and verified questions focused on high-acuity clinical
scenarios in adult-gerontology and acute care settings.
Topics include advanced health assessment, critical
thinking in acute and chronic disease
What are factors that determine medical necessity to be admitted to a hospital? -
ans -Acuity, risk, immediate harm
What is the role of a PT in an acute care setting? - ans -Less of a rehabilitation
focus due to time.
Primary focus: evaluate for functional needs post-hospital discharge and
determine a discharge location.
What are barriers to discharge? - ans -Equipment needs
social support
cognition
functional status
What type of measures/activities are done in an acute setting to asses for
function? - ans -Rolling
supine to sit
sit to stand
transfers
ambulation
w/c mobility
stairs
What is Max A? - ans -Pt does 75-99% of activity
What is Mod A? - ans -Pt does 50-74% of activity
What is Min A? - ans -Pt does 24-49% of activity
What is total/dependent assist? - ans -Pt does <25% of activity
, What are some lines that are not high risk? - ans -Supplemental O2 (Provides
FiO2)
Portable telemetry leads
Sequential compression devices
Should you lay O2 tanks on their side? - ans -No, use appropriate transport
equipment
When documenting supplemental oxygen what should be included? - ans -Flow
rate and device that is being used
What are telemetry leads for? - ans -provide real time screening of heart rhythms
What is a sequential compression device for? - ans -Prevents blood clots
Should remove for mobility
What disease process are SCDs contraindicated for? - ans -Peripheral artery
disease
open wounds
What is the average time spent doing therapy in an IRF? - ans -3 hours
What is the average time spent partcipating in therapy in a SNF? - ans -1hr
Is therapy variable in a long-term acute care hospital (LTAC)? - ans -yes
Is there therapy requirements in a nursing home? - ans -No
What are the two ways a patient can be admitted to the hospital? - ans -Planned
(surgery) or unplanned (emergency)
What is the most common equipment used in a hospital setting? - ans -Peripheral
IV
What is the purpose of a peripheral IV? - ans -Provides access point to deliver
medications and fluids