Lauren E.’s Answer
I have had a similar experience in my outpatient orthopedic clinic to the other commenters. We double book on the hour, on average. So I will perform manual therapy on one patient while the other is performing their exercises in the gym in an area where I can still monitor them, and then I have my patients switch. In a 10-hour day, I could see 12 (on a slow day) to 18 patients.
Each one requires a typed-out daily note that includes their Subjective complaints (are they Better/Same/Worse from last time, or did they notice they were more swollen since last visit, or had an easier time doing the stairs), Objective measurements (range of motion of how much they can bend their knee, different types of manual tests you can do to test their muscle strength, or even how they're walking that day which is called their gait), Assessment of how they responded to the session (did the therapist add something that day to work on a specific goal of the patient's, did the patient have difficulty with a task or exercise that day and why, the overall summary of that patient's treatment session), and a Plan for the next session or upcoming sessions (it's called a SOAP note). These notes are used by the therapist treating that patient on the next visit and can be sent to insurance.
Lauren E. recommends the following next steps:
At the Ortho clinic, I walk into work find my schedule (normally online) and have patients scheduled every half hour from start to finish. There are techs that help with exercise, if I find I need to correct form I will jump in and help out. I follow the exercises with hands on manual (massage, mobilization,distraction,range of motion) and educate the patient on what exercises they should be doing at home, if they should be using hot/cold pack. After that I document or go on to the next patient. 8 hour day brings in about 12-15 patients.
At a pain clinic I have a suggested schedule, of patients I will be seeing who come in whenever they want or when transportations brings them in. I will assist through exercises and stretching with education on body mechanics and pain management techniques. Often times they all show up between 11-2 with the rest of the day being lighter. I see about 12 patients a day.
At the Neuro outpatient I see 4-8 patients in a day, all are seen for 60-120 mins, one on one. We work on transfers from chair to bed, bed mobility including rolling and sitting up, standing balance, walking, balance with movement, stair training, strengthening. Documentation is while you are with the patient or at an hour which you have no patients.
Lauren recommends the following next steps:
Brittany recommends the following next steps:
Each PT setting is different and each company sets their own a schedule based on goals.
Sarah recommends the following next steps:
I am a home health physical therapist assistant so I get to make my own schedule. I work Tues-Fri. I start seeing patients around 9/10am and I am home around 3/4pm. I drive to patient's homes to provide physical therapy. I work by myself, I have colleagues to contact via phone/text/email.