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Resident
Orientation Manual (Feb. 2000)
Produced by Galveston Shriners Burns Hospital and The University of Texas
Medical Branch Blocker Burn Unit.
Contributors: Sally Abston MD, Patricia Blakeney PhD, Manubhai Desai MD,
Patricia Edgar RN, CIC, John P Heggers
PhD, David N Herndon, MD,
Marsha Hildreth RD, Janet A
Marvin RN, MSN,
Ray J Nichols Jr. MD
REHABILITATION
SERVICES RESIDENT ORIENTATION cont'd
Occupational/Physical Therapy
The rehab philosophy is to assist the patient to reach the highest
level of function possible. This requires efforts of the entire
interdisciplinary team. Our therapists are cross-trained and there is
not a difference in patient care between the 2 disciplines. Therapists
are known as "Burn Therapists" and physicians' orders should be written for
"Rehab" or "OT/PT".
Evaluations/Assessments:
A. Initial - Evaluation requires physician signature for performance
(orange stripe form).
B. Ongoing - Physicians' orders reflect rehabilitative care throughout
hospitalization.
C. Discharge - Referral for outpatient therapy requires physician
signature.
D. Return to Clinic - Outpatient Summary requires physician signature.
Parent/Patient Education:
A. Bandage wrapping and splint application classes are Monday and
Wednesday at 13:30 (staff invited to classes)
B. Educational slide programs are Friday at 13:30. The program
stresses the importance of pressure, splints, activity, exercises, and
positioning. Patients are included in this formal training at age 9
and above. The primary therapist assigned to the patient provides
one-on-one training on exercises.
Communication:
A. Tuesday - Interdisciplinary D/C Planning Meeting.
B. Thursday - Grand Rounds.
C. Monday, Wednesday, Friday - Unit rounds on a daily basis at bedside
with team, 7:00a.m.
D. Saturday, Sunday & Holidays - Unit rounds at 9:30a.m. (or as the
attending physician schedules).
E. Weekend Treatment - Therapists provide priority treatments only.
Only 2 therapists are present on weekends and holidays.
Rehabilitation Referrals:
A. Referral process and paperwork.
Outpatient/Outreach Clinics:
A. All above procedures are tracked and continued in terms of the
patient and family meeting their rehabilitation goals. Outpatient
summaries are updated and provided to patient family and referral source.
Our department participates in outreach clinics to provide follow-up
treatments to patients in their community or surrounding areas. During
these clinics we proved priority therapy needs, i.e. splinting and pressure
therapy, and we make recommendations for the next level of rehab care.
School Re-entries:
A. The department assists with school re-entries so the children's
return to school may be a smooth transition.
TEAM WORK IS VITAL FOR GOOD PATIENT CARE
Next - Basic Treatment
Procedures
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