii by August is a type of what goal?
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Long term goal?
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What would a short term goal be?
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Deposit $150 per month for 10 months to go to Hawaii.
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What should be in goal criteria?
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It must be M.A. R. R. U measurable, achievable, reasonable, reachable ....annnnnd. WRITTEN in a format so that it is evident it is accomplished.
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Grading treatment:
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Setting goals for and with client to see improvement in functional independence.
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As treatment progresses the practitioner will?
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Increase the demand on the client by changing the conditions to achieve higher level of success.
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STG example
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seated at sink, shave 3 x's per week.
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upgrade example
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standing at sink client shaves 3 x's per week.
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Graded down
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intervention strategy is too difficult for client and must be modified to make it more successful.
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DOCUMENTATION:
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*write down any/all contact with client
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Non standardized forms
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documentation forms that are not 'across the board" consistent.
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S.....OAP
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subjective, what the patient verbalizes
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S...O.......AP
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O...objective, observable data, what was done/accomplished in therapy, and the test results.
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SO A P
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A Assessment, practitioner's opinion
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SOA P
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P Plan, future plan of action
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Bottom line of documentation
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If it isn't written down it looks like it wasn't done.
