RT's refusing to do CPT

peter

New member
This is lifted form the bureau of labor statistics.<br>"<span style="font-style: italic;">Respiratory therapists perform chest physiotherapy on patients to remove
mucus from their lungs and make it easier for them to breathe.
Therapists place patients in positions that help drain mucus, and then
vibrate the patients' rib cages, often by tapping on the chest, and tell
the patients to cough. Chest physiotherapy may be needed after
surgery, for example, because anesthesia depresses respiration. As a
result, physiotherapy may be prescribed to help get the patient's lungs
back to normal and to prevent congestion. Chest physiotherapy also
helps patients suffering from lung diseases, such as cystic fibrosis,
that cause mucus to collect in the lungs."<br><br>My first seven patients as a physical therapist were all postural drainage. I do think LouLou is right about following through with the hospital administration, including the supervisor. Start with a letter to CEO, copy to hospital admin for that service, RT supervisor, your state representatives (always a plus to keep CF in front of the law makers) - if you're Medicare also district congressman/woman and both Senators or to your private carrier: a) state the date, time, and name of RT's failing to provide it. b) verify RT was written in the orders of your chart. If not c) speak with the pulmonologist, hospitalist, or your PCP about the experience. Don't worry about recrimination by hospital (malpractice) and try to have a witness there when hospitalized. It all is about advocacy and in truth it is fraud if billed with a CPT code defining Postural drainage. My experience personally through observation and in conversation with cf patients is the poor centers use a coddling warm fuzzy approach while killing through incompetent administration of physician direction. They have to be afraid of you if they aren't making you satisfied. I personally observed 2 RT's in a hospital, on different visits, provide zero sound or concussive care. I offered to do it myself but was not accepted as any of my business (interfering with the comfort zone), which however could have been under my license but probably not under institutional insurance liability. The poor care was a mortal blow.<br>
 

peter

New member
This is lifted form the bureau of labor statistics.<br>"<span style="font-style: italic;">Respiratory therapists perform chest physiotherapy on patients to remove
mucus from their lungs and make it easier for them to breathe.
Therapists place patients in positions that help drain mucus, and then
vibrate the patients' rib cages, often by tapping on the chest, and tell
the patients to cough. Chest physiotherapy may be needed after
surgery, for example, because anesthesia depresses respiration. As a
result, physiotherapy may be prescribed to help get the patient's lungs
back to normal and to prevent congestion. Chest physiotherapy also
helps patients suffering from lung diseases, such as cystic fibrosis,
that cause mucus to collect in the lungs."<br><br>My first seven patients as a physical therapist were all postural drainage. I do think LouLou is right about following through with the hospital administration, including the supervisor. Start with a letter to CEO, copy to hospital admin for that service, RT supervisor, your state representatives (always a plus to keep CF in front of the law makers) - if you're Medicare also district congressman/woman and both Senators or to your private carrier: a) state the date, time, and name of RT's failing to provide it. b) verify RT was written in the orders of your chart. If not c) speak with the pulmonologist, hospitalist, or your PCP about the experience. Don't worry about recrimination by hospital (malpractice) and try to have a witness there when hospitalized. It all is about advocacy and in truth it is fraud if billed with a CPT code defining Postural drainage. My experience personally through observation and in conversation with cf patients is the poor centers use a coddling warm fuzzy approach while killing through incompetent administration of physician direction. They have to be afraid of you if they aren't making you satisfied. I personally observed 2 RT's in a hospital, on different visits, provide zero sound or concussive care. I offered to do it myself but was not accepted as any of my business (interfering with the comfort zone), which however could have been under my license but probably not under institutional insurance liability. The poor care was a mortal blow.<br>
 

Ldude916

New member
Good advice, Peter!

Another thing, at my hospital, they only assign ONE CF patient per shift to the RT, so they are NOT overly aching from having to do manual CPT on a bagillion patients in one day. I'm sorry, but manual CPT is part of the RT job - if you don't like it, don't be in RT line of work. There are plenty of other jobs where people get carpel tunnel...I have the start of it from typing at my job - and I can't just say "oh I can't type b/c of Carpel Tunnel". No freakin' way. Not buyin' it.
 

Ldude916

New member
Good advice, Peter!

Another thing, at my hospital, they only assign ONE CF patient per shift to the RT, so they are NOT overly aching from having to do manual CPT on a bagillion patients in one day. I'm sorry, but manual CPT is part of the RT job - if you don't like it, don't be in RT line of work. There are plenty of other jobs where people get carpel tunnel...I have the start of it from typing at my job - and I can't just say "oh I can't type b/c of Carpel Tunnel". No freakin' way. Not buyin' it.
 

Ldude916

New member
Good advice, Peter!
<br />
<br />Another thing, at my hospital, they only assign ONE CF patient per shift to the RT, so they are NOT overly aching from having to do manual CPT on a bagillion patients in one day. I'm sorry, but manual CPT is part of the RT job - if you don't like it, don't be in RT line of work. There are plenty of other jobs where people get carpel tunnel...I have the start of it from typing at my job - and I can't just say "oh I can't type b/c of Carpel Tunnel". No freakin' way. Not buyin' it.
 

Hardak

New member
Can't say I've ever had trouble with people refusing to beat on me. Only time I've had a beating refused is the carpenter friend of mine is scared of hurting me... 31 years of CPT, I'm not exactly afraid of a beating any more. And yes I've found nothing stacks up to a good inverted CPT session. The good old saying of the squeaky wheal...
 

Hardak

New member
Can't say I've ever had trouble with people refusing to beat on me. Only time I've had a beating refused is the carpenter friend of mine is scared of hurting me... 31 years of CPT, I'm not exactly afraid of a beating any more. And yes I've found nothing stacks up to a good inverted CPT session. The good old saying of the squeaky wheal...
 

Hardak

New member
Can't say I've ever had trouble with people refusing to beat on me. Only time I've had a beating refused is the carpenter friend of mine is scared of hurting me... 31 years of CPT, I'm not exactly afraid of a beating any more. And yes I've found nothing stacks up to a good inverted CPT session. The good old saying of the squeaky wheal...
 

Cerulean

New member
Those RTs would love to have me as a patient. I HATE manual CPT! I don't mind the vest, but I kinda like the vibrator that looks like an industrial strength sander. Where I go the rotate the methos of CPT used.
 

Cerulean

New member
Those RTs would love to have me as a patient. I HATE manual CPT! I don't mind the vest, but I kinda like the vibrator that looks like an industrial strength sander. Where I go the rotate the methos of CPT used.
 

Cerulean

New member
Those RTs would love to have me as a patient. I HATE manual CPT! I don't mind the vest, but I kinda like the vibrator that looks like an industrial strength sander. Where I go the rotate the methos of CPT used.
 

theLostMiler

New member
My hospital had manual CPT but another time I came in and asked for it since we pay a buttload of money to stay, and the RT said that the supervisor or something ended up with carpal tunnel and so now, non of the staff can do CPT, even if they wanted. The hospital bought 2 electro flo percussors (the industrial sander), one got stolen. I ended up buying one for home because I liked it so much. Its not too bad and easier on the RTs.
 

theLostMiler

New member
My hospital had manual CPT but another time I came in and asked for it since we pay a buttload of money to stay, and the RT said that the supervisor or something ended up with carpal tunnel and so now, non of the staff can do CPT, even if they wanted. The hospital bought 2 electro flo percussors (the industrial sander), one got stolen. I ended up buying one for home because I liked it so much. Its not too bad and easier on the RTs.
 

theLostMiler

New member
My hospital had manual CPT but another time I came in and asked for it since we pay a buttload of money to stay, and the RT said that the supervisor or something ended up with carpal tunnel and so now, non of the staff can do CPT, even if they wanted. The hospital bought 2 electro flo percussors (the industrial sander), one got stolen. I ended up buying one for home because I liked it so much. Its not too bad and easier on the RTs.
 
Hi, I'm new, but I've been lurking <img src="i/expressions/face-icon-small-blush.gif" border="0">) I was reading this thread last week and talked about it to a buddy of mine that's in school for RT. He said that it is a REQUIREMENT for RT's to know CPT to pass the exam (this is a nationwide exam). He said that manual is more effective than the vest and the point of the hospital visit is for good treatment, and usually with CF, that means aggressive treatment. He said that if you RT refuses (which it should be done anyway, without having to ask), go to the hospital administrator.
 
Hi, I'm new, but I've been lurking <img src="i/expressions/face-icon-small-blush.gif" border="0">) I was reading this thread last week and talked about it to a buddy of mine that's in school for RT. He said that it is a REQUIREMENT for RT's to know CPT to pass the exam (this is a nationwide exam). He said that manual is more effective than the vest and the point of the hospital visit is for good treatment, and usually with CF, that means aggressive treatment. He said that if you RT refuses (which it should be done anyway, without having to ask), go to the hospital administrator.
 
Hi, I'm new, but I've been lurking <img src="i/expressions/face-icon-small-blush.gif" border="0">) I was reading this thread last week and talked about it to a buddy of mine that's in school for RT. He said that it is a REQUIREMENT for RT's to know CPT to pass the exam (this is a nationwide exam). He said that manual is more effective than the vest and the point of the hospital visit is for good treatment, and usually with CF, that means aggressive treatment. He said that if you RT refuses (which it should be done anyway, without having to ask), go to the hospital administrator.
 

Tumbleweed

New member
DUDE! i hate when they try to pull that.
<br>
<br>an RT refusing to do manual CPT is like a mcdonald's employee refusing to make a hamburger. WTH!
<br>
<br>you should totally complain to the doctors - that just isn't right. that is why you are there in the first place to get better! they have to do their part and do what you want/need
 

Tumbleweed

New member
DUDE! i hate when they try to pull that.
<br>
<br>an RT refusing to do manual CPT is like a mcdonald's employee refusing to make a hamburger. WTH!
<br>
<br>you should totally complain to the doctors - that just isn't right. that is why you are there in the first place to get better! they have to do their part and do what you want/need
 

Tumbleweed

New member
DUDE! i hate when they try to pull that.
<br>
<br>an RT refusing to do manual CPT is like a mcdonald's employee refusing to make a hamburger. WTH!
<br>
<br>you should totally complain to the doctors - that just isn't right. that is why you are there in the first place to get better! they have to do their part and do what you want/need
 
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