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1. Examine barriers with using standardized tests and how to avoid them
2. Restate the definition of four key psychomertic terms
3. Demonstrate evidence based tests that are applicable in the acute care setting
4. Compose appropriate documentation with quantifiable, objective measures
5. Determine how standardized tests can be used in the ICU and with other medically complex patients
6. Discover how using standardized testing can guide discharge planning and reduce the risk of 30 day readmissions

BACKGROUND INFORMATION

• Functional impairments relate to 30 day readmission risk
• Barriers preventing standardized testing in acute care
  • Time constraints
  • Infection control issues
  • Multiple lines/ICU patients
  • Unsure which test is most appropriate 
• Benefit of adding standardized tests into electronic chart

PSYCHOMETRICS- A REVIEW OF TERMS

• Floor and ceiling effects
• Responsiveness
• Interpreting results
• Translating results into meaningful assessment

FUNCTIONAL IMPAIRMENT TESTS

• 6 clicks- Activity Measure for Post-Acute Care Inpatient Short Form
• Acute Care Index of Function

GAIT: WHEN DOCUMENTING DISTANCE AND LEVEL OF ASSIST ISN’T ENOUGH

• Importance of standardized gait tests
• Gait velocity- a new vital sign?
• Standardized gait tests
  • 2, 3, and 6 minute walk tests
  • 10 meter/50 foot walk test
  • Dynamic Gait Index
  • Four Step Square Test 
• Gait tests and productivity standards
• Case study and lab ICON—BOTH SIDE BY SIDE

BALANCE TESTS

• Quantifying fall risk
• Standardized balance tests, including those taking LESS than 2 minutes to perform
  • BESTest/mini-BESTest
  • 360 Turn Test
  • Function in Sitting Test
  • Fullerton Advance Balance Scale 
• Which test is best
  • Setting
  • Patient frailty
  • Time constraints
• Using tests to justify discharge plan
  • Rehab
  • SNF
  • Home health
• Case study and lab ICON—BOTH SIDE BY SIDE

BENEFITS OF ICU STANDARDIZED TESTING

• ICU Specific tests
  • ICU mobility scale
  • ICU PFIT
  • PERME ICU mobility
• Complications
  • Frailty
  • Managing lines/tubes
• Case study and lab ICON—BOTH SIDE BY SIDE

ADLS AND STANDARDIZED TESTS

• Insight into ability to perform functional tasks
• Incorporating tests into discharge planning
• Case study and lab ICON—BOTH SIDE BY SIDE

CVA SPECIFIC TESTS

• Justifying further therapy
• Review of specific tests
  • Action Research Arm Test
  • Box and Blocks Test
  • Orpington Prognostic Scale
  • Postural Assessment Scale for Stroke Patients
  • Stroke Rehabilitation Assessment of Movement

Rachel Blackwood, PT, DPT, is a licensed physical therapist with nearly 15 years of experience. She graduated from the University of Alabama at Birmingham with her M.S. in Physical Therapy, then went on to earn her Doctorate of Physical Therapy from the University of South Alabama. Although she has experience in a variety of settings, the majority of her career has been in acute care. She has been involved in program development, staff training, and clinical education. Ms. Blackwood has also served as adjunct faculty at the Jefferson State LPTA program. Her interests include acute and medically complex patients and she has been a team leader in critical care units. She is currently employed by Duke University Health Systems in Raleigh, NC as a weekend therapist. As a weekend PT, she encounters many patients who are “discharge issues”, where her use of standardized tests is a critical consideration for recommending the appropriate discharge placement.

Speaker Disclosures:
Financial: Rachel Ross Blackwood has an employment relationship with Duke Health Services. She receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Rachel Ross Blackwood has no relevant non-financial relationships.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 2/23/2021
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 5.5 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 5.5 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 5.7 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Occupational Therapists & Occupational Therapy Assistants
No CE available for this board.

Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 5.7 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 5.5 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 5.5 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 5.5 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 6.8 contact hours.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 5.5 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

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Other Professions
This self-study activity qualifies for 5.5 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

• Physical Therapists
• Physical Therapists Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Rehab Nurses
• Rehab Directors