Podcasts about Acute care

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

HealthLeaders' Michelle Ponte sits down with Rob St. John, senior clinical director and technical fellow for the Acute Care and Monitoring Division of Medtronic, to learn how HealthCast's portfolio can allow nurses and clinicians to deliver better care without replacing them.

Show Notes:

Both CMS and value-based healthcare systems are increasingly leveraging data and enhanced communication to transition patients out of acute care more efficiently, support successful post-acute recovery, and reduce readmissions. In this video, Phyllis Wojtusik, RN, Executive Vice President of Value-Based Care at Real Time Medical Systems (Real Time), outlines the key components of an effective care transition process – and how Real Time's data-driven solution and interventional analytics help enable smoother transitions and improved outcomes.Check out our interview with Phyllis Wojtusik from Real Time to learn more about the CMS TEAM model – and how acute and post-acute providers can better coordinate care for improved patient outcomes.Learn more about Real Time Medical Systems: https://realtimemed.com/Health IT Community: https://www.healthcareittoday.com/

In this three-part series, Jonathan Sackier sits down with Richard Conway, rheumatologist, researcher, and educator. Together, they delve into cutting-edge insights on polymyalgia rheumatica, immune ageing, and the future of rheumatology care. 00:22 – Mortality Patterns 08:57 – JAK Inhibitors

In this three-part series, Jonathan Sackier sits down with Richard Conway, rheumatologist, researcher, and educator. Together, they delve into cutting-edge insights on polymyalgia rheumatica, immune ageing, and the future of rheumatology care 01:49 – Polymyalgia Rheumatica 05:59 – Vascular Ultrasound 09:11 – Immune Ageing

In this three-part series, Jonathan Sackier sits down with Richard Conway, rheumatologist, researcher, and educator. Together, they delve into cutting-edge insights on polymyalgia rheumatica, immune ageing, and the future of rheumatology care. 01:47 – Interstitial Lung Disease 08:25 – Evolution of Rheumatology 11:39 – Wishes for Healthcare

This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to outcomesrocket.com As care delivery rapidly shifts beyond hospital walls, Medtronic is redefining patient monitoring and safety. In this episode, Blake Tatum, Vice President of U.S. Sales, Marketing, and Global Training for Medtronic Acute Care and Monitoring, discussed how the division supports over 115 million U.S. patients annually with technologies for blood oxygenation, airway management, and patient monitoring. As healthcare shifts toward ambulatory surgery centers (ASCs) and hospital-to-home care, Medtronic is investing in adapting its acute care solutions to these evolving settings. Their focus is on improving patient safety, reducing complications, and increasing efficiency through technologies like BIS anesthesia monitoring and McGrath video laryngoscopes. What sets Medtronic apart is its ability to integrate seamlessly with existing systems, combined with a dedicated ASC support team and access to Medtronic's broader portfolio. The ultimate goal is to deliver clinically proven, scalable solutions that enhance outcomes while meeting new care and reimbursement models. Tune in to learn how Medtronic Acute Care and Monitoring is adapting to support ambulatory surgery centers and hospital-to-home care with innovative, scalable solutions! Resources: Connect with and follow Blake Tatum on LinkedIn. Follow Medtronic on LinkedIn and explore their website. Check out the Medtronic Acute Care and Monitoring website. Check out their Portfolio Brochure here. Listen to Blake Tatum's previous episode on the Outcomes Rocket here. 

Ep. 151 - The AMSN Story With Co-Founder Alice Poyss A cinematic journey into the story of AMSN's humble beginnings with AMSN Co-Founder Alice Poyss. Join Alice along with special guest co-host AMSN President Kristi Reguin-Hartman and the co-hosts as they journey back in time to Philadelphia in 1990. PLUS a very important opening message every med-surg nurse must hear.    SPECIAL GUEST Alicemarie S. Poyss, RN, Ph.D., CNL, APRN-BC, FAMSN works at Drexel University, College of Nursing & Health Professions since1992. She was the Track Director for the MSN Clinical Nurse Leader Track. Particular clinical expertise is gastrointestinal surgery, nutrition support and nutrition screening of adults and elderly. She received her postmaster`s certificate as an Acute Care Nurse Practitioner, and certification as an Acute Care Nurse Practitioner and Clinical Nurse Leader. She holds certification from ANA as a medical-Surgical nurse Specialist. She is co-founder of the Academy of Medical-Surgical Nurses, a specialty nursing organization created for medical-surgical nurses. In 2024, Dr. Poyss was inducted into the inaugural group of Fellows, of the Academy of Medical-Surgical Nurses (FAMSN). Dr. Poyss is currently practicing in a primary medical group managing palliative care for Elderly homebound patients. She has taught in both undergraduate and graduate Nursing programs in three Universities. Dr. Poyss's research interests in the clinical areas include nursing intervention/outcome studies, and nursing treatment/outcome studies. She has participated with the Iowa Nursing Intervention Classification project and authored two nursing interventional labels for the project. Other research interests include program evaluation, and effects of alternate teaching styles with student learning. Funded research includes Evaluation of an Alternative Care Delivery System in Critical Care Nursing and preventing readmission for CHF patients to Acute Care.   MEET OUR CO-HOSTS Samantha Bayne, MSN, RN, CMSRN, NPD-BC is a nursing professional development practitioner in the inland northwest specializing in medical-surgical nursing. The first four years of her practice were spent bedside on a busy ortho/neuro unit where she found her passion for newly graduated RNs, interdisciplinary collaboration, and professional governance. Sam is an unwavering advocate for medical-surgical nursing as a specialty and enjoys helping nurses prepare for specialty certification.    Kellye' McRae, MSN-Ed, RN is a dedicated Med-Surg Staff Nurse and Unit Based Educator based in South Georgia, with 12 years of invaluable nursing experience. She is passionate about mentoring new nurses, sharing her clinical wisdom to empower the next generation of nurses. Kellye' excels in bedside teaching, blending hands-on training with compassionate patient care to ensure both nurses and patients thrive. Her commitment to education and excellence makes her a cornerstone of her healthcare team.   Marcela Salcedo, RN, BSN is a Floatpool nightshift nurse in the Chicagoland area, specializing in step-down and medical-surgical care. A member of AMSN and the Hektoen Nurses, she combines her passion for nursing with the healing power of the arts and humanities. As a mother of four, Marcela is reigniting her passion for nursing by embracing the chaos of caregiving, fostering personal growth, and building meaningful connections that inspire her work.   Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing.  Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse.   Maritess M. Quinto, DNP, RN, NPD-BC, CMSRN is a clinical educator currently leading a team of educators who is passionately helping healthcare colleagues, especially newly graduate nurses. She was born and raised in the Philippines and immigrated to the United States with her family in Florida. Her family of seven (three girls and two boys with her husband who is also a Registered Nurse) loves to travel, especially to Disney World. She loves to share her experiences about parenting, travelling, and, of course, nursing!   Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland.  Currently she is stationed overseas, providing care for service members and their families.  During her free time, she enjoys martial arts and traveling.   

This episode of the World Shared Practice Forum Podcast dives into the origins and objectives of the Acute Care Action Network (ACAN), led by Dr. Lee Wallis at the World Health Organization. Discover how ACAN aims to integrate emergency, critical, and operative care to enhance healthcare systems globally, focusing on universal health coverage and preparedness for health emergencies. Dr. Wallis shares insights into the challenges posed by the COVID-19 pandemic, the establishment of ACAN, and its ambitious goals in the face of funding constraints. This episode is essential for healthcare professionals eager to understand global healthcare strategies and improve acute care delivery. LEARNING OBJECTIVES - Explain the role and mission of the Acute Care Action Network (ACAN) within the WHO - Identify the impact of the COVID-19 pandemic on global healthcare systems and emergency care - Discuss the five operational priorities set by ACAN for strengthening acute care - Describe ACAN's strategic partnership goals and membership framework - Analyze how integrated emergency care can improve healthcare preparedness and response AUTHORS Lee Wallis, MBChB, PhD, PhD (hon), Dip IMC RCS Edin, Dip Sport Med, FRCS Edin, FRCP Edin, FRCEM, FCEM(SA), FEMSSA, FIFEM Lead, Emergency & Critical Care World Health Organization Jeffery Burns, MD, MPH Emeritus Chief Division of Critical Care Medicine Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Professor of Anesthesia Harvard Medical School DATE Initial publication date: April 21, 2025. TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/at/39b93qf5q67b237gxtpv5wf/042125_WSP_Wallis_Transcript.pdf Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Wallis L, Burns JP. Enhancing Global Acute Care: Understanding the WHO's ACAN. 04/2025. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/enhancing-global-acute-care-understanding-the-whos-acan-by-l-wallis-openpediatrics.

Olio Health provides healthcare software.

Patrick Mobley, CEO and Co-Founder of Vivid Health has developed a platform to address the inefficiencies in the post-acute care industry. Home health and hospice nurses often spend hours completing required paper-based forms and assessments to create personalized patient care plans and submissions for payments. This technology aims to streamline the workflow and collection of patient information while proactively monitoring patients and using AI-powered voice agents to improve patient engagement. Patrick explains, "So the way it works with your standard home health organization is that referral is received from a hospital, and most of the work from that point on takes place within any EMR. There are some other vendors that process places, but there is no getting around that form. It is required that you've got to complete every single step. There's really no difference no matter what state you're in or what jurisdiction; you might see slight variations between Medicare, Medicare Advantage, or Medicaid, but it's rather consistent across every single home agency." "Well, it's a mixture of the nurse and medical director. The nurses are often called startup care nurses. They go in the home and complete the work. It can take anywhere from two to three hours to be in the patient's home, and then once it's done, the response care goes to the medical director for sign-off. From there, there are a couple of extra steps to validate some of the information and coding associated with it. Then, it can be submitted to CMS for payment." "For that problem, we wanted to take those anywhere from one to four hours and get them down. Well, not because we're trying not to be thorough or rush onto the next patient or anything like that. It's just that there were better ways to do it, and the technology advances, especially in the AI space, have gotten to the point where you can be efficient, lower that timeframe, and still provide good quality care." #VividHealth #AIinHealthcare #HomeHealthAI #HomeHealth #HomeCare #Hospice #EmergingAI vividhealth.ai Download the transcript here  

Patrick Mobley, CEO and Co-Founder of Vivid Health has developed a platform to address the inefficiencies in the post-acute care industry. Home health and hospice nurses often spend hours completing required paper-based forms and assessments to create personalized patient care plans and submissions for payments. This technology aims to streamline the workflow and collection of patient information while proactively monitoring patients and using AI-powered voice agents to improve patient engagement. Patrick explains, "So the way it works with your standard home health organization is that referral is received from a hospital, and most of the work from that point on takes place within any EMR. There are some other vendors that process places, but there is no getting around that form. It is required that you've got to complete every single step. There's really no difference no matter what state you're in or what jurisdiction; you might see slight variations between Medicare, Medicare Advantage, or Medicaid, but it's rather consistent across every single home agency." "Well, it's a mixture of the nurse and medical director. The nurses are often called startup care nurses. They go in the home and complete the work. It can take anywhere from two to three hours to be in the patient's home, and then once it's done, the response care goes to the medical director for sign-off. From there, there are a couple of extra steps to validate some of the information and coding associated with it. Then, it can be submitted to CMS for payment." "For that problem, we wanted to take those anywhere from one to four hours and get them down. Well, not because we're trying not to be thorough or rush onto the next patient or anything like that. It's just that there were better ways to do it, and the technology advances, especially in the AI space, have gotten to the point where you can be efficient, lower that timeframe, and still provide good quality care." #VividHealth #AIinHealthcare #HomeHealthAI #HomeHealth #HomeCare #Hospice #EmergingAI vividhealth.ai Listen to the podcast here  

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

Many believe that Medicare pays for long term care needs.   Many also confuse Medicare and Medicaid. Listen and learn how both of these government programs work and why we need to understand why it's important to plan for ourselves and maintain control over where we live and who is helping us when we are unable to care for ourselves for an extended and unknown amount of time. What state Medicaid offices let you keep Schedule a meeting with me 15 minutes to ask a question - schedule Check out current & projected costs of care Estimate LTC premiums Listen to more episodes

Welcome back to Part 4 of our Emotional Onboarding Series on The Healthcare Plus Podcast. On this episode, Dan Collard takes an in-depth look at the post-acute care industry with special guest Abby Spence, the nursing home administrator of Signature HealthCare of Cleveland. Dan and Abby discuss the unique staffing challenges faced by long-term care organizations and highlight early wins in retention and engagement from the implementation of Emotional Onboarding tactics. After attending the inaugural Post-Acute Leadership Institute (PALI) summit in July 2024, Abby brought a number of the selection, hiring, and onboarding solutions she learned back to her team in Cleveland, TN. In an effort to retain top talent, attract new team members, and improve residence care, Abby has implemented and seen success with several key Emotional Onboarding tactics, including:Creating a welcome video for new hires to reduce anxietyImplementing the “battery charge” exercise and creating a gratitude board to foster appreciation and open communicationCompleting a Personal Retention Plan with all new hiresAbby and Dan also discuss the need to attract Gen Z healthcare workers to solve the staffing shortage in post-acute care. Abby highlights how she's adjusted her leadership style to cultivate a more supportive and development-focused workplace culture and how she's leveraging new ideas brought forward by Gen-Z employees. Tune in next time for the final episode of the Emotional Onboarding series or listen back for more ideas from Katherine Meese, Patti Frank, and Natasha Lee today.  About Abby SpenceAbby Spence is the CEO of Signature HealthCARE of Cleveland and has been a Licensed Nursing Home Administrator for 11 years. With a background in mental health and social services, she is committed to enhancing the quality of life for seniors and creating a positive work environment for healthcare professionals. Under her leadership, Signature HealthCARE of Cleveland recently received the Bronze Award from the AHCA National Quality Award program. Abby is also part of the inaugural cohort of the Post-Acute Leadership Institute, using her experience to further the success of her facility and its mission.

In this episode of Wound Care Wednesday, Dr Johnson joins with guest speakers Amanda Linderman, Mike Furr, and Kahlianne Jones to wrap up their discussion on the results and implications of the Wound Care Market Report Survey. They focus on the future of staffing and training as well as the technology and AI tools to improve the field of wound care.

Show Notes  Guests: Alfredo Guadelupe, 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

In this episode of Wound Care Wednesday, Dr Johnson joins with guest speakers Mike Furr and Kahlianne Jones as they continue to discuss the future of the wound care industry. This episode focuses on the results and implications of the Wound Care Market Report Survey, particularly how the survey results address technology and the future of wound care. Mr Furr has a Masters in Engineering from the University of Pennsylvania and now works as a product manager with Net Health focusing on tissue analytics. Ms Jones has a Bachelor of Business Administration from Duquesne University in Entrepreneurship and Information Systems Management, and now works as a product manager at Net Health focused on Software-as-a-Service (SaaS) products.

In this episode of Wound Care Wednesday, Dr Johnson joins guest speaker Amanda Linderman to discuss the future of the wound care industry, focusing on supporting mobile health care and utilizing AI within the field of wound care. Ms Linderman began her career as a wound care nurse and now uses her skills and understanding of wound care to guide strategic

In this episode, Drs. Patrick Georgoff, Teddy Puzio, and Jason Brill are joined by special guest Dr. Pat Murphy, who helps us delve into the evolving field of acute care surgery (ACS), exploring its history, challenges, and the nuances of defining full-time employment in this demanding specialty. The discussion highlights the origins of ACS as a response to unmet emergency surgical needs and its three foundational pillars: trauma surgery, emergency general surgery, and surgical critical care, with additional roles like surgical rescue evolving over time. Dr. Murphy share insights into the workload, including night shifts, call schedules, and the toll on surgeons' health, emphasizing the importance of fair compensation, equitable shift distribution, and transparency in job expectations. The episode underscores the value ACS surgeons bring to hospitals, likening them to essential infrastructure like firefighters, with their impact often unrecognized in traditional productivity metrics like RVUs.    Dr. Murphy would like to thank the many collaborators who made this volume of work possible including the many acute care surgeons who have taken the time to participate in the research and their dedication to patient care and surgeon wellbeing Learning Objectives: 1)        Define and understand the evolution of acute care surgery as a surgical subspecialty, including its historical development, key components (trauma, surgical critical care, emergency general surgery, surgical rescue), and its unique role within the surgical landscape. 2)        Analyze the concept of "full-time equivalent" (FTE) for acute care surgeons, considering factors such as call schedules, shift length, service demands, and the impact of varying case volumes and intensities on workload. 3)        Discuss the challenges of defining and measuring the value of acute care surgeons, considering factors beyond traditional productivity metrics (e.g., RVUs) such as the impact of surgical rescue, patient safety, and the value of 24/7 availability in preventing adverse outcomes. 4)        Explore the importance of recognizing the unique demands and contributions of acute care surgeons, including the impact of high-stress environments, irregular schedules, and the importance of work-life balance and clinician well-being on long-term sustainability within the specialty. This episode of Big T Trauma was sponsored by Teleflex, a global provider of medical devices. Learn more at teleflex.com and at the Teleflex Trauma and Emergency Medicine LinkedIn page. ***SPECIALTY TEAM APPLICATION LINK: https://docs.google.com/forms/d/e/1FAIpQLSdX2a_zsiyaz-NwxKuUUa5cUFolWhOw3945ZRFoRcJR1wjZ4w/viewform?usp=sharing Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen BIG T Trauma Series: https://app.behindtheknife.org/podcast-series/big-t-trauma

Contributor: Aaron Lessen, MD Educational Pearls: Many patients present to the ED with elevated BP Many are referred from outpatient surgery centers or present after an elevated measurement at home Persistent questions on the best way to treat these patients The AHA published a scientific statement on the management of elevated BP in the acute care setting Hypertensive emergencies: SBP/DBP >180/110–120 mm Hg with evidence of new or worsening target-organ damage Includes aortic dissection or subarachnoid hemorrhage  Require aggressive treatment Asymptomatic markedly elevated inpatient BP: SBP/DBP >180/110–120 mm Hg without evidence of new or worsening target-organ damage AND asymptomatic elevated inpatient BP: SBP/DBP ≥130/80 mm Hg without evidence of new or worsening target-organ damage No benefits to urgent treatment in the ED, but there are harms to treating patients in this manner These patients do not require IV medications  Provide reassurance and instructions on following up with their PCP to manage their BP in the outpatient setting Removed the term “hypertensive urgency” References Bress AP, Anderson TS, Flack JM, et al. The Management of Elevated Blood Pressure in the Acute Care Setting: A Scientific Statement From the American Heart Association. Hypertension. 2024;81(8). doi:https://doi.org/10.1161/hyp.0000000000000238 Summarized by Meg Joyce, MS1 | Edited by Meg Joyce & Jorge Chalit, OMS3  Donate: https://emergencymedicalminute.org/donate/  

Are you ready to respond when an unexpected patient emergency arises? Whether you're feeling unprepared or just a little "rusty", you're not alone. Join Laura, Maritess, Neil, Sam, and Sydney as they share real-life stories from their toughest codes and offer valuable tips and insights to help you face the unexpected with confidence.   MEET OUR CO-HOSTS Samantha Bayne, MSN, RN, CMSRN, NPD-BC is a nursing professional development practitioner in the inland northwest specializing in medical-surgical nursing. The first four years of her practice were spent bedside on a busy ortho/neuro unit where she found her passion for newly graduated RNs, interdisciplinary collaboration, and professional governance. Sam is an unwavering advocate for medical-surgical nursing as a specialty and enjoys helping nurses prepare for specialty certification.    Laura Johnson, MSN, RN, NPD-BC, CMSRN has been a nurse since 2008 with a background in Med/Surg and Oncology.  She is a native Texan currently working in the Dallas area.  She has held many positions throughout her career from bedside nurse to management/leadership to education.  Laura obtained her MSN in nursing education in 2018 and is currently pursuing her DNP.  She has worked both as a bedside educator and a nursing professional development practitioner for both new and experienced staff.  She enjoys working with the nurse residency program as a specialist in palliative care/end of life nursing and mentorship.  She is currently an NPD practitioner for oncology and bone marrow transplant units.     Neil H. Johnson, RN, BSN, CMSRN, epitomizes a profound familial commitment to the nursing profession, marking the third generation in his family to tread this esteemed path. Following the footsteps of his father, grandfather, grandmother, aunt, and cousin, all distinguished nurses, Neil transitioned to nursing as a second career after a brief tenure as an elementary school teacher. Currently on the verge of completing his MSN in nurse education, he aspires to seamlessly integrate his dual passions. Apart from his unwavering dedication to nursing, Neil actively seeks serenity in nature alongside his canine companions. In his professional capacity, he fulfills the role of a med-surg nurse at the Moses Cone Health System in North Carolina.   Eric Torres, ADN, RN, CMSRN is a California native that has always dreamed of seeing the World, and when that didn't work out, he set his sights on nursing.  Eric is beyond excited to be joining the AMSN podcast and having a chance to share his stories and experiences of being a bedside medical-surgical nurse.   Maritess M. Quinto, DNP, RN, NPD-BC, CMSRN is a clinical educator currently leading a team of educators who is passionately helping healthcare colleagues, especially newly graduate nurses. She was born and raised in the Philippines and immigrated to the United States with her family in Florida. Her family of seven (three girls and two boys with her husband who is also a Registered Nurse) loves to travel, especially to Disney World. She loves to share her experiences about parenting, travelling, and, of course, nursing!   Sydney Wall, RN, BSN, CMSRN has been a med surg nurse for 5 years. After graduating from the University of Rhode Island in 2019, Sydney commissioned into the Navy and began her nursing career working on a cardiac/telemetry unit in Bethesda, Maryland.  Currently she is stationed overseas, providing care for service members and their families.  During her free time, she enjoys martial arts and traveling. 

In this episode of The ASHE Podcast, we explore how innovative approaches in infection prevention are reshaping healthcare practices. Guests Graham Snyder, Elise Martin, and Ashley Ayers join the discussion to discuss their study titled "Impact of Discontinuation of Contact Precautions on Surveillance- and Whole Genome Sequencing-Defined Methicillin-Resistant Staphylococcus aureus Healthcare-Associated Infections" and what it means for the future of infection control. The conversation explores the evolving role of contact precautions (CP) in managing MRSA transmission. The discontinuation of CP has sparked debates in infection prevention, with this study providing a fresh perspective through whole genome sequencing (WGS). Unlike traditional surveillance methods, WGS offers deeper insights into MRSA transmission dynamics, unveiling patterns that can redefine how we approach infection control in acute care settings. The study's findings revealed a surprising drop in MRSA healthcare-associated infections (HAIs) post-discontinuation of CP, raising questions about how to balance infection prevention with resource management and patient safety. By reducing reliance on CP, hospitals may gain advantages such as cost savings and fewer adverse effects for patients, without compromising care quality. Finally, the episode delves into challenges faced during the study and the need for further research to refine infection prevention strategies. Future efforts could focus on tailoring CP to specific risks and developing more precise methods for tracking and preventing MRSA transmission. Be sure to read the full article available at Cambridge.org/ASHE. And for the official SHEA recommendations for MRSA treatment and prevention visit: https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology/article/sheaidsaapic-practice-recommendation-strategies-to-prevent-methicillinresistant-staphylococcus-aureus-transmission-and-infection-in-acutecare-hospitals-2022-update/5DB835D2E13F7E813A8A2FD7CB8386BD

This episode explores the challenges of pulse oximetry accuracy in patients with darker skin tones. Sam Ajizian, MD, vice president and chief medical officer in the Acute Care & Monitoring operating unit at Medtronic, and Jason Case, the vice president of research and development in the Acute Care & Monitoring operating unit at Medtronic, discuss the technology behind pulse oximeters, the factors affecting their readings, and the company's efforts to improve the technology. They also provide practical advice for healthcare providers on mitigating risks until technological advancements are fully implemented.This episode is sponsored by Medtronic.

This is the final episode of The Peds NP Acute Care PNP Faculty series. The series was created and peer-reviewed by national leaders in acute care PNP education in collaboration to meet the needs of our current and future colleagues. In the push for competency-based education where faculty verify the skills of what a student can do, rather than their knowledge, our series focuses on the application of didactic content with a practical approach so that you can learn nuances of clinical skills before you reach the bedside.    As I come to an end of my time as a faculty member at the Catholic University of America and our Acute Care PNP Faculty series, I remember my graduation from Johns Hopkins. These terminal moments are likened to a graduation, and serve as a wonderful time for reflection. The episode recollects the student speaker commencement address given at my graduation, filled with vehicular metaphors and acknowledgements of failure. A common theme of “Onward” is woven throughout to remind listeners that, at whatever graduation you find yourself celebrating right now, be hopeful and excited at the good that is left to do in the world.    The Peds NP will return in 2025 from Duke University…   References: Carson, R.A. (2024). Student speaker commencement address [Speech transcript]. Johns Hopkins School of Nursing Commencement. https://alumni.jhu.edu/commencement-2016(Original work published 2016). 

Join @jmusgravept as he reviews an observational study completed in the acute setting looking at the impact of the ability or inability to walk on health outcomes & effect of progressive resistance training on non-ambulatory acute care patients. “The impact of mobility limitations on geriatric rehabilitation outcomes: Positive effects of resistance exercise training (RESORT)” published 9/5/24. Link To Article: https://doi.org/10.1002/jcsm.13557 Link to FAC : https://www.sralab.org/rehabilitation-measures/functional-ambulation-category *If you want more helpful content to better serve older adults, sign up for our MMOA Digest = Free Bi-Weekly Email packed with helpful links, posts, & research relevant to your work. Link In Bio or PTonICE.com **Looking for CEU's & courses that will change your practice? Check out our MMOA Course Offerings (Online & Live) Link In Bio or PTonICE.com #physicaltherapy #geript #homehealthpt #pt #dpt #dptstudent #physiotherapy #physicaltherapist #physiotherapist #physicaltherapystudent #newgradpt #physiotherapystudent #physicaltherapyassistant #physicaltherapyassistantstudent #geript #geriot #OTs #OTA #occupationaltherapist #ottreatmentideas #otstudent #otastudent #occupationaltherapyassistant #oldnotweak #ptonice #icetrained

Dr. Jeff Musgrave // #GeriOnICE // www.ptonice.com  In today's episode of the PT on ICE Daily Show, join Modern Management of the Older Adult faculty member Jeff Musgrave Take a listen to learn how to better serve this population of patients & athletes, or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about live courses designed to better serve older adults in physical therapy or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab.

Welcome to The Peds NP Acute Care Faculty series! This series was created and peer-reviewed by national leaders in acute care PNP education collaborating with one another to meet the needs of our current and future colleagues. In the push for competency-based education where faculty verify the skills of what a student can do, rather than their knowledge, our series focuses on the application of didactic content with a practical approach so that you can learn nuances of clinical skills before you reach the bedside.    This episode reviews the features of a patient presentation in the pediatric intensive care unit (PICU) and goes in depth on how learners can incorporate trends, new findings, and summaries into a succinct discussion in family-centered rounds. After an introduction with some general best practices, the guide begins with effective pre-rounding and progresses to the step-by-step components of a PICU patient presentation. The template describes each component's contents in detail, followed immediately by an example to demonstrate the practical application of each concept… “It might sound something like this:”... This episode is a valuable tool for any pediatric provider seeking to increase their skills in succinct synthesis and patient presentations, regardless of clinical setting.   This episode was peer reviewed by The Peds NP faculty series peer review team. You can read about our novel and scholarly approach to peer review, review our faculty lineup, and learn more about the series, competency mapping, references, and show notes at www.thepedsnp.com. There was no financial support or conflicts of interest to report. Follow me on Instagram @thepedsnppodcast.  Email me at thepedsnp@gmail.com.  Remember that this isn't just a podcast, you're listening for the kids.   Authors (alphabetical): Jackie Calhoun, DNP, CRNP, CPNP-AC, CCRN, Becky Carson, DNP, APRN, CPNP-PC/AC, Lena Oliveros, MSN, CPNP-AC, Priscila Reid, DNP, APRN, FNP-C, CPNP-AC   References:  Bolick, B.N., Reuter-Rice, K., Madden, M.A., Severin, P.N. (2020). Pediatric Acute Care: A guide for Interprofessional Practice (2nd ed.). Jones & Barlett Learning. Burlington, MA.    Oubre, R. (2024). Systems versus problem-based notes. Dr. Oubre's Digest. https://droubredigest.beehiiv.com/p/systems-versus-problems-based-notes   Stanford Medicine. (nd). Coaching best practices– Presenting a patient. https://med.stanford.edu/content/dam/sm/peds/documents/Program%20Information/coaching/Coaching%20Feedback%20Summary_Presenting%20a%20Patient.pdf   UC San Diego School of Medicine. (2018). Overview and general information about oral presentation. Practical Guide to Clinical Medicine. https://meded.ucsd.edu/clinicalmed/oral.html

Join us as we delve into the intricate world of post-acute care with Phyllis Wojtusik, Executive Vice President of Value-Based Care and Kristen Klopp, Network Program Manager. They discuss the growing importance of post-acute care, the impact of value-based contracts, and the strategies to improve patient outcomes and reduce costs. Learn how to leverage data, partnerships, and innovative care management approaches to navigate this complex landscape. This episode is sponsored by Real Time Medical Systems.

Kevin DiLallo - Group VP of the Acute Care Division, who oversees the development of many operations in Florida, joined Colin Russo of ESPN West Palm to discuss the development of the Alan B. Miller acute care hospital, opening in Alton, Palm Beach Gardens in Spring 2026.

The American Society of Anesthesiologists (ASA)'s annual general meeting; Anesthesiology 2024. Building on our reputation for exclusive cutting edge conversations recorded at the conference with some of the key speakers, guests and delegates, TopMedTalk is your chance to hear what's happening at the largest gathering of anesthesiologists in the world. Patient monitoring has been a theme on TopMedTalk this year. How do we facilitate the use of new technology, AI and big data into our practices? What are the big new developments coming up? Desiree Chappell and Mike Grocott speak with Frank Chan, President of Acute Care and Monitoring (ACM) at Medtronic.

According to the latest HSE National Ambulance Service report, Bystander CPR in cases of out-of-hospital cardiac arrest in this country increased by 25% between 2012 and 2023. To discuss this further is, Director of Emergency and Acute Care at Cork University Hospital & Chair of the Out-of-Hospital Cardiac Arrest Register, Professor Conor Deasy.

In the October 15, 2024, issue of JACC, Dr. Valentin Fuster highlights a crucial study revealing that the prevalence of diagnosed atrial fibrillation in the U.S. has surged to at least 10.5 million adults, driven by factors like aging, obesity, and diabetes. With a call for improved prevention and treatment strategies, experts stress the urgent need for public health initiatives to tackle this growing burden on the healthcare system.

Episode Resources:For resources mention in this article, visit the links below:Maura's Abstract & ePoster: Skin Care Champion Program at a South Jersey Teaching Hospital's Progressive Care UnitAlicia's Abstract & ePoster: An Educational Intervention Differentiating Between Pressure Injuries and End-of-Life WoundsWOCNext 2024 PicturesWOCNext website About the Guests:Alicia Perez Varela has been a registered nurse since 2017 and earned her wound care certification in 2021. She attended WOCNext® for the first time in 2024. Alicia currently works at an outpatient advanced wound care and hyperbaric clinic and is also a member of the inpatient wound care team.Maura Callahan has been a bedside nurse for 8 years, with experience in Long Term Care, Home Care, and Acute Care in the Progressive Care Unit as a Charge Nurse and Training Preceptor. She is passionate about Wound, Ostomy, and Continence Care and completed the Rutgers University-Camden Wound Ostomy Continence Nursing Education Program. This training has enabled her to support various units with care and education for patients, families, and caregivers. Maura is actively involved in her facility's Skin, Wound Assessment Team, leads the Skin Care Champion Program, and recently joined the Hospital System's Pressure Injury Reduction Council.

Welcome to The Peds NP Acute Care Faculty series! This series was created and peer-edited by national leaders in acute care PNP education collaborating with one another to meet the needs of our future colleagues. In the push for competency-based education where faculty verify the skills of what a student can do, rather than their knowledge, our series focuses on the application of didactic content with a practical approach so that you can learn nuances of clinical skills before you reach the bedside.    *This is the second episode in a 2 part series on enteral feeding. Listen to Episode 75: Malnutrition and Feeding Tube Selection first.   This episode walks through the decision-making for which enteral formula to select based on the patient's age, protein needs, and GI function. A list of commercially available examples is listed for each age group and protein type. Fluid and caloric goals are discussed to determine if concentrated formulas are appropriate. Lastly, the process of starting continuous feeds and advancing to bolus feeds while assessing for tolerance is reviewed. Build functional skills by following along with a case study that is continued from the prior episode. It's proof that there's more than just formula that goes into tube feedings.   Authors: Becky Carson, DNP, APRN, CPNP-PC/AC, Jessica D. Murphy, DNP, CPNP-AC, CPHON, CNE, & Marian Malone, DNP, APRN, CPNP-AC/PC   References: Bechtold, M. L., Brown, P. M., Escuro, A., Grenda, B., Johnston, T., Kozeniecki, M., Limketkai, B. N., Nelson, K. K., Powers, J., Ronan, A., Schober, N., Strang, B. J., Swartz, C., Turner, J., Tweel, L., Walker, R., Epp, L., & Malone, A. (2022). When is enteral nutrition indicated? Journal of Parenteral and Enteral Nutrition, 46(7), 1470–1496. https://doi.org/10.1002/jpen.2364 Becker, P., Carney, L. N., Corkins, M. R., Monczka, J., Smith, E., Smith, S. E., Spear, B. A., & White, J. V. (2014). Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition. Nutrition in Clinical Practice, 30(1), 147–161. https://doi.org/10.1177/0884533614557642 Green Corkins, K. (2015). Nutrition‐focused physical examination in pediatric patients. Nutrition in Clinical Practice, 30(2), 203–209. https://doi.org/10.1177/0884533615572654 Hess, L., & Crossen, J. (2008). Pediatric Nutrition Handbook (3rd ed.). Cincinnati Children's. Mehta, N. M., Skillman, H. E., Irving, S. Y., Coss-Bu, J. A., Vermilyea, S., Farrington, E. A., McKeever, L., Hall, A. M., Goday, P. S., & Braunschweig, C. (2017). Guidelines for the provision and assessment of Nutrition Support Therapy in the pediatric critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. Pediatric Critical Care Medicine, 18(7), 675–715. https://doi.org/10.1097/pcc.0000000000001134 Panchal, A. K., Manzi, J., Connolly, S., Christensen, M., Wakeham, M., Goday, P. S., & Mikhailov, T. A. (2014). Safety of enteral feedings in critically ill children receiving vasoactive agents. Journal of Parenteral and Enteral Nutrition, 40(2), 236–241. https://doi.org/10.1177/0148607114546533 Yi, Dae Young. (2018). Enteral nutrition in pediatric patients. Pediatric Gastroenterology, Hepatology & Nutrition, 21(1), 12-19. http://doi.org/10.5223/pghn.2018.21.1.12

Welcome back to The Peds NP Acute Care Faculty series! This series was created and peer-reviewed by national leaders in acute care PNP education collaborating with one another to meet the needs of our current and future colleagues. In the push for competency-based education where faculty verify the skills of what a student can do, rather than their knowledge, our series focuses on the application of didactic content with a practical approach so that you can learn nuances of clinical skills before you reach the bedside.    This episode begins with a brief review of malnutrition and pediatric nutritional assessment in acute care settings. Next we begin a choose-your-own-nutrition adventure by asking a series of questions that aid in medical decision-making for which nutrition route is appropriate, and, if enteral feeding is best, then determines the type of tube indicated. A case-based discussion with examples helps you to apply the concepts to a complex scenario. Our next episode will focus on formula selection, the initiation of feeds, and assessment of tolerance.   Authors: Becky Carson, DNP, APRN, CPNP-PC/AC, Jessica D. Murphy, DNP, CPNP-AC, CPHON, CNE, & Marian Malone, DNP, APRN, CPNP-AC/PC   References: Bechtold, M. L., Brown, P. M., Escuro, A., Grenda, B., Johnston, T., Kozeniecki, M., Limketkai, B. N., Nelson, K. K., Powers, J., Ronan, A., Schober, N., Strang, B. J., Swartz, C., Turner, J., Tweel, L., Walker, R., Epp, L., & Malone, A. (2022). When is enteral nutrition indicated? Journal of Parenteral and Enteral Nutrition, 46(7), 1470–1496. https://doi.org/10.1002/jpen.2364 Becker, P., Carney, L. N., Corkins, M. R., Monczka, J., Smith, E., Smith, S. E., Spear, B. A., & White, J. V. (2014). Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition. Nutrition in Clinical Practice, 30(1), 147–161. https://doi.org/10.1177/0884533614557642 Green Corkins, K. (2015). Nutrition‐focused physical examination in pediatric patients. Nutrition in Clinical Practice, 30(2), 203–209. https://doi.org/10.1177/0884533615572654 Hess, L., & Crossen, J. (2008). Pediatric Nutrition Handbook (3rd ed.). Cincinnati Children's.  Mehta, N. M., Skillman, H. E., Irving, S. Y., Coss-Bu, J. A., Vermilyea, S., Farrington, E. A., McKeever, L., Hall, A. M., Goday, P. S., & Braunschweig, C. (2017). Guidelines for the provision and assessment of Nutrition Support Therapy in the pediatric critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. Pediatric Critical Care Medicine, 18(7), 675–715. https://doi.org/10.1097/pcc.0000000000001134 Panchal, A. K., Manzi, J., Connolly, S., Christensen, M., Wakeham, M., Goday, P. S., & Mikhailov, T. A. (2014). Safety of enteral feedings in critically ill children receiving vasoactive agents. Journal of Parenteral and Enteral Nutrition, 40(2), 236–241. https://doi.org/10.1177/0148607114546533 Yi, Dae Young. (2018). Enteral nutrition in pediatric patients. Pediatric Gastroenterology, Hepatology & Nutrition, 21(1), 12-19. http://doi.org/10.5223/pghn.2018.21.1.12

Dr. Marcy Carty, President and Chief Medical Officer of myLaurel, emphasizes the need to change the model where hospitals are the safest place for medical care. MyLaurel's acute care services include pre-hospital care to prevent emergency room visits, care-at-home to help patients get discharged earlier, and post-hospitalization care to smooth the transition. They work with primary physicians and other care providers to ensure a coordinated approach and use technology in the home to perform monitoring and diagnostics overseen by medical professionals and responders who can provide in-person and virtual visits. Marcy explains, "In the past, our health systems have looked at volume. I was a chief medical officer at a hospital, and I remember my CEO saying, "How many heads and beds can we get?" And so the system's really driven towards reducing risk and putting people into hospitals, assuming that it's the best place to be cared for. At myLaurel, we challenge that and work with communities to say, "How can we change that paradigm and bring the care to someone at home where they can sleep in their own bed, where they can hold all the power in their decision-making and ensure their goals of care are really incorporated into the care plan?" We want to change the paradigm that hospitals are the safest place to be and bring that care home, where I would say most people we talk to want to be cared for." "In general, myLaurel focuses on elderly or frail or people with complex medical conditions. What that means is our average patient is in their eighties, our average patient has about 13 medications, and our average patient has six or more chronic conditions. They generally represent the top 10% of patients for a health plan, accountable care organization, or physician group." #myLaurel #AcuteCare #InHomeCare #HospitalatHome #ObservationatHome mylaurelhealth.com Download the transcript here

Dr. Marcy Carty, President and Chief Medical Officer of myLaurel, emphasizes the need to change the model where hospitals are the safest place for medical care. MyLaurel's acute care services include pre-hospital care to prevent emergency room visits, care-at-home to help patients get discharged earlier, and post-hospitalization care to smooth the transition. They work with primary physicians and other care providers to ensure a coordinated approach and use technology in the home to perform monitoring and diagnostics overseen by medical professionals and responders who can provide in-person and virtual visits. Marcy explains, "In the past, our health systems have looked at volume. I was a chief medical officer at a hospital, and I remember my CEO saying, "How many heads and beds can we get?" And so the system's really driven towards reducing risk and putting people into hospitals, assuming that it's the best place to be cared for. At myLaurel, we challenge that and work with communities to say, "How can we change that paradigm and bring the care to someone at home where they can sleep in their own bed, where they can hold all the power in their decision-making and ensure their goals of care are really incorporated into the care plan?" We want to change the paradigm that hospitals are the safest place to be and bring that care home, where I would say most people we talk to want to be cared for." "In general, myLaurel focuses on elderly or frail or people with complex medical conditions. What that means is our average patient is in their eighties, our average patient has about 13 medications, and our average patient has six or more chronic conditions. They generally represent the top 10% of patients for a health plan, accountable care organization, or physician group." #myLaurel #AcuteCare #InHomeCare #HospitalatHome #ObservationatHome mylaurelhealth.com Listen to the podcast here

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

Join Julie as she goes through a list of fitness forward tools and demonstrates hacks you can use in Acute Care!

Dr. Julie Brauer // #GeriOnICE // www.ptonice.com  In today's episode of the PT on ICE Daily Show, join Modern Management of the Older Adult lead faculty Julie Brauer discusses important tools for acute care PTs: a good attitude, a backpack, a white board, resistance bands, sticky notes, and gait belts. Take a listen to learn how to better serve this population of patients & athletes, or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about live courses designed to better serve older adults in physical therapy or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION JULIE BRAUER Good morning crew. Welcome to the PT on Ice daily show. My name is Julie. I am a member of the older adult division. and I am coming to you live from my garage. So this morning what we are going to dive into are fitness forward tools that you can use in acute care and I'm going to do my best to demonstrate some of these tools that you can use to start loading these really sick folks up early. All right so We are going to dive in first by talking about the most important tools that you need to have with you as you go through the hospital and you go visit your patients in their rooms. TOOL #1 - THE RIGHT ATTITUDE So number one, the most important tool that you need is the right attitude. You have to have the right attitude about this. So let me unpack that. Bringing fitness forward care to sick older adults in the hospital. It is not about getting them to do a sexy deadlift with a dumbbell. It's not the sexy thing. It is not, holy crap, I just got this patient, they're in a hospital gown, they're super sick, and they're doing a deadlift with a dumbbell in the hospital. It's not about that. It's not about being able to get the video of that or the picture of that and being able to share that. That is sexy and that is cool and it is badass. However, the meaning is deeper. What the attitude you need to have is, is that you have this beautiful, amazing opportunity to plant a fitness forward seed in this patient who is sick, who has a ton of medical complexity, and you only get to see them potentially one time. You've got one shot to plant that seed and potentially be the catalyst that sets this person up on a better trajectory of health. That's an amazing opportunity. And I would encourage you all to be obsessed with that opportunity. Okay. Every single time I would go into a room, I thought, wow, I have this opportunity. I've got one shot. I could be the catalyst that changes their lives. And the thing about you all who work in acute care, man, you are doing some dirty work, right? You are seeing folks, whether they're young or old, they have multiple types of diagnoses and medical complexities. You are seeing them at their worst and you are seeing them in a very, very vulnerable situation. The fact that you are able to plant that seed yet you don't get to see the sexy outcome and yet you give them your whole heart and whole soul is so important. And it's hard to be in acute care and know that you're not going to get to see a sexy discharge where a patient is lifting a super heavy barbell or they are going all out on an assault bike. You're not going to see that. And that's tough, but you have to reframe it to be, I'm going to be obsessed with having the attitude that I could go into every single one of these rooms, plant the seed, and the patient is able to walk into an outpatient clinic. They want to do fitness-forward care because I planted that seed. And I think that's an incredibly, incredibly important story to tell yourselves so that you can continue to have the motivation to go in and see these folks who are sick day after day. And many times you may not actually get to get them to do the cool fitness board stuff. Okay. So that's the most important thing is having that right attitude. Okay. TOOL #2 - A BACKPACK So the second tool that you're gonna need to bring along with you to every single room is a backpack, all right? You absolutely need a backpack. So this is not the backpack I used in acute care. I used the backpack that they gave us as like a Christmas gift one year. This is a Nomadic. This is my travel backpack. This is a very sturdy, but very expensive and nice backpack. I do not recommend getting something like this to go into hospital rooms, okay? But I do recommend that you get something that's sturdy because you're going to be carrying around a lot of stuff in it. So get yourself the backpack. So what are we putting in the backpack? You're going to put weights in the backpack. No, most acute care therapy offices do not have weights. But you can bring your own. So I would bring a 15 pound dumbbell. and an eight-pound dumbbell, and I would put that in my backpack. Now, some of you are not able to bring a backpack potentially into the patient's room. Cool, then you bring it around and you leave it at the nurse's desk, okay? But the idea here is that you're bringing everything with you so that there is no excuse that you don't have the equipment because you're in the hospital. So you have your weights. Now, I've had people say, well, Julie, isn't that tough to carry around? And I say, yes, it is tough, it's heavy, but who else would want to be able to go rucking through the hospital with weights more than fitness-forward clinicians who are here listening this morning? I thought it was awesome. I felt like I was getting a lot of fitness in by carrying this stuff around throughout the hospital all day. TOOL #3 - THE WHITEBOARD Okay, so after weights, you're gonna have a whiteboard, okay? I'm using a whiteboard right now for my talking notes for this podcast. you all are going to want to use a whiteboard to create workouts with your patient. So have your dry erase markers and as you are digging into their meaningful goals and you're coming up with functional movements that match those meaningful goals, you are writing this stuff down, you are coming up with reps and sets, you are doing this with your patient. Now, I will say, you're not going to buy these and leave these in patient's rooms, right? This stays with you, okay? You can take a picture of this and give it to your patient, or the really cool thing about acute care is that they typically have whiteboards in the patient's rooms, and they're usually filled with some random information many times they are covered up with Call don't fall signs Those become great whiteboards. Okay, so I usually they're not helpful We all can can agree that call don't fall signs are not something that prevents somebody from falling. So I they're great whiteboards so I would take those down turn them around and with my dry erase markers cut right down the whiteboard on those signs then I would leave that in the patient's room maybe I would go find a couple extras and I would put some motivational phrases on there like uh i remember one very specifically i'm trying to kick covid's ass so i can get home in shopwood something like that or something that lets the providers know a little bit more about this patient their name is something that i always put on these signs their name and something about them a goal an interesting fact i want to try and have every provider who walks into the room treat this person a little bit more like a human than a number or a diagnosis and that's a way to do that so whiteboard, slash use the hospital whiteboards, use those signs that are all around the room, turn them over, use those as your whiteboard. TOOL #4 - RESISTANCE BANDS Okay, next, resistance band and TheraBands. Okay, so both. So resistance band is something like this, okay? These offer a lot more resistance than a TheraBand. However, I usually would bring a bag of theravans because i want to be able to leave some with patience right you can do endless things with the TheraBands. I would tie them to the bed rails many times. So even folks who are typically they're just lying supine majority of the day because they're so deconditioned, you can tie those around on the bed rails. They can pull from above, they can pull from the side, there's a lot of stuff you can do with them just tying them to the bed rails. with the resistance bands, this is where I would many times get people up into standing and I would do something like a paloff press. So if they're standing here and this is attached to the bed rail, I can have them do a paloff press to work some core. I can have them do some rotations, you can do rows, you can do a whole bunch of stuff with those resistance bands, but those come with me. I'm not leaving those in the room. TOOL #5 - STICKY NOTES Okay, next are sticky notes. Okay, sticky notes are amazing because they're versatile. So I have sticky notes and then even better than sticky notes, I have a really bright, uh, note card. And then I've also used paint swatches that you can get for free at Lowe's or Home Depot. Okay. So what I do with sticky notes or these things, they become targets, right? So if I'm gonna have folks be reaching for things or stepping to things and maybe I'm calling out colors or I will write on a sticky note a number and then they're not only doing a motor task, they're also doing a cognitive dual task perhaps, These are great tools. They're light, they're easy, they're cheap. The other thing I like with the sticky notes is I'd like to put little notes on them for people. So if I'm using targets with a sticky note, perhaps to show them exactly where I want them to do their deadlift, pick the weight up from and put it down on, I will put a note here that just says like, you're a badass or never give up or something like that. And then that's something that the patient can keep. So they're wonderful for targets. They are wonderful to do some dual tasking. So you can have people reach for yellow or reach for a number that is written on one of the colors. So you can yell out the color or the number. Very versatile tools, very easy to carry around with you. TOOL #6 - GAIT BELTS All right, and then also obviously a gait belt. You need to have a gait belt. obvious reasons for safety but also i have used a gait belt before and i have put it around the bed rail and okay i have never ripped a bed rail off of anything by putting the gait belt around it and tugging on it okay so i'll just say that are they the most sturdy things in the world no i've never ripped one off so that's my preface there. But I have looped this around the bed rail and then perhaps someone is sitting in a wheelchair and they have a really hard time just sitting up tall in their wheelchair, their core is very weak, I will do almost a modified rope climb where the gait belt is around the bed rail and they are pulling themselves up to sit tall, and then going back to the back of their seat, the back of their wheelchair, and then pulling themselves up to sit tall. I've done this in home health, where I looped this to the end of the bed, the bed frame, what am I calling it, footboard. But typically, in acute care, there really isn't a big enough space in those footboards, maybe some of them, but definitely a really cool tool to use to do unmodified rope climb really get that core activated for someone who is so weak that they barely can even sit tall in their wheelchair. TOOL #7 - SNACKS Okay and then lastly You need snacks, okay? Don't forget your snacks. I became so much more efficient and so much more productive when I started bringing food up on the floor with me and putting that in my backpack. So, get you some nuts, get you a bar, a little bit of healthy sugars, maybe some, I always had like clementines or mandarins, those were one of my favorite snacks. Make sure that you have some fuel so you are not having to really put a big stop in the middle of your day. You're not going down to the cafeteria, getting crappy cafeteria food, and it just kind of keeps you focused. When you take that break and go down to get a snack or a coffee, I think it just puts you in that mindset of like, I'm going to just chill and not work as hard. When you just keep hammering throughout your day and you're able to do that because you have fuel, it's really important. Okay, so that is what I put in my backpack. All right, so let's talk about some specific acute care hacks to load up your patients when you don't use the weights. Okay, so let's throw the weights out. My favorite hack, one of them, is to use towels. All right, now this is a towel that I have soaked in water. All right, because a soaked up towel is really heavy compared to a towel that's not soaked in water. So I will roll a towel up and I will put it in the toiletry buckets that are in every single patient's room. So usually these buckets come with soaps and little doodads, things like that. I just get rid of that and I soak up towels and I put them in the basin. Now, you can do a whole bunch of stuff with this. So for someone even in sitting, even having to hold on to this basin, can be very challenging. We can increase the difficulty by going overhead. We can increase the difficulty by doing some marching in sitting. We can do a deadlift from sitting. We can then get up into standing and we can do a deadlift as well. So the great thing about this is it's a great way to introduce the hinge to a patient who is post-op lumbar fusion. Yes, I am loading up someone who is post-op lumbar fusion day one. Why? Because they're going to be discharged. They were probably never taught how to do a hinge in the first place, which contributed to them ending up having surgery. and I want to be the person to break that cycle, right? They're gonna go home, they gotta empty the dishwasher, lift up Fluffy's kitty litter box, whatever it is, why not teach them here and now? So I will put the towel in the basin, and then I will teach them how to properly hinge with an elevated surface in the basin. So I'm teaching them a hinge pattern, loading it up a little bit so that they know how to properly hinge when they go home, okay? And less amounts of things you can do with that basin. The next piece of equipment that I love are your bedside commode buckets. Yes, the things that poop usually goes in. But this is not what we're using them for. We are using clean bedside commode buckets, okay? So the cool thing, buckets, they usually have a handle, okay? So it makes it a lot easier to hold on to than potentially the basin. So what I will do is I will put a bunch of crap in the bucket. So I will put my weights in there or I will go and get a bunch of ankle weights because typically therapy departments and acute care have ankle weights, put them in the bucket and now we got some load. So you can do the same thing. You can deadlift with the bucket, okay? you could do my favorite, which are carries. Okay, so loaded carries. So as you're walking with your patient, they could carry on to the bucket. And the cool thing is that it adds a little bit of a perturbation. Okay, so they're getting an internal perturbation just by holding on to an object. There's a truck coming by, I'm sorry. I am out in my garage. and there is destruction going on in my neighborhood. And it's disruptive. So I'm gonna wait until they go by. Okay, they're hanging out. I'm just gonna talk louder. Okay, so with the bucket, Come on, my friends, keep it moving, keep it moving. Don't say no on a live podcast. Okay, with the bucket, what you can do is if someone is non-ambulatory, they can hold on to the bed rail and they can go like this, back and forth with that bedside commode bucket full of equipment and full of weights, okay? They could hold on to it, hold on to the bed rail and march, just like this. They can swing that bucket forward and backwards. There's a lot of things you can do with the bedside commode buckets to add in a little bit of a perturbation. Okay, lastly, we'll talk a little bit about how to put all this stuff together. So when you are with your whiteboard, right? And you're talking and you're sitting with your patient and you're figuring what movements that you're going to do. This is where you can start introducing what an EMOM is every minute on the minute. You could start introducing what a rounds for time is. So very, very early on, typically patients don't hear about this stuff or feel what intensity is like or load until they're way into their journey and they go into outpatient potentially, right? So the amazing thing is that you get to start introducing them to what a workout is like this early on. Imagine that seed that you've planted, then your patient will understand what it's like to lift heavy and to work hard. They go to home health or they go to inpatient rehab and then they go to outpatient and they're able to advocate for themselves and understand, okay, This is too easy. I don't need that yellow TheraBand or I'm not working hard enough. This isn't challenging enough for me. You are able to give them that opportunity, which is absolutely amazing. And remember, you can be the one that has an impact on them. Farther down the road, you are not going to see that sexy discharge, but you were able to be the catalyst to spark some change. Okay. All right, my friends, that is all. The next time I come on here, I will actually show you an example of like an EMOM or a rounds for time, some examples of what I would actually do with patients in acute care. I will also, on the ice stories, I will post some of my reels I made back when I was in acute care, going back into the archives. I will post on our story my reels that show some of this stuff in action. Lastly, talking about our courses that are coming up. MMOA Live will be in Alabama, we will be in Minnesota, Wyoming, and Oregon for the rest, not the rest of September, we're not in September yet, but in September, so many opportunities to catch us live on the road. Alright everyone, have a wonderful rest of your Wednesday. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.

Are you considering a pivot to, or starting your career off in Acute Care? Julie shares her perspective of the most important characteristics about Acute Care that will help you determine if you will thrive in this setting!

Dr. Julie Brauer // #GeriOnICE // www.ptonice.com  In today's episode of the PT on ICE Daily Show, join Modern Management of the Older Adult lead faculty Julie Brauer discusses the ins & outs of daily life as an acute care physical therapist. Take a listen to learn how to better serve this population of patients & athletes, or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about live courses designed to better serve older adults in physical therapy or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION JULIE BRAUERWelcome to the PT on ICE Show brought to you by the Institute of Clinical Excellence. My name is Julie. I am a member of the older adult division. Thank you for spending some time on your Wednesday morning with me. Let's dive right in. So one of the most common questions that I receive from students and clinicians is is asking me about acute care. Should I go into acute care? Should I choose home health over acute care? And I'm having a lot of conversations with folks about pros and cons. and sharing my reflections from having been in acute care and home health and inpatient rehab and outpatient and private and home with older adults. So I figured I would do a podcast and bring all these thoughts that I've been having in these individual discussions to all of you. Okay, so what I'm going to do is I'm gonna go through a list of five to seven things that I believe are the most important characteristics of acute care and will help you decide if acute care is the right setting for you and if you are going to thrive in that setting. Okay, so number one, this is what I believe is the most important characteristic that sets acute care apart and will be the biggest factor in helping you determine if you are going to thrive in this setting. All right, number one is that in acute care you have complete autonomy over your day. You have complete autonomy over your schedule. This ended up being The reason why I feel like I thrived the most in acute care is because I wanted full autonomy over how I structured my day. So let me explain what that means. So when I was working in the hospital, I would walk into work, you clock in, and you are more than likely going to be given a list of patients. It is then up to you to decide which of those patients you're going to see. Are they appropriate to be seen? So you're doing some triaging there and you have autonomy to make that choice. And then you get to decide, most importantly, what your day looks like. When do you go see those patients? And this was so key for me. I don't like to be in a box. I don't like to be back to back all day. I like to create my own day. And so I would look at my list and depending on how intense or complex the patients were, depending on my energy levels for the day, I would decide, like, okay, I'm going to knock out a bunch of my patients in the morning. Back to back to back, get it done, and then go eat lunch, and then in the afternoon when my energy stores are down, that's when I do the majority of my documentation. So my afternoon, I wouldn't really have to see any patients, maybe one, and the majority of it was documenting. Or if sitting around and documenting for a long time is something that fatigues you, you can do a system where you go see a patient, then you document. You see a patient, then you document. So if you are someone who really needs that energy reset after pouring into a human, typically one that's very sick and there's lots of complexities and you need a little bit of a break and a breather, you can set your day up so that you get that break after every single patient or perhaps after two patients. So you really have a lot of flexibility there. I remember I was the type of person who I would love to knock everyone out in the morning. I would go find a quiet room or a room that was near some natural light. I would put my music on and I would just sit there and document. So you have full flexibility there. When you look at other settings like inpatient rehab, you are back to back to back to back. It's one of the things that I liked the least about the setting is that I did not feel like I had autonomy over my day. And I realized that that was professionally a big core value of mine. And then if we think about home health, you do have a lot of flexibility. You schedule all of your patients yourself. However, I learned my experience was that that was a big burden for me and I never really knew what I was walking into. I didn't get the choice of who was on my schedule. Scheduling patients was typically fairly time-consuming and frustrating when you're trying to reach out to all these people and they may not be answering and you're trying to very efficiently, Tetris them into your schedule so that you're not driving all around your region. Trying to schedule patients became just this extra task that really stole a lot of my energy. So after having been in multiple settings, I think that was the biggest plus to acute care. And if you are someone who likes to have that flexibility and you feel you can be efficient and effective and productive by making your own schedule, then acute care may be the setting for you over other settings. Okay, that's the biggest one. Number two, When you work in acute care, you learn how to be a master of scale. You have to learn how to come up with unique and creative loading strategies because you are in an environment where you don't have weights. You are in an environment where maybe you are just stationed to the edge of the bed because your patient is, they have tons of lines and tubes attached to them. So you have to figure out how to do a lot with a little. And that skill right there has become, it became my superpower going forward into every other setting. I never encounter a time where I'm with a challenging patient, they're complex, or we are in a less than ideal setting, for example, someone's home, and I have never felt I'm stumped. I don't know how to bring a fitness forward approach to this person. I can't come up with an idea. I don't have weights, and so I just don't know what to do. That has never happened. And the reason for that is because over several years, I learned how to get incredibly creative. So in the acute care setting, that could be as easy. I carry around dumbbells in my backpack. and I'm like rucking through the hospital, I bring my own equipment. We paused, we paused, we're back. That could also look like the, this is my favorite hack, the toiletry buckets that are typically filled with shampoos and soaps. I dump those out, roll up towels, soak them in water, put them in the toiletry bucket, and now that becomes a little bit of load, I would have folks deadlift that toiletry bucket, press it over their head. That was one of my favorites. I would use the tray table for a sled push. I would turn the hospital bed into a total gym and put it at an incline and have them reach at the bar above their head and they're doing pull-ups or I'm having them basically do a leg press with the hospital bed. I just was able to always find a way to bring that fitness forward approach and the acute care setting really forces you to get creative. And that was just such an amazing skill that has carried me through every single setting with every single patient that I've had throughout my career. So that's number two. Okay, number three. You do not, for the most part, have to take any work home with you. Yes. How nice does that sound? So for a lot of you who are in other settings and you typically at night, you get home from work, you maybe go to the gym, you eat your dinner and then you're like, well, here's my glass of wine and I'm going to sit down and I have one to two hours of documentation to do. That is not something that is typically happening when you are in acute care. Now in the very beginning as a new grad, a hundred percent, I was taking documentation home for me. But the vast majority after that learning curve, you know, after I got through that steep learning curve, I was not taking any work home from me. With me. You actually get to leave work at work. The administrative burden is very, very low. The EMR is very easy. It's a very low, low, low documentation burden. Something that I didn't know and I learned when I went into home health is that my god, documentation burden was enough for me to, was a big reason why I quit home health. I truly was so frustrated and cognitively overloaded by how extensive the documentation was that I could not even be present or enjoy the time with my patients. And for me, that was enough to say this setting is absolutely not for me. So if you are someone who you're really trying to create a barrier of when I'm at work, I do my work and I do a fantastic job. And then when I'm out, I'm off, I'm done. You go home and your energy stores go to your partner, they go to your friends, they go to your family. Acute care is definitely a setting where you can more easily create those boundaries. Okay, documentation burden low, that's number three. Number four, you are gonna do a lot of things in acute care that don't look like traditional therapy. Okay, so what I mean by this is that your role beyond improving someone's mobility and getting those sick patients, those, you know, individuals who need to get out of that bed and trying to start to get them stronger. Beyond that, I would say The majority of my time was actually spent being a fierce patient advocate, a fierce patient advocate. That is truly what my role became. And I actually evolved to loving that part of the role even more sometimes than going in and doing the functional mobility strengthening stuff. I thought it was such a beautiful opportunity to be able to advocate hard for my patients. So in MMOA, we call that significance over sexiness. You're not always going to get this patient doing squats or deadlifts or bringing in weights, but what you can do is you can fight to the end so that your patient can get over to inpatient rehab. I will never forget one of my first patients that I experienced working on the trauma floor was an individual who had a spinal cord injury. He fell down the stairs, ended up in the hospital. He did not have insurance. And he worked hard every single day with us. I worked with him for months. But because he didn't have insurance, acute rehab was saying, no, no, no, we're not going to take him. Even though everything else made him the perfect candidate to go to rehab. And we know that his outcomes were going to be so much better if he was able to go over and get that intensive rehab. So me and my colleagues were able to just hammer on that goal and we brought it up to the physicians and we got them to do an appeal and face-to-face peer review and we worked closely with case management and we were able to get him over to rehab because we went after that so hard. and that was more beneficial than probably anything we could have done in a more traditional therapy sense. So you have this awesome ability to really dictate the outcome of these folks and it doesn't look anything like PT. Another example is if you have an interest in working in the ICU you have an amazing role there to advocate. Meaning you're going around with the physicians and case management and the nurse manager and sometimes higher up execs in the hospital and you're looking at these folks who are on sedation and on the vent and you know that you want to get that sedation down so you can get these people up and start that early mobility. and you get to look at their settings and look at what's going on and say, look, can we get this person off Propofol and put them on Propofol? Or sorry, the opposite, take them off Propofol and put them on Procedix so that we can try and decrease the sedation burden that's going on with our patients and get them mobilizing faster. That is so cool. I thought that was amazing. I loved feeling like I was like this mama bear trying to protect all of my patients and get them to the next best. setting and really improve their outcomes. And much of that did not look like teaching them how to do sit to stands or deadlifts. So if that's something that you feel you would love to do, acute care is a really wonderful setting for that. Conversely, if you are an individual who, you know, I talk to a lot of clinicians and students who love the fitness part, like their core values when it comes to their professional career are that They want to be able to work with someone when they are in the stage of being able to load them up. That's what brings them value. They want to work more from a sports performance perspective. And they want them to be at a level where they're able to do all the exercise. Like that's what you love to treat. And so I give them the, you know, I let them know, acute care may not be the setting for you. You really may belong more in outpatient instead. So something to think about just the how dynamic of the role can be in acute care. Okay next you learn how to communicate and you learn how to be on a team. All right you will hear all the time that in acute care you have to have really solid interprofessional communication. 100%, you've heard that word over and over again. But what does interprofessional collaboration actually mean? You learn very quickly that the world does not revolve around you and your therapy plans. These patients are so complex. They have so much going on with them. You are one small piece of the puzzle that actually helps them move on to the next level of care, or helps them get home and be safe. You learn it really quick. You cannot operate in a silo. You start to learn what the nurse's roles are, what the nurse tech's role are, truly what your OT partners and your speech partners can do. And you learn how to work with case management. You learn how to have conversations with physicians. They're all right there, and you have to figure out You have your patient's health and mobility, and you want them to get stronger. That's the forefront of your mind. But you've got to deal with all of these other individuals who have their own priorities when it comes to the patient. the physicians or the surgeons, like I'm trying to keep the lungs and the heart alive, or I'm just trying to keep that brain alive. Like that's what their focus is. You know, the nurses are, Hey, I got to get these meds into my patients and they're overloaded. And you start to learn to have grace for people when maybe they're not fitting the idea of what you think should be done for the patient because you're thinking about your bias of mobilization and strengthening. So you start to understand, how to create allies with individuals who have various priorities when it comes to your patient case. You learn how to argue, you learn how to be direct, but you learn how to respect everyone else's role and everyone else's time. And that can become a really beautiful collaborative effort where you can work together and move people forward. And you just don't get that opportunity in other settings. When I went into home health, I really missed the fact that I could easily collaborate with my OT partners or my speech partners, or I could easily, you know, talk to a physician. In home health, a lot of the time it feels a lot more siloed and My goodness, if I was able to get even just a PA on the phone to tell them about a concern I had with a patient, that was a big win. So if you are someone who values and loves the fact that you're surrounded by a team constantly, acute care may be the setting for you there. Okay, only a few more, I promise. Let's do two more. Okay, next, the emotional toll slash connection is very high in acute care. Now, every single setting you are going to be emotionally connected to your patients, right? You could be in very vulnerable situations with the patient. However, I do believe acute care has the highest amount of emotional connection and along with that emotional toll because you are with folks that are dying, that have been through catastrophic accidents, that are, you know, I will never forget the day where I was working in trauma and a patient came in, terrible car accident. That individual lived, but her spouse died. And you are pouring into this human, they don't even know that their spouse is dead yet. I mean, you are going to face these situations so often, especially if you work more in the ICUs. You are surrounded by death quite frequently, and you're surrounded by a lot of sadness and loss and grief. And that can take a significant toll on you. I think it's beautiful that you are able to be someone who can support your patient, your patient's family during an incredibly tough time. But that can also be something if you are, um, if you are an empathetic person to a fault, sometimes like I am, that you can take on a lot of that grief and that can end up being incredibly heavy for you. So something to consider if you love to be in those vulnerable positions with your patient and you want to help them through dying and sickness and grief and loss, it may be a great setting for you. And that's not to say you don't experience intense joy as well. You can. see folks who were minimally conscious after a stroke or traumatic brain injury, and you can see them, you know, spontaneously start to recover. And that's absolutely incredible as well. But the emotional roller coaster is incredibly high. So if you are prone to taking on a lot of energy and emotion, and that's something that you know is not necessarily a positive for you, then maybe acute care isn't the place for you. Okay, last one here, last one. you do not get to see the sexy outcome. You do not get to see the sexy outcome. In acute care, you truly have to be okay with being the person who sees this person once, you plant a seed and you hope that that grows and that ends up changing this person's trajectory. But you don't get to see that outcome most of the time. And that's really hard for individuals. Many clinicians, they want to build that relationship and go along that journey with someone and see discharge day, see how far they've come from the amount of effort and work and progress that you've been making together. That longer term relationship is so important. This is one of the, um, this is definitely one thing that I didn't like about acute care as much is that I didn't have the ability to see this see this outcome. On the flip side of that, I definitely adopted the perspective that, hey, I've got maybe one or two chances to work with this patient. I'm going to do everything possible to set them down the right path. I'm going to pour into this human 200% to try and make sure that I can hand off the baton to the next person and it's a fitness forward individual and I can continue to keep them in that lane. And I was okay with that. I loved knowing that as a fitness forward professional, when I walked in those doors of my patients' hospital rooms, I knew, I just felt that their outcome was going to be different because I was coming into their room. And I loved being able, I loved being able to have that impact with them, even if it's for a very short amount of time. If that is something that you feel like you can get on board with and you can really learn to value and you can be okay with planting the seed and not seeing the outcome, acute care could be a really wonderful setting for you. If you are someone who knows that they want to go along the journey over a long period of time, they want to see discharge day and know what those efforts look like at the end and what the outcome was, probably not the setting for you. Okay, all, that's my list. It's not an exhaustive list by any means. I would love for you all to add to this list to kind of let more folks know some pros, some cons, some other considerations. Please add to this. Put it in the comments. Send me a message. I'd love to post other thoughts about all the things that go into acute care and whether it is going to be the right setting for you. Okay. So I will end with talking to you all about what we have coming up in the older adult division. So in August we, Oh, first let's talk about July. My goodness. So this coming weekend, we, uh, the whole team is in Littleton, Colorado. And then once we go into August, we are in California, Salt Lake city. in Alaska, as well as our Level 1 online course, that starts August 14th as well. PTINice.com, that's where you can find all of that info. If you're not on the app already, make sure you get on there and get into our community. We're on the app so much more now, so if you have questions or comments, find us in there. All right, team, have a wonderful rest of your Wednesday. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.

The August 2024 podcast features Registered Nurse, Dr. Sandra CItty who holds a joint position as a Clinical Associate Professor at the University of Florida College of Nursing in the Department of Family and Community Health Systems and faculty in the Geriatric Research, Education and Clinical Center at the North Florida South Georgia Veteran's Health System in Gainesville Florida. Dr. Citty shares her passion improving system-based medication and nutrition administration to reduce patient safety concerns. She reviews the results of her teams inquiry into the National Center for Patient Safety Joint Patient Safety Reporting System to understand sources of patient safety concern related to enteral nutrition prescription, administration, and monitoring. Her discussion clearly hihglights the need for clinician to act within their own institutions from an interdisciplinary perspective. Business Corporate by Alex Menco | alexmenco.net Music promoted by www.free-stock-music.com Creative Commons Attribution 3.0 Unported License creativecommons.org/licenses/by/3.0/deed.en_US August 2024

In this episode of the Aesthetics Injector Gang podcast, Valerie Prietz (@injector_valerie) owner and injector of Spindrift Aesthetics in St. Petersburg FL interviews Beth Ann Panizales ACNP (@thefaceloftbeth), owner and injector of The Face Loft in Pittsburgh. Beth shares her journey from cardiology to aesthetics and discusses the challenges of managing a growing aesthetics practice. She emphasizes the importance of having clear core values, a thorough hiring process, and addressing toxic workplace behavior promptly. Beth also provides valuable insights on leadership, employee management, and the legal aspects of running an aesthetics business, highlighting the importance of setting boundaries and protecting the practice's culture.   Find us:  Apple

In this episode, we delve into the profound world of end-of-life care with Skelly Wingard, RN, MSN, PHN, CEO of By the Bay Health. With a robust background in health plan operations and a deep-rooted passion for clinical care, Skelly offers a wealth of expertise and heartfelt perspectives. Together, we explore the distinctive hurdles and gratifications of delivering compassionate healthcare services, while uncovering how By the Bay Health's innovative care system is positively impacting the community every day.

I had the pleasure of speaking with Dr. Jackleen Samuel, CEO of Resilient Healthcare, on the latest episode of the Healthy, Wealthy, and Smart podcast. Dr. Samuel shared insights on the evolution of care delivery and the innovative solutions Resilient Healthcare is implementing to bridge gaps in healthcare. From acute care at home programs to extending services into the community, Resilient Healthcare is revolutionizing the way patients receive care. Here are the key takeaways from our conversation: Innovative Care Delivery: Resilient Healthcare offers acute care at home programs, providing hospital-level care in the comfort of patients' homes. Collaboration with Hospitals: By partnering with hospitals, Resilient Healthcare is able to extend care into the community and improve access to services. Tech-Enabled Solutions: Leveraging technology for continuous monitoring and virtual consultations, Resilient Healthcare ensures patients receive high-quality care remotely. Importance of Resilience: Dr. Samuel emphasizes the need to be resilient and push forward in the face of challenges, advocating for positive change in the healthcare industry. Time Stamps:  00:00:03 - Introduction and Welcome 00:00:14 - Episode Topic: Changes in Healthcare Delivery 00:00:35 - Guest Introduction: Dr. Jackleen Samuel 00:00:59 - Dr. Samuel's Background and Career Path 00:02:05 - Inspiration Behind Resilient Healthcare 00:02:33 - Benefits of Home Healthcare 00:03:25 - Transition from Clinical to Nonclinical Role 00:05:13 - Evolution of Resilient Healthcare 00:07:18 - Acute Care at Home During the Pandemic 00:09:02 - Practical Implementation of Acute Care at Home 00:11:05 - Patient Feedback and Satisfaction 00:12:21 - Business Model and Operations 00:14:13 - Credentialing and Staffing 00:15:09 - Workflow and Coordination with Hospitals 00:17:19 - Benefits of Home Visits for Physical Therapy 00:19:24 - Challenges and Opportunities in Home Healthcare 00:20:02 - Extending Hospital Services into the Community 00:22:16 - Disconnect in Home Health Awareness 00:23:21 - Partnering with Local Providers 00:25:10 - Surprises and Challenges in Healthcare Industry 00:28:17 - Positive Reception of Hospital at Home Model 00:29:16 - Final Takeaways and Encouragement 00:30:16 - Contact Information and Website 00:30:51 - Advice to 20-Year-Old Self 00:31:35 - Conclusion and Farewell More About Dr. Jackleen Samuel-Kloes, PT, DPT: Dr. Jackleen Samuel is the CEO/President of Resilient Healthcare (Plano, TX) and a serial entrepreneur deeply passionate about disrupting traditional healthcare delivery. With over a decade in the industry, she consistently drives growth, innovation, and pursues her mission to make healthcare both convenient and transparent for patients. Beyond her leadership at Resilient Healthcare, Jackleen's entrepreneurial spirit shines through her diverse ventures. She founded a post-acute rehabilitation company, spearheaded a neurology therapy clinic, and co-owned a physical therapy management firm. Each endeavor underscores her commitment to elevating patient care through technology and innovative methodologies. As a result, Resilient Healthcare stands as a beacon in the health-tech landscape, delivering unparalleled hospital-at-home services while championing operational excellence and profitability. A graduate of New Jersey Institute of Technology and Rutgers University, Jackleen earned a bachelor's degree in biology, coupled with a tech-centric minor in History, and later pursued a Doctorate in Physical Therapy from Rutgers. Her influential role in healthcare has garnered notable recognition, including a feature in Becker's Hospital Review's esteemed "116 Women in Health IT to Know." In addition to this, she serves on the Board for Kick Foundation, offers insights as a thought leader for Forbes, and holds titles as a UBS Fourth Effect and UBS Luminary Fellow. Outside her professional sphere, Jackleen values her moments outdoors, whether that's a camping trip or a hike with family. She resides in Texas, sharing her home with her husband, four children, and two dogs. A sports aficionado, she holds a special fondness for soccer. Resources from this Episode: Resilient healthcare Website Jackleen on LinkedIn Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio

The Medical SLP version of a “Battle of the Bands” would be, without a doubt, a “Battle of the Instrumentals.” As in, which is better: MBS or FEES? The MBS has historically been viewed as the “gold standard” of instrumentals, but a LOT more research has come out about FEES since its introduction into the dysphagia world. And Dr. Jessica Pisegna is here to talk about it in this week's episode of The Swallow Your Pride Podcast! Dr. Pesegna is the section chief at Boston Medical Center of the voice and swallowing center and has worked closely with the one and only Dr. Susan Langmore. In this episode, we cover: -When Dr. Pesegna chooses FEES, MBS, or BOTH simultanously.  -What her latest research found when it comes to absent or reduced epiglottic inversion on FEES and what it can mean -The importance of the brand and color of food dye -Why FEES should be used in acute care -The use of residue rating scales and the consistency of clinician ratings. -Laryngeal sensory testing -The ice chip protocol and the Frazier Free Water Protocol  -The reliability of Penetration-Aspiration Scale (PAS) on FEES. Prep your barium and get your scopes out, because this episode will leave you motivated to step up your game in the world of instrumental swallow studies! Get the show notes full of references here: https://syppodcast.com/331  TIMESTAMPS: Simultaneous FEES and Video Fluoroscopy (00:03:40) Research Findings (00:06:18) Sensitivity of FEES (00:10:00) FEES in Acute Care (00:14:49) Triage Protocol (00:16:17) Simultaneous FEES and Video Fluoroscopy (00:16:45) Turnaround Time for FEES (00:17:33) Rating Scales for Residue (00:18:12) Assessing Reliability Between Clinicians (00:19:48) New Zealand Secretion Scale (00:22:15) Global Picture of Patient Care (00:23:44) Management of Secretions in Acute Care (00:24:39) Laryngeal Sensory Testing (00:25:17) Ice Chip Protocol (00:28:55) FEES and PPIs Ratings (00:35:10) Challenges and Considerations in Using PAS on FEES (00:38:34) Reliability of Digest FEES (00:40:26) The post 331 – MBS vs FEES: Time to Dig Deeper into Instrumental Swallow Studies with Jessica Pisegna appeared first on Swallow Your Pride Podcast.

Today we'll be talking to Jason who is an FNP, he's currently working full-time at a mobile urgent care but he's starting a telemedicine concierge weight loss and men's health clinic soon. Jason is also interested in opening a cash-only urgent care but he's not entirely sure in which direction to move in, he comes to the show looking for help on how to set up a subscription program and how to integrate telemedicine and urgent care into the weight loss and men's health clinic. In this episode, we had a fabulous conversation with Jason, and we answered for him a lot of questions we don't get every day on the show, from the coverage and exclusions in your malpractice policy to how practicing responsibly and safely will keep the regulatory bodies out off your clinic, with a lot of interesting topics and info between. This a great episode for those starting out or just about to start their own practice, you'll find a lot of pearls in this one.