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The Environment of Practice: Working in the Acute Care Setting

The Environment of Practice: Working in the Acute Care Setting. Presented by Wendy Farrar, BA, NCTMB Mollie O’Brien, MA, NCTMB Jeremy Miller, BS, LMT, NCTMB. Clinical Care Education Research. Direct/Indirect Patient Care. Morning Rounds. Blessing Patient Care Coordination.

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The Environment of Practice: Working in the Acute Care Setting

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  1. The Environment of Practice:Working in the Acute Care Setting Presented by Wendy Farrar, BA, NCTMB Mollie O’Brien, MA, NCTMB Jeremy Miller, BS, LMT, NCTMB

  2. Clinical Care • Education • Research

  3. Direct/Indirect Patient Care

  4. Morning Rounds • Blessing • Patient Care Coordination

  5. Patient Care Coordination • Prioritize & assign ongoing patients • Triage new referrals • Staffing

  6. Referral Criteria • Pain • Anxiety • Nausea • Constipation • Difficulty sleeping • Maintaining/prolonging pregnancy • Coping with changes in health

  7. Holistic Patient Assessment • Diagnoses • Level of acuity & alertness • Precautions • Medications & lab/imaging results • General health history • Mental, emotional, social, spiritual and psychological well-being • Interest/understanding

  8. Holistic Patient Assessment • Chart review • Communication with other care providers • Patient interaction/observation

  9. Making a Treatment Plan • Factors for consideration • Consent

  10. Holistic Treatment/Intervention

  11. Holistic Treatment/Intervention • Guided imagery • Korean Hand Therapy • Reflective Listening • Relaxation Techniques • Acupressure • Aromatherapy • Art Care • Education • Energy work

  12. Holistic Treatment/Intervention • Traditional Asian Medicine: Acupuncture, Acupressure, Shiatsu, Tui Na, Qi Gong • Therapeutic Massage • Music Therapy

  13. Discharge Criteria • Goals met • No progress • No investment • Lack of cognition • State of consciousness • No interest/refusal

  14. Types of Documentation Electronic Medical Record - Epic/ Excellian Departmental database - Microsoft Access Practitioner visit sheets Goals of Documentation Clinical Operational Research Documentation:3 Goals Met By 3 Types

  15. Documentation: Goals • Clinical Goals • Checking Chart prior to seeing Patient • Progress Notes (part of Patient’s EMR) • Operational Goals • Care Coordination • Productivity and Staffing • Research Goals • Our results in context of Pt’s entire stay

  16. Documentation:Recording Raw Data • Immediately after session, flow sheet • Time in/Time Out • Last session results • Session goal • Pre/Post ratings • Session results • ? Discharge

  17. When ‘File’ Button is clicked, Raw Data goes… Access Database Progress note

  18. Documentation:Practitioner Visit Sheets Record of treatments, results, Day-to-Day Care Coordination and as a back-up for ‘downtime’

  19. Practitioner Resilience • Self care • Boundaries • Team work • Self awareness • Personal growth and healing • Professional growth

  20. Indirect Patient Care • Program development initiatives • Patient safety and compliance • Professional growth & development • Education • Research

  21. Q&A • Write question on the note card in your folder. • Note category of question at top of card. Categories • Business Operations • Clinical Care • Education • Research • Documentation / Ethics / Legal • Self Care/Resilience 3) Place card in basket. 4) Take a 10 minute break.

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