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Reason for existence

The Uintah Physical Therapy Clinic was created because the hospital did not
offer physical therapy and physical therapy was not offered anywhere in the three
county area. The Uintah physical therapy serves in and out patients for use of
preventing injury or to help patients recover from disability caused.

Mission
Our mission is to provide all patients and clients with the best possible cost
effective physical therapy services in a supportive atmosphere to best enable each
individual to achieve their goals. The Uintah Physical Therapy Clinic is dedicated to help
individuals in achieving their maximum physical function. Uintah Physical Therapy view
each patient as a unique individual and strive to understand and respond to their
individual needs. Ours staff strive to meet optimal standards of professional practice
and support the mission, philosophy, and goals of Uintah Physical Therapy.

Philosophy
The Uintah Physical Therapy Clinic believes that; As Members of the health care
community, physical therapists and physical therapist assistants are responsible for
promoting wellness and empowering individual to achieve state of health.

We believe in adapting to the needs of the people.


We believe in low cost effective treatment.
We believe services should be flexible, therapeutic, and innovative.
We believe in fair and honorable treatment to employees.
We believe in not discriminating in treatment of any person on the bases or race,
gender, or religious views.
We believe in restoring our patients to functional independence and physical
performance.

Goals

To continue to produce quality research steeped in scientifically accepted


research methods.
Providing community wellness and health care.
Educate the community of the importance of health.
Promoting the profession of Physical Therapy through contribution to research.

How Uintah Physical Therapy Clinic is connected to the


hospital

The Uintah Physical Therapy Clinic is an attached building to the Uintah hospital. The
clinic works with the hospital, but works independent financially.

Organizational structure

Board of Trustees
Medical Staff

President

Receptionist
Financial
office

PT
2 General
Pediatrician
Director
Practitioners
Operations
Accountant
Physical
Surgeon
Director
of
Therapist
Human
Resources
Nurses
Physical
Therapist
10
Assistant
Registered
Nurses
Physical
Therapy
10
Aide
Licensed
Practical
Nurses
45 Nursing
Aides

Basic layout of Uintah Physical Therapy

Exi

Gym Area

Front Desk and


Waiting area
Break
room

Office
Plinth
with
curtain

Plinth
with
curtain

Plinth
with
curtain

Plinth
with
curtain

Counter and
sink

Population and persons to be served


Uintah is a small farming town in the state of Utah with a population of 13,000 persons
and additional 12,000 persons in the county. The main occupations are farming, cattle,
and mining. The hospital there is a small 90 bed acute care hospital. The hospital
serves a tri-county area because there is no other health facility in the region. The
average occupancy rate of the hospital is 80%, with an estimated 8,000 patients-days
per a year.
The Uintah physical therapy clinic serves Patients staying at the hospital (in patients)
and patients from the community that are not staying at the hospital (out patients). The
Uintah physical therapy clinic sees 36% of patients from the hospital and the rest of
their patients are out patients from the community. The physical therapy sees a lot of
Cerebrovascular accidents, Rheumatic diseases, overuse of joints, farming injuries, and
industrial accidents due to the main occupations in the county.

The types of physical therapy that is delivered

Orthopedic- Orthopedic physical therapy focuses on restoring function to


the musculoskeletal system, including joints, tendons, ligaments, and
bones.
Geriatric- Geriatric physical therapy focuses on the unique movement
needs of older adults. This includes treatment for conditions such as
arthritis, cancer, osteoporosis, Alzheimer's disease, joint replacement, and
balance disorders.
Neurological- Neurological physical therapy focuses on neurological
conditions and impairments, such as Alzheimer's disease, brain injury,
cerebral palsy, multiple sclerosis, Parkinson's disease, spinal cord injury,
and stroke.
Cardiopulmonary- Cardiovascular and pulmonary physical therapy
focuses on helping individuals who suffer from cardiovascular and
pulmonary conditions, such as heart attacks, chronic obstructive
pulmonary disease (COPD), and pulmonary fibrosis.
Pediatric- Pediatric physical therapy focuses on the unique needs of
infants, toddlers, children, and adolescents.

Uintah Physical Therapy Staff


2 physical therapists
o One PT will be department manager
4 physical therapist assistants
2 physical therapist aides
Receptionist
Accountant

In and out-patient scheduling


Monday-Thursday: 7am-7pm, with in-patient coverage from 10:00am3:00pm
Friday: 7am-4pm, with in-patient coverage from 10:00am-2:00pm
Saturday: 8am-12pm, in-patients only
Sunday: Physical Therapist on call

Patient scheduling
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The software WebPT will be used to schedule patients as well for as documenting
progress notes, patient information, and billing information.

Staff Schedule
6

Job Outline for Positions


Job Title: Director of physical therapy
Supervisor: Hospital administrator
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Requirements: Graduate of a professional training program accredited by the American


Physical Therapy Association (APTA), and hold an active Physical Therapist licensed in
the state of Utah.
Experience: 2 years of PT job experience
Starting Wage: 72,000/year
Summary of Responsibilities:

communicating and enforcing values, policies, and procedures

Oversee day-to-day operational and clinical activities of the PT department

responsibility for all staff


o making sure staff is on time and keeping clinic rules and policies
o problem solving
o give technical direction
o development of staff

Identifying emerging issues


Ensure services are in compliance with professional standards, state and federal
regulatory requirements
Hiring and Firing employees
o Training
Budget:
o Estimating, trends, and variances
o developing action plans
o measuring and analyzing results
o Minimizing the impact of variances

Implementing orientations/meeting

stay up to date new therapy approaches

educate hospital administration on the utilization of physical therapy

Designing and evaluation clinics mission and goals


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establishing physical therapy policies

Provides physical therapy services by evaluating patient care protocols and


measuring outcomes

maintaining departmental quality

Maintains legal and accreditation compliance by developing policy positions


concerning federal, state, and local regulations

Enhances Uintah Physical Therapy Clinic by accepting ownership for


accomplishing new and different requests; exploring opportunities to add value to
job accomplishments

Responsible for providing physical therapy services as determined by medical


direction, therapist judgment, patient needs and desires, and available facilities.
Evaluate patients subjectively and objectively
Asses patients problem
Develop a patient treatment plan
Asses patients progress
Alter treatment plan if necessary
Document data according to departments policy
Submit progress/discharge reports to physicians and other referral sources on a
regular basis
Instruct families in home program prior to patient discharge
Delegate to Physical Therapist, Physical therapist assistant, and Physical
therapy aide, receptionist, and accountant.

Skills/Qualifications: Coaching, Decision Making, Financial Planning and Strategy,


Communication Processes, Training Management, Initiative, Legal Compliance,
Quality Management, the ability to safely bend, twist, and lift 100 pounds, support
200 pounds, transfer adult patients up to 200 pounds, maintain static postures for
several min, the ability to apply manual resistance, the ability to perform CPR,
coordination, balance, and strength, crouch, kneel, reach, push/pull, and crawl, have
good written and verbal communication skills, have the knowledge to administer
treatments to improve patient's lifestyles.

Job Title: Physical Therapist


Supervisor: Director of physical therapy
Requirements: Graduate of a professional training program accredited by the American
Physical Therapy Association (APTA), and hold an active Physical Therapist licensed in
the state of Utah.
Experience: No prior experience necessary
Starting Wage: $66,000/year
Summary of Responsibilities:

Under the general direction of the department supervisor, is responsible for


providing quality physical therapy services as determined by medical direction,
therapist judgment, patient needs and desires, and available facilities
Evaluate patients subjectively and objectively
Asses patients problem
Meets patients goals and needs
Develop a patient treatment plan
Asses patients progress
Alter treatment plan if necessary
administering manual exercises
Design home exercises
Document data according to departments policy
Submit progress/discharge reports to physicians and other referral sources on a
regular basis
Instruct families in home program
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recommending or providing assistive equipment


Attend and contribute to team conferences
delegates to physical therapist assistants
Assist director of physical therapy in job training
Maintains safe and clean working environment
Complies with federal, state, and local legal and professional requirements
Works as a team
Attend and contribute to team conferences

Skills/Qualifications: The ability to safely bend, twist, and lift 100 pounds, support 200
pounds, transfer adult patients up to 200 pounds, maintain static postures for several
min, the ability to apply manual resistance, the ability to perform CPR, coordination,
balance, and strength, crouch, kneel, reach, push/pull, and crawl, have good written and
verbal communication skills, have the knowledge to administer treatments to improve
patient's lifestyles.

Job Title: Physical Therapist Assistant


Supervisor: Director of physical therapy
Requirements: Graduate of a professional training program accredited by the American
Physical Therapy Association (APTA), and hold an active Physical Therapist licensed in
the state of Utah.
Experience: No prior experience necessary
Starting Wage: $21/hour
Summary of Responsibilities:

Under the direct direction of a physical therapist, is responsible for providing


quality physical therapy services as determined by medical direction, therapist
judgment, patient needs and desires, and available facilities
Meets patients goals and needs
Develop a patient treatment plan
assisting patients in performing physical activities
Deliver physical agents
Alter treatment plan if necessary
Design home exercises
Document data according to departments policy
Submit reports to physicians and other referral sources on a regular basis
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Instruct families in home program


recommending or providing assistive equipment
Attend and contribute to team conferences
Assist director of physical therapy in job training of Physical therapist assistants
or aides
Maintains safe and clean working environment
Complies with federal, state, and local legal and professional requirements
Supervise volunteers in the department
Works as a team
Attend and contribute to team conferences

Skills/Qualifications: The ability to safely bend, twist, and lift 100 pounds, support 200
pounds, transfer adult patients up to 200 pounds, maintain static postures for several
min, the ability to perform CPR, coordination, balance, and strength, crouch, kneel,
reach, push/pull, and crawl, have good written and verbal communication skills, have
the knowledge to administer treatments to improve patient's lifestyles.

Job Title: Physical Therapy Aide


Supervisor: physical therapist
Requirements: Graduate with high school diploma or GED, 18 years or older,
Complete Clinic aide training
Experience: No prior experience necessary
Starting Wage: $8.50/hour
Summary of Responsibilities:

Preparing patients for treatment


Maintain clean clinic
Clean plinths
Change and dispense linen
Clean equipment
Sweep
Vacuum
Mop and dry
Clean furniture
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Take inventory
Order supplies
Perform receptionist duties if needed
Know how to schedule patients

Skills/Qualifications: The ability to safely bend, twist, and lift up to 100 pounds,
prolonged walking and standing, bend over equipment for extended periods to clean,
work from oral instructions.

Equipment and Expendables


Office equipment

Desks
Office chairs
Computers
Printer
Copier
Locking file cabinet
Paper
Black pens
File folders
Calculator
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Scissors
Stapler

Linen

Towels
Patient gowns
Sheets
Pillows
Pillowcases
Washer and dryer

Ambulation aids

Wheelchairs
Walkers
Canes
Crutches

Major equipment

Hydrocollator hot pack machine


o Hot packs
o Hot pack covers
Freezer
o Cold ice packs
Electrical stimulation machine
o Electrodes/patches
Ultrasound machine
Iontophoresis machine
Rolling treatment tools
o Foam rollers
o Augmented Soft Tissue Mobilization (astim) tools
Weights
Dumbbells
Theraband
Theratubing
wall pulleys
therapy balls
stationery bike
floor mats
treadmill
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total gym
upper body peddle exerciser
portable floor peddle exerciser
gait belts

Assessment tools

Goniometers
Tape measures
Reflex hammers
Timers/stop watches
Pulse oximeter
Stethoscope
blood pressure cuff

Furniture

Wooden chair (for gym)


Cushioned chairs (for waiting area)
Plinths
Mat table
Step-stools
black rolling stools
Privacy curtains

Expendables
sterile and clean gloves
electrical stimulation electrodes
ultrasound gel
facial tissue
tape
elastic bandages
first aid and wound care supplies
cleaning supplies
paper towels

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Uintah Physical Therapy Policy and Procedures


Manuel
2014
Charlene Hommes

Table of Contents
Introduction 1

Purpose of Policies and Procedures

Dress Code 2
Operation of Equipment and Modalities

Problems and Repair


General Guidelines

Safety Procedures

Patients Safety
Staff Safety

Documentation and Scheduling

Clinical Records
17

Regulations Regarding Leave

Tardiness
Attendance
Sick Leave
Vacation
Paid Time Off
Probationary period

Direction and Supervision 8

Student Observation
PT Aides

HIPPA Policy 9
Cardiopulmonary Resuscitation
Scope of Practice

10

11

Re-evaluate and Discharge Patients


Financial Management
Legal and ethical

13

14

Documentation and Scheduling


Staff Meetings
Staff

17
Roles
Work Hours
Discipline guidelines
18

Workplace Violence
Harassment Policy

Disaster Plan

19

Emergency procedures
Patient injury
Exposure control
Infection control

Routine Practices to Prevent Spread of Infections

Anti-discrimination Laws
Job Descriptions

15

16

Employee Standard Conduct

12

20

21

Pay
18

Promotion Guidelines

Performance Expectations
Performance Evaluations

Patient Care Policies

22

23

Scope of Services
Referrals
Physician Orders
Education of Patient and Family
Plan of Care

Continuing Education

24

Dress Code
Physical therapists often bend, kneel, and lift while working. Movement is very important
when dealing with patients, so you'll want to be extremely comfortable while still
appearing professional.

Identification Badge
Staff must wear a Uintah identification badge at all times.

Slacks
Staff at the physical therapist clinic should wear a clean neat pair of neutral colored
slacks or khaki pants with a dress shirt. Fridays are casual day for the clinic and the
staff is allowed to wear denim jeans, as long as jeans are not torn.
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Shirts
Proper attire for the physical therapy clinic are polo shirts, button up shirt, or blouse.
Shirts should be loose enough so that they do not restrict movement. Tops may not be
revealing or have any other logos other than Uintah Physical Therapy logos.

Shoes
Clean sneakers or dress shoes are appropriate for the physical therapy clinic. Shoe must be
closed toed. Comfortable shoes are recommended.

Cleanliness
Hair must be clean, neat, and pulled back for safety. No long dangling jewelry. Clothes must be
clean and ironed.

Funding
A wealthy retired physical therapist named, Robert Brickwell, willed the Uintah hospital
$600,000 to get the Uintah Physical Therapy Clinic up and running. Robert Brickwell
grew up in the Uintah community and moved to Texas to become a Physical Therapist.
When he retired he moved back to Uintah. He loved his job and the Uintah community
so much when he passed away he wanted all of his money to go in creating a physical
therapy clinic.

Financial Statement

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Quality Assurance
The Uintah Physical Therapy wants quality assurance and department performance
improvement to be incorporated in daily practice. As part of professionalism all staff
members must make quality assurance an essential part of their job. To help improve
and evaluate performance of personnel and services provided by Uintah Physical
Therapy Their will be given out two surveys. One survey to evaluate the staff and how
the patient felt like they were treated. The second survey will evaluate the quality of
therapy services. There will be a mandatory staff meeting quarterly. In the staff
meeting the staff will look over the surveys and determine needs and state objectives.
With the data that was collected, the staff will assess what needs to be changed and
determine what action needs to take place to improve care or correct a problem. In the
meetings there will also be a follow-up on whether the problem was addressed and
corrected.

Areas of Development for the Next Five Years

Adding occupational therapy


Adding speech therapy
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Aquatic therapy
Latest equipment

Works Cited
Clynch, Holly M. The Role of the Physical Therapist Assistant. Philadelphia: F.A. David
Company, 2012.
DegreeDirectory.org. http://degreedirectory.org/colleges/physical-therapistrequirements.html?
eg=4d6b9e5e0e9166ae7b368c8b994214f9&rcntxt=aws&crt=4444153944. 20032014. 30 November 2014.
Ploeger, Diana. Lecture Notes. 2014.
Pronto.com. 2005-2014. 30 November 2014.
University, Indiana State. "Indiana State University Applied Medicine Reasearch center
Policies and Procedures." 2010. http://www.indstate.edu/amr/pdfs/amr-researchhandbook.pdf. 30 November 2014.

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