How the Royal Liverpool Acute Interventions Physiotherapy works as part of a MDT

1. Meetings with the PT team every morning: -This gives the team, including assistants, to discuss any issues and come up with solutions (eg. if a team member is off sick decide who can cover). -The diary is looked and any planned training or annual leave is discussed to ensure everyone knows what is going on. -Caseload is talked about for every ward (eg is one person has lots of high priority patients and another staff member not many then patients can be better distributed). -PT assistants are given their own caseloads and which wards they are most needed on.

2. Board rounds every morning: -This involves: Consultants, Doctors, F1 (from 2 teams for doctors), Nurses, OTs, PTs, Social Workers, Pharmacists. -The ward sister leads the meeting going through and discussing each patient and the interventions being undertaken. -The plan for the patient is discussed (eg. discharge plan) and each profession has the opportunity to share what they are doing with the patient and their recommendations. -Weather a patient is medically fit to go home and if they are what are they awaiting (eg. ICB, POC, stairs assessment, equipment).

3. PENS notes system: -This in an online system that contains every note entry -It is useful see why the patient initially was admitted. -It is useful to see if a patient is medically fit. -It allows the nurses to know the PT recommendations on how a patient is mobilising and how they transfer. This is beneficial when a nurse is washing, dressing and toileting a patient to ensure they are not fully maximising the patients potential but also not putting a patient at risk of falling by pushing them too hard.

4. Speaking to the doctors or nurses to see how a patient is getting on that day: -This is beneficial because if a patient is in a low mood then we can be more motivational and plan an easier session -Furthermore if a patient has done a lot with their day eg. been walking to and from the toilet, then this is useful to bare in mind so the patient does not fatigue too much. -Knowing weather they are on any medications currently such as O2 or dialysis at the moment as this would alter treatment or when we would go to see the patient.

5. IST for the band 5 and 6 PT: -This is run in conjunction with staff from Broadgreen Hospital. -It is ran by a senior PT -It is useful to share and build on knowledge that everyone has but also learn from others, especially the seniors -eg. We did some training on balance and how posture in the elderly is affected by this. It was interesting to see how this information could be transferred across different wards and speciality areas.