HOW AN INPATIENT PHYSICAL THERAPIST WORKS OUTSIDE OF THE PATIENTS

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Inpatient Clinic

Inpatient Clinic

The technical writing and work an inpatient physical therapist needs to complete outside the hands-on work with the patients.
Dr. Cindy Morgan has over 26 years physical therapy experience and has been head of her department over a decade. With these many years under her belt, she has worked with countless types of patients through her doors. She’s also had many different types of forms and reports to fill out throughout her career from insurance filing, patient progress notes, hospital transfers, and others that other healthcare representatives need for a patient.
While interning with her and other therapists at the inpatient clinic, I have been told numerous times by her and her staff to be concise. Dr. Morgan says that conciseness is the most important part of writing for all of the different types of reports. Within the hospital setting, so many different people review a single, large folder for a patient. These staff members include: nurses, doctors, therapists, x-ray technicians who write notes each day on how the patient was doing or any new events or problems have arisen during the past day. These folders have a summary of the patients’ overall medical history made as soon as a patient arrives to the hospital. These summaries are for the different staff members to review before visiting the patient in person. There is a specific form in which the therapist in charge of the patient writes the initial evaluation. On the opposite side of that form, there is the discharge summary for that patient when he or she is discharged from the hospital or transferred to another place of healthcare like hospice or a nursing facility.
Outside the realm of the patient’s folder, there are several other aspects to a therapist’s work that are required for a department to operate and communicate well. Dr. Morgan has daily morning meetings with her inpatient therapy staff to discuss who are getting new patients, who’s covering for other therapists who may be out, who needs help with their workload, and other things of that nature. Dr. Morgan and her staff also have monthly department meetings to discuss safety, communication between different departments and their staff, and other things she thinks that needs to be discussed more in-depth. Along with these meeting within the hospital, there is also other forms of new therapy and communication skills to be learned through internet education from her company and outside conferences offered through American Physical Therapist Association (APTA). Dr. Morgan believes it is important for her staff to communicate effectively and concisely between each other to avoid misunderstanding for patients’ care.
Many people may think that a facility like an impatient clinic gets all kinds of new equipment all the time but in fact, that all depends on the hospital’s budget. If the hospital is sponsored or well-funded by a school or other large companies, there may be money for a therapy clinic to get new technology but typically, most hospitals have to pay for a lot more things besides the therapy department. Dr. Morgan says that if there is broken equipment, the equipment is usually fixed in timely manner but there isn’t too much money for brand new equipment for each year. Most clinics are like this, inpatient and outpatient. That doesn’t mean that Dr. Morgan doesn’t get numerous calls and emails for new products from different outside companies. Many of these companies try to sell products to her department but there are not many occasions when she absolutely needs them or can afford many of these products when the money they do have goes to fixing their current equipment. However, that doesn’t mean that they never get new equipment. Recently, one of Dr. Morgan’s occupational therapists was able to convince the hospital to purchase a product that makes bed transfers enormously easier for the medical staff. It is now standard to use this product when the therapy does transfers between beds or to cardio chairs, therapy reclining chairs.
With all these daily responsibilities for Dr. Morgan, it is no wonder that she typically stays at least an hour, sometimes two hours, after seeing patients to write daily progress reports, insurance forms, call back other healthcare professionals, and other companies trying to sell her products. This interview with the head of a therapy department within an acute care hospital is invaluable to my learning experience to becoming a physical therapist because I do want to run my own department or clinic in the too far future after physical therapy school. I really appreciate the time Dr. Cindy Morgan took to speak with me and hope to learn more from her throughout my continuing education.

Michelle Provenza, guest blogger.

Through The Eyes Of A Middle School Biology Teacher

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Mr. Brent May teaches Advanced Science to 7th and 8th grade students at West Ridge Middle School. Upon interviewing him, I learned a little about his job and the types of communication he uses for it.

West Ridge Middle School

West Ridge Middle School

Mr.May graduated from Louisiana Tech University with a bachelor’s degree in Environmental Science Biology and chose to become a teacher due to the stability of the education industry compared to other industries in the science field. He then pursued a master’s degree in Education at Louisiana Tech receiving his teaching certification. Additionally he obtained a master’s degree in Administration from the University of Louisiana at Monroe.

Throughout his teaching career, Mr. May has seen numerous changes in the field of education. The main change being increased teacher responsibility for student performance, resulting in a decrease in the students’ accountability. Unfortunately some perceptive students take advantage of this and do not apply themselves as they otherwise would. There are disciplinary actions that teachers can implement for such students. First a student must sign the teacher’s disciplinary log acknowledging he or she has been warned. Secondly, the student’s parent or guardian must be contacted. The next measure requires the student to copy “The Pledge of Excellence”. This pledge is a lengthy paragraph on excellence that takes the place of the student “writing lines”. Lastly, the student can be written up if behavioral or disciplinary problems still occur.

Mr. May says aside from general lectures in the classroom, his classes visit the computer lab and sometimes take trips outside for hands-on learning. “In Earth Science we can go outside, [and they] can see what I’m talking about. That usually helps.” He also says his classes do a lot of interactive progress group work.

When asked about how communication differs among the varied student age groups, Mr. May responded with, “You have to be pretty detailed and more thorough.” in regards to middle school aged children. He also finds he has to be more repetitive with younger students as opposed to the older high school students. Mr. May notes that 6th graders need a detailed schedule and more structure. They also need to be made aware of the classroom rules. However, 8th graders already have an understanding of the classroom process and are more easily instructed in rules and guidelines. Establishing classroom order creates a much better learning environment for students. High school students tend to be more independent in their work and require less instruction or reminding.

Mr. May says email is his first method of contacting parents. This saves conference times for more serious problems. If emailing does not solve the issue, a conference must be arranged by the parent through a counselor at the school, and a member of administration must be present for the parent-teacher conference. Mr. May has never had a problem that needed to be resolved with more than a conference. “Usually it’s nothing bad. It’s ‘How can we help the kid improve in the class?’”, says Mr. May.

Much like communication with parents, Mr. May uses email to contact his administrators as well. “If it’s not a pressing matter, just email.” He says that due to their busy schedules during the day, email is the most effective method of communication. He will also text, page, or even locate the principle on campus to speak if this issue is serious.

“For teaching, most of the writing we have to do is formal in terms of paperwork for SLTs (Student Learning Target) and evaluation forms.” Mr. May says teachers must also fill out forms for students with disabilities who need accommodations in the classroom. Outside of the classroom Mr. May uses formal writing immensely for numerous reports in graduate school. Much of the work he did in graduate school for his administration degree also entailed writing responses to particular scenarios.

To any student pursuing a career in education, Mr. May would suggest taking the route he took. He suggests getting a degree in your subject of interest then becoming certified to teach instead of majoring in education. He also suggests observing as many classes as possible to develop an understanding of the classroom environment and become familiar with it before you have your own class.

It was a joy and pleasure to interview Mr. Brent May, and I would like to thank him again for his time and cooperation.

-Tatum Saucer, guest blogger