Thrifty
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- Feb 27, 2019
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Hello! I've searched the forum and haven't found anything with this discussion, but please correct me if I'm wrong!
I work in a small rural clinic privately owned by one individual. With this being such a small clinic, rules are pretty lax and PTAs do have quite a bit more independence than I've experienced at other clinics, which is overall not a bad thing. I'm a new grad and have been practicing for about 6 months now. I'm having difficulty with my plan of care being followed by one of the PTAs. My clinical director picked up early on of this being somewhat of an issue on their own, however very little change and enforcement of rules has come from the director and the comment, "Well that's just how that PTA is" has been thrown around. Schedules are getting switched around by the PTA so she can see the patients she likes, specific manual interventions are not being performed, and focus of treatment is getting lost in PTA's own assessment of what they think is important (i.e. working on strength only when balance is the main issue).
I've been consistent about making my goals for patient care known, as well as specific conversation with the PTA about what I've assessed as necessary and important interventions for treatment, however I still have instances in which this PTA ignores my direction. I do think multiple patients have attended therapy for longer than they should have because of this.
Is there another way I can approach this directly to improve my work environment and ensure my patients are getting proper treatment? Any other new grads have a similar issue?
Thanks!
I work in a small rural clinic privately owned by one individual. With this being such a small clinic, rules are pretty lax and PTAs do have quite a bit more independence than I've experienced at other clinics, which is overall not a bad thing. I'm a new grad and have been practicing for about 6 months now. I'm having difficulty with my plan of care being followed by one of the PTAs. My clinical director picked up early on of this being somewhat of an issue on their own, however very little change and enforcement of rules has come from the director and the comment, "Well that's just how that PTA is" has been thrown around. Schedules are getting switched around by the PTA so she can see the patients she likes, specific manual interventions are not being performed, and focus of treatment is getting lost in PTA's own assessment of what they think is important (i.e. working on strength only when balance is the main issue).
I've been consistent about making my goals for patient care known, as well as specific conversation with the PTA about what I've assessed as necessary and important interventions for treatment, however I still have instances in which this PTA ignores my direction. I do think multiple patients have attended therapy for longer than they should have because of this.
Is there another way I can approach this directly to improve my work environment and ensure my patients are getting proper treatment? Any other new grads have a similar issue?
Thanks!