Targeted Barriers To Mobility: Opportunities In Fall Prevention



Show Notes

Guests:

Emelia McCuen PT, DPT, GCS, CCS

emccuen@bgsu.edu

linkedin.com/in/emelia-mccuen-45b216255

Brian Hull PT, DPT, MBA

Brian.Hull@BSWHealth.org

Twitter: @BrianHullDPT

LinkedIn: www.linkedin.com/in/brianhulldptmba

Guest Quotes:

Emelia 2:34 “Other entities within the hospital system didn’t feel comfortable with mobilizing patients who didn’t have mobility deficits.”

Brian 5:44 “So why is it that  when they’re in the hospital, they’re lying in flat on their back for 23 and a half hours a day  when you’re at home, even if you’re sick, at the very least you get up to the couch to watch Netflix for 10 hours, right?”

Emelia 20:15 “if you look at our study, the mobility tech spent maybe 14 or 15 minutes with each patient.

And that was from the time they walked in the door to the time they walked out. So the actual mobility part of it may have only been 10 minutes. I think we took the time to break down a lot of those perceptions of  I’m not qualified to do this. This is going to take too much time. I’m not sure what level the patient is supposed to be mobilizing at. And broke it down. And when they saw that the units started using it over and over again.”

Emelia 36:26 “For those who are trying to get this started and you, and you’re not sure and you’re doing your needs assessment, the biggest thing you could do to help your nursing colleagues, to help the therapy department, to help the hospital is that there has to be some type of standard assessment of how we look at patient mobility. If that is not there, that is a good starting point because you have to speak the same language.”

Rapid Responses:

What’s the last book you read?

Emelia “Cardiopulmonary Practice by Ellen Hillsgass

Brian “The Leonardo da Vinci biography by Walter Isaacson

You know you work in acute care when:

Emelia “You don’t breathe in through your nose.”

Brian “When the unexpected happens every single hour of the day, nothing that you thought was going to happen, happened.

And you still roll with it.”

Links:

An Alternative Approach to Prescribing Sternal Precautions After Median Sternotomy, “Keep Your Move in the Tube” https://doi/abs/10.1080/08998280.2016.11929379 Applying Telehealth Technologies and Strategies to Provide Acute Care Consultation and Treatment of Patients With Confirmed or Possible COVID-19 https://doi.10.1097/JAT.0000000000000143 The Process of Implementing a Mobility Technician in the General Medicine and Surgical Population to Increase Patient Mobility and Improve Hospital Quality Measures: A Pilot Study, https://doi.10.1097/JAT.0000000000000110 Frailty in Acute Care: Not Just Your Grandparents’ Medical Condition, https://doi.10.1097/JAT.0000000000000152

Connect with our hosts and the podcast!

Email the show if you would like join our team: aptaacpodcast@gmail.com

Leo Arguelles (LEE-O R-GWELL-IS)

largue2@uic.edu

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

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APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings


How To Use Clinical Decision Research to Assist Discharge Recommendations



Show Notes 

Guests:

Thomas “Gus” Almonroeder, PT, DPT, PhD

almonroeder.thomas@gmail.com

https://www.linkedin.com/in/thomas-gus-almonroeder-b947691b0/

Tricia Widenhoefer PT

widenhoefert@trine.edu

www.linkedin.com/in/tricia-widenhoefer-084b41144

Guest Quotes:

Gus: “We created kind of a collection of clinical vignettes…reflected patients that were in an acute care setting. We distributed kind of to our local network of therapists… ask them to review the cases… then ask the therapist to make a recommendation: Home with therapy, outpatient therapy, long term acute care, sub acute care, all the kind options that you may consider as an acute care therapist.

And then we looked at the consistency among those different options. And our idea was to kind of look at how consistent is decision making among acute care therapists with making these recommendations, because we knew that’s…one of the key functions of being an acute care therapist is making those recommendations… So that was kind of the crux of our study.”

Rapid Responses:

You know you work in acute care when:

Triciayou go home “wearing” part of your patients”

Gusyou’ve reached 10,000 steps before noon”

Links:

https://journals.lww.com/jacpt/abstract/2024/07000/consistency_of_physical_therapist_discharge.3.aspx

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

largue2@uic.edu

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings


Unlocking Research & Virtual Learning: A Revealing Conversation with Bobby Bellarmino



Show Notes

Guest:

Bobby Belarmino PT, DPT, PhD, CCS

Chair of the Online Education Committee of the Academy of Acute Care PT

belarmino@uthscsa.edu

https://directory.uthscsa.edu/academics/profile/belarmino

LinkedIn

Guest Quotes:

9:42 “…There seems to be a variability on how we think about transferring that care to the nursing. And that was just a light bulb to all of us. Why can’t we study it and create some recommendations on how we can determine when it’s the right time to transition the patient with balloon pump to nursing.”

18:36 “And we didn’t find any significant adverse events once they transition successfully transition to nurses…but they more appreciation, more collaborative effort that we have created even more communications between nurses and the proper handoff of ambulation from the PT to the nurses. It’s become more objective.”

20:19 “One thing that I really am proud of is increasing the offers. Of that because I really think that The more we can offer to our members the better it is.”

Rapid Responses:

Name an influential  P. T. in your career:

“What made me become a physical therapist was the physical therapist of my grandmother back in the Philippines. Oh, yes, yes. I didn’t know about PT back then. Remember, this is many years ago in the Philippines, physical therapy profession, and not well known.

And then my mother had a grand had a stroke, and I was just finished high school. I don’t know what to do with my life.  My aunt said, go help me carry grandmother to the PT. I said, PT, what is that? You’re going to like it.  I don’t know if we’re going to like it, but seeing my grandmother bedridden because of the stroke.

And after a few months, able to sit and walk. That was fascinating to me. That was the moment. Yes, that was the moment I realized I’d like to be like that.  There’s so many people I have been blessed in this career. That’s why I love this profession.”

You know you work in acute care when:

“When you don’t mind dealing with bodily fluids.”

Links:

Using Outcome Measures to Transition Ambulation From Physical Therapy to Nursing for Patients With Mechanical Circulatory Support

A Pilot Study

APTA Acute Care Education Resources

Open Acute Care Volunteer Positions

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

largue2@uic.edu

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


Outcome Measures In Acute Care: Making Time To Incorporate



Show Notes

Guest:

Darby Smith PT, DPT

darby.smith@memorilahermann.org

Guest Quotes:

5:03 On Outcome Measures in Acute Care: “I think the key takeaway is that there are these documented barriers of the time and the productivity concerns and just the, the kind of acute nature of patient populations and like the diversity of it. And I would say the biggest barrier for most people that I found in their research is the resources. They don’t, they want to use it, but they don’t know how to get started.”

7:29 “I’m a big believer that there is not one fits all outcome measure for every single patient that every single therapist is going to see…what impairment am I trying to capture and what outcome as knows that can capture that impairment best.”

21:46 “But when you really look at the research, There may be an outcome measure on there that maybe we personally thought should have been on there, but the research isn’t there or it’s not there in acute care. And so that’s where we encourage clinicians. If you have a strong preference on the outcome measure, go do the research.”

Rapid Responses:

Name a therapist that has been influential to your PT career.

“Christa Gilley”

You know you work in acute care when:

“You hear “you know I just had surgery right?” Three times a day”

Links:

Perception and Utilization of Standardized Outcome Measures in Acute Care Physical Therapy

An Analysis of Practice

Core Outcome Measure Set Document (for Public Review and Comments)

Provide Feedback on the COM CPG

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

largue2@uic.edu

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

Bridge the Gap

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


Unleashing Potential: Clinician To Educator, A Powerful Journey



Show Notes 

Guests: Kathy Lee Bishop PT, DPT, FNAP, Board-Certified Cardiovascular and Pulmonary Clinical Specialist

Guest Quotes:

  • “Learning never stops; self-reflection drives growth, and being humble to learn is here to stay!”
  • “Acute care therapists must push themselves to learn about different medications and technologies, ensuring we grow with the evolving field.”

Guest Links:

Becoming an anti-racist interprofessional healthcare organization: Our journey

Acute Care Physical Therapy, Second Edition

Links:

2025 APTA Acute Care Nominations & Elections

June 26th, Acute Care Town Hall: House of Delegates

Nominate Yourself

Nominate a Fellow APTA Acute Care Member

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

largue2@uic.edu

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

Bridge the Gap

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


All About 2025 Academy Elections: What You Should Know



Show Notes 

Guests:

Leslie Ayers PT & Brigid Griffin PT, DPT

APTA Acute Care Nominating Committee Members

Guest Quotes:

15:46 Leslie “ I would say I’ve really enjoyed the nominating committee so far… And it wasn’t necessarily even something that I was thinking about, but I’m so happy that I said yes and took that leap.  You get to see the inner workings of the academy without kind of from the outside, looking in and get an idea of what everybody’s doing. Without necessarily having to Jump in full fledged.”

17:30 Brigid “That was actually definitely my motivation for running for the position. So Leo pinged me for it. And the first time I was like, no, I don’t really know a lot of people in the Academy. Like most of my like networking and like colleagues and stuff has been in the pediatrics Academy because I’m pediatric acute care. But I really wanted to get involved in the acute care Academy. So after the second email, I was like, you know, you’re right,this is my end to like network with people and meet people and start volunteering in a role.”

Links:

2025 APTA Acute Care Nominations & Elections

June 26th, Acute Care Town Hall: House of Delegates

Nominate Yourself

Nominate a Fellow APTA Acute Care Member

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

largue2@uic.edu

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

Bridge the Gap

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


Live from Bridge the Gap 2024



Join us for a recap of Bridge the Gap 2024

“You know you’re in acute care when”

Guest & Subscriber Dan:  “That nothing surprises you anymore in acute care. It is a rare day that I walk away from work shocked of something. Every once in a while it happens, but generally speaking, nothing surprises me anymore. We’ve got good poker faces.”

Links:

2025 APTA Acute Care Nominations & Elections

Position Descriptions

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

largue2@uic.edu

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

Bridge the Gap

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


Making An Impact: Christiane Perme Shares Her ICU Mission Trip To Ukraine



Show Notes

Today’s Guests:

Christiane Perme, PT, CCS, FCCM

chrisperme@gmail.com

www.permeseminars.com

Twitter/X: @icuperme

IG: permeicuseminars

LinkedIn: Christiane Perme

Bio: Christiane Perme, PT CCS FCCM is the owner of Perme ICU Rehab Seminars and a Rehab Education

Specialist at Houston Methodist Hospital, where she practiced as a physical therapist exclusively in ICU

for more than 30 years. She is a Fellow of the American College of Critical Care Medicine, the first physical

therapist in the world to receive such recognition, and a Board Certified Cardiovascular and Pulmonary

Clinical Specialist. Mrs. Perme has extensive experience in early mobility in ICU, with special interest in

patients on mechanical ventilation. She has published 23 articles and authored 10 book chapters. Mrs.

Perme is a world-renowned speaker and has presented hundreds of courses and lectures in different

countries, including the United States, Peru, Ukraine, Brazil, United Arab Emirates, Chile, Colombia, Puerto

Rico, Germany, Denmark, Russia, Nigeria, Netherlands, Canada, and Spain.

Links:

Link for the video from the training mission in Ukraine on YouTube: https://youtu.be/ETTLxGNCw7A?si=FScwwD7kHlSAAIO-

2025 Call for Nominations

https://cdn.ymaws.com/www.aptaacutecare.org/resource/resmgr/csm/csm_2024/cycle_2.pdf

Guest Quotes:

9:02 “There was like in high school, one of those profession fairs where the counselors come to talk about different professions and they were talking about the doctor, the nurse, the lawyer. And then all of a sudden I even remember where I was sitting in this auditorium, when they said, and there is a professional physical therapy,  this profession helps patients recover and they set this example. For example, if you have a patient that is in a car accident or if they have a stroke, the physical therapist helped them walk again.  At that moment,  I felt like That is exactly what I want to do.  And I honestly don’t even remember what came after that because I kept thinking about, Oh my God, there’s somebody that helps people walk again.”

26:25 “The part that was  most impactful to me is they did a phenomenal job  in the bomb shelter, all of the walls in the hallway. Once you get down there, there are pictures of patients  that were injured during the war and have pictures like one family that the whole family had amputations and the physician who is, she’s the director of all of the ICUs,  you could see her explaining about that family and what they went through and you could see in her voice, how hard it was for her to talk about that.  She went through all of the pictures on the wall and really educated us about what was happening to that country and how civilians, how people just like us were being affected. So that was a very powerful moment.”

30:20 “I’m going to share with you because this was one of the unique moments:

For all of us, I was teaching one of my classes and the director of the ICU came in with the the director of all of the ICUs with the director of the ICU, one of the ICUs, and then translator came to me and said, Chris, the doctor is asking if you can interrupt your class for a moment. I said, sure. She needs to address all of the doctors.

And she went there, that was, we have been there for about four days at this point.  She went there and she told the physicians.  I want you to please listen to the Americans.  You have no idea what they have done to our patients in the past.  Wow. Our patients that were on the ventilator, that we didn’t think that  they could be extubated.

Not only they are no longer on the ventilator, but they’re not in ICU anymore.  And she was saying that now we have all of these beds in ICU because our patients are leaving the ICU.  And  please listen to the Americans. They know what they’re talking about because we are only four days. And it already changed what hospital that gives me chills.”

35:34 “For all of us who work in acute care, always look for the opportunities, look for the opportunities that we have to make a difference in somebody’s life.  They’re out there and there are plenty of them.  So  just keep your eyes, your ears open, and  look for these opportunities that we can really make a difference.”

Rapid Responses:

Book Recommendation: Every Deep-Drawn Breath by Wes Ely, MD

You know you work in acute care when:

“Two things.  You have to work weekends the rest of your life working in acute care, and you also have to help nurses with personal hygiene of patients.”

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

largue2@uic.edu

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

Bridge the Gap

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


Bridge the Gap Conference: Are You Missing Out?



Show Notes

Today’s Guests:

Melissa Hake PT, DScPT

hake.melissa@mayo.edu

William Healey PT,EdD, GCS

b-healey@northwestern.edu

Bridge the Gap Conference Co-Chairs

Links:

https://www.aptaacutecare.org/page/bridgethegap

Attendee Pricing: APTA Acute Care Members $225, Non-Members $325, Students/Residents/Fellows $75

May 7th Webinar: The Path Isn’t Clear: The Complex Ethics of Palliative Care PT in the Hospital

https://www.aptaacutecare.org/events/EventDetails.aspx?id=1849536&group=

2025 Call for Nominations

https://cdn.ymaws.com/www.aptaacutecare.org/resource/resmgr/csm/csm_2024/cycle_2.pdf

Guest Quotes:

What’s the origin story of the Bridge the Gap conference?

1:44 Melissa “There were gaps between kind of disseminating and implementing information from the classroom to the clinic, and then also from research published evidence into real world settings with all the barriers and constraints and things that go on within the health care system. And so thinking of those gaps we really sought to have a conference where people could come together around those topics and try to improve and, and bridge those gaps.”

On BTG Speakers

13:33 Melissa: “…we’re really, really intentional about trying to get all kinds of different perspectives from different stakeholders. So we had rural, we have large hospital, we have administrators, we have clinicians we have academics who are trying to like take complex patients and how do we weave that into a curriculum? …we did our best to get a comprehensive view of what it means to take evidence and innovative ways and move it into practical application.”

Rapid Responses:

What’s your favorite book that you’d recommend?

Bill: “The All Light We Cannot See” by Anthony Doerr

Melissa: “Lord of the Rings”

You know you work in acute care when:

Melissa: “You go to plan Z”

Bill: You’re tired from walking all over the floors.  I’m so tired at the end of the day.”

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

largue2@uic.edu

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

Bridge the Gap

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


Reducing Co-Treating In Acute Care: Why It’s A Necessary Change



Show Notes

Today’s Guests:

Haley Bento PT, DPT, Assistant Professor (clinical), Department of Physical Therapy and Athletic Training, University of Utah

Haley.bento@utah.edu

IG/“The Gram”: @utahcardioPTresidency ; @utahacutePTresident; @itshaleyDPT

Bryan Douglas Lohse, PT, DPT, Board-Certified Cardiovascular and Pulmonary Clinical Specialist, Therapy Services Mechanical Circulatory Support Advanced Practice Specialist

bryan.lohse@utah.edu

Paul Arnold, MOT, OTR/L

paul.arnold@hsc.utah.edu

Links:

Bento, Haley; Fisk, Elizabeth; Johnson, Emma; Goudelock, Bruce; Hunter, Maxwell; Hoekstra,

Deborah; Noren, Christopher; Hatton, Nathan; Magel, John. Inspiratory Muscle Training While

Hospitalized With Acute COVID-19 Respiratory Failure: A Randomized Controlled Trial. Journal of

Acute Care Physical Therapy ():10.1097/JAT.0000000000000217, May 01, 2023. | DOI:

10.1097/JAT.0000000000000217

Bento, Haley A. DPT1; Mayer, Kirby P. DPT, PhD2 Active Mobilization for Patients Requiring

Continuous Renal Replacement Therapy: Let Us Get Moving, Critical Care Medicine: January 2021 –

Volume 49 – Issue 1 – p e117-e118 doi: 10.1097/CCM.0000000000004670

Bento, H. A., Dummer, D., Lohse, B. D., Noren, C., & Tonna, J. E. (2020). Walking While Dialyzing: A

Retrospective Observation of Early Mobility and Ambulation for Patients on Continuous Renal

Replacement Therapy. Critical Care Explorations, 2(6). https://doi.org/10.1097/cce.0000000000000131

Tonna, J. E., Johnson, J., Presson, A., Zhang, C., Noren, C., Lohse, B., Bento, H., Barton, R., Nirula,

R., Mone, M., Marcus, R. (2019). Short-Term Clinical and Quality Outcomes Have Inconsistent

Changes From a Quality Improvement Initiative to Increase Access to Physical Therapy in the

Cardiovascular and Surgical ICU. Critical Care Explorations, 1(10).

https://doi.org/10.1097/cce.0000000000000055

Johnson, J. K., Lohse, B., Bento, H. A., Noren, C. S., Marcus, R. L., & Tonna, J. E. (2019). Improving

Outcomes for Critically Ill Cardiovascular Patients Through Increased Physical Therapy Staffing.

Archives of Physical Medicine and Rehabilitation, 100(2), 270–277.

https://doi.org/10.1016/j.apmr.2018.07.437

Improving Outcomes for Critically Ill Cardiovascular Patients Through Increased Physical Therapy Staffing – https://pubmed.ncbi.nlm.nih.gov/30172645/

Walking While Dialyzing: A Retrospective Observation of Early Mobility and Ambulation for Patients on Continuous Renal Replacement Therapy – https://pubmed.ncbi.nlm.nih.gov/32695996/

Too Many Patients, Not Enough Time: Prioritization to Optimize Outcomes  CSM handouts  -https://cdn.ymaws.com/www.aptaacutecare.org/resource/resmgr/csm/csm_2019/handouts/updated-bento-haley-too-many.pdf

Health System Council Webinar – Collaboration Without Co-Treatment: Creating Discipline-Specific Acute Care Therapy Teams – https://learningcenter.apta.org/products/health-system-council-webinar-collaboration-without-co-treatment-creating-discipline-specific-acute-care-therapy-teams

Guest Quotes:

4:50 Haley “We often co treat with OT and we maybe don’t have a clear role of if that’s beneficial for our professions and our patients.”

8:01 Paul  “But I think as occupational therapists, we maybe haven’t been doing a very good job marketing ourselves and what we can do. And by always walking through the door together, PT and OT, I think it kind of muddies our practices, and it reduces our ability to be more specific and more potent with our treatment sessions.”

14:36  Bryan  “we all tell patients frequent, shorter bouts of activity  and, and if. If I know that Paul is going to go focus on this, on whatever he’s doing with the patient, I’m going to titrate it so that maybe the patient just needs an hour between our sessions or three hours, maybe, but I can still do quality treatment that allows the patient to have full access and the time and energy to be able to work with Paul later. And then the patient’s getting a second session.”

30:57 Paul “I would just make sure it was clear to my best friend that I’ve been co treating with for a long time, that this isn’t a breakup…”

Rapid Responses:

Give me a book recommendation: Bryan “You can’t hurt me, David Goggins.”

What’s your most favorite scrub color to wear in acute care: Paul “Black. Very slimming.”

If you could recommend another person to come on this podcast, who would you recommend. Haley “Callie Dayton from Walking Home from the ICU podcast”

You know you work in Post-acute care when:

Bryan “When you go home in different scrubs than you came to work in”

Haley “When you know all the alarms of all the machines and you hear them even in your sleep.”

Paul “When you  had to buy shoes in the middle of work.”

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

largue2@uic.edu

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

Bridge the Gap

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


Physical Function As A Biomarker For Reduced Readmissions



Show Notes

Today’s Guests:

Jason Falvey PT, DPT, PhD

jfalvey@som.umaryland.edu

https://www.medschool.umaryland.edu/profiles/falvey-jason/

Twitter: @JayRayFalvey

Please look for Jason’s full speech in a future 2024 Journal of Acute Care Physical Therapy issue.

Guest Quotes:

2:44 “physical function is a really, really important predictor of how successfully people are going to transition to the next level of care. And when I say successful discharge, I don’t just mean readmissions…if you ask patients what they care about, that’s not necessarily what they’re going to say is they’re not going to say, I don’t want to visit the hospital in the next 30 days. And then after that, I don’t care.  They really care about being at home, being able to age in place successfully, being able to functionally improve. So PTs have a lot to do with, you know, helping patients reach their goals and things that are maybe not exactly the same as the things your hospital system says are important.”

6:54 “Acute care PTs never know what happens to that person when they leave. They can’t close the loop on equipment or modifications or caregiver training that they recommend. And you’re hoping that everything goes smoothly with a care, you know, transition where that person gets the home care that you recommended or goes to outpatient that you recommended. But you don’t have You know value from your organization to say we’re going to consider it productive time for you to call and follow up …”

15:26 “I think one of the issues I have with productivity systems that are built on touching people is we really have created a volume based model. And do you really feel like you’re able to address every person’s need comprehensively? When, you have, you know, more credit for initial evaluations or new patients or metrics to see every patient within 24, 48 hours, right, it’s, if we started highlighting the value of these other things, maybe there’s advocacy and support and budgets at the hospital for more therapists or people to take on different roles.”

Rapid Responses:

If you had to co treat with a cartoon character on a home health visit, which cartoon character would you co treat with?

“Oh, the genie from Aladdin for sure.”

You know you work in Post-acute care when:

You are working on a Sunday to get your last visit slash minute slash whatever you need to hit your metrics for the week are.

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

largue2@uic.edu

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

Bridge the Gap

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


Live from Boston: CSM 2024



Show Notes CSM 2024 Live from Boston

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

largue2@uic.edu

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

Bridge the Gap

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


Creating Value Together: From Bedside to Boardroom



Show Notes

Today’s Guests:

Brian Hull PT, DPT, MBA

Brian.Hull@BSWHealth.org

Twitter: @BrianHullDPT

LinkedIn: www.linkedin.com/in/brianhulldptmba

Kyle Ridgeway PT, DPT, CCS

kyle.ridgeway@uchealth.org

Twitter: @Dr_Ridge_DPT

IG: @kylejridge

LinkedIn: https://www.linkedin.com/in/kylejridgeway/

https://ptthinktank.com/author/kridgeway/

https://www.youtube.com/@kyleridgeway8484

Links:

Acute hospital Rehabilitation Intensive Service (ARISE) model of Stroke Care. Video Lecture (15 mins). Johns Hopkins Medicine.

Development and Implementation of a New Model of Care for Patients With Stroke, Acute Hospital Rehabilitation Intensive Services: Leveraging a Multidisciplinary Rehabilitation Team. Am J Phys Med Rehabil. 2023.

Prespecified dose-response analysis for A Very Early Rehabilitation Trial (AVERT). Neurology. 2016.

Efficacy and safety of very early mobilisation within 24 h of stroke onset (AVERT): a randomised controlled trial. Lancet. 2015.

Guest Quotes:

Brian 14:07 “There are some excellent clinicians out there and there are some excellent researchers out there and there’s some excellent operations managers out there.  But how often do you find an operations manager who is also pretty, pretty adept at the literature base and applying it clinically? How often do you have a clinician who understands operations and on a regular basis can tie it back to how they’re increasing or decreasing length of stay. And how often do you have researchers  who are actively embedded within acute care…but it’s rare to find someone who is an active clinician. An actively publishing, disseminating researcher who is also excellent at clinical operations.  And so, being able to pull it all together.”

Kyle 18:15 “one of our chief nursing officers in our system always says the wisdom is at the bedside. And so if we’re trying to decrease length of stay, of course.  Brian is an operations economics expert. He can help us model that he could be thinking about. Hey, we need to process map this out. I need to understand what we’re doing.  But the clinician might have the secret sauce that says here’s the bottleneck and here’s the problem and them and Brian together can fix it and come up with a potential solution.

And the researcher that the data minded person can say, well, and you know what, if you really want to answer that question, Brian, here’s the data you need to collect or you can’t answer that question, but you can quantify this.  And I think that and that’s why all of those levels are important. And it’s important to connect them from top to bottom and side to side.”

Rapid Responses:

If you can have lunch with one person from past history, who would it be?

Brian: “I’m going to go from current history and also past Willie Nelson, who is the star of Texas and poet laureate, and he’s still around for a little bit longer.  So I’d love to sit down with him.”

What other podcasts would you recommend to our audience?

Kyle: “The Knowledge Project with Shane Parrish”

You know you work in acute care when:

Brian: “When you love things to fall down all around you continuously and that you’re challenged to pick up the pieces and somehow make it better than it was originally.”

Kyle: “I’m going to say when you’re called everything but a therapist, every other profession that can work.”

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

largue2@uic.edu

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

Bridge the Gap

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


CSM Shark Tank: Exclusive Preview With The Sharks



Show Notes

Today’s Guests:

Kerry Lammers PT, DPT, CCS

Kerry.Lammers@osumc.edu

Twitter: @kerry_lammers

Josh Johnson PT, DPT, PhD

joshua.johnson@duke.edu

Twitter: @joshkj_dpt

LinkedIn: https://www.linkedin.com/in/joshua-johnson-21262a41/

Kyle Ridgeway PT, DPT, CCS

kyle.ridgeway@uchealth.org

Twitter: @Dr_Ridge_DPT

IG: @kylejridge

LinkedIn: https://www.linkedin.com/in/kylejridgeway/

https://ptthinktank.com/author/kridgeway/

https://www.youtube.com/@kyleridgeway8484

Richard Severin PT, DPT, PhD, CCS

rsever5@uic.edu

Twitter: @ptreviewer

IG: @pt_reviewer

Daniel Young PT, DPT, PhD

daniel.young@unlv.edu

Links:

CSM Acute Care Programming: https://www.aptaacutecare.org/page/CSMmain

CSM Shark Tank Session: https://apta.confex.com/apta/csm2024/meetingapp.cgi/Session/18385

Shark Tank Application: https://ufl.qualtrics.com/jfe/form/SV_9ZF2GDgjg6vxXfw

Research Connections Event: https://apta.confex.com/apta/csm2024/meetingapp.cgi/Session/19126

Bridge the Gap: https://www.aptaacutecare.org/page/bridgethegap

From December Critical Edge (More information):

Seeking Academy Members to “Swim in the Shark Tank” at CSM 2024

In this open call, we are seeking budding investigators to submit their idea, for the chance to pitch it live… to a panel of six expert “sharks” at CSM 2024!

Have you ever had a clinical question you thought could turn into a project? Or a project that just can’t seem to get off the ground? Are you unsure how to take a great idea all the way to CSM?

Those selected will give a 3-5 minute “pitch” of their idea at the conference. Our panel of “sharks” will talk through the challenges and triumphs of conducting clinical research and offer specific feedback and guidance. Contact Research Committee Chairs or submit your idea directly.

Everyone is encouraged to join us in the very first Academy of Acute Care Shark Tank at CSM 2024, for a great dialogue about bringing science into practice!

Guest Quotes:

3:21 Kerry “The goal of the Shark Tank is basically to create a mentorship type relationship, create connections around the country. You know, connect like minded individuals who have experience doing these types of projects ranging from really sophisticated research projects all the way down to how do I just operationalize a systematic change here at my med center…”

5:53 Rich “But I think there’s so many stories from clinical practice that don’t get told just because people don’t have the means to do it, right?…And this is a great opportunity for clinicians who are trying to test the water.”

6:57 Josh “I don’t have to be the one that asks the questions, I get to partner with clinicians who have much more relevant questions than I could possibly ask. And we get to bring those to the forefront…”

26:44 Daniel “I think that the end goal is that we provide better care. Like that’s the end goal for any of the things that are coming. So if you’re a person who’s thinking, I wish we could do this better, or I wish we knew how to do this better or what to do better.  Those are the people and the ideas that we need here.”

27:28 Kyle “We want our time and investment of this individual to help them grow to be better to able contribute in their local environment, whether that’s a 40 bed critical access community hospital or 1000 bed academic center and improve the care of their patient populations, given the challenges and the people that they serve.”

Rapid Responses:

What’s your favorite scrub color?

Kyle: “It’s got to be Caribbean blue. Cause that’s what I’m mandated to wear. So that went down in the brand. Let’s do it.”

You know you work in acute care when:

“You value your relationship with the CNAs and the environmental service employees.”

Kerry: “The smells. You just know”

Danny: “You have to change into scrubs because you got poop on the original ones.”

Kyle: “When you end your day and you’re not sure if you’ve done any therapy. “

Josh “the fact that patients and families get really excited about little things like, Sitting up”

Rich “Become best buddies with the nursing staff”

Other Guest Links:

LeaRRn Podcast episode: https://learrnpod.podbean.com/e/dr-johnson-and-dr-mjlee-present/

Cleveland Clinic Neuro Pathways Podcast episode: https://my.clevelandclinic.org/podcasts/neuro-pathways/high-intensity-home-based-rehabilitation-for-stroke

NEJM Catalyst paper: https://catalyst.nejm.org/doi/full/10.1056/CAT.21.0125

https://www.linkedin.com/in/kylejridgeway/details/publications/

https://daytonicuconsulting.com/walking-home-from-the-icu-podcast/walking-home-from-the-icu-episode-99-how-physical-therapists-save-lives-in-the-icu/

https://www.ptpintcast.com/2020/04/05/covid-19-icu-pt-update-with-kyle-ridgeway/

https://podcast.healthywealthysmart.com/274-drs-kyle-ridgeway-kenny-venere-ok-argue-skepticism-nuance-pt/ https://podcast.healthywealthysmart.com/275-drs-kyle-ridgeway-kenny-venere-ok-argue-part-ii/ https://healthcareeducationtransformationpodcast.com/kyle-ridgeway-effective-education-in-acute-critical-care-settings-part-i/

https://healthcareeducationtransformationpodcast.com/kyle-ridgeway-effective-education-in-acute-critical-care-settings-part-ii/

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

largue2@uic.edu

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


Life Is A Mystery: Exploring Self Care And New Opportunities



Show Notes

Today’s Guests:

Edward Mathis, PT, DPT

edwardmdpt@gmail.com

Twitter: @edwardmdpt

https://www.linkedin.com/in/edward-mathis-2a543926/

Links:

Two books to read regarding self care: “Stillness is the Key” by Ryan Holiday and “The Comfort Crisis” by Michael Easter

Guest Quotes:

16:37 “I think it’s not only just important for ourselves to be able to find a little bit of that inner peace but it’s also really important with our patient interview, because if you can’t still your mind while you’re asking the patient all their subjective information, if you can’t make that connection.  You’re not going to have real good rapport with that patient. So if you can’t find that stillness in yourself…”

25:33 “You need to find some type of outlet…it’s learning how to just find some calm, find some peace, maybe start kicking in your parasympathetic nervous system for a change.”

Rapid Responses:

If you  were going to walk into a patient’s room and there would be a theme song when you would walk into a patient’s room, what song would that be?

“The opening theme for Star Wars, A New Hope.”

You know you work in acute care when:

“You value your relationship with the CNAs and the environmental service employees.”

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


Palliative Care And PT: Mutually Exclusive Or Best Practice?



Show Notes

Today’s Guests:

Chris Wilson, PT, DPT, DScPT

Board-Certified Clinical Specialist in Geriatric Physical Therapy

wilson23@oakland.edu

LinkedIn

Twitter

Instagram

Links:

Oncology Rehabilitation: A Comprehensive Guidebook for Clinicians – 1st edition – Elsevier

https://evolve.elsevier.com/cs/product/9780323810876

Physical Activity and Rehabilitation in Life Threatening Illness – Routlege

https://www.routledge.com/Physical-Activity-and-Rehabilitation-in-Life-threatening-Illness/Litterini-Wilson/p/book/9780367710637

Oncology COG: https://oncologypt.org/publications/#CPG

Article on bone metastases: https://journals.lww.com/rehabonc/citation/2021/07000/evaluating_the_risk_of_pathologic_fracture_in.10.aspx

American Palliative Rehabilitation Alliance – www.palliativerehab.com

https://www.chooseyourpath.vitaltalk.org/

https://mskcc.cloud-cme.com/course/courseoverview?P=0&EID=4192

Bridge the Gap 2024: If you are interested in submitting a poster for presentation or being a guest speaker, contact our co-host Leo Arguelles at arguellesdpt@gmail.com

Guest Quotes:

2:24 “Even experienced clinicians also have a lot of difficulty prioritizing a lot of these patients and, and really, at least for acute care, palliative care, the nice thing is about palliative rehabilitation is one, it really helps the patient.

So it’s the right thing to do to get them where they need to be.”

4:29 “The confusing thing in acute care is the patient can be exactly the same as they were yesterday and they get quote unquote discharged from the hospital and automatically readmitted under a hospice benefit…but they elected to go on hospice, and then basically their opportunity to work with therapy was arbitrarily discontinued.”

13:17 “So palliative care really is patient centered care and goal oriented care, which we really should be doing for everyone”

Rapid Responses:

Shoes you would recommend to wear on acute care?

“Something cheap so you don’t have to scoop poop out of them.”

You know you work in acute care when:

“When you know what it means when someone has different scrub colors on the top and the bottom. Everyone knows the secret signal of they’re wearing purple top and they’ve got green bottoms.”

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


Acute Care Residency Education: The Future is Now



Show Notes

Today’s Guests:

Beverly Fein PT, DPT

Clinical Associate Professor of Physical Therapy, &

Director of Clinical Education, Sacred Heart University

Chair of the Residency/Fellowship SIG

feinb@sacredheart.edu

Krissy Stein, PT, MPT

Residency Coordinator, Henry Ford Hospital

kstein1@hfhs.prg

LinkedIn

Instagram

Links:

https://www.aptaacutecare.org/store/viewproduct.aspx?ID=21128550

https://abptrfe.apta.org/

https://accreditation.abptrfe.org/#/directory

Bridge the Gap 2024: If you are interested in submitting a poster for presentation or being a guest speaker, contact our co-host Leo Arguelles at arguellesdpt@gmail.com

Guest Quotes:

4:57 Krissy “So residency is a really great way to get all of those advanced practices done in that year and fill in the gaps.”

14:41 Krissy “You’re self selecting into that elite path to be the best clinician that you can be. Also, you’re also advocating for PT within the hospital, what our role is. So we do so much interdisciplinary collaboration. You’re automatically elevating how we’re seen as a profession within the hospital.

19:26 Beverly “The other research that we’re seeing across the board is that residency education in general: increased speed of the career trajectory. Increased salaries…Rapid movement into leadership positions or teaching positions…they’ve got research presentations, whether it is at a chapter meeting, whether is it combined sections. We’ve had residents who participated in the Academies clinical practice guidelines on outcome measures.  Now the residents are embedded in scholarship.”

20:58 Beverly “Data on acute care residencies is even in a short period of time, we have the 41. acute residency graduates. And we had 31 respondents. So a very large percentage of the of the alumni of acute care residencies. And they very clearly had a ramping up toward leadership, towards teaching, toward research, toward career development, all of the things we wanted to see.”

Rapid Responses:

Does pineapple belong on a pizza?

Krissy: “I don’t like pizza”

Beverly: “Pineapple does not belong on my pizza, sorry.

You know you work in acute care when:

Krissy: “You can discuss what you want for lunch while you’re doing peri care.”

Beverly: “I would say you have a change of clothes because you’re used to having your clothing soiled. So not by yourself, but by someone else. “

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

October 26th Town Hall on Acute Care Residencies

Awards

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


Stop Skipping The Mother: Hazardous Problems And Powerful Solutions



Show Notes

Today’s Guests:

Rebeca Segraves PT, DPT

Board-Certified Clinical Specialist in Women’s Health Physical Therapy

rebeca@enhancedrecoverywellness.com

https://enhancedrecoveryafterdelivery.com

https://www.linkedin.com/in/dr-rebeca-segraves2030/

https://twitter.com/RebecaSegraves

https://www.instagram.com/rebecasegraves_/

https://www.instagram.com/pelvichealthnetwork/

Jenna Segraves PT, DPT
Board-Certified Clinical Specialist in Neurological Physical Therapy
jenna.segraves@gmail.com

Erin Locati PT, DPT

erin@risepelvicpt.com

IG: erin locati_pt

Ann Croghan PT, DPT, CLC, CAPP-OB Certified

acroghan12@gmail.com

Links:

OB PT & OT Facebook Group

https://journals.lww.com/jwphpt/Fulltext/2023/01000/Initiating_Occupational_and_Physical_Therapy_in.4.aspx

https://academic.oup.com/ptj/article/101/7/pzab093/6169701

https://women.texaschildrens.org/blog/road-recovery-physical-therapy-services-benefit-women-after-c-section

Guest Quotes:

2:48  Erin  On Why PT isn’t more involved with Pregnancy and Postpartum care “One of the big ones is that I think it’s a society we just don’t really value maternal care as much as we do some other diagnoses.”

6:19 Jenna “But what are the social determinants of health that this individual has an acute care therapists are The best highly qualified in order to address that.

I don’t think that there’s any other setting that does as deep of a dive of someone’s home environment, their support system that they have, what are what are the duties they have to go back to doing and then actually trying to simulate it in the hospital before they go home.”

10:26  Rebeca On Taking Vitals with Activity“We have to fill in the gap as therapists with every single patient population. The OB population is no different.”

Rapid Responses:

Give me a song on your workout playlist?

Rebeca “My Power, Beyoncé”  Jenna “Anything by Journey”

What other podcast besides this one would you recommend?

Erin “The Good Faith Podcast”

Ann “I Shouldn’t Be Alive”

You know you work in acute care when…

Rebeca “when you have a change of clothes, at least 3 times”

Jenna “When you receive a stat order to, for someone who’s potential discharge but they’ve never had PT for the whole week and a half they’ve been in the hospital.”

Erin “When you change your shoes at your car”

Ann “You leave your shoes under your desk”

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

October 26th Town Hall on Acute Care Residencies

Awards

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


Advocacy Inside And Out: Don’t Stop Me Now



Show Notes

Today’s Guests:

Jamie Dyson, PT, DPT

jamiedyson224@gmail.com

Guest Quotes:

2:55 “There’s too many people talking and not enough people actually doing something about it. And, you know APTA is 100, 000 members strong. If everyone just did a little something we’d We’d really be able to make some progress.  You know, the other issue and I’m getting on a soapbox a bit is we only represent about 30% of the profession. Imagine if we had 50%. Imagine if we had 70%. And the most are usually those that aren’t a part of the solution, and we need to motivate others to join and become a part of the solution.”

18:56 “And so we have all this evidence that that early mobility is effective and safe and decreases costs, decreases vent days, decreases whole bunch of stuff, but we’re still not there yet.  We need to as a profession, promote best care and decrease the variance.”

28:04 “I don’t think I’ve ever seen a nurse stop a nephrologist from seeing a patient. So, we need to have that same mindset.”

Rapid Responses:

What’s your most favorite scrub color?

“The darker, the better. Whatever doesn’t show poop and blood, that’s my color.”

You know you work in acute care when…

“When your shoes are no longer white.”

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


Bonus Episode: APTA Acute Care Student Town Hall Preview



Today’s Guests:

Lindsay Ardiff, PT, DPT

lardiff@gmail.com

LinkedIn: Lindsay-Ardiff

Twitter Handle: LindsaytheDPT

Abby McGowan, SPT

aam137@duke.edu

Guest Quotes:

12:57 Abby: (on getting involved) “I found an opportunity that was just enough for me to feel like I was involved. But wasn’t overwhelming and adding a large load to me.”

20:10 Lindsay (on interview/resume tips) “anything else that you can put on there that shows that you are truly interested in the experience. You care because I think we look for people who are passionate about this setting, not just doing it to like, try it out, get some experience and move on to something else. But people who want to grow and develop and stick around for a long time. And there are a lot of little things that you can do to show that.”

25:51 About the Upcoming Town Hall: “So it’s mostly for students to be able to ask questions about a lot of these topics and more.

How to prepare for clinical and acute care, how to transition from students to being a acute care P. P. Should you do a residency or not? So we have some therapists on the panel from different hospitals across the country with some different perspectives and different ways that they went about the job search and that transition.”

Rapid Responses:

What TV show would you recommend for people to binge watch?

Abby: Yellowstone

Lindsay: The Office

You know you work in acute care when…

Abby: “I’ll say when your, your feet are almost numb at the end of the day”

Lindsay: “You’re riding your bike to work and you’re like imagining. If I were to crash right now, if a car was to hit me, would they take me to my hospital or another hospital?”

Links:

Town Hall Registration Link: https://www.aptaacutecare.org/events/eventdetails.aspx?id=1773366

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


Arthroplasty Unleashed: Defining New Steps With Joint Therapy



Show Notes

Today’s Guests:

Alisa Curry, PT, DPT

Board-Certified Clinical Specialist in Geriatric Physical Therapy.

Twitter: @BlackWomanDr

IG: bodyphysics

LinkedIn

Guest Quotes:

6:19 “having the ability to look people in the eye, talk to them and know how to listen is, it’s a lost art.”

15:55 “We are clinicians, we have the ability to identify deficits and we are losing that in some cases because we’re trying to opt for the volume. So, I would say it’s the quality of what we provide that’s really critical. The quality of our assessment skills, looking at how the foot hits the floor, looking at the body chain, looking at, what is slowing this down?”

26:23 “so to Leo, to answer your question, what a new grad can do, what an experienced therapist can do. Sometimes the best thing that you can do is don’t ignore. The little things because the little things make a huge difference. So if somebody looks like they’re not walking, well, step back and assess and see what, what are they not doing well.”

26:54 “But if we always treat the patient like it’s the last time we’re going to see them, then we know we’ve done as much as possible.”

Rapid Responses:

Favorite book?

“My Stroke of Insight by Jill Bolte.”

You know you work in acute care when…

“you own eight pairs of hokas and you haven’t been to the bathroom until 2:30”

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

Links:

AL Curry, MT Goehring, J Bell, DU Jette. Effect of physical therapy interventions in the acute care setting on function, activity, and participation after total knee arthroplasty: a systematic review. Journal of Acute Care Physical Therapy. 2018; 9(3), 93-106

Jobst E. Physical Therapy Case Files: Acute Care – Total Knee Arthroplasty. McGraw Hill Professional – 2013.

SL Gorman, A Curry. A pilot study exploring the variability of physical therapy practices of members of the total joint replacement listserv. Journal of Acute Care Physical Therapy. 2010; (2), 46-55

F Carole Lewis, PT, DPT, PhD, DPT Linda McAllister, PT, DPT and Alisa Curry, PT DPT. Total Joint Arthroplasty: We Are More Than Technicians. GeriNotes: APTA Geriatrics. 2023; 30(1), 39-40

DA Fasolis, C Warner, B Smith, A Curry, M Kennedy, L Miller. Comparison of PCEA and CEA in Minimally Invasive Surgical Total Knee Arthroplasty Patients. Pain Management Nursing. 2011; 12 (2), e2-e3.

A Curry. Evidence-Based Practice Project–Patient-Controlled Epidural Analgesia Use in Patients with Total Knee Replacement.Journal of Acute Care Physical Therapy. 2010 1 (2), 76

APTA Acute Care:

Website

Awards

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


Students in Acute Care, Take Two



Show Notes

Today’s Guests:

Katie Cazes, SPT

katie97@cox.net

IG: dtx_asco

Abby Gibson, SPT

abigail.gibson@duke.edu

Linkedin: abigail-gibson-spt-0a0631274

IG: abigibsonkate

Guest Quotes:

8:56 Katie (on taking a role as an acute care tech): “I’m glad that I took that leap into acute care just because I’ve learned how like rewarding it is. And part of me feels like I’m really making a difference.  Especially being like that first step for most patients.”

16:34 Katie (on a patient experience that got her hooked on acute care)

“But it’s just the fact that he went from, you know, I’m not doing it. I’m done. Get out of my room. Right. Yeah. We’re strolling down the hallway listening to Spotify, talking about his like four and five year old grandkids. Yeah. It’s just like, granted, I don’t know where he went from ltac. And that’s the unfortunate part is sometimes we just don’t know mm-hmm. Where these patients go, but just at least knowing that, you know, in the time that you were in their lives. They’ve gotten so much better…Sometimes being a physical therapist is more than just the physical part.  You know, sometimes we’re kind of like those emotional cheerleaders too.”

21:05 Katie (on advice she received from her professor on acute care) “I would rather teach someone how to walk again than try and teach someone how to throw a baseball more properly. Those are just kind of words that she quite literally told me. Orientation day one. Its stuck with me now.

33:31 Abby “My mom was a physical therapist. But she was an inpatient rehab therapist.  And so growing up, like that’s really the side of PT that I knew. Like, honestly, it was like backwards from a lot of people… She’s my origin story. Yeah. So she she did inpatient rehab and so then I was like, oh, I just kind of assumed. Physical therapy was like always more of like more acuity or more complex patients. And then it wasn’t until I was honestly like getting my hours in undergrad that I was like, Oh, actually outpatient is the biggest sector of this.”

31:34 Abby (on getting involved in a Student SIG) “I just would encourage students to try it because I was hesitant at the time. We were gearing up for our hardest semester and I was like, you know what, I can’t add another thing to my plate.  But looking back, I’m so glad that I did. Once I kind of was able to get my time management and everything. So yeah, just go for it would be my advice and talk to people above you.”

43:36 Abby (on a patient experience that got her hooked on acute care):

“We were helping a patient who’s on mechanical ventilation. And it just really brought the humanity into the hospital room was kind of how I felt…

And we know why we’re doing it. Like, we’re doing it for, you know, cardiorespiratory system. We’re doing it for digestion system for skin, all of that. Yeah. But we did it so that the patient could hug their significant other. So we, like, got them to the edge of the bed, and they hugged each other.

And, like, so we know, like, we’re providing therapy, and it’s all these good benefits. But at the same time, like, it really is, like, optimizing their human experience. Like, they get to hug their significant other who they haven’t in weeks. And just, like, that moment, honestly, I get emotional even thinking about it.”

Rapid Responses:

What is on your workout playlist?

Both Katie and Abby: “Taylor Swift”

You know you work in acute care when…

Katie: “You have to bring extra clothes to work.”

Abby: “when you are constantly interrupting naps”

Links:

https://www.studergroup.com/aidet

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


Students in Acute Care, Take One



Show Notes

Today’s Guests:

Brett Baird, PT, DPT, CSCS

brettbairddpt@outlook.com

IG: bbaird3

Tito Castillo DPT

rcasti8@uic.edu

Guest Quotes:

6:18 Brett: “something I recommended that if they (students prior an acute care rotation) could get a day in a hospital setting and actually put their hands on some of the different equipment and see it and see it being used so that they kind of internalize what it is used for.

It’s not just on a PowerPoint side with a picture. You memorize what it’s for for the test, but it’s completely different when you actually see it. Use every. Item for the most part. Once I seen it once in a room with a patient, I knew what it was. I could describe it. I knew what it was used for, but it was just gaining that experience that took a lot of time.”

18:06  Brett: “I think the biggest thing to focus on is just getting comfortable with the lines, the tubes, the rooms, and the setting in general. For me, practicing in the setting wasn’t that difficult. There was a lot of things to learn once I got comfortable in the room, but when you’re worried about things, you can’t think, and then everything else just doesn’t go well.  Yeah, so that’s for me that that would be the biggest thing to focus on is spending a lot of time being intentional with the, the room set up, the lines, those things so that you can gain confidence right away.”

28:05 Tito “But that one just exposed me to it, like a different aspect of acute care that had to do with a lot more, with like how to coordinate interprofessionally and then dealing with at least on where I was, there’s less resources just more poverty.  And just being on an island, there’s less that people have access to. So it brought on kind of more of the people skills as well. And just like communication was like the biggest thing there too.”

36:03 Tito “I think as students we tend to feel like embarrassed or even like, kind of ashamed that we don’t know certain things or that certain things aren’t coming to mind right away.  So so just asking (questions) because like why not? And if, and they could always open up the conversation for a CI to be like, Hey, like, you should know this. You should spend some time reviewing. So like asking questions for sure.”

37:15 Ashley “I think students expect to go out there and they’re just gonna know how to do it because, oh, I had all these classes, I should be able to just go out there and apply it.  But it’s not easy and it’s okay. To not to know. Right. It’s okay to need practice. It’s OK to make mistakes.”

Rapid Responses:

What type of music do you have on your exercise playlist?

Brett: “5 Finger Death Punch”

If somebody was gonna play you in the Tito Castillo movie biopic, who would play you?

Tito: “Timothée Chalamet”

You know, you work in acute care when…

Brett: “Bodily fluids and bad smells no longer bother you.”
Tito: “You do your best not to get refusals.”

Links:

aphpt.org

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

Upcoming Webinar: Treating the Acute Care Pregnant and Postpartum Population Without Pelvic Floor Training  https://www.aptaacutecare.org/events/eventdetails.aspx?id=1753802

2023 Long Covid Webinar Series


Rehab Clinical Educators: What You Need To Know To Get One



Show Notes

Today’s Guests:

APTA Acute Care Rehab Clinical Educators Focus Group Co-Chairs:

email:educatorsfg@aptaacaute.org

Katie Yahya, PT, DPT

Board-Certified Clinical Specialist in Geriatric Physical Therapy

Associate Professor Regis University

https://www.linkedin.com/in/katielorenzi/

Twitter: @lady_yahya44

IG: @prof_kyahya

loren084@regis.edu

Noelle Sublett, PT

nsublett@srhs.com

Guest Quotes:

4:31 Noelle: “Every location is just a little bit different. But I think the thing that ties us all together is that we’re passionate about acute care and we’re passionate about education.”

4:44 Katie: “A theme that I see that’s common between a lot of our members is that, you know, there’s no formal training for what they’re doing. They either created the role or it was kind of thrust upon them in some form or fashion because they demonstrated leadership skills in mentoring or onboarding or just  elevating the profession in that way.”

12:52 Noelle (on the webinar): “We just talked about kind of how it got started in each of our different locations and what our roles are and just trying to give people a little bit of an idea of how they might be able to get it started in their own organization.”

22:04 Katie (on the pros of being a rehab educator): “It allows me to practice at the top of my scope and make sure that I’m pushing the envelope in a positive way.  Like I’m not just a person who just comes up and walks people. I’m gonna have a really strong discussion about the benefits of mobility and how I can serve the team and reach the patient’s functional goals and also and not be held back by like not knowing how to use a piece of equipment or something along those lines.”

Rapid Responses:

What is your favorite book?

Noelle: “The Nightingale by Kristin Hannah”

Katie: “The Poisonwood Bible by Barbara Kingsolver”

You know, you work in acute care when…

Noelle: “You can talk about gross things like open wounds at the dinner table and not get grossed out.”

Katie: “Yep. That that was, we had almost the exact same answer on the chat form, so I second that.”

Links:

https://www.aptaacutecare.org/page/RehabClinFG

To network and collaborate, subscribe to the Listserv: http://groups.io/g/aptaacutecareeducatorrehab and click on subscribe to create an account.
To view our previous webinar:https://www.aptaacutecare.org/store/viewproduct.aspx?id=20972331

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

Upcoming Webinar: Treating the Acute Care Pregnant and Postpartum Population Without Pelvic Floor Training  https://www.aptaacutecare.org/events/eventdetails.aspx?id=1753802

2023 Long Covid Webinar Series


Thriving in the Rapids: Jim Smith’s Daredevil Approach to Life



Show Notes

Today’s Guests:

Dr. James Smith PT, DPT, MA

jsmith@utica.edu

Episode Summary:

In this captivating podcast episode, Jim Smith, a legend not only within APTA Acute Care, but the House of Delegates itself, takes us on a remarkable journey through his experiences and insights. From the very beginning, it becomes evident that Jim’s passion for his profession is unparalleled. He emphasizes the importance of advocacy and how physical therapists should go above and beyond to provide comprehensive care for their patients.

Jim’s stories highlight the significant impact physical therapists can have on individuals’ lives. Whether it’s advocating for a loved one’s continued therapy or pushing the boundaries of their own physical capabilities, Jim’s dedication shines through. Outside of his profession, Jim reveals his adventurous side, sharing his love for whitewater canoeing and intense water-based challenges.

Jim discusses his enthusiasm for member participation in the House of Delegates and encourages them to share their recommendations and concerns. He highlights the bylaw amendment allowing PT Acute Care to include a PTA delegate. Exciting motions include addressing human trafficking, strengthening rural healthcare, and advocating for pay equity based on gender. Jim acknowledges the need to rectify the longstanding issue of pay disparity. The hosts express their support for these motions and their personal perspective on gender pay equity. Overall, Jim emphasizes the importance of member input and the wisdom that comes from collective voices in shaping the profession’s future.

In our fan favorite segment, Rapid Responses, Jim showcases his quick wit and genuine responses. He shares valuable advice, names influential colleagues, and emphasizes the critical role physical therapists play in critical care and neurologic problems. Throughout the discussion, Jim’s enthusiasm and commitment to improving patient outcomes are truly inspiring.

Listeners are left with a powerful message: physical therapists must continue to advocate, collaborate, and strive for excellence, ensuring that their profession thrives and positively impacts the lives of those they serve.

Guest Quotes:

5:14 “I might be excited in a positive way or a negative way, but I need to bring your voices to the House of Delegates. The. We hear a hundred, 450 people there, plus more with consultants is over 500 and it sounds unwieldy, but when we can bring that, that group’s wisdom to bear. We all win. There’s a lot of wisdom that comes through those voices, and that means hearing from our members.”

21:31 “That’s the intent with the House of Delegates, is to be looking to the future and building the foundation so that we continue to thrive in the future.”

22:55 “Often these positions are very informative and it’s now not just Jim Smith saying This is a good idea, this is an endorsement from our whole profession.”

37:53 “Here we are controlling our future. I know it’s frustrating when we’re tired from a pandemic, when we’re have challenges around.

Productivity ideas. But we do great, great, great things for our patients. We need to advocate in our clinics, in our hospitals, in our communities, and in our legislator legislatures so that we continue to thrive and do those things that are so impactful for patients.”

Rapid Responses:

If there was going to be an actor to play you, Jim Smith in a movie, who would it be?”

“Well, Brad Pitt and then my wife would want to play my wife and things would be pretty good for her.”

You know, you work in acute care when…

“I’m gonna say, people meet me and say, let me tell you about my shoulder that hurts.

And I say, you gotta understand my expertise is critical illness and neurologic problems. If you need to see me. You’re really in trouble.”

Links:

https://www.apta.org/apta-and-you/leadership-and-governance/policies-and-bylaws

https://www.apta.org/apta-and-you/leadership-and-governance/house-of-delegates

July 10th HOD TownHall 8pm EST: https://www.aptaacutecare.org/events/eventdetails.aspx?id=1728584

https://www.ranaawdishmd.com/book

For questions about 2024 APTA Acute Care Nominations, please email: acute@aptaacutecare.org

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

2024 Call For Nominations

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


You Can Do It: A Simplified Approach To Research



Show Notes

Today’s Guests:

Dr. Kerry Lammers, PT, DPT

Board-Certified Clinical Specialist in Cardiovascular and Pulmonary Physical Therapy

Twitter: @kerry_lammers

Kerry.Lammers@osumc.edu

Rapid Responses:

If somebody would play you semi famous, would play you in the Carrie LA’s Biopic movie, which actress would play you?

“I would hope Moira from Shit’s Creek. That’s so far off, but I just think it would be an honor.”

You know, you work in acute care when…

“Ooh. I feel like if you have the poo story, everybody’s got a poo story. Let’s got a poo story. But you know, I think honestly, I, when we had our newborn baby, I literally felt like I could change any diaper, cuz I realized that I’d been doing this.  For years on, on adults, and it was all the same. All the same strategies. My husband struggled and I was like, no, you just move ’em like this and then you do the thing. And I realized that I could put on a diaper on literally any moving tiny infant or large human in the world.  I’m doing it for years.”

Links:

https://www.apta.org/csm/programming/csm-submissions

https://www.aptaacutecare.org/page/A5

For questions about 2024 APTA Acute Care Nominations, please email: acute@aptaacutecare.org

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

2024 Call For Nominations

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


More Than Make Believe: The Value Of Simulation In Healthcare!



Show Notes

Today’s Guests:

Dr. Daniel Dale PT, DPT

Dr. Daniel Dale is a Clinical Assistant Professor and the Assistant Director of Clinical Education in the Department of Physical Therapy at Mercer University. He received his Doctor of Physical Therapy degree from Armstrong Atlantic State University (now Georgia Southern University) in Savannah, Georgia in 2011.  Dr. Dale is a Certified Healthcare Simulation Educator (CHSE) by the Society for Simulation in Healthcare, and is also a Certified Lymphedema Therapist (CLT). In addition to his teaching and clinical practice, Dr. Dale also serves as an educational consultant for Early Mobility, a company for consulting services and early mobility program development and management for major hospital systems countrywide. Dr. Dale also still works PRN at the Shepherd Center in Atlanta, GA, where he held his first job out of school. Dr. Dale’s current teaching responsibilities include assisting in service-learning, integrated and long-term clinical experience courses, health policy, and conducting simulation in courses throughout the curriculum related to neurology, acute care, and interprofessional education related to the ICU and acute care environments. Dr. Dale is an active member of the American Physical Therapy Association, including the Education, Acute Care, and Leadership and Innovation sections/academies. He has served on multiple committees and in leadership positions within the state and national professional associations. Dr. Dale is also a member of the Society for Simulation in Healthcare (SSH). Currently, Dr. Dale is the Immediate Past President of APTA Georgia, a Chapter of the American Physical Therapy Association.

Guest Quotes:

10:48”  “I think one of the biggest kind of standard things that needs to be in a simulation that a lot of us don’t quite understand until we go through some of that training is the debrief….Debrief is meant to get the students reflecting on their performance, being open and honest, and sharing what they did, how they would do it differently, how their actions affected others.”

18:58” “It’s one of the tenants I think that simulation stands on… is you create that safe space to fail. And it’s so important, especially, anytime we’re talking about patient care, but especially when we’re talking about in acute care, ICU care, there’s not a lot of room for error.”

26:29” “simulation is not a new novel idea in healthcare education by any means.  Our colleagues in medicine, nursing, pharmacy, have been doing this for decades.”

Rapid Responses:

Do you tell dad jokes yes or no?

“A hundred percent yes. And in class as well”

You know, you work in acute care when…

“You have a pair of scrubs and shoes as a backup.”

Links:

https://www.ssih.org/

https://www.inacsl.org/

https://acapt.org/about/consortium/simulation-in-physical-therapy-education-consortium

For questions about 2024 APTA Acute Care Nominations, please email: acute@aptaacutecare.org

 

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

2024 Call For Nominations

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


Uplifting Your Practice: A Three-Pronged Innovative Journey



Show Notes

Today’s Guests:

Dr. Alan C. Lee PT DPT

Board Certified Clinical Specialists in Geriatric Physical Therapy

Professor at Mount Saint Mary’s University in Los Angeles

Director of Technology SIG, Academy of Leadership and Innovation

Twitter @alanleeDPT

Linkedin

Rapid Responses:

If you had a lightsaber, what color would it be?

-Dark Blue

You know, you work in acute care when…

-When your gloves rip because you’re trying to help a patient move a little further up in bed or you’re just getting in there.

Student Announcement

Are you a DPT or PTA student that has an interesting clinical experience within acute care.  Or did an acute care internship change your future professional goals?

We’d love to talk about your experiences in a future episode.  Click on the link in the show notes if you would like to be a future guest on the podcast!

Links:

https://www.aptaacutecare.org/page/LA

https://www.aptaacutecare.org/page/Awards

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


The Full Clinical Picture: Lab Values and More for Acute Care Practice



Today’s Guests:

Morgan Lopker PT, DPT, GCS. APTA Acute Care Practice Chair.

Physical therapist for Adventist Health Simi Valley Hospital and Allied Home Health Care.

Rodelyn Berdin, PT, DPT, APTA Acute Care Practice Committee Vice-Chair.

Acute care physical therapist, level 2 clinical instructor, and professional practice resource at Houston Methodist Sugar Land Hospital

https://www.linkedin.com/in/marodelynberdin/

@rodelyn@med-mastodon.com

Rapid Responses:

You know, you work in acute care when…

Morgan: “you have an extra change of clothes in your car cuz you’d never know what might happen that day.:

Rodelyn: “I had to look at lab values and monitor vital signs continuously. “

Links:

https://www.aptaacutecare.org/page/ResourceGuides

https://engage.apta.org/home

https://www.aptaacutecare.org/general/custom.asp?page=volunteer

https://www.aptaacutecare.org/page/Awards

https://journals.lww.com/jacpt/Citation/2022/10000/Physical_Therapists__The_Missing_Link_to_Safe_Care.5.aspx

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?


Pursuit Of A Growth Mindset: PT In The ED



Show Notes

Today’s Guest:

Rebekah Griffith, PT, DPT aka “The ED DPT”

Board-Certified Clinical Specialist in Neurologic Physical Therapy

Dr. Rebekah Griffith, The ED DPT, specializes in care in the Emergency Department. Dr. Griffith believes physical therapist practice in the Emergency Department is a critical way to move upstream in healthcare that supports patients during their most critical moments. She is the author of Top of Scope: The Emergency Department Physical Therapist Handbook. Additionally, she was instrumental in passing two motions within the APTA House of Delegates in support of Emergency Physical Therapist practice and is a founding member of the Emergency PT Steering Committee within the Academy of Acute Care.a

https://www.linkedin.com/in/rebekah-griffith-rgthedpt/

Twitter/Instagram: @theeddpt

Twitter: @rgriffithdpt

www.theeddpt.com

Rapid Responses:

If you could be any animal, what would you be?

“I would probably be a koala because people would wanna carry me around and I could nap a lot.”

You know, you work in acute care when…

“You leave your shoes outside.  Like my shoes do not come in the house. They’re outside animals.”

Links:

https://www.apta.org/your-practice/practice-models-and-settings/hospitals/emergency-department

https://www.clearpointstrategy.com/blog/swot-analysis-in-healthcare

https://www.goodreads.com/book/show/85768629-top-of-scope

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast


The Big Wrap Up: This is What You Missed at CSM 2023



CSM Preview Show Notes

Today’s Guests:

Morgan Lopker; Rodelyn Berdin, Sharon Gorman; Katie Brito, Alisa Curry, Jamie Dyson, Archana Vatwani, Kate Kugler, Leesa Henderson, Eric Stewart, Adele Myszenski, Barb Smith, Kerry Lammers, Sowmya Kumble, Enjeen Woolford, Efosa Erhunmwunse, and DPT Students from the University of Colorado and Maryville University.

Links:

https://www.apta.org/csm

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

Interested in being a future guest?

APTA Acute Care:

Website

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


CSM Preview: Tetris Madness and How to Be Better Prepared



SHOW NOTES

Today’s Guests:

Traci Norris, President, APTA Acute Care

James Crick, Co-Chair for CSM Education Programming

Colleen Bradley, Membership Chair

Kim Levenhagen, Membership Chair-elect

Sharon Gorman, Past President, APTA Acute Care; Oxford Debate Pro Team

Katie Brito, Delegate, Oxford Debate Con Team

Guest Quotes:

Traci: On what CSM has too offer “I think we’ve got a lot of things for, for different people who have different interests”

James: On getting ready to attend CSM “the number one thing is to take the time to prepare…it becomes a pretty mad game of Tetris to try and figure out where you’re gonna go and when, but that little bit of preparation really, really pays off”

Colleen: “Another really good reason to come down, to come down to the exhibit hall if you have an inkling of wanting to do a little bit more…you can come find out and do that little bit more so that you can be part of the change.

Kim: “Isn’t it true, I mean, the networking piece of it is, So much fun.  And I have several friends. The only time I see them is once a year at C S M. And so I always call it same time next year.  And it’s like it’s, we pick up right where we left off…And so I think that is the networking piece is probably my most favorite part.”

Sharon: On the Oxford debate:  “Please don’t let the word debate make you think this is gonna be some dry stuffy thing. Or if you’ve seen like forensic debates and documentaries where it’s like we’re trying to talk super fast and make all these points. Oxford style debates are nothing like that.  They’re intended to be fun and have some audience participation.”

Katie: On what to expect from the debate: “We definitely have props, we have costumes as well. And like I said, you know people who are going to be in first two rows.  You may wanna bring a poncho for yourselves.”

Links:

https://www.apta.org/csm

https://www.aptaacutecare.org/page/CSMmain

APTA Acute Programming at CSM https://apta.confex.com/apta/csm2023/meetingapp.cgi/Subject/157

APTA Acute Lecture Award https://apta.confex.com/apta/csm2023/meetingapp.cgi/Session/15082

APTA Acute Care Membership Social https://apta.confex.com/apta/csm2023/meetingapp.cgi/Session/1508

About the McMillan Lecture: https://www.apta.org/apta-and-you/honors-awards/mary-mcmillan-lecture-award

McMillan Lecture: https://apta.confex.com/apta/csm2023/meetingapp.cgi/Session/15431

Should Simulation Hours Count Toward Acute Care Clinical Education? An Oxford Debate https://apta.confex.com/apta/csm2023/meetingapp.cgi/Session/14112

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

APTA Acute Care:

Website

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube  APTA Acute Care Podcast

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


To Specialization and Beyond!…Never Selling Your Impact Short



Today’s Guest: Jen Ryan, Vice President, APTA Acute Care

Jen is the Assistant professor at Northwestern University Dept of PT and Human Movement Sciences; She serves as Vice President of APTA Acute Care and on the APTA Nominating Committee; She is a Board Certified CCS and is an Acute Care residency faculty member.

Connect with Jen Ryan on LinkedIn !

Episode Takeaways

  • Work continues towards Acute Care Specialization: if you’re asked to complete a survey, please do so!
  • Starting conversations and building rapport with patients are valuable skills for acute care clinicians.  Soft skills matter.
  • Volunteer leadership helps you engage “in a whole new way”
  • Being a member has more value than just getting a journal

Guest Quotes:

On the work towards Board Certified Acute Care Specialists: “We see an opportunity to recognize professionals who’ve been at the top of their license in an acute care setting”

On helping patients lacking confidence: “They can find like new abilities that they didn’t anticipate.  That they didn’t see coming. Which is always so sweet to see that look in their eyes when they set up like, oh my God, I didn’t know this was gonna happen.”

On our responsibility to our patients: “But they trust us. We have to see that as a gift, we have to see that as a responsibility and an opportunity all at once.”

Rapid Responses

If someone was going to play your role in a movie, who would play Jen Ryan?

“I want Helen Hunt”

You know you work in acute care when…

“When most of your transfer training happened in the bathroom, but it happened and it’s documentable and they got better at it.”

Closing Thoughts

“So a, push your patients as hard as their exercise prescription can to be tolerated, but b, realize that you’re not the only person who’s working with that patient and be part of the team That encourages the other professionals to be part of that solution.” 56:06

Links:

https://journals.lww.com/jacpt/Abstract/2014/05010/How_Clinical_Reasoning_Can_and_Should_Impact.3.aspx

https://engage.apta.org/home

 

Connect with our hosts and the podcast!

Our Hosts:Leo Arguelles is a physical therapist and educator at University of Illinois Chicago and Ashley Poole is a physical therapist and educator at Duke University. They have come together across time zones to build a space for conversation and support for other acute care therapists. Acute Conversations is the official podcast of APTA Acute Care and we welcome you to the official launch to join the conversation.

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

APTA Acute Care:

Website

Journal Access

Twitter @AcuteCareAPTA

Facebook APTA Acute Care

Instagram @AcademyAcutePT

YouTube APTA Acute Care Podcast

APTA Acute Care Resources

APTA Adult Vital Signs

APTA Lab Values Document

Webinar Recordings

2023 Long Covid Webinar Series


The State Of Productivity In Acute Care: What Is Our Value



Show Notes

Today’s Guest: Dr. Brigid Griffin, PT, DPT.

Dr. Griffin is a physical therapist at a large midwest pediatric hospital. She spends part of her time treating in the pediatric intensive care unit and part time assisting throughout other units.

Email: brigidcgriffin@gmail.com

Episode Takeaways

  • Everyone is frustrated with productivity
  • Learn more about the Therapy Value Quotient
  • The value acute care clinicians bring is multi-faceted and thus hard to measure

Guest Quotes:

“ it was born from frustration and then asking lots of questions and looking for, you know, what, what else can we do? How else can we measure this? Since how we measure our productivity right now has nothing to actually do with how well of a therapist you are, how, how well your patients do afterwards and what your outcomes are.”

“So I feel like there is a lot of things that we do add value to, but there’s, there’s a limited number of things that we can measure and say, this is what physical therapy did…”

“most of the time things that they’re doing is either treating patients or doing indirect patient care that has to be done to treat patients… time that I’m not productive on paper, I am actually doing all these other things that need to be done for the patient.”

Rapid Responses

Would you rather fight 100 duck sized horses or one horse size duck?

“I love this question. . The duck sized horses for sure”

You know you work in acute care when…

“When you have to keep extra clothes at your desk, because you, you will either get peed, pooped on, puked on any of the above secretions from a human in any given day.”

Links:

https://www.apta.org/your-career/career-advancement/leadership-development/apta-association-leadership-scholars-program

https://learningcenter.apta.org/products/productivity-vs-value-why-we-need-to-change-the-discussion-and-how-you-can#tab-product_tab_overview

https://www.apta.org/patient-care/evidence-based-practice-resources/test-measures/activity-measure-for-post-acute-care-am-pac–6-clicks-inpatient-short-forms

https://journals.lww.com/jacpt/Fulltext/2015/08000/Capturing_the_Unmeasured_Value_Acute_Care_Physical.1.aspx

https://journals.lww.com/pedpt/fulltext/2020/01000/therapy_workloads_in_pediatric_health__preliminary.12.aspx

https://leanagiletraining.com/wp-content/uploads/2019/03/knowledge_workers_the_biggest_challenge.pdf

https://journals.lww.com/jacpt/Abstract/2016/04000/Changing_the_Culture_of_a_Large_Multihospital.2.aspx

https://journals.lww.com/jacpt/Abstract/2019/07000/Improving_Operational_Efficiency,_Effectiveness,.5.aspx

https://journals.lww.com/jacpt/Abstract/2018/10000/A_Simple_Tool_Using_AM_PAC__6_Clicks__to_Measure.3.aspx

https://www.asha.org/siteassets/uploadedfiles/aota-apta-asha-consensus-statement.pdf

https://www.apta.org/your-practice/productivity

https://www.sundayriver.com/media-center/press-releases/2021-nawcc-results

Connect with our hosts and the podcast!

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

APTA Acute Care

Twitter @AcuteCareAPTA

Facebook: APTA Acute Care

Instagram @AcademyAcutePT

APTA Acute Care Resources

APTA Adult Vital Signs (https://www.aptaacutecare.org/store/viewproduct.aspx?id=18270240)

APTA Lab Values Document (https://www.aptaacutecare.org/store/viewproduct.aspx?id=10758036)

APTA Acute Care  https://www.aptaacutecare.org/

Journal Access: https://journals.lww.com/jacpt/pages/default.aspx


The Road to Publication Simplified: Grow Thick Skin



Show Notes

Today’s Guest: Kevin Brueilly, PT, PhD  Editor-In-Chief, Journal of Acute Care Physical Therapy

Linkedin: kevin-e-b-27711920

Episode Takeaways

  • Acute Care is Sales
  • It is very normal for journal reviewers to request revisions and corrections on article submissions; thus the need for thick skin!
  • Mentoring is Key
  • “Just because someone doesn’t accept your paper or wanna move it forward doesn’t mean it isn’t valuable.” Kevin
  • Increased rejections are actually good for the journal and the profession >a sign of increased quality of work produced.

Three Questions

  1. Why Acute Care?
    1. “It felt good to me simply because I enjoyed the pace, number one of having a fast environment really. I mean, you’re in charge of your own schedule. But when they put 12 or 14 cases on your, on your schedule during the day you, you. Spend an hour with every person, obviously, or you wouldn’t go home at night.   But it allowed me the opportunity to have new diagnoses every day, new comorbidities, new challenges to use my anatomy and physiology every day in the knowledge that I had. And I really enjoyed being around other healthcare workers…And I learned so much every day that I went to work. I’d never came home that I hadn’t learned something that day. So it was very rewarding to me.”
  2. What advice would you give to a clinician that has some clinical questions that they would want to investigate at their hospital?
    1. “I would say find someone who has some background in doing it and partner with them first.  Cuz the person who’s most dangerous in any patient care activity is the one who doesn’t know what they don’t know.  So find somebody that at least can steer you and help guide you and, and walk you through the process.  You really need somebody to help you with the guiding questions and in the process of how to do it… but if you had a clinical question that you were trying to answer and you believed that it was worthy of research, then the first step is that you have to have data collection.  And that data collection can’t just be something that you decide you’re gonna go to. Because if you’re gonna publish it, one of the first things that, as an editor that I look for in any manuscript that’s submitted with original research is a statement from the IRB.”
  3. What do you foresee for the future of the for the journal, especially as it relates to supporting the mission for the Academy of Acute Care physical ? 
    1. “The primary source of scientific resources for advancing the practice of acute care, physical therapy among clinicians and promoting physical therapy as an integral part of acute care practice. And so what that means to me is as editor and what I have, have proposed to the board of directors of the, of the academy is one of my main goals in the next three to five years is to get the journal indexed in Medline.  And what that means is that it would be searchable and included in any kind of search you would do on PubMed with the National Institute of Health.”

 

Rapid Response “You know you work in acute care when…”

“When I show up at the door and I say, are you Mr. Smith? And he says, I’m what’s left of him.” 

Journal of Acute Care Physical Therapy

Facebook: Journal of Acute Care Physical Therapy

Linkedin: JACPT

APTA Acute Care Resources

APTA Adult Vital Signs (https://www.aptaacutecare.org/store/viewproduct.aspx?id=18270240)

APTA Lab Values Document (https://www.aptaacutecare.org/store/viewproduct.aspx?id=10758036)

APTA Acute Care  https://www.aptaacutecare.org/

Journal Access: https://journals.lww.com/jacpt/pages/default.aspx


Introducing Acute Conversations: How to not be Fly on the Wall and Contribute to the Conversation



Leo Arguelles is a physical therapist and educator at University of Illinois Chicago and Ashley Poole is a physical therapist and educator at Duke University. They have come together across time zones to build a space for conversation and support for other acute care therapists. Acute Conversations is the official podcast of APTA Acute Care and we welcome you to the official launch to join the conversation.

Episode Takeaways

  • What to expect from this podcast
  • The importance of connection within our profession
  • How to connect with us and subscribe!!!

Three Questions

  1. Most Memorable Moment of your career?
    1. Leo “I’ve had plenty. The biggest was probably getting a 200+ serbian grandfather taking some steps when no one was willing to try because others were too afraid to get him moving and or give him an opportunity to try standing. I remember saying to myself, I can get this guy walking if I can just get him in the right environment. I brought rehab to him and get him to take his fist steps when created a positive feedback loop for him to keep participating in PT. Later I come to find out he is the relative of one of my good childhood friends whose wedding I attended years ago.”
    2. Ashley “- Achieving my board-certified clinical specialist status
      – Landing my first job in academia at one of the leading DPT programs in the country
      – Receiving the Merit Award from the Academy of Cardiovascular & Pulmonary Physical Therapy (this will be at CSM 2023)”
  2. What made your chose acute care and/or your profession?
    1. Leo “I grew up exposed to hospitals. My mother was a NICU nurse for 30 years, which led to hospital volunteer opportunities in highschool. I volunteered at what was formerly known as RIC, now shirley Ryan ability lab, in highschool. I knew early on I wanted to work in healthcare, and PT seemed a perfect fit with my experience in sports and martial arts. After my clinical rotation at Swedish Covenant hospital in Chicago’s north side, I was hooked. Being the fist PT to initiate mobility has always been an inspiration for me.”
    2. “I initially wanted to be a medical doctor but switched to physical therapy after a high school mentorship program where I spent time with various PTs. I realized that PTs spend more time with their patients, develop stronger relationships, and do not accumulate as much college debt.   It was a win-win.
      I have worked in ALL settings (SNF, OP, IRF, HH, & acute).  So my decision to work in acute care was well-informed after many years of experimenting and dabbling.  Acute care excites me for so many reasons.  It is rewarding to help patients in their most vulnerable times and to potentially be a patient’s first introduction to physical therapy.  My passion is critical care and patients with complex medical needs, likely because of my previous interest in medicine.  I also really enjoy the unpredictability of acute care, the fast pace, the team environment, and the flexible schedule.”
  3. What has been the funniest moment working in Acute Care?
    1. Leo “There was a felician sisters convent near the hospital I worked at. My old high school librarian actually lived there. Very often we would have injured and infirmed nuns come into the hospital. After I would evaluate the nuns, I would tell them the OT or the PTA that was going to work with them later was interested in a vocation to religious life. Those nuns, no matter how sick they were, became sharks detecting blood. They had lots of questions for my co-workers!”
    2. Ashley ” It was VERY difficult to disconnect the oxygen cannulas from the wall in one ICU where I worked.  Once, I had to pull so hard that I banged my head on a table and fell into the patient’s recliner chair.  The patient did not even notice.”

Rapid Response “You know you work in acute care when…”

Leo “you have shoes you leave at work and back up scrubs”

Ashley “discussing bodily functions at mealtimes does not make you lose your appetite.”

Connect with us and our hosts!

Leo Arguelles (LEE-O R-GWELL-IS)

Twitter @LeoArguellesPT

Ashley Poole

Twitter @AshleyPooleDPT

APTA Acute Care

Twitter @AcuteCareAPTA

Facebook: APTA Acute Care

Instagram @AcademyAcutePT

Journal of Acute Care Physical Therapy

Facebook: Journal of Acute Care Physical Therapy

Linkedin: JACPT

APTA Acute Care Resources

APTA Adult Vital Signs (https://www.aptaacutecare.org/store/viewproduct.aspx?id=18270240)

APTA Lab Values Document (https://www.aptaacutecare.org/store/viewproduct.aspx?id=10758036)

APTA Acute Care  https://www.aptaacutecare.org/

Journal Access: https://journals.lww.com/jacpt/pages/default.aspx