Non-Systems Boot Camp FF

APTA core values

altruism - best interest of patient

autonomy - allow patients to make informed decisions about care

professional judgment - therapist held accountable for making sound professional adjustments

non-maleficence - do no harm

PTA responsibilities

- may perform selected PT interventions under direction of PT

- cannot do mobilizations

- are responsible for actions for things that are not directed by PT

can a PTA supervise a SPT?

no

Center of Medicare and Medicaid Services responsibility

what is reimbursed

Commission on Accreditation of Rehab Facilities

accredits free standing rehab (i.e. outpatient)

Joint Commission on Accreditation of Healthcare Organization

accredits hospitals, SNF, home health

Donning order

1. gown

2. mask

3. goggles

4. gloves

doffing order

1. gloves

2. goggles

3. gown

4. mask

contact precautions

- gloves and gown when in direct contact

- private room or w/ same infection

i.e. MRSA, lice, VRE

droplet precaustions

- mask when working within 3 feet

- contact precautions if skin lesion present

- private room WITHOUT negative air flow

i.e. flu, strep, mumps, pneumonia

airborne precautions

- N-95 mask

- gown and gloves if severe contamination

- discard mask upon leaving room

- private room w/ negative air flow

ergonomic guidelines

- monitor: 18-28 in away (arms length away)

- monitor screen slightly below eye level

- elbows 90 and wrist neutral

- thighs horizontal and feet resting on floor

- space under desk should be 30 in wide, 19 in. deep, 25-34 in. in height and 2-3 in. between top of thighs and desk

basic CPR parameters

- 100-120 compressions/min

- depth of at least 2 in.

- allow full recoil

- 2 breaths per 30 compressions

hickman catheter

central line that provides antibiotics, nutritional solutions, and blood samples

swanz ganz catheter

balloon flotation device inserted through internal jugular vein or femoral vein into pulmonary artery

- monitors blood flow and function of heart

central venous pressure catheter

measures BP from right atrium and superior vena cava

what to do if chest tubes dislodge

apply gauze or a gloved hand. then call nursing

what movement should be avoided w/ a femoral line

repetitive hip flexion over 45 degrees

wheelchair seat height measurement

heel to popliteal fold + 2 in.

w/c seat depth measurement

posterior butt to popliteal fold - 2 in.

w/c seat width measurement

wideset aspects of thighs or butt + 2 in.

w/c back height measurement

char to axilla - 4 in.

w/c arm rest height measurement

seat to olecranon + 1 in.

w/c axle positioning

- normal: in line w/ shoulder or slightly posterior

- bariatric: rear axle anterior

- bilateral transfemoral: move rear axle behind shoulders

standard crutches measurement

2" axilla space

forearm crutches measurement

top of forearm cuff is just distal to elbow, approx 1-1.5" below olecranon

handpiece height for cane

at level of wrist crease/ulnar styloid/greater trochanter

- measure w/ AD on ground 2 inches lateral and 4-6 inches anterior

when to use a 3 person lift

transferring a patient from a stretcher to a bed

what is a longitudinal arch used for

pes planus

- encourages supination

what is a UCBL (university of cal berk lab) used for

control hindfoot valgus

- reduces subtalar motion which controls eversion and forefoot abduction

posterior leaf spring vs klenzak jiont

both for DF assist

- leaf spring recoils during swing phase

- Klenzak has a spring assist in the stirrup

plantarflexion stop/resistance function

for PF tightness (limits it)

- plastic hinged AFO w/ posterior stop

which side should you transfer to

your strong side

gait patterns w/ bilateral ADs

4 point: AD, step, AD, step

2 point: AD and step, AD and step

gait patterns w/ single AD

modified 4 point: AD, step, step

modified 2 point: AD and step, step

gait patterns w/ restricted WBing and AD

3 point: ADs then swing to or through

3-1 point: partial wbing