1. During my clinical visits at the Woodhaven Care Center, I noticed my CI, and other PTAs using an online document system called Casamba SMART. I watched my CI use this platform and her familiarity of this online system allowed her to flow through the requirements for each patient with ease. However for me and others not use to 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 had daily caseloads of nine patients or more. They spent an estimated 30 – 40 minutes a day per patient. On average, considering they each work 8 hours a day I would estimate that half their time was spent on documentation and the remaining time with their patients. Note writing was basically handled when time was permissible. In most cases, I found my CI and other PTAs handled this task while their patients commenced isometric therapeutic exercises or on busy days they would conclude the day by note writing.…show more content… 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 relates to patients goals. This I found interesting as this section contained prefilled goals and key statements that help users while documenting allowing them to focus on any changes by the
