Show Notes:

What changes when you are no longer the student with a clinical instructor in the room? In this episode of Acute Conversations, hosts Dr. Leo Arguelles and Dr. Daniel Young welcome back Fiona Kearns and Mika Mendoza one year after their first appearance as students. Now practicing in acute care, they offer an honest look at the difference between being prepared and feeling prepared.

Fiona and Mika discuss taking ownership of full caseloads, managing time and priorities, navigating complex discharge needs, and finding their voices within interdisciplinary teams. They also share the hands-on experiences that shaped their growth, from line management, ICU mobility and safe patient handling equipment to vestibular assessment, emergency care and cardiovascular practice.

Throughout the conversation, both clinicians return to the same foundations: protect patient and clinician safety, know the basics, ask questions and keep learning. Their reflections also highlight the value of mentors and colleagues who create room for early-career clinicians to build confidence without pretending to have every answer.

This episode offers practical perspective for students, new graduates, clinical instructors and experienced clinicians supporting the next generation of acute care physical therapists. Listen now on Apple or Spotify.

Today’s Guests:

Mikhaela Mendoza PT, DPT

mikaimendoza21@gmail.com

Fiona Kearns, PT, DPT

fkkearns2000@gmail.com

Guest Quotes:

3:49 Mikhaela “ I just told myself that, I trust in what I know, and if you don’t know, you just ask the questions, that the goal is to never feel like you’re the expert right away. That’s not necessarily the most realistic. It’s to just know when to ask the right questions.”

6:59 Fiona “ When you become your own clinician, you have had all of this feedback, and then you can develop your own treating style based on what you’ve learned from being a student and just feel like you can relax into that a little bit more.”

Rapid Responses:

  What’s the most challenging sort of patient that you get to work with in the hospital that pushes your limits the most?

Fiona:  “  In terms of my brain limits, it’s definitely our intubated patients. Our… They just, you have to do… There’s so much monitoring, so much stuff that you’re thinking about beyond just them being intubated. Whatever, especially intubated strokes, I feel like those are the patients that they can be so unpredictable.

They can be so impulsive. Sometimes they’re going to pull their lines. You j- just, I feel like I come out of those rooms and I’m sweaty and my head hurts and I have to just stand and stare at the wall for a minute and, like- … pull myself together.”

 If you’re on a nursing floor, what’s your go-to snack that you can find in the nurses station?

Mikhaela: “ Usually some sort of donut that they always bring ’cause- … I feel like people are always celebrating something. Or the graham crackers in the drawer. Those are always a staple.”

  You know you’re working in acute care when…

 Mikhaela: “ You’re outside of work and you hear a random beep and your heart drops.”

Fiona: “ I was gonna say, I feel like I walk into a room and I think about how I can 📍 rearrange it. And then I’m like, “Why would I need to rearrange this room?”

🎧 Connect with Our Hosts

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

📧 largue2@uic.edu

🐦 Twitter: @LeoArguellesPT

Nicole Neveau, PT, DPT, NCS

📧 ngunder1@gmail.com

🔗 LinkedIn: Nicole Neveau

Danny Young, PT, DPT, PhD

📧 daniel.young@unlv.edu

🐦 X: @DLYoungDPTPhD

🌐 Bluesky: @dlyoungdptphd.bsky.social

🎧 Listen now on Spotify | Apple Podcasts

(Or wherever you get your podcasts)

#AcuteCare #PhysicalTherapy #HealthcareLeadership

Interested in being a future guest?

APTA Acute Care “Optimizing Recovery, Elevating Care”

Website

Awards

Journal Access

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

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

Podcast: Play in new window | Download

Show Notes

Should an acute lower-extremity DVT automatically stop mobility when anticoagulation is subtherapeutic? In this episode, Dr. Leo Arguelles and Dr. Nicole Neveau speak with Aubrey Little, PT, DPT, CCS, and Becky Johnson, PT, DPT, PhD, about the clinical question that grew from a quality-improvement project into a case-control study published in the Journal of Acute Care Physical Therapy.

Little and Johnson explain why a single laboratory value or protocol checkpoint cannot replace a comprehensive assessment. They discuss weighing the risks of immobility against potential adverse events while considering clot location, medical acuity, hemodynamic status, medications, laboratory trends, discharge pressures and the patient’s overall trajectory. The conversation also explores the documentation needed to make clinical reasoning visible and the value of bidirectional conversations with the interdisciplinary team.

The study included 30 patients and 60 physical therapy sessions. Its findings do not establish that mobilization at subtherapeutic anticoagulation is universally safe. The researchers emphasize the limitations of a small retrospective sample and their inability to determine whether pulmonary embolism occurred. Instead, the episode offers a thoughtful look at risk stratification, evidence-informed judgment and how clinicians can question automatic holds without abandoning patient safety.

Listen now on Apple or Spotify.

Today’s Guests:

Aubrey Little PT, DPT

aulittle@gmail.com

Becky Johnson PT, DPT, PhD

rjohns1@midwestern.edu

https://www.linkedin.com/in/rebecca-johnson-pt-dpt-phd-619244112/

Guest Quotes:

10:07 Aubrey “ I think that’s the intention of this paper is to really think about the patient more holistically as opposed to basing clinical decision-making off of one data point or one factor.”

13:09 Aubrey “ if somebody is working in an outpatient clinic, maybe they just had a knee replacement or a hip replacement and their suspicion for an acute DVT. Does that mean that we are going to, in the moment, suggest this person is fully immobilized, call the ambulance, call the stretcher- … you cannot walk on this limb until you make it to the hospital.”

19:18 Becky “ And so when we look at the adverse events that did occur, in retrospect we’re questioning, was that an adverse event? I think if you were the clinician treating the patient, you would’ve said no. But it did meet our criteria for that.”

Rapid Responses:

 Do either one of you guys know what your theme song would be if you got to have a theme song every time you walked into the room at the hospital?

 Aubrey:” I would say September by Earth, Wind & Fire just ’cause that song immediately makes me dance.”

Becky: “ Maybe the songs like, Look Who’s, Guess Who’s Back Again. Eminem.

 You know you’re an acute care or an ICU provider when…

 Aubrey: “You ask yourself, “Is one month too short to buy a new pair of shoes for work?”

Becky: “ When you’ve got at least 8,000 steps by the time you get done with your shift.”

Links:
Incidence of Adverse Events When Mobilizing Patients With Acute Lower Extremity Deep Vein Thrombosis at Subtherapeutic Anticoagulation Level: A Case–Control Study

🎧 Connect with Our Hosts

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

📧 largue2@uic.edu

🐦 Twitter: @LeoArguellesPT

Nicole Neveau, PT, DPT, NCS

📧 ngunder1@gmail.com

🔗 LinkedIn: Nicole Neveau

Danny Young, PT, DPT, PhD

📧 daniel.young@unlv.edu

🐦 X: @DLYoungDPTPhD

🌐 Bluesky: @dlyoungdptphd.bsky.social

🎧 Listen now on Spotify | Apple Podcasts

(Or wherever you get your podcasts)

#AcuteCare #PhysicalTherapy #HealthcareLeadership

Interested in being a future guest?

APTA Acute Care “Optimizing Recovery, Elevating Care”

Website

Awards

Journal Access

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

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

Podcast: Play in new window | Download

What does it take to move acute care physical therapy research from the journal page to the bedside?

In this episode, Dr. Leo Arguelles and Dr. Daniel Young sit down with Dr. Barbara “Barb” Smith, associate professor of physical therapy at the University of Florida, clinician-scientist with more than 25 years of ICU experience, and recipient of the 2026 APTA Acute Care Lecture Award.

Barb reflects on how acute care research has evolved from a time when PTs often contributed to studies without leading them to a future in which clinicians, educators and scientists shape the questions that matter most. She explains why research in complex hospital environments remains difficult, from varied patient populations and unit cultures to small single-site studies and the long delay between publication and clinical adoption.

The conversation also explores why research should function as a team sport. Barb shares the value of multi-site collaboration, early partnerships with frontline clinicians and hospital leaders, and sustained mentorship for emerging researchers. Drawing on her work in respiratory strength training, she shows how clinically relevant questions can grow into evidence that changes practice.

Listeners will leave with a clearer view of how collaboration, communication and curiosity can strengthen acute care research—and ultimately improve patient care.

Show Notes

Today’s Guests:

Barbara Smith PT, PhD

bksmith@ufl.edu

X: ilikebigbreaths

Guest Quotes:

16:24 “ But we still have some challenges, I think in the area of acute care research. Number one it’s hard to do , right?… And all of that noise can muddle up what might be a very, helpful or clear efficacy signal or rehabilitation signal. “Ah, this works.” But if we have all this other noise, we might not see that treatment effect. And so those are some threats sometimes to designing and developing and implementing research in this setting.”

18:54 “ Scientists, we’re not always the best conversationalists. And so disseminating our message, we use a lot of jargon, we use complicated terms…  so there’s a dissemination issue, there’s a consumption issue where where maybe people are getting their information from different resources, and are those resources vetted scientifically?”

27:11 “So this is my pie in the sky dream…I love the fact that this academy is supportive of science and moving our evidence base forward, and have been so supportive of providing some grant funding through the foundation. I would love to pull all that money together and give it in one big project to a bunch of groups of people. And then we do this together.”

Rapid Responses:

  When you’re out biking, Barb, how often do alligators come into the conversation?

 If you’re from Florida, never. If you’re not from Florida, every time.

 You know you’re an acute care or an ICU provider when…

 When your weekend and holiday schedule is more complicated than your fantasy football spreadsheet.

Links:

🎧 Connect with Our Hosts

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

📧 largue2@uic.edu

🐦 Twitter: @LeoArguellesPT

Nicole Neveau, PT, DPT, NCS

📧 ngunder1@gmail.com

🔗 LinkedIn: Nicole Neveau

Danny Young, PT, DPT, PhD

📧 daniel.young@unlv.edu

🐦 X: @DLYoungDPTPhD

🌐 Bluesky: @dlyoungdptphd.bsky.social

🎧 Listen now on Spotify | Apple Podcasts

(Or wherever you get your podcasts)

#AcuteCare #PhysicalTherapy #HealthcareLeadership

Interested in being a future guest?

APTA Acute Care “Optimizing Recovery, Elevating Care”

Website

Awards

Journal Access

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

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

Podcast: Play in new window | Download

Show Notes

Caring Beyond the Critical Care Phase

What happens after a patient survives the ICU—but recovery has only begun?

In this episode of Acute Conversations, hosts Dr. Leo Arguelles and Dr. Nicole Neveau welcome Dr. Rania Farhat, MD, MSHA, FCCP, an assistant professor of medicine at Saint Louis University School of Medicine and founder and medical director of the SSM/SLUCare Post-ICU Multidisciplinary Clinic. Together, they explore post-intensive care syndrome, or PICS, and why meaningful recovery must extend far beyond ICU discharge.

Dr. Farhat shares how her clinic grew from a once-monthly idea into a multidisciplinary program connecting critical care, physical therapy, occupational therapy, pharmacy and transitional care. The conversation examines the lasting physical, cognitive and emotional effects of critical illness, as well as the burden carried by families and caregivers.

Listeners will hear how the team uses measures such as six-minute walk distance, grip strength, cognitive screening and quality-of-life assessments to uncover needs patients may not recognize themselves. The group also discusses early mobility, plain-language education, care transitions and the challenge of expanding access when demand far exceeds clinic capacity.

This episode invites acute care clinicians to redefine success beyond extubation or ICU discharge and ask a more patient-centered question: What happens next? Recovery is a journey, and the work begins in the ICU but continues across every setting that follows.

Listen now on Apple or Spotify.

Today’s Guest

Rania Farhat, MD, MSHA, FCCP

Assistant Professor of Medicine, Division of Pulmonary and Critical Care Medicine, Saint Louis University School of Medicine

Founder and Medical Director, SSM/SLUCare Post-ICU Multidisciplinary Clinic

Medical Director, Pulmonary Embolism Response Team

Email: rania.farhat@slucare.ssmhealth.com

LinkedIn: Rania Farhat, MD, FCCP

X: @raniafarhat88

Guest Quotes

Timestamps are approximate. Quotes have been lightly edited for clarity.

8:00 — Dr. Farhat: “This is more of a recovery clinic than just, ‘Oh, ICU.’ This is about recovery. It’s a journey. It’s not one time only.”

10:00 — Dr. Farhat: “The transition and the recovery is a very long process. I make sure to mention that to patients and their families, because expectations matter.”

17:00 — Dr. Farhat: “I’m trying to connect the dots in your brain. I want them to understand what actually happened to them.”

24:00 — Dr. Farhat: “The perceived physical tolerance for patients is completely different from what they actually can and cannot do.”

35:00 — Dr. Farhat: “Anything that actually impacts patients’ lives and this long journey of recovery, I’m there for it.”

Rapid Responses

• Favorite type of weather: Summer
• Shoes for the acute care floors: Running shoes—Brooks or New Balance
• Least favorite high school class: History
• Another possible profession: Engineering, to fit in with her family of engineers
• Favorite board game: Chess
• Movie she can recite: A Walk to Remember
• Favorite word in another language: “Alhamdulillah” in Arabic
• Favorite meal after a long day: Lebanese food
• You know you’re an acute care or ICU provider when: “I comment on every scene in a medical show.”

Episode Links

Critical and Acute Illness Recovery Organization

CAIRO Post-ICU Clinic Collaborative Directory

International Walk for PICS

Connect With Our Hosts

Leo Arguelles
Pronounced LEE-O R-GWELL-IS
Email: largue2@uic.edu
X: @LeoArguellesPT

Nicole Neveau, PT, DPT, NCS
Email: ngunder1@gmail.com
LinkedIn: Nicole Neveau

Danny Young, PT, DPT, PhD
Email: daniel.young@unlv.edu
X: @DLYoungDPTPhD
Bluesky: @dlyoungdptphd.bsky.social

Listen and Subscribe

Spotify | Apple Podcasts

Or listen wherever you get your podcasts.

#AcuteCare #PostICUSyndrome #ICURecovery #PhysicalTherapy

Interested in being a future guest?

APTA Acute Care

Optimizing Recovery, Elevating Care

Website

Awards

Journal Access

Aspire and Achieve Mentorship Program

X: @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

Podcast: Play in new window | Download

Show Notes

When does teamwork strengthen patient care—and when can it unintentionally limit it?

In this episode of Acute Conversations, hosts Dr. Leo Arguelles and Dr. Daniel Young welcome Haley Bento, PT, DPT, CCS; Harley Kvenvold, occupational therapist; Dr. Kathryn Brito, PT, DPT, CCS; and Brian Hull, PT, DPT, MBA, BCHE, to revisit PT and OT co-treatment in acute care. Building on a previous listener-favorite episode and their newly published clinical perspective, the panel examines why routine co-treatment remains common and how clinicians can move toward more intentional, patient-specific decision-making.

The conversation explores how co-treatment can affect therapy intensity, access to care and professional identity—particularly when occupational therapy is reduced to an extra set of hands rather than recognized for its distinct expertise. The guests also address the real-world factors that shape practice, including clinician confidence, limited support staff, productivity pressures, discharge demands and hospital culture.

Listeners will hear practical strategies for distinguishing a true need for two skilled disciplines from a need for brief physical assistance, strengthening ICU competency and mentorship, documenting clinical reasoning, and reassessing the need for co-treatment during every session.

The goal is not to eliminate co-treatment or shame clinicians who use it. It is to create a meaningful shift toward thoughtful collaboration that protects each profession’s unique value and better serves patients.

Today’s Guests:

Haley Bento PT, DPT, CCS

Haley.bento@utah.edu

IG: @utahcardioptresidency; @utahacuteptresidency

Brian Hull PT, DPT, MBA, BCHE

brian.hull@bswhealth.org

www.linkedin.com/in/BrianHulldptmba

Harley Kvenvold, OT

harley.kvenvold@utah.edu

www.linkedin.com/in/harley-kvenvold-4309211a9

Kathryn Brito PT, DPT, CCS

IG: @kathrynbrito

kathryn.brito@gmail.com

https://www.linkedin.com/in/kathryn-brito-pt-dpt-ccs-69135993/

Guest Quotes:

5:53 Katie “ Putting out this article was important to start those conversations, and I think so far we’ve been pretty successful with that because there really was nothing in the literature talking about co-treatment between OT and PT in the acute care setting.”

15:22 Harley “ I think the main issue is the kind of diluting what an occupational therapist can do for a patient, particularly in an acute setting.”

17:53 Haley “ There are plenty of times where I need help. That does not mean I need an occupational therapist. They’re not my helper, right? So really trying to differentiate I need help versus I need an occupational therapist- and their specific skills in this scenario.”

22:28 Brian “ The one thing that, that we do is we ask people to try to limit co-treats or co-evals to about eight per month, so a couple per week…and really think through when is it actually beneficial for the patient to have only one treatment for that day that combines the expertise, that does not risk it of being, of homogenizing The expertise of PT and OT that can somehow preserve it both.”

43:27 Katie “ The point of this perspective piece and this episode is to start a conversation and allow people to reflect and really critically think through why they’re doing things in order to benefit the patient or optimize what we’re doing for the patient. I don’t want people to listen to this episode and walk away from this thinking, “Oh, I’m not a good acute care therapist because I do X, Y, and Z.” That’s not the point… don’t come down on yourself, but take away from this paper and this episode an opportunity to reflect on your practice and try to make small s- to even take small steps of asking and having those conversations with your colleagues.”

Rapid Responses:

  Haley, what’s the best thing about living in Salt Lake City?

 Ooh, the best thing about living in Salt Lake is the mountain access. People in other parts of the country like to say that they’re close to the mountains, but I can literally run or bike from my house and be on some world-class trails. So that’s the best part is the trail access.

 Harley, name a movie that you could quote endlessly.

 The Princess Diaries.

 You know you’re an acute care therapist when…

Katie-   “Fridays are your least favorite day of the week- … ’cause it’s discharge day.”

Brian- “ I’d say when you’re familiar with cortisol, and plenty of it, nonstop.”

Links:
https://journals.lww.com/jacpt/fulltext/2026/04000/a_clinical_perspective_on_the_value_of_reducing.1.aspx

🎧 Connect with Our Hosts

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

📧 largue2@uic.edu

🐦 Twitter: @LeoArguellesPT

Nicole Neveau, PT, DPT, NCS

📧 ngunder1@gmail.com

🔗 LinkedIn: Nicole Neveau

Danny Young, PT, DPT, PhD

📧 daniel.young@unlv.edu

🐦 X: @DLYoungDPTPhD

🌐 Bluesky: @dlyoungdptphd.bsky.social

🎧 Listen now on Spotify | Apple Podcasts

(Or wherever you get your podcasts)

#AcuteCare #PhysicalTherapy #HealthcareLeadership

Interested in being a future guest?

APTA Acute Care “Optimizing Recovery, Elevating Care”

Website

Awards

Journal Access

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

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

Podcast: Play in new window | Download

Show Notes

Bridge the Gap 2026 brought the acute care community together in Chicago for three days of practical learning, fresh ideas and the kind of conversations that continue long after the final session. In this special episode, host Dr. Leo Arguelles moves through the conference floor with co-host Dr. Nicole Neveau, speaking with presenters, attendees and organizers about what they are taking back to practice.

The conversations span creative solutions to some of acute care’s most persistent challenges. Adam Bridwell describes a three-to-one clinical education model designed to expand placement capacity while supporting clinicians. Grant Bitzer explains how a learning health system can help turn a bedside question into quality improvement, research and sustainable change. Other guests explore post-intensive care syndrome, clearer discharge communication, simulation-based teaching, functional neurologic disorder and the growing role of physical therapists in emergency departments.

Just as important, the episode captures the energy behind the work: interprofessional collaboration, mentorship and a community eager to share what is working. With 157 attendees, 24 posters and a record number of educational submissions, Bridge the Gap continues to grow while protecting the connection and exchange that make it distinctive.

Today’s Guests: Multiple attendees at 2026 Bridge the Gap Conference

Guest Quotes:

18:31 Ashley “ What we came up with originally, and Dawn will probably laugh, it’s a massive- massive document. It was a textbook. And we were like- … “Yeah, we gotta shave this down and make it like a guide people can actually use in clinic practice.”

Links:

https://www.aptaacutecare.org/page/BridgeTheGap2026Conference

🎧 Connect with Our Hosts

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

📧 largue2@uic.edu

🐦 Twitter: @LeoArguellesPT

Nicole Neveau, PT, DPT, NCS

📧 ngunder1@gmail.com

🔗 LinkedIn: Nicole Neveau

Danny Young, PT, DPT, PhD

📧 daniel.young@unlv.edu

🐦 X: @DLYoungDPTPhD

🌐 Bluesky: @dlyoungdptphd.bsky.social

🎧 Listen now on Spotify | Apple Podcasts

(Or wherever you get your podcasts)

#AcuteCare #PhysicalTherapy #ClinicalEducation #HealthcareLeadership

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

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

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

Podcast: Play in new window | Download

Show Notes 

Pediatric vital signs are more than numbers on a monitor — they are part of a larger clinical picture that includes development, physiology, behavior, medical complexity and careful observation.

In this episode of Acute Conversations, host Dr. Leo Arguelles is joined by Ashley Parish, PT, DPT, PhD, CRT, CCS, and Dawn Drumm, PT, DHSc, two contributors to the new Pediatric Vital Signs Guide. Together, they discuss how the resource came to life, why collaboration across APTA Acute Care, the Academy of Cardiovascular and Pulmonary Physical Therapy, and pediatric clinicians was essential, and how the guide can support therapists across settings.

Ashley and Dawn share the challenges of building a practical document from variable pediatric references, the importance of using the guide alongside clinical reasoning, and why pediatric knowledge matters even for therapists who primarily treat adults. From infants in the NICU to adults living with congenital conditions, this episode highlights the need to think across the lifespan.

Today’s Guests:

Dawn Drumm PT, DHSc

ddrumm@luriechildrens.org

https://www.linkedin.com/in/dawn-drumm-b141b455/

IG: drummdawn

Ashley Parish PT, DPT, PhD, CRT, CCS

ashbrown@uab.edu

https://www.linkedin.com/in/ashley-parish-pt-dpt-phd-crt-ccs-b98b60273/

IG: ashleyparish_pt

Guest Quotes:

18:31 Ashley “ What we came up with originally, and Dawn will probably laugh, it’s a massive- massive document. It was a textbook. And we were like- … “Yeah, we gotta shave this down and make it like a guide people can actually use in clinic practice.”

21:05 Dawn “First look at the document, it’s a great overview of just the lifespan within a pediatric lens. And so honing in on those first few areas of content, it just gives you kind of basics. Heart rate through the lifespan, your, respiratory rate… I think that beginning section is really important to highlight so that way you’re getting your foundational guidance that way.”

28:51 Ashley “ If you specifically wanna go into acute care peds, sometimes it’s difficult to find a job because there aren’t as many pediatric hospitals as there are adult hospitals, so just hang in there if it’s really hard for you to get on at first. Get experience in acute care. That always looks really good if you go from an adult hospital to a pediatric hospital. But those jobs do open up, so just be patient if you can’t find one right out of school ’cause no one likes to leave pediatric acute care. It’s the best setting.”

Rapid Responses:

 What’s your favorite color scrubs to wear while you’re at work?

Ashley “ Oh, since I’m a peds therapist, it’s always fun, bright colors. I would say Barney purple is my favorite set. Barney purple.”

Dawn “ Okay. So sadly, we don’t actually have to wear scrubs at work. Oh, wow … and we don’t have a color. But I feel like physical therapy was always blue. We always were like- … blue at county, Going with my basic blue.”

 You know you’re an acute care therapist when…

Ashley “You have a distain for purewicks.”

Dawn “ You’ve have changed more diapers than you would probably like. Yes. So getting down- In both adult and pediatrics, right? Both. Oh, yes … you can’t get away without poop talk.”

Links:
Pediatric Vital Sign Interpretation in Acute Care Guide 2025

https://www.mdpi.com/2077-0383/13/24/7681/xml

https://www.sralab.org/research/labs/max-nader-rto/projects/intervention-promote-motor-development-infants

🎧 Connect with Our Hosts

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

📧 largue2@uic.edu

🐦 Twitter: @LeoArguellesPT

Nicole Neveau, PT, DPT, NCS

📧 ngunder1@gmail.com

🔗 LinkedIn: Nicole Neveau

Danny Young, PT, DPT, PhD

📧 daniel.young@unlv.edu

🐦 X: @DLYoungDPTPhD

🌐 Bluesky: @dlyoungdptphd.bsky.social

🎧 Listen now on Spotify | Apple Podcasts

(Or wherever you get your podcasts)

#AcuteCare #PhysicalTherapy #ClinicalEducation #HealthcareLeadership

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

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

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

Podcast: Play in new window | Download

Episode Description:

What happens when burnout becomes a turning point instead of an exit?

In this episode of Acute Conversations, Abby Catamas joins co-host Nicole Neveau and host Leo Arguelles for a candid and energizing conversation about identity, advocacy, and growth as a physical therapist assistant in acute care.

Abby shares the pivotal moment when she nearly stepped away from the profession—and how stepping into leadership as PTA Member at Large helped her rediscover purpose. Together, they unpack what it means to practice at the top of your license, the evolving role of PTAs in high-acuity environments like the ICU, and why representation and voice matter now more than ever.

This episode also dives into the Advanced Proficiency Pathway for PTAs, highlighting opportunities for clinical growth, recognition, and long-term career development. From navigating interprofessional dynamics to building trust within PT/PTA partnerships, Abby offers a grounded perspective shaped by real bedside experience.

If you’ve ever questioned your “why,” this conversation is a reminder that it can evolve—and that growth often starts with using your voice.

Today’s Guests:

Abby Catamas, PTA

APTA Acute Care PTA Member At Large

johnsonabby96@gmail.com

IG: @rose17abby

Guest Quotes:

6:55 “ I think my best advice is just. You don’t have to give up your initial why, but maybe try to find a different why. It’s part of growth. It’s part of developing in your career too.”

25:46 “ Archana and I presented on APTA conference actually about like improving PT-PTA collaboration for like bi-directional mentorship and Partnership for improved patient outcomes. It all comes down to communication too. If I never communicate with my PT about what’s going on or questions I may have, how is my supervising PT on that floor? Going to feel comfortable that I’m doing an adequate chart review or that I know what I’m doing with my patient if I never update them with how a patient’s doing.”

30:32 “ She’s even though we supervise the PTAs, we are not like, you’re not above or below anybody. We’re supposed to work together. And that is the truest that is the truest statement I’ve heard as far as our profession is concerned, especially in acute care.”

Rapid Responses:

 Give us another podcast that you would recommend for our listeners to listen to.

“Morning Cup of Murder: It’s this day in history of what happened in the past of like different unsolved mysteries.”

 You know you’re an acute care therapist when…

 “Your closet is primarily scrubs.”

Links:
https://academy.aptaacutecare.org/products/2025-09-29-more-than-just-a-pta

🎧 Connect with Our Hosts

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

📧 largue2@uic.edu

🐦 Twitter: @LeoArguellesPT

Nicole Neveau, PT, DPT, NCS

📧 ngunder1@gmail.com

🔗 LinkedIn: Nicole Neveau

Danny Young, PT, DPT, PhD

📧 daniel.young@unlv.edu

🐦 X: @DLYoungDPTPhD

🌐 Bluesky: @dlyoungdptphd.bsky.social

🎧 Listen now on Spotify | Apple Podcasts

(Or wherever you get your podcasts)

#AcuteCare #PhysicalTherapy #ClinicalEducation #HealthcareLeadership

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

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

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

Podcast: Play in new window | Download

Show Notes 

What does acute care physical therapy look like when you step outside your hospital and into a national conversation?

In this special solo-hosted episode, Dr. Leo Arguelles takes listeners on the floor at APTA’s Combined Sections Meeting (CSM), capturing real-time conversations with clinicians, leaders, and innovators across the profession. Through a series of candid, unscripted exchanges, this episode highlights the energy, ideas, and evolving perspectives shaping acute care today.

From discussions on professional identity and clinical growth to reflections on where acute care fits within the broader rehabilitation landscape, a common thread emerges: connection drives progress. These conversations reveal how clinicians are thinking differently about their roles, advocating for their patients, and pushing practice forward in meaningful ways.

Rather than focusing on a single topic, this episode offers a mosaic of insights—each voice adding depth to the bigger picture of acute care practice in 2026.

Whether you attended CSM or not, this episode brings the experience to you—capturing the momentum, curiosity, and shared purpose that define our profession.

Today’s Guests:

Numerous CSM 2026 Attendees

🎧 Connect with Our Hosts

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

📧 largue2@uic.edu

🐦 Twitter: @LeoArguellesPT

Nicole Neveau, PT, DPT, NCS

📧 ngunder1@gmail.com

🔗 LinkedIn: Nicole Neveau

Danny Young, PT, DPT, PhD

📧 daniel.young@unlv.edu

🐦 X: @DLYoungDPTPhD

🌐 Bluesky: @dlyoungdptphd.bsky.social

🎧 Listen now on Spotify | Apple Podcasts

(Or wherever you get your podcasts)

#AcuteCare #PhysicalTherapy #ClinicalEducation #HealthcareLeadership

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

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

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

Podcast: Play in new window | Download

Show Notes 

As APTA’s Combined Sections Meeting heads to Anaheim, this special episode offers a behind-the-scenes look at how acute care programming comes together — and how clinicians can prepare with purpose. Co-hosts Dr. Leo Arguelles and Dr. Nicole Neveau are joined by James Crick, PT, DPT, PhD, and Jean Woolford, PT, DPT, co-chairs of acute care programming for CSM, to discuss session planning, emerging themes, and practical tips for navigating the conference and making meaningful professional connections.

Today’s Guests:

Enjeen Wolford, PTA

enjeen@gmail.com

James P. Crick, Jr., PT, DPT, PhD

jamescrickdpt@gmail.com

Co-Chairs, CSM Education Programming, APTA Acute Care

Guest Quotes:

5:28 “ Our big goal is to cultivate and bring up the new speakers and the people that have never spoken in a conference before. That’s our big push…”

8:49 “ This is the place to network and to connect.  That is the most important and valuable thing that I would give anybody who’s new or newer to attending CSM.”

27:46 “ So comfortable shoes are definite must!”

27:50 “I’ll remember the first time I ever went to CSM I walked in and I couldn’t believe the masses of people that were crossing the street and walking around, and they were all PTs or PTAs, all of them.

They just took over the city. The whole city was taken over and it’s a lot, but it’s so energetic. It’s so much fun and there’s so many great things you can get there.”

Rapid Responses:

 If you had to go to work at Disneyland as a Disney character for the day, which character would you pick?

James: “ I’ll go with Aladdin.  I actually have one of my first jobs in acute care in Naples, Florida. Shout out Naples Community Hospital. They I had a nurse who said. Did you know that your hair looks like Aladdin? Me? A lot of always will be Aladdin from here on out.”

Enjeen: Goofy

You know you work in acute care when…

 Enjeen: “When you have to go look for your nurse on the floor before you see a patient.”

 James: “So it’s standing at the bedside first time in a long time and they get to embrace for, physically for the first time in a long time. The therapeutic hug.”

Links:

Acute Care CSM 2026 Programming: https://apta.confex.com/apta/csm2026/meetingapp.cgi/Subject/220

APTA CSM Event App: https://csm.apta.org/programming/csm-events-app

APTA CSM Proposal and Abstract Submissions: https://csm.apta.org/programming/csm-submissions

🎧 Connect with Our Hosts

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

📧 largue2@uic.edu

🐦 Twitter: @LeoArguellesPT

Nicole Neveau, PT, DPT, NCS

📧 ngunder1@gmail.com

🔗 LinkedIn: Nicole Neveau

Danny Young, PT, DPT, PhD

📧 daniel.young@unlv.edu

🐦 X: @DLYoungDPTPhD

🌐 Bluesky: @dlyoungdptphd.bsky.social

🎧 Listen now on Spotify | Apple Podcasts

(Or wherever you get your podcasts)

#AcuteCare #PhysicalTherapy #ClinicalEducation #HealthcareLeadership

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

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

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

Podcast: Play in new window | Download

Show Notes:

How do physical therapists decide who needs therapy today—and how often—when resources are limited and patient needs change by the hour?

In this episode of Acute Conversations, hosts Leo Arguelles and Daniel Young sit down with Joshua Johnson, Sandra Passek, and Brittany Lapin to unpack the development and validation of PT-PENCIL, a clinical decision support tool designed to help acute care PTs prioritize care using real-world data.

The conversation goes beyond algorithms. The guests walk through how a multidisciplinary learning community shaped PT-PENCIL, why documentation quality matters more than we think, and how predictive models can support—rather than replace—clinical judgment. They also tackle the realities of “it depends,” workflow integration, and why identifying patients on the fence may be where therapy makes the biggest impact.

This episode is a must-listen for clinicians, educators, and leaders navigating triage, staffing, and value-based care in today’s hospitals.

Today’s Guests:

Joshua Johnson PT, DPT, PhD

joshua.johnson@duke.edu

Sandra Passek PT, DPT, Rehabilitation Manager Clinical Informatics at Cleveland Clinic

Brittany Lapin PhD, Associate Professor of Biostatistics

lapinb@ccf.org

https://www.linkedin.com/in/brittany-lapin-004710b/

Guest Quotes:

7:44 “ I can’t help therapists set a frequency at the outset of a patient’s hospitalization. The best thing we could do and what we felt like really was the most appropriate thing to do was help therapists recognize which patients they needed to see the next day.”

20:43 “really what we found is that everybody benefits from PT. And so that ended up having a lot of discussions with the learning community about how do we then flag patients based on like clinically driven decisions rather than just the statistical model?”

32:27 “ So while we said a lot about helping individual clinicians make decisions about triage. I also think that there’s an opportunity here for managers and leaders to think through, how can I do something like that to support the clinicians that work for me.”

Rapid Responses:

  What patient population do you enjoy thinking about or working with the most?

Brittany: “ As a statistician, I like surgical patients the most because there’s a date, there’s a pre and there’s a post.”

Sandi “I like the geriatric population. It doesn’t matter what it is. I think there’s just a lot to learn from them.”

Josh “ When I see patients I’m usually on our neurological floor and I really enjoy that. But I’ll admit a bias that I’ve, this little bit of time that I’ve spent in cardiovascular ICUs have been absolutely fascinating. And if I were to do full-time clinical care, I’d want to get trained to really take care of that population.”

You know you work in acute care when…

Josh “ Your treatment plan changes three times before you make it from the doorway to the edge of the bed.”

Sandi “Things change all the time in acute care. You just have to be ready for it. You have to be resilient and just move with it.”

Brittany “  📍 Lots of sensitivity analysis with your/any studies.”

Links:

https://academic.oup.com/ptj/article-abstract/105/9/pzaf093/8198102?redirectedFrom=fulltext

🎧 Connect with Our Hosts

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

📧 largue2@uic.edu

🐦 Twitter: @LeoArguellesPT

Nicole Neveau, PT, DPT, NCS

📧 ngunder1@gmail.com

🔗 LinkedIn: Nicole Neveau

Danny Young, PT, DPT, PhD

📧 daniel.young@unlv.edu

🐦 X: @DLYoungDPTPhD

🌐 Bluesky: @dlyoungdptphd.bsky.social

🎧 Listen now on Spotify | Apple Podcasts

(Or wherever you get your podcasts)

#AcuteCare #PhysicalTherapy #ClinicalEducation #HealthcareLeadership

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

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

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

Podcast: Play in new window | Download

Show Notes S4E1

Burnout isn’t just a buzzword — it’s a lived experience for many clinicians working in hospital settings. In the Season 4 premiere of Acute Conversations, co-hosts Dr. Leo Arguelles and Dr. Danny Young are joined by Kelly Murphy, PT, DPT; Maria Tucker, PT, DPT; and Laura Cataldo, MOT, OT to unpack what burnout really looks like in acute care — and what can actually be done about it.

Drawing from their published work in the Journal of Acute Care Physical Therapy and their experience leading a departmental burnout initiative at Beth Israel Deaconess Medical Center, the guests break down how burnout is defined, how it can be measured, and why it so often goes unrecognized until clinicians are already depleted. They explore the core components of burnout — emotional exhaustion, depersonalization, and diminished personal accomplishment — and why acute care environments uniquely intensify each one.

The conversation goes beyond awareness to action, highlighting both individual strategies and system-level interventions that can help clinicians reconnect with purpose while still navigating high-acuity, high-demand settings. From grounding techniques that work mid-shift to organizational changes that foster transparency, recognition, and trust, this episode offers a practical and hopeful framework for clinicians who want to keep showing up — without losing themselves in the process.

Today’s Guests:

Kelly Murphy PT, DPT

kamurphy0615@gmail.com

Maria Tucker PT, DPT

mtucker4@bidmc.harvard.edu

Laura Cataldo MOT, OT

lecataldoqu@gmail.com

Guest Quotes:

11:14 Laura “ …in our research, it, burnout is not something that can be fixed by doing individual interventions alone. And in a setting such as a hospital, or other large organizations, you really have to focus on organizational changes as well to have an effect on burnout.”

26:21 Maria “… another like self-reflection piece is like, yeah, we’re burnt out, but also our managers and leadership and everybody, like they’re burnt out as well.

… but realizing and saying, they can be burnt out and they are burnt out and we’re just experiencing a different area of burnout or a reason for burnout. But at the end of the day, we all have the same like kind of feelings.”

32:05 Kelly “ I think it just brought general awareness to how good it feels to remind our staff. Shout each other out or thank someone for their help thing. And then, gosh, I still, to this day, every day on my commute home on the train there’s one intervention that we talk about in here. Three good things. I still do that every day on the way home because I’m like, you know what? Even if this was the worst day ever and my patients. Really had a hard day all day. I can still choose three good things, even if it’s not patient care related.”

Rapid Responses:

 What’s your best stress relief activity on the weekends when you’re not working?

 Ski and golf. Oh, we’re all answering…I like going for a walk with my dog.

You know you work in acute care when…

Laura “When your knee deep in bodily fluids”

Maria “ When you have determined both your worst and best outcome for every single patient before you enter the room.”
Kelly “ When you come down to lunch and different scrubs and you start out the day in… Or if you’re throwing away your sneakers, like it’s beyond just a bleach wipe.”

Links:

https://journals.lww.com/jacpt/abstract/2025/04000/assessing_and_managing_prevalence_of_burnout_in.1.aspx

🎧 Connect with Our Hosts

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

📧 largue2@uic.edu

🐦 Twitter: @LeoArguellesPT

Nicole Neveau, PT, DPT, NCS

📧 ngunder1@gmail.com

🔗 LinkedIn: Nicole Neveau

Danny Young, PT, DPT, PhD

📧 daniel.young@unlv.edu

🐦 X: @DLYoungDPTPhD

🌐 Bluesky: @dlyoungdptphd.bsky.social

🎧 Listen now on Spotify | Apple Podcasts

(Or wherever you get your podcasts)

#AcuteCare #PhysicalTherapy #ClinicalEducation #HealthcareLeadership

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

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

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

Podcast: Play in new window | Download

How do we measure what truly matters in acute care — and why does it finally feel possible to do it well?

In this week’s episode, co-hosts Dr. Nicole Neveau and Dr. Leo Arguelles sit down with Dr. Caitlyn Crandall and Dr. Lindsey Fresenko, two contributors to the new clinical practice guideline, “A Core Set of Outcome Measures to Assess Physical Function for Adults Participating in Physical Therapist Treatment in the Hospital.” Together, they unpack how this Core Outcome Measures (COMs) Set was built, what makes each measure clinically feasible, and how the guideline is already reshaping evaluation, communication, and discharge planning across hospital-based physical therapy.

Caitlyn and Lindsey share what surprised them during development, how psychometric rigor and real-world feasibility shaped the final set, and why standardized measurement doesn’t replace clinical reasoning — it strengthens it. They also preview their upcoming APTA Acute Care webinar and reflect on how a shared measurement language can help clinicians advocate for staffing, demonstrate value, and elevate patient care.

Whether you’re an ICU therapist, med-surg clinician, educator, or student, this conversation offers a clearer, more confident path for integrating outcome measures in acute care.

Today’s Guests:

Dr. Caitlyn Crandall, PT, DPT, CCS, RYT

Email: caitlyn.crandall@unchealth.unc.edu

LinkedIn: https://www.linkedin.com/in/caitlyn-crandall-dpt

Instagram: @CaitlynCrandall

Dr. Lindsey Fresenko, PT, DPT, PhD

Email: lindsey.fresenko@utoledo.edu

Publications:

• PTJ CPG: https://academic.oup.com/ptj/article/105/6/pzaf076/8140951

• CC&E Journal: https://journals.lww.com/ccejournal/fulltext/2024/12000/rehabilitation_and_social_determinants_of_health.8.aspx

Guest Quotes:

Caitlyn:

“These outcome measures aren’t meant to replace clinical decision-making — they’re meant to support it.”

Lindsey:

“The importance of having an evidence-based core outcome measure set is now utilizing it in practice.”

Caitlyn:

“Parts of these outcome measures are already what we’re doing. The COMs help organize and standardize it.”

Rapid Responses:

What’s the dumbest way you’ve injured yourself?

• Caitlyn: “I fell off my horse — he stopped, I kept going.”

• Lindsey: “I stepped on my own pinky toe in middle school and broke it.”

You know you work in acute care when…

• Caitlyn: “You’ve led a parade down the hallway with ECMO, an IABP, and half the team following behind.”

• Lindsey: “Carrying socks in your pocket is an everyday thing.”

Links:

A Core Set of Outcome Measures to Assess Physical Function for Adults Participating in Physical Therapist Treatment in the Hospital- https://pubmed.ncbi.nlm.nih.gov/40403754/

🎧 Connect with Our Hosts

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

📧 largue2@uic.edu

🐦 Twitter: @LeoArguellesPT

Nicole Neveau, PT, DPT, NCS

📧 ngunder1@gmail.com

🔗 LinkedIn: Nicole Neveau

Danny Young, PT, DPT, PhD

📧 daniel.young@unlv.edu

🐦 X: @DLYoungDPTPhD

🌐 Bluesky: @dlyoungdptphd.bsky.social

🎧 Listen now on Spotify | Apple Podcasts

(Or wherever you get your podcasts)

Podcast: Play in new window | Download

Show Notes:

What does it take to move ICU rehab forward — and who’s leading the charge?

In this episode, co-hosts Dr. Leo Arguelles and Dr. Daniel Young sit down with Dr. Monica Silva Damasceno (MD Anderson Cancer Center) and Dr. Vinh Tran (University of New Mexico) — two clinicians who shared the stage at CSM’s ICU Rehab panel alongside Dale Needham, Jen Ryan, and Chris Wells.

Together, they unpack what’s changing in critical care physical therapy — from dismantling barriers and writing mobility into unit culture, to building true interprofessional collaboration that lasts beyond a single champion.

Monica shares her journey from Brazil to Houston Methodist’s Critical Care Fellowship, and how mentorship shaped her vision for ICU practice. Vinh reflects on his path from cardiac medicine to academia, bridging implementation science with bedside experience.

The conversation highlights the power of structure, communication, and persistence in advancing early mobility — especially in smaller hospitals where “doing more with less” is a daily reality.

Today’s Guests:

Monica Damasceno PT, DPT, CCS

monicasdapt@gmail.com

linkedin.com/in/monica-silva-damasceno-pt-dpt-ccs-03989965

Vihn Tran PT, DPT, PhD, CCS

https://www.linkedin.com/in/vinh-tran-169015200/

Guest Quotes:

15:25 Vihn “ I agree in the shorter duration just because by necessity, if they’re in the ICU, they’re medically unstable, right? So you’re limited on how aggressive you can be, although I do think we can be more aggressive than the average person thinks. So yeah, I think that seems reasonable to, to shorter sessions, but perhaps more frequently. With a caveat that there is potential out there to do longer sessions in certain really niche or precise circumstances.”

20:24   Advice for those therapists that working like the smaller kind of rural community hospitals that wanna kind of make a dent and or wanna start implementing more ICU rehab?

Vihn “ ..really, it’s not just a PT or rehab driven process, right. Like we in rehab can just flick a switch and all of a sudden this happens. It requires an extensive amount of collaboration between providers, nurses, techs, your own staff, your equipment managers. Everyone needs to be on board with what the overall aim is. So in order to really get the ball rolling first to me, like identify champions in, in allied communities. So whether it’s a nursing manager that potentially sees the value in early mobility, perhaps it’s a Mutually beneficial relationship where we can provide higher quality therapy or an earlier timeframe. At the same time, we can relieve some of the mobility tasks that nursing might have to do or help them do it in a more safe aspect.”

Monica “ ..having an agreement with your team and having the the champions. One from or  multiple people from different groups, a doctor, nurses, and then have a plan of what you see for your unit in the future with this, those people, and create your practices like every day. Cultivating that practice of mobility and encouraging and helping each other.”

29:06 Monica “ one of the strategies to try to encourage more mobility is asking. What is the mobility plan during the rounds? Any rounds you have to have an answer. Then, then you think about mobility.”

Rapid Responses:

 What’s your go-to karaoke song?

 Monica: “it is Mariah Carey. It’s song Mariah Carey. Always Mariah Carey. Yeah. Any song that I can find? Mariah Carey. Which is the hardest to sing. Can you imagine talking about the scales there?

Vihn: I’m from St. Louis and I love Nelly, so I just gotta go with Nelly.”

You know you work in acute care when…

Vihn: “ When you don’t care what you’re wearing in the work or how you look, I should say that way.”

Monica: “ The scrubs have extra scrubs, I would say and all. And also having the safety pins in your pocket to secure the lines.”

Links:

https://orcid.org/0009-0009-6275-4362

🎧 Connect with Our Hosts

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

📧 largue2@uic.edu

🐦 Twitter: @LeoArguellesPT

Nicole Neveau, PT, DPT, NCS

📧 ngunder1@gmail.com

🔗 LinkedIn: Nicole Neveau

Danny Young, PT, DPT, PhD

📧 daniel.young@unlv.edu

🐦 X: @DLYoungDPTPhD

🌐 Bluesky: @dlyoungdptphd.bsky.social

🎧 Listen now on Spotify | Apple Podcasts

(Or wherever you get your podcasts)

Podcast: Play in new window | Download

Show Notes

Acute care physical therapists have long known that their work is different—fast-paced, data-driven, and grounded in collaboration at the highest level of care. Now, that difference is finally being recognized.

In this episode of Acute Conversations, Dr. Jennifer Ryan joins hosts Dr. Leo Arguelles and Dr. Daniel Young to share an inside look at the ongoing effort to establish Acute Care as a board-certified specialty through ABPTS. Jen traces the movement’s roots from the early 2000s to today’s evidence-rich, residency-supported landscape and explains what the next steps mean for clinicians at the bedside.

From lessons learned through years of research and advocacy to the evolving role of interprofessional collaboration, this conversation highlights the depth and expertise of hospital-based PT practice. Whether you’re a new grad or a seasoned clinician, this episode will leave you inspired to see acute care not just as a setting—but as a specialty built on purpose, complexity, and professional pride.

Today’s Guests:

Jennifer Ryan PT, DPT, MS

APTA Acute Care Vice president and Project Coordinator of the Petition for Specialization

jennifer-ryan@northwestern.edu

Guest Quotes:

10:31 “ when I hear colleagues say like, acute care is a specialty, really?  It tells me that I need to help them understand what we do.”

24:01 “…in this whole specialty assessment, in this really long survey you had to have a understanding of physiology and a pathophysiology of every body system. You have to have a keen awareness of not necessarily. Everything memorized, right? But a keen awareness of your level of awareness of those and your need to seek out more resources, or you need to confirm information you know, and then all the clinical sciences, all the laboratory values, all the imaging, all the pieces like that.”

26:14 “So now we’re in the perfecting phase one phase. And so demand is one of the categories and need is one of the categories. Demand is how many PTs will. Want to sit for specialization and the turnaround time and all that…The need piece is like. Why do you need PTs to work function at this level? Is someone else taking care of it?”

Rapid Responses:

  Now you’ve lived in Chicago your whole life, but if you weren’t in the city, where would you go for fun?

  “Well, I live in the burbs. I work in the city. That’s been 99% of my experience. I’m never gonna live more than a half a tank of gas from Mount Prospect, Illinois. That’s, and where would I go for fun? I totally love being in my garden. I was picked, I picked about 40 things outta my garden, brought ’em to work today. I, yeah, fun. Fun is like where my family is. My dogs are all that kind of thing.”

You know you work in acute care when…

“ You know you’re working at acute care when it’s. No big deal to stand in the bathroom with a complete stranger. “

Links:

https://specialization.apta.org/for-specialists/volunteer/specialization-academy-of-content-experts

https://academy.aptaacutecare.org/

🎧 Connect with Our Hosts

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

📧 largue2@uic.edu

🐦 Twitter: @LeoArguellesPT

Nicole Neveau, PT, DPT, NCS

📧 ngunder1@gmail.com

🔗 LinkedIn: Nicole Neveau

Danny Young, PT, DPT, PhD

📧 daniel.young@unlv.edu

🐦 X: @DLYoungDPTPhD

🌐 Bluesky: @dlyoungdptphd.bsky.social

🎧 Listen now on Spotify | Apple Podcasts

(Or wherever you get your podcasts)

#AcuteCare #PhysicalTherapy #ClinicalEducation #HealthcareLeadership

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

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

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

2026 Elections

Podcast: Play in new window | Download

Show Notes 

In this episode of Acute Conversations, we welcome Dr. Nicole Neveau, PT, DPT, NCS — Director of Rehabilitation Services at SSM Health St. Louis University Hospital and our newest co-host.

Nicole shares her path into acute care, from unfolding paper charts as a new grad to leading a team of more than 100 therapists. She reflects on lessons learned in trauma and neuro ICUs, the importance of mentorship, and why she sees therapists as consultants who guide recovery through evidence, collaboration, and patient stories.

Alongside host Dr. Leo Arguelles, Nicole also previews the upcoming 2026 Bridge the Gap Conference in Chicago and what it means for connecting research with practice.

Today’s Guests:

Nicole Neveau, PT, DPT, NCS

📧 ngunder1@gmail.com

🔗 LinkedIn: Nicole Neveau

Guest Quotes:

14:35 “  In acute care, it’s about the story. Of where that patient is right now and about that risk adjustment of what? As a physical therapist, I need to dose intervention to maximize their recovery without increasing their risk of harm at the point where they are the most critically ill.”

28:28 “ We have to be more precise about how we apply our services and, and be a consulting service…  it also means that as clinicians we’re making decisions that frontline are making decisions with their caseload every day. Yeah. It’s not a simple, here’s your list of six people that you’re gonna go see. Don’t stop until you see all of ’em. Mm-hmm. It’s much more like, what do your people on this list need to maximize their recovery to help with their discharge planning and how are you going to let your day unfold?”

Rapid Responses:

 What snack best represents you?

 “Oh, just all the time. I don’t even know that there needs to be one. I am a snacker. I love Chips or cookies or you know what, I, I love coffee, so I drink a lot of coffee, so that might be, I, if I had to pick one snack forever, it would be Coffee with a lot of cream and sugar in it.”

You know you work in acute care when…

 “ when you have scratched your patient’s back for the first time and they just start melting and saying, oh my gosh, no one’s done. You know, I’ve been on my back in this bed. So that’s, it’s it. The little things, it build thing. You build a relationship.”

Links:

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

🎧 Connect with Our Hosts

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

📧 largue2@uic.edu

🐦 Twitter: @LeoArguellesPT

Nicole Neveau, PT, DPT, NCS

📧 ngunder1@gmail.com

🔗 LinkedIn: Nicole Neveau

Danny Young, PT, DPT, PhD

📧 daniel.young@unlv.edu

🐦 X: @DLYoungDPTPhD

🌐 Bluesky: @dlyoungdptphd.bsky.social

🎧 Listen now on Spotify | Apple Podcasts

(Or wherever you get your podcasts)

#AcuteCare #PhysicalTherapy #ClinicalEducation #HealthcareLeadership

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

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

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

2026 Elections

Podcast: Play in new window | Download

Show Notes

What inspires someone to change the course of their career — and, ultimately, their profession? In this episode of Acute Conversations, we introduce our newest co-host, Dr. Daniel (Danny) Young, PT, DPT, PhD. Danny shares the moment a chance encounter sparked his passion for physical therapy, his early experiences pioneering ICU mobility at Creighton, and his transition into academia at UNLV.

Alongside host Dr. Leo Arguelles, Danny reflects on the role of mentorship, the challenge of building confidence in new clinicians, and why generating stronger evidence is essential for advancing acute care practice. From personal stories to research insights, Danny brings both candor and vision to his new role on the podcast team.

Today’s Guests:

Danny Young, PT, DPT, PhD

📧 daniel.young@unlv.edu

🐦 X: @DLYoungDPTPhD

🌐 Bluesky: @dlyoungdptphd.bsky.social

Guest Quotes:

11:28:  “…the lack of confidence is a reflection most often of just some. Some humility that the students have. And so I try to reassure students that it’s a good thing that they feel a little bit hesitant and unsure of themselves. That it’s a recognition of the things that they don’t know. So I, I just first want to acknowledge that not feeling confident is okay. Yeah. And is actually something that’s probably reflects some good attributes.”

15:40: “ One of the things that fairly quickly started to really bother me was the debates that I would have with nurses or physicians… I’ve received such opposition for so many patients about early intervention. That I, I went and did a literature search, you know, because I didn’t get any training in school about early intervention. Like I said, it wasn’t a common part of practice then. Right. And. So I do a literature search and I find nothing, there was no evidence. Now there was evidence that bedrest was bad, right? Right. So we had evidence that staying in bed was a problem. What we didn’t have was evidence that it was safe or helpful to start mobilizing those people earlier. And most of the physicians and nurses at that time just assumed that there’s no way around the negative effects of bedrest for these people who are really sick.    There’s no evidence to inform these decisions that I have to make every day. And that’s gotta change. And. Why am I not the person to try and answer those questions?”

35:26: “ I think we’ve got to have better evidence and I’m. I’m committed to trying to help to create it.”

Rapid Responses:

 What’s your most favorite way to exercise, Danny?

“ I commute by bike. I spend between two and two and a half hours every day riding a bike to and from the campus here.And I love mountain biking as well. So commuting is, is how I get most of my fitness. But I, every time I can get out on the dirt trails, I do that too.”

You know you work in acute care when…

  You wear different clothes home than you wore when you went in. You have to change during the day.

🎧 Connect with Our Hosts

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

📧 largue2@uic.edu

🐦 Twitter: @LeoArguellesPT

Nicole Neveau, PT, DPT, NCS

📧 ngunder1@gmail.com

🔗 LinkedIn: Nicole Neveau

Danny Young, PT, DPT, PhD

📧 daniel.young@unlv.edu

🐦 X: @DLYoungDPTPhD

🌐 Bluesky: @dlyoungdptphd.bsky.social

🎧 Listen now on Spotify | Apple Podcasts

(Or wherever you get your podcasts)

#AcuteCare #PhysicalTherapy #ClinicalEducation #HealthcareLeadership

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

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

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

2026 Elections

Podcast: Play in new window | Download

Show Notes

Ethel Frese, PT, DPT, MHS, CCS, FAPTA is one of the most respected voices in acute and cardiopulmonary physical therapy. In this episode, she shares the pearls that will energize your practice and growth—from building stronger patient connections to fostering collaboration with the healthcare team. Whether you’re new to acute care or a seasoned clinician, her insights will challenge, inspire, and remind you why this work matters.

Today’s Guests:

Ethel Frese, PT, DPT, MHS, CCS, FAPTA

Professor Emeritus Saint Louis University, Cardiovascular and Pulmonary Certified Clinical Specialist

ethel.frese@health.slu.edu

Guest Quotes:

17:46 “ the therapist who took my place in Chattanooga… she’s always told students and people that I’ve worked with that one of the best gifts to me as a teacher is to have someone you’ve taught do better than the teacher.  And I have a lot of really good gifts that way. Lots of people I’ve seen have gone way beyond their teacher and, and that’s huge to me.”

28:54 “ I think that’s a value of teaching.  You have to go back and think, now, why do I do it that way?”

Rapid Responses:

 Name one therapist that has been influential in your career.

“Oh, that’s an easy one. Her name is Mary Chrisman.  She was the therapist that I went to at the hospital when the other therapist would not answer my questions. And she’s a friend even to today…

You know you work in acute care when…

  “When you can manage. I’m gonna say acute illness, but you know, ill patients who need specialist, very specialized care.    And that you can manage the, the really sick patients and the not so sick. Yeah. And you know, you’re good at vital signs and ECG and ventilators and all the machinery that you see in acute care. Yeah. So, I guess that’s my answer.”

🎧 Connect with Our Hosts

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

📧 largue2@uic.edu

🐦 Twitter: @LeoArguellesPT

Nicole Neveau, PT, DPT, NCS

📧 ngunder1@gmail.com

🔗 LinkedIn: Nicole Neveau

Danny Young, PT, DPT, PhD

📧 daniel.young@unlv.edu

🐦 X: @DLYoungDPTPhD

🌐 Bluesky: @dlyoungdptphd.bsky.social

🎧 Listen now on Spotify | Apple Podcasts

(Or wherever you get your podcasts)

#AcuteCare #PhysicalTherapy #ClinicalEducation #HealthcareLeadership

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

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

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

2026 Elections

Podcast: Play in new window | Download

Show Notes

What happens when acute care PTs create space to support, challenge, and elevate each other?

In this episode, hosts Nicole Neveau and Leo Arguelles speak with Tricia Healy, PT, DPT and Kim Levenhagen, PT, DPT about the Aspire & Achieve mentorship program—its origins, its impact, and the intentional matchmaking that has helped over 65 mentor-mentee pairs grow together.

They explore lessons learned from the first two cohorts, what makes mentorship meaningful, and how the program is evolving to support students, new grads, and seasoned clinicians alike.

🔍 Topics include:

• The story behind the program’s creation

• How mentor-mentee matches are made

• Feedback from the first two cohorts

• Success stories and future goals

• The difference between mentorship, coaching, and clinical education

• How to get involved (and who should apply)

🔗 Learn more or apply to be a mentor/mentee in the next cohort via APTA Acute Care. 

🎙️ Today’s Guests

Tricia Healy, PT, DPT

Chair, Aspire and Achieve Committee

Practice Committee Member, Critical Edge Email Coordinator

Coordinator, Aspire and Achieve Mentor Program

📧 triciahealy@townisp.com

Kim Levenhagen, PT, DPT

Chair, Membership Committee

📧 kim.levenhagen@health.slu.edu

Guest Quotes:

6:11 Tricia “ survey data has been pretty consistent and people with or have been highly satisfied with the program…big part of it is the mentee’s commitment. The mentee really has to have goals to drive the relationship, and we stress that it’s mentee led, so the mentee leads the meetings, has the goals.  So when that happens, when there’s. Good communication and a really motivated mentee and a mentor who’s willing to guide. It’s been really a really successful relationship for the pair.”

10:22 Kim “ I think that’s something that we need to continue to hone in on to find out what is the best way to match people. But there is a lot of intentionality, Tricia and I, it’s like a dating game almost.

Like we’ve got our Excel spreadsheets out, we’re matching people… and so what happens is, and we put a lot of thought into it, it’s not just random.”

Rapid Responses:

  If you did not work in healthcare, what would your career be?

Kim: “Bartender”

 Before you walk into a patient’s room, what would be your theme song?

Tricia “Don’t Stop Believing”

You know you work in acute care when…

Kim: “ When you correct a physician’s office about how they take vital signs”

Tricia: “ I have to go with you, keep a separate pair of shoes at work, that that doesn’t come home with you. That would be my danzko clogs”

Links:

Email- mentorprogram@aptaacutecare.org

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

https://www.apta.org/fit-for-practice/practice-health/the-power-of-mentoring

https://www.youtube.com/watch?v=JOX2OPyH4x0

🎧 Connect with Our Hosts

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

📧 largue2@uic.edu

🐦 Twitter: @LeoArguellesPT

Nicole Neveau, PT, DPT, NCS

📧 ngunder1@gmail.com

🔗 LinkedIn: Nicole Neveau

Danny Young, PT, DPT, PhD

📧 daniel.young@unlv.edu

🐦 X: @DLYoungDPTPhD

🌐 Bluesky: @dlyoungdptphd.bsky.social

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

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

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

2026 Elections

Podcast: Play in new window | Download

Show Notes 2025

What do you really learn in acute care—and what does it feel like to use what you’ve learned in the classroom?

In this episode, we speak with Mika Mendoza, a recent UIC DPT graduate, who reflects on the clinical rotation that changed her perspective on physical therapy. From managing a complex discharge for a newly blind patient to navigating transplant floors and collaborating with interprofessional teams, Mika shares powerful insights on growth, uncertainty, and finding purpose in acute care.

This episode also marks the debut of our new co-host, Dr. Nicole Neveau, PT, DPT, who brings her experience as a CI and clinical leader into the conversation. Together, she and Leo explore mentorship, first-hand learning, and why exposure to acute care should be standard in DPT education.

Whether you’re a student, educator, or practicing clinician—this conversation will resonate.

Today’s Guests:

Mika Mendoza, SPT

mmendo47@uic.edu

https://www.linkedin.com/in/mika-mendoza-dpt2025/

Guest Quotes:
8:21 “ Interdisciplinary collaboration is, is key to acute care. It’s not just walking and it’s not just standing.”
19:33 “ …not all things were as straightforward as we had learned it in didactic.”
28:45 “ I feel like having students go into an acute care clinical rotation I think it’s just so important because you will never know. If you don’t try it, right? …Uou miss a hundred percent of the shots that you don’t take.
And I think it’s the same with acute care, especially because there are so many things that get debunked when you’re in an acute care clinical rotation.”

Rapid Responses:
What kind of shoes do you wear in acute care?
“Not White Ones”
You know you work in acute care when…
“ When you try to swipe your badge to get into your house”
Links:
https://www.aptaacutecare.org/page/2026Elections

Connect with our host and the podcast!
Leo Arguelles (LEE-O R-GWELL-IS)
largue2@uic.edu
Twitter @LeoArguellesPT
Nicole Neveau
ngunder1@gmail.com
LinkedIn
Danny Young
daniel.young@unlv.edu
X – @DLYoungDPTPhD
Bluesky – @dlyoungdptphd.bsky.social
Interested in being a future guest?

APTA Acute Care:
Website
Awards
Journal Access
https://www.aptaacutecare.org/page/AspireandAchieveMentorshipProgram
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

Podcast: Play in new window | Download

Show Notes:

🎙 Episode Description:

What’s it really like stepping into acute care as a DPT student? In this episode, we hear honest, eye-opening reflections from Fiona Kearns and Hannah Brandt, two near-graduates from UIC who just wrapped up a transformational clinical rotation. They share what surprised them, challenged them, and ultimately shaped their career paths.

PLUS—meet our new co-host, Dr. Danny Young! He brings his academic and clinical lens to the conversation, unpacking burnout, mentorship, and the deeper meaning behind acute care practice.

👂 Listen in for:
• First impressions from a high-acuity hospital rotation
• Navigating burnout (as students and clinicians)
• Why acute care needs more visibility—and more students
• Danny’s debut on the mic 🎤

Today’s Guests:

Hannah Brandt, SPT

hannah24brandt@gmail.com

Fiona Kerns, SPT

fkkearns2000@gmail.com

Guest Quotes:

On early exposure to Acute Care through Integrated Clinical Experiences (ICE):

Hannah 9:44 “ So definitely I think it’s very good we get early exposure to it.  Especially ’cause I, for me, at least when I was applying to PT schools, was during covid. So a lot of shadowing hours in hospitals was not available just because of Covid experiences. So like while I would’ve liked to have experience before coming into PT school in that setting, I didn’t get any. So while I was like eager and excited to see it, it does come with a lot of nerves.”

Fiona 11:46 “ …And then my second ice visit experience. My patient had three seizures while we were in the room with him, and obviously like that can happen in the acute care setting.  It’s not out of the question, but that was just kind of like a big like welcome to acute care for sure. Like this is, this is what it’s like to be here. So definitely like high paced, A lot of like adrenaline from those experiences, but definitely learned a lot and I really enjoyed them so.”

Danny 28:42 “ One of my favorite quotes comes from Viktor Frankl’s book man’s Search for Meaning.  And he says he who has a why to live for can bear almost any how. And I think one of the problems that we have is. That we aren’t finding enough meaning in what we’re doing.  We think what we need is ease and happiness in our jobs. And instead I think what we need is to recognize how meaningful what we’re doing is. And if we focus on the meaning in what’s happening, I think it will combat a lot of the burnout that we see.”

Rapid Responses:

 Name a PT that’s been influential in your PT career so far.

Fiona:  “Sarah and Julia are cis from this past clinical, for sure.”

Hannah: “ Dr. Jones, our neuro professor in our program.”

You know you work in acute care when…

Hannah: “ I would say when you’re reorienting your patient, but you don’t even know what day it is.”

Fiona: “ I say your friends stop letting you talk about your day during dinner, right?

Links:

https://www.aptaacutecare.org/page/2026Elections

Connect with our host and the podcast!

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

largue2@uic.edu

Twitter @LeoArguellesPT

Danny Young

daniel.young@unlv.edu

Interested in being a future guest?

APTA Acute Care:

Website

Awards

Journal Access

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

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

Podcast: Play in new window | Download

Show Notes

Today’s Guests:

Jamie Dyson PT, DPT

jamiedyson224@gmail.com

Constanza Aranda PT, DPT, MSPH

carandadpt@gmail.com

Guest Quotes:

3:34 Connie “ And that was when I said, wow, like, it would be so cool one day to be able to present in a such a big stage like CSM. And Jamie being the mentor that he is, he said, noted a little mental note and he said, I think we have just written our first goal as mentor mentee.”

7:07 Jamie “ It’s easier to be a mentor when your mentee takes an active role. Yeah. In, in the relationship. Too many mentees try to take a passive route.”

21:35 Jamie “  If you try to be too prescriptive as a mentor, I think that kind of turns the mentees off.  If I had told Connie exactly what she needs to do every single day, she probably would’ve said, all right, enough of this guy, I’m outta here.”

Rapid Responses:

 Before you walk into a patient’s room, what would be your theme song as you walk into that patient’s room?

-Connie “Eye of the Tiger”

You know you work in acute care when…

-Connie “You have a change of scrubs in the car”

Links:

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

Connect with our host and the podcast!

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

largue2@uic.edu

Twitter @LeoArguellesPT

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

Podcast: Play in new window | Download

What happens when physical therapy enters the high-risk pregnancy unit? Erin Locati, PT, DPT, joins us to break down how acute care therapists can make a meaningful impact on maternal health—far beyond what most expect.

In this episode, Erin shares her unique path from chemical engineering to acute care PT, and how her own pregnancies shaped her clinical mission. We explore the misconceptions around bedrest, how to support OB teams without overstepping, and why physical therapy should be standard in high-risk pregnancy and postpartum care.

Whether you’re a hospital-based PT, student, or someone curious about expanding care for pregnant patients—this episode will challenge assumptions and spark ideas.

Today’s Guests:

Erin Locati PT, DPT

erin@risepelvicpt.com

LinkedIn

Instagram: @erinlocati_pt

Guest Quotes:

9:11 “ …So I really felt alone navigating.  Kind of my postpartum recovery and my injuries and return to activity and exercise. And then during my second pregnancy, I was diagnosed with a couple serious complications. And again, I just really felt alone and frustrated and not really knowing, well, what does it say for me to do? I don’t wanna accidentally hurt my baby by doing too much, and my doctor wasn’t super helpful about it. I knew that pelvic physical therapy was a specialty that existed.  Where PTs work with pregnant and postpartum patients, but it was really more of an outpatient specialty as far as I knew.

And I was in acute care and I wanted to stay in acute care. Yeah. So I thought about, well, how can I help these populations where I am?

I mean, all these patients are here in the hospital. Almost everybody gives birth in a hospital in the US. So maybe there’s a way that I can provide skilled care  in the setting I’m already in to pregnant and postpartum patients, and that’s really where it started.”

25:52 “ It’s looking at their restrictions and deciding, you know, with your skilled assessment, what level of exercise could they probably be doing within the restrictions they have. And again, going up to the max that it restriction allows them.

So that they can minimize the losses they’re gonna have from being on bedrest.”

Rapid Responses:

 Do you have any good book recommendations?

“… My favorite book, love In the Time of Cholera by Gabriel Garcia Marquez.”

You know you work in acute care when…

” You can treat everything. You go from a cabbage to a knee replacement, to a stroke, to a pregnant patient.”

Links:

https://enhancedrecoveryafterdelivery.com/

https://www.facebook.com/share/g/1DbQbXixy8/

https://pelvicglobal.com/

Connect with our host and the podcast!

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

largue2@uic.edu

Twitter @LeoArguellesPT

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

Podcast: Play in new window | Download

Guests:

Kelly Xie, SPT

Northwestern University – DPT 2nd year student

zepei.xie@northwestern.edu

https://www.linkedin.com/in/kelly-xie1/

IG: @kellyyxie

Magon Liu, SPT

3rd year DPT student from Samuel Merritt University

magon.liu@gmail.com

https://www.instagram.com/magoffnoton/

Links:

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

https://groups.io/g/aptaacutecarestudents

Guest Quotes:

 You know that you are getting ready for an acute care physical therapy rotation when

Kelly: “ when I learned all these foundations of PT and CVP skills in class.”

 You know that you are on acute care clinical when:

Magon: “ When your best friend is the gait belt and nursing.”

Connect with our hosts and the podcast!

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

largue2@uic.edu

Twitter @LeoArguellesPT

Interested in being a future guest?

Apply to become our new co-host

Join our team: Assistant Producer

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

Podcast: Play in new window | Download

Show Notes 

Guests:

Alfredo Guadalupe, SPT

1st year DPT student from the University of Connecticut, and student leader of the east region for APTA Acute Care

alfredo.guadalupe@uconn.edu

Jama Bradfield, SPTA

PTA Program: Ivy Tech- Muncie

jbradfield4@ivytech.edu

IG: @jamashea

Links:

Guest Quotes:

 You know that you’re in Acute care lab in PT school when:

Fred “You can feel Dr. Smith staring at you when you’re doing transfers across the room.”

 You know that you’re getting ready for an acute care rotation when:

Jama: “You have to pack multiple pairs of clothes for one day.   That would be my

first one. And then also you can speak in half lives and lab values.”

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

Interested in being a future guest?

Apply to become our new co-host

Join our team: Assistant Producer

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

Podcast: Play in new window | Download

Show Notes

Guests:

James P. Crick, Jr., PT, DPT, PhD

Co-Chair, CSM Education Programming, APTA Acute Care

Links:

CSM 2025 APTA Acute Care Brochure

APTA CSM Program Portal

APTA CSM Events App

Guest Quotes:

• “CSM isn’t just about education—it’s about collaboration and connection. This is where careers change, research starts, and lifelong mentorships form.” – James Crick
• “If you’re coming to CSM, don’t just be a fly on the wall. Jump in, meet people, and find where you can contribute. That’s how I got started, and it changed everything.” – James Crick

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

Interested in being a future guest?

Apply to become our new co-host

Join our team: Assistant Producer

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

Podcast: Play in new window | Download

Show Notes:

Guests:

Mary Fischer, PT, DPT, Board Certified Geriatric Clinical Specialist

mary.fischer@nyulangone.org

https://www.linkedin.com/in/mary-fischer-pt-dpt-gcs-571994b/

Kristine Josef PT, DPT, Board Certified Cardiovascular and Pulmonary Clinical Specialist

Kristine.Josef@nyulangone.org

Links:

https://journals.lww.com/asaiojournal/fulltext/2022/05000/safety_and_feasibility_of_an_early_mobilization.15.aspx

https://aptageriatrics.org/wp-content/uploads/2022/01/GeriNotes-23-6.pdf

https://www.cdc.gov/steadi/hcp/clinical-resources/inpatient-care.html

https://www.youtube.com/watch?v=qdm7C-fu7o0

https://www.cdc.gov/steadi/hcp/clinical-resources/index.html#cdc_listing_res2-clinical-tools

Guest Quotes:

Kristine 10:58: What take aways? do you have for clinicians on an everyday basis who maybe would be like, no, sign off on this patient? “If you’re gonna see this patient once, you might as well make it worth it. Right? So, You know, you see this patient and they’re, they’re already walking a lap in the hallway. But what is their fall risk? Right? 150 ft walking isn’t gonna tell you much. They can walk on a straight on an even surface in the hospital.  That’s very benign.”

Mary 23:10  Did this change your practice at all working with your patient population?

“Definitely for me. I mean,  doing outcome measures routinely,  whichever ones are appropriate. Now, you know, I  learned a little bit about the strength testing  using a chair stand and we chose the five times to stand, which we talked about in our discussion that maybe wasn’t the best one. It’s got a very high you know, floor effect.

If you can’t do one you get a zero. So now we more routinely use the 30m second chair stand.  And so we, so if I would say just for me, it’s like, yeah, pushing outcome measures.”

Mary 24:03 “Should we be walking our patients more quickly? “

Rapid Responses:

What’s your favorite outcome measure to use in practice?

Mary: “I jump right to the classic chair stand, whether it’s 30 or five times”

Kristine: “probably the 10 meter. It’s easy quick And we have to cross the streets in New York City.”

You know you work in acute care when:

Mary: “Well you know, you have the extra socks and sneakers in the locker.  Code brown, code yellows…”

Kristine: “I pick scrubs with a cargo pocket on my thigh, so that I can hook the Foley catheter onto it. That’s nice. And it’s clutch. That’s so clutch.  You gotta keep it below the waist.”

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:

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

Podcast: Play in new window | Download

Show Notes 

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

IG: plant_based_pt

Erin Locati PT, DPT

erin@risepelvicpt.com

IG: erin locati_pt

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

acroghan12@gmail.com

Links:

https://journals.lww.com/jwphpt/pages/articleviewer.aspx?year=2023&issue=01000&article=00004&type=Fulltext

OB PT & OT Facebook Group

Guest Quotes:

Jenna 5:32 On postpartum hemorrhagic event: “What I want everyone to really think about or sort of like get, wrap our minds around is that it happens a lot…And so why would we give our services to individuals that have had other hemorrhagic events?  But not to this population when, after they’ve had a hemorrhagic event, too.”

Rebeca 9:09 “80 percent of these cases being preventable, you have to now go back to my hospital, which actually tracked infant drop rate and maternal fall rate. Those are preventable as well. Those are preventable conditions or injuries that have happened as a result of maybe that blood volume being too low of maybe that person having a raging infection that no one was able to actually evaluate properly because they weren’t being  Provided an evaluation of their task analysis and the environment that they were expected to return to only rehab therapist can really do that part.”

Rebeca 26:17 “I think that was kind of the biggest thing that we focused on in the paper. was enabling therapists with a tool that could really either address their own implicit biases, but then having them use outcome measures that they would use in any other case with any other patient population so that they were actually basing their decisions on evidence and not their own gut feeling.”

Erin 33:20 “So I was like, well, how could I do acute care stuff from where I am now for pregnancy and postpartum?

And I’m like, well, everybody’s here in the hospital having babies. Why can’t I go see them there? And that’s really when I started to work on. Trying to get in to those units to see those patients, though. I would say  I use pelvic therapy knowledge in acute care for all my populations, like I’m forever talking to people about their peeing and pooping habits in the hospital because they get all jacked up in acute care…”

Rapid Responses:

Erin, what type of shoes do you wear on a cue care in the hospital?

“I wear flux waterproof sneakers. They’re amazing.”

Ann, name an influential PT. That is, that is changed your life.

“Penny Smicken.”

Rebeca, what’s your favorite holiday?

“Thanksgiving for sure. Hands down”

Jenna, what’s your favorite scrub color to wear in the hospital?

“Teal”

You know you work in acute care when:

Rebeca “There’s donuts on every unit.”

Jenna “Where’s the call bell?”

Erin “You have shoot sneakers that you can spray with a garden hose.”

Ann “ You’re always taking vitals.”

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:

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

Podcast: Play in new window | Download

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:

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

Podcast: Play in new window | Download

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:

Tricia “you go home “wearing” part of your patients”

Gus “you’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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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?

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download

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

Podcast: Play in new window | Download