November | 2024 | Acute Conversations

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?

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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