Inpatient Physical Therapy
What it is:
PTs are movement dysfunction specialists. Inpatient PTs perform gait analysis and training, safe mobility assessments, functional exercise prescription and dosing, and safe discharge recommendations.
**Research shows that patients are 2.9 times more likely to be readmitted when PT discharge recommendations are not followed[1]
How to consult:
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Use Rehab Med- Acute Inpatient Therapy Consult
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Document change from patient’s baseline level of mobility prior to admit (examples: independent, uses walker, wheelchair dependent)
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Answer EACH question in the consult (ie weight bearing status, precautions) -- without this information we cannot safely evaluate the patient and initiation of inpatient PT will be delayed
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Please place Team# on the consult
When to consult:
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Change in functional mobility compared to pre-admission abilities
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Acute onset weakness or difficulty with gait
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Post-op condition
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Evaluate for prosthetic device
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Need placement recommendations
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For ALL Armed Forces Retirement (Soldiers) Home residents
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Occupational Therapy (OT) should be consulted for assessment of Activities of Daily Living (ADL’s)
When NOT to consult:
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Skilled therapy does not include OOB to chair, basic ambulation, or PROM
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Patient unable to follow commands, decreased arousal/sedation, etoh withdrawal
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Patient is unwilling to participate
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Patient is at their baseline functional mobility
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Replacement assistive devices – PLACE ORDER for AD and report to GC210
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From the ER/ MAR team – please do not place consult unless patient is with a team
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RASS (Richmond Agitation Sedation Scale
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Score +3 Very Agitated – pulls or removes tubes or catheters, aggressive
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Score +4 Combative – overtly combative, violent, immediate danger to staff
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Score -4 Deep sedation – no response to voice, but movement or eye opening to physical stimulation
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REHAB DEFERRAL GUIDELINES
Alertness &/or Agitation Measures:
Clinical Institute Withdrawal Assessment (CIWA)
hold physical therapy if score is > 8
Richmond Agitation-Sedation Scale (RAAS)
hold physical therapy if score is > 2 or < -2
Vital Signs **Hold and engage team (HET)
Blood Pressure
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Systolic Blood Pressure (SBP) – HET > 200mmHg or < 90mmHg
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Diastolic Blood Pressure (DBP) – HET > 110mmHg or < 40mmHg
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Orthostatic Hypotension (OTH) – HET for a decrease in SBP > 20mmHg &/or DBP > 10mmHg with positional change
Heat Rate
HET if resting > 120bpm or < 50bpm
**Monitor and Reassess if HR increases by 50bpm or decreases by > 15bpm proceed to discuss with medical team
Mean Arterial Pressure
HET therapy if MAP is <65mmHG or > 110mmHG
Oxygen Saturation
HET if resting O2sat < 85% or a decrease of > 4% occurs with activity-discuss with medical team
Respiratory Rate
HET therapy if RR is > 30bpm or < 5bpm
Temperature
HET therapy if temperature is > 101.5
Laboratory Values
Blood Glucose
HET therapy if hyperglycemic ≥ 300mg/dL or hypoglycemic ≤ 70mg/dL
Hematocrit (Hct)
Hemoglobin (hgb)
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Hgb < 8g/dL & Hct < 25% functional mobility restricted to bedside assessment
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Hgb < 7g/dL & Hct < 20% hold therapy after consulting with medical team
***if patient has baseline anemia therapy will need written clearance by medical team for functional mobility < 7g/dL and Hct <20%
[written clearance obtained via consult or addendum on therapy note]
International Normalized Ratio (INR)
Ratio of 0.8 - 1.2
therapeutic range for CVA prophylaxis
Ratio of 2.0 – 2.5
therapeutic range for VTE, PE &/or Afib
Ratio of 2.5 – 3.5
therapeutic range for patients at higher risk
Ratio > 3.5
Written clearance for mobility by medical team
Ratio > 5.0
Hold physical therapy
Platelet Count (PLT)
HET for PLT < 10,000 K/cmm
Potassium (K)
HET for Potassium <3.0 or >5.5mmol/L
Prothrombin Time (PTT)
HET if PTT is > 25seconds due to high risk of bleeding into tissues
Troponin
> 0.04ng/mL is a sign of a new onset heart dysfunction ---if troponin is elevated without a reasonable differential diagnosis, contact medical team and monitor troponin ONLY initiate therapy 24 hours after the peak troponin level or two consecutive down-trending values
WBCs
HET if new WBC> 9.5 obtain written clearance by medical team for functional mobility
Medical or Diagnostic Procedures
Arterial Blood Gases (ABG)
if ordered statim (STAT) then hold therapy
Blood Transfusion
Hold until a new complete blood count (CBC) is completed with Hgb & Hct (>7/20 see above)
Bone Scan &/or X-ray imaging
for a suspected fracture - if positive for a new diagnosis, then physical therapy will discharge from caseload requiring a new consultation with updated precaution (i.e. weight bearing status)
Peripherally Inserted Central Catheter (PICC) Line
hold therapy for 24 hours
Rapid Response Team (RRT)/Code Blue
therapy will discharge from caseload requiring a new consultation
DVT, Ventilation Perfusion (VQ) scan or Venous Doppler
Suspected new DVT, PE, or VTE – hold therapy until appropriately anticoagulated 24 hours
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