Term Project

Unitah Community Hospital

Physical Therapy Department
PTA 1500
Arcelia Aragon and Rylee Kay

Uintah is a small farming town in Utah with a population of 13,000 people surrounded by a
community of farmers and miners. These careers are naturally prone to work accidents. The town is only
provided with a 90 bed acute care hospital and this hospital serves the tri-county area. There are no other
health facilities in the region. The average occupancy rate is 80% making it full the majority of the time.
There are two general practitioners, one general surgeon, one pediatrician, and three physicians assistants
with additional registered nurses, licensed practitioner nurses and other aides and technicians working to
cover all of the patients. The hospital does not currently provide physical, occupational or speech therapy.
In fact physical therapy is not offered in the tri-county area. The citizens of Uintah are in need of a
physical therapy clinic to help combat injuries and get people back to their top condition.

Identify reason for existence of new physical therapy department in hospital

We are the only hospital in this region

There are a need for physical therapy because of the farmers are more likely to get injuries from
their industry.

Our philosophy and goals for our physical therapy clinic are:

The philosophy is that all the people are deserving of quality and an affordable rehabilitation
Some goals are
o To increase function, strength, motion, coordination, balance, & flexibility
o Restore daily living activities
o Educate the community about injury prevention
o To decrease deformities, physical limitation, and pain

Organization of Hospital:

Director of
Hospital
Chief
Executive
Officers
Managers of
PT's

Managers of
OT's

Managers of
ST's

PTA's

OTA's

STA's

Aides

Aides

Aides

Target Population

The target population are the farmers, miners, and their families.
Elderly
Athletics
People who suffer with chronic pain

Types of physical therapy to be delivered

Neurological
Orthopedic
Cardiovascular/pulmonary
Pediatric
Musculoskeletal
Outpatient/Inpatient

Resources Necessary to achieve goals:

Personnel:
In order to achieve our goals in the Physical Therapy Department we will only hire
and train those who are capable of doing their required work and get the best
possible care.
Materials and Supplies:

Disposable gloves
ultrasound gel
sanitary supplies
elastic bandages
lotion
first aid kit
office supplies
exercise balls
exercise bands (with strength)
Major Equipment:

Furniture
o Mat table, rolling treatment stools, step stool
Office Equipment
o Desks, chairs, computers, copy machines/printers, filing cabinets,
phones
Assessment tools
o Goniometer, tape measurer, reflex hammer, inclinometer,
dynamometer, blood pressure cuff, stethoscope
Therapeutic Exercise Tools
o Weights, dumb bells, weight machines, theraballs, Medicine balls, wall
pulley, stationary bike, floor mats, treadmills, hydrocollator with packs

and covers, ice packs, fridge/freezer, electrical stimulation/ultrasound

machine, television/radio, timers, clocks
Scheduling:
1. Director of Hospital
a. 9 am 7 pm
b. Lunch
i. 11:45 12:15 pm
c. Meetings
i. 4:45 6 pm
d. Closing
i. 6:15 7 pm
2. PTs
a. 9:30 am 7 pm
i. Lunch
1. 12:30 1 pm
b. 9:45 am 7 pm
i. Lunch
1. 1 1:30 pm
c. 10 am 7 pm
i. Lunch
1. 1:15 1:45 pm
d. Meeting
i. 5:30 6 pm
e. Closing
i. 6:45 7pm
3. OTs
a. 9:30 7 pm
i. Lunch
1. 12:30 1 pm
b. 9:45 7 pm
i. Lunch
1. 11:30 pm
c. 10 am 7 pm
i. Lunch
1. 1:15 1:45 pm
d. Meeting
i. 4:45 5:15 pm
e. Closing
i. 6:45 7 pm
4. STs
a. 9:30 7 pm
i. Lunch
1. 12:30 1 pm
b. 9:45 7 pm
i. Lunch
1. 11:30 pm
c. 10 am 7 pm
i. Lunch
1. 1:15 1:45 pm

5.

6.

7.

8.

d. Meeting
i. 4 4:30 pm
e. Closing
i. 6:45 7
PTAs
a. 9:30 am 7 pm
i. Lunch
1. 12 12:30 pm
ii. Lunch
1. 12:30 1 pm
iii. Lunch
1. 1 pm 1:30 pm
iv. Lunch
1. 1:30 2 pm
b. Meeting
i. 5:30 6 pm
c. Closing
i. 6:45 7 pm
OTAs
a. 9:30 am 7 pm
i. Lunch
1. 12 12:30 pm
ii. Lunch
1. 12:30 1 pm
iii. Lunch
1. 1 pm 1:30 pm
iv. Lunch
1. 1:30 2 pm
b. Meeting
i. 4:45 5:15 pm
c. Closing
i. 6:45 7 pm
STAs
a. 9:30 am 7 pm
i. Lunch
1. 12 12:30 pm
ii. Lunch
1. 12:30 1 pm
iii. Lunch
1. 1 pm 1:30 pm
iv. Lunch
1. 1:30 2 pm
b. Meeting
i. 4 4:30 pm
c. Closing
i. 6:45 7 pm
Aides
a. 9:30 am 7 pm
i. Lunch
1. 12 12:30 pm

ii. Lunch
1. 12:30 1 pm
b. Meetings
i. 4:45 6 pm
c. Closing
i. 6:30 6:45
When Rylee and I made the scheduling we decided to show the where they had
meetings within the departments with the Director being present. While putting the
meetings in the scheduling it was crucial that they do this at least twice a week to
keep track of patients progress.
Job Descriptions:
A. Director of Hospital (1 position)
a. Experience and Knowledge of running a hospital
b. Educate hospital personnel
c. Organization skills
d. Flexibility and Balancing time
e. Budgeting skills and experience
i. Education:
1. PHD
2. Business administration (masters) [preferable]
3. Advanced Degree
B. Chief Executive Officers (9 positions; 3 in each department [PT, OT, Speech
Therapist {ST}])
a. Evaluation and Treatment skills
b. Educate patients and families on home program
c. Educating staff in your department
d. Properly inform patients other health facilities or providers
e. Lifting and adjusting equipment properly
i. Education:
1. Knowledge in certain areas in one the three departments
2. PHD or Masters in one of the three departments
C. Patient Care Managers (27 positions; 9 in each department [PTAs, OTAs,
STAs])
a. Be able to work under authority
b. Having good communication with the Chief Executive Officers
c. Using efficient documentation
d. Licensure in work of field
e. Lifting and adjusting equipment properly
f. Efficient communication skills
g. Working with others and patients professionally
i. Education
1. Graduate with the program thats in the specialty
2. Attaining an associates of applied sciences or bachelors
3. Attending special services provided to them
D. Aides (4 positions)
a. Lift and transfer 100 pounds and support up to 250 personnel
b. Be able to bend, walk, and stand for long periods of time
c. Computer skills

d. Working well with others

e. Organization skills
f. Receiving instructions from authority
i. Education:
1. High school graduate
2. On the job training
3. Cleaning the equipment(s)
4. No experience necessary
Funding:

Taxes
Patient Fees
Fundraising in the local area
Donations
Sponsors

Financial Statement:

Operating Expenses
Salaries

Director of hospital
Physical Therapist (3)
Occupational therapist (3)
Speech Therapist (3)
Physical Therapist
Assistant (9)
Occupational Therapist
Assistant (9)
Speech Therapist
Assistant (9)
Physical Therapist Aide

Benefits
Equipment
Expendables
Total Direct Cost
Indirect Cost Rent/utilities, secretary,
housekeeping and
marketing

$195,000
$80,000
$76,000
$67,000
$54,000
$54,000
$55,000
$17,000
$6,000
$6,000
$16,000
$2,399,000
They are covered by the
hospital

Expected Revenue
Physical Therapist
and the Assistants
work with at least 20
patients a day

$320,000

70% expected
revenue
Total Revenue

$250,000
$570,000

Policies and Procedures:

Policies
Emergency procedures plan
Dress code:
Hospital scrubs with close-toed shoes
No Hats
Beards:
Trimmed/clean shaved
Jewelry:
Minimal
Simple styles
No dangle jewelry
Personal Grooming:
Neat Hairstyles
Good Hygiene
No artificial nails
Hair must be pulled back
Infection control plan
Performance expectations
Incident reports
Clinical records
Documents
Job description
Anti-discrimination laws
Vacation
Sick days
Leave of absence guidelines
Equipment safety policies
Patient safety policies
Procedures:
Admittance and discharge criteria
Education of patient and family
Emergency management and procedures

 Physician verbal, phone, and fax orders

Establishment of plan of care
Referrals
Employee Evaluation
Part of this evaluation is to see how far the employees have come in Personal and
Services with co-workers and patients. In using a scale of 1-4 we can see how well
they are doing or if there are some things they need to improve on.
Employee Evaluation
Uintah Hospital
Name:
Department/Position:
Date:
Definition of Evaluation Standards
1.Does not meet job
2.Meets job expectations. Skills and
expectations. Skills and
knowledge are adequate to meet job
knowledge are below acceptable
requirements.
standards.
3.Surpasses job expectations.
4.Exemplary performance. Superior
Highly productive, constantly
work and attitude. Invaluable
above average performance.
contribution to the hospital.
Personnel Standards
Communication
Skills
Effectively listens
and responds.
Understands
and is under
stood by others
with whom
employee
interacts. Uses
proper language
skills.
Comments:

Cooperation &
Courtesy

Communicati
on skills are
lacking. Often
not clearly
understood.
Responses
not
appropriate.

Communicatio
n skills
basically
acceptable.
Some
improvement
needed.

Communicati
on skills are
good.
Effectively
listens to
resolve
problems. Is
positive and
consistent.

Interpersona
l
communicati
on skills are
excellent.
Strengthens
re
lationships
with others.

Works well with

co-workers &
patients. Treats
others with
respect, tact and
sensitivity.
Promotes a
positive setting.
Comments:
Personal
Appearance
Is appropriately
groomed and
dressed.

Lacks tact.
Doesnt work
well with
others.
Detracts from
positive work
setting.

Generally
cooperative &
tactful. Usually
willing to help
others.

Eager, ready
and active in
making a
positive work
setting. Helps
without being
told.

Superb team
player.
Eases
positive
working
setting.

Seldom/never
is properly
dressed &
groomed.

Usually is
properly
dressed &
groomed.

Almost
always is well
groomed &
dressed.

Always
properly
groomed &
dressed.

1
Needs
constant
direction to
finish job.
Other staff
have to finish
tasks.

2
Usually finishes
tasks in timely
way. Wants
little help to
get tasks done
on time.

3
Can always
be counted
on to have
tasks finished
in a full &
timely way.

4
Finishes
tasks on
time 100% &
often goes
the extra
mile on own
reasons

1
Poor civic
affairs.
Attitude is
unhelpful.
Complaints
made from
the public.

2
Usually
positive in
interactions
with public.
Bears rude
behavior
without losing
control.

3
Often shows
timely
answers,
having good
focus &
keeping a
level head.

4
Excellent
communicati
on resulting
in positive
work
environment
.

Comments:

Dependability
Follows through
on tasks meets
cutoffs. Finishes
given tasks
without direction.

Comments:

Public Relations
Gives good
service both to
coworkers and
the patients

Comments:

Services Provided

Job Knowledge
Depth of
knowledge
needed to
perform the job.

2
Plenty of
knowledge for
job to do the
basics.

3
Shows a high
level of
knowledge in
job

4
Excellent
knowledge
in job.

1
Quality is
marginal. Not
attentive to
detail.

2
Quality is in
range. Work is
almost neat.
Mistakes occur,
but not many.

3
Quality
sometimes
beats
expectations.
Errors are
rare. Work is
consistent.

4
Little to no
mistakes.
Very
committed
and neat at
all times.

1
Work done
slowly or
ineffectively
for timely
allowed.

2
Generally
produces
expected
amount of
work. Fairly
organized in
getting tasks
done.

3
Above
average
amount of
work
completed.
Work
completed in
order.

4
Work done
with great
effort.
Efficient in
completing
work.

Job
knowledge
lacking
causing job
difficulties.

Comments:

Quality of Work
Performs work
tasks &
assignments are
neat and
thorough.

Comments:

Productivity
Work completed
in an organized &
timely manner.
Output is
comparable to
others in similar
positions.
Comments:

Policy
Compliance
Understands,
accepts and
follows district,
hospital, & job
assignment
policies &
procedures.
Accepts Direction
from Supervisor

Often ignores
or does not
follow policies
and
procedures.

Usually
accepts &
follows policies
& procedures.
Needs
occasional
reminders.

3
Regularly
knows,
accepts, and
follows all
policies &
procedures.

4
Takes
initiative to
clarify
policies &
questions
that may
arise.
4

Accepts direction
and/or
instruction.
Willing to listen
and comply.

Resists and/or
dislikes
direction or
orders from
supervisors(s)
. Fails to obey
with
directions/
instructions.

Takes
directions or
orders, usually
obeys in timely
manner.
Communicates
difficulties
when following
directions.

Gladly
accepts
advices or
orders from
supervisor(s).
Always obeys
and asks for
help if
direction
cant be
followed.

Eager to
listen and
comply with
the direction
or
instructions
and takes
full
responsibility
.

Comments:

Areas for development in the coming 5 years:

Advertising
Expand the clinic to include an aquatic center
More patients
Internships

Sources:

Clynch, H.M. (2012). The Role of the Physical Therapist Assistant.

Philadelphia: F.A. Davis

Ploeger, D. (n.d). Lecture Notes: PTA 1500