PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING The Environment of Practice: Working in the Acute Care Setting Presented by Wendy Farrar, BA, NCTMB Mollie

PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING

The Environment of Practice:The Environment of Practice:Working in the Acute Care SettingWorking in the Acute Care Setting

Presented byPresented byWendy Farrar, BA, NCTMBWendy Farrar, BA, NCTMB

Mollie O’Brien, MA, NCTMBMollie O’Brien, MA, NCTMBJeremy Miller, BS, LMT, NCTMBJeremy Miller, BS, LMT, NCTMB


•Clinical CareClinical Care

•EducationEducation

•ResearchResearch


Direct/Indirect Patient CareDirect/Indirect Patient Care


Morning RoundsMorning Rounds

• BlessingBlessing

• Patient Care CoordinationPatient Care Coordination


Patient Care CoordinationPatient Care Coordination

• Prioritize & assign ongoing Prioritize & assign ongoing patientspatients

• Triage new referralsTriage new referrals

• StaffingStaffing


Referral CriteriaReferral Criteria

• PainPain• AnxietyAnxiety• NauseaNausea• ConstipationConstipation• Difficulty sleepingDifficulty sleeping• Maintaining/prolonging Maintaining/prolonging

pregnancypregnancy• Coping with changes in health Coping with changes in health


Holistic Patient AssessmentHolistic Patient Assessment

• DiagnosesDiagnoses• Level of acuity & alertnessLevel of acuity & alertness• PrecautionsPrecautions• Medications & lab/imaging Medications & lab/imaging

resultsresults• General health historyGeneral health history• Mental, emotional, social, Mental, emotional, social,

spiritual and psychological spiritual and psychological well-beingwell-being

• Interest/understandingInterest/understanding


Holistic Patient AssessmentHolistic Patient Assessment

• Chart reviewChart review

• Communication with other Communication with other care providerscare providers

• Patient Patient interaction/observationinteraction/observation


•


Making a Treatment PlanMaking a Treatment Plan

• Factors for considerationFactors for consideration

• ConsentConsent


Holistic Treatment/InterventionHolistic Treatment/Intervention



• AcupressureAcupressure

• AromatherapyAromatherapy

• Art CareArt Care

• EducationEducation

• Energy workEnergy work

• Guided Guided imageryimagery

• Korean Hand Korean Hand TherapyTherapy

• Reflective Reflective ListeningListening

• Relaxation Relaxation TechniquesTechniques



• Traditional Asian Medicine: Traditional Asian Medicine: Acupuncture, Acupressure, Shiatsu, Acupuncture, Acupressure, Shiatsu, Tui Na, Qi GongTui Na, Qi Gong

• Therapeutic MassageTherapeutic Massage

• Music TherapyMusic Therapy




Discharge CriteriaDischarge Criteria

• Goals metGoals met

• No progressNo progress

• No investmentNo investment

• Lack of cognitionLack of cognition

• State of consciousnessState of consciousness

• No interest/refusalNo interest/refusal


Documentation:Documentation:3 Goals Met By 3 Types3 Goals Met By 3 Types

Types of Types of DocumentationDocumentation

• Electronic Electronic Medical Record Medical Record - Epic/ Excellian- Epic/ Excellian

• Departmental Departmental database - database - Microsoft Microsoft AccessAccess

• Practitioner Practitioner visit sheetsvisit sheets

Goals ofGoals of DocumentatioDocumentatio

nn

• Clinical Clinical

• OperationalOperational

• ResearchResearch


Documentation: GoalsDocumentation: Goals

• Clinical GoalsClinical Goals– Checking Chart prior to seeing PatientChecking Chart prior to seeing Patient

– Progress Notes (part of Patient’s EMR)Progress Notes (part of Patient’s EMR)

• Operational GoalsOperational Goals– Care CoordinationCare Coordination

– Productivity and StaffingProductivity and Staffing

• Research GoalsResearch Goals– Our results in context of Pt’s entire Our results in context of Pt’s entire

staystay


Documentation:Documentation:Recording Raw DataRecording Raw Data

• Immediately after session, Immediately after session, flow sheetflow sheet– Time in/Time OutTime in/Time Out– Last session resultsLast session results– Session goalSession goal– Pre/Post ratingsPre/Post ratings– Session resultsSession results– ? Discharge? Discharge



When ‘File’ Button is clicked, Raw Data When ‘File’ Button is clicked, Raw Data goes…goes…

Access DatabaseAccess Database Progress noteProgress note


PENNY GEORGE INSTITUTE FOR HEALTH AND HEALINGDocumentation:Documentation:

Practitioner Practitioner Visit SheetsVisit Sheets

Record of Record of treatments, treatments, results, results, Day-to-DayDay-to-DayCare Care CoordinationCoordinationand as a and as a back-up forback-up for‘‘downtime’downtime’


Practitioner ResiliencePractitioner Resilience

• Self careSelf care• BoundariesBoundaries• Team workTeam work• Self awarenessSelf awareness• Personal growth and Personal growth and

healinghealing• Professional growthProfessional growth


Indirect Patient CareIndirect Patient Care

• Program development initiativesProgram development initiatives

• Patient safety and compliancePatient safety and compliance

• Professional growth & Professional growth & developmentdevelopment

• EducationEducation

• ResearchResearch

Q&AQ&A

1)1) Write question on the note card in your Write question on the note card in your folder.folder.

2)2) Note category of question at top of card.Note category of question at top of card.

CategoriesCategories– Business OperationsBusiness Operations– Clinical CareClinical Care– EducationEducation– ResearchResearch– Documentation / Ethics / LegalDocumentation / Ethics / Legal– Self Care/ResilienceSelf Care/Resilience

3) Place card in basket.3) Place card in basket.

4) Take a 10 minute break.4) Take a 10 minute break.

Documents

PENNY GEORGE INSTITUTE FOR HEALTH AND HEALING The Environment of Practice: Working in the Acute Care Setting Presented by Wendy Farrar, BA, NCTMB Mollie