1. During my clinical visits at the Woodhaven Care Center, I noticed my CI, and other PTAs used an online document system called Casamba SMART. I watched my CI use this platform and her familiarity of this online system allowed her expedite through the documentation for each patient with ease. However for me and others not comfortable with this application a progressed, learning curve would be required. I found Casamba SMART provided objective recordings as treatments, CPT code, time (minutes and units) and assessment goals.
2. My CI and other PTAs have daily caseloads of nine patients or more. They spend an estimated 30 – 40 minutes a day per patient on documentation. So, on average, considering they each work 8 hours a day I belief half their time is spent on documentation and the remaining time treating their patients. I found note writing was basically handled when the time was permissible. In most cases, my CI and other PTAs handled this task while their patients commenced isometric therapeutic exercises or on busy days they would conclude the day with note writing.…show more content… The main differences I found between the documentation styles of Casamba SMART and the one used in PTA 102 lab was the detail of information required, and format to record notes. The documentation note used in PTA 102 lab is in a SOAP format (subjective, objective, assessment, plan); while the Casamba SMART is separated by goals, objective, and planning. The online document system at my clinical site, unlike in PTA 102 lab contains sections that relate to patient's goals. I found this interesting as each section contained prefilled goals and key statements to help ensure necessary determines were not forgotten while documenting. Allowing them to focus, and note any changes by the
