
Health System Council Webinar - Collaboration Without Co-Treatment: Creating Discipline-Specific Acute Care Therapy Teams
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Acute Care Units and Intensive Care Units (ICUs) are daunting places for therapists. On a Cardiovascular ICU, where mechanical circulatory support and high acuity of illness are standard, further barriers to therapists providing quality care exist. At the University of Utah, we have radically changed the interdisciplinary therapy team culture to create opportunities for optimal patient care. While ICU therapy in the past was typically physical (PT) and occupational therapy (OT) evaluating and treating patients together due to perceived safety concerns or comfort, we have found that co-treating has potential consequences and does not always improve care. Further, lines between disciplines become blurred, challenging the identity of OT and PT in the ICU. Through culture shifts, staff mentoring, and interdisciplinary education, we were able to define our roles and where we intersect in the care of ICU patients. For OT, this has been particularly impactful as OT have become true functional cognition experts and are no longer confused for PT. This allows therapists to provide more specialized care, increased time for patients to actively participate, and ultimately led to improved outcomes from both PT and OT perspectives. This session will explore costs and benefits of collaborating versus co-treating with our therapy colleagues in the ICU. We will discuss this interdisciplinary model using data, patient cases, and open discussion about how others can facilitate this change.

Bryan Lohse PT, DPT, ABPTS Certified Clinical Specialist in Cardiovascular and Pulmonary Physical Therapy
Therapy service line MCS educator and advanced practice specialist
University of Utah
Bryan Lohse PT, DPT and ABPTS Certified Clinical Specialist in Cardiovascular and Pulmonary Physical Therapy is originally from Tucson, Arizona and received his undergraduate degree in Health Sciences from the University of Arizona before moving to Utah to complete his DPT program at the University of Utah. Since graduating, Bryan has worked at the University Of Utah hospital and became one of the first ICU-dedicated therapists at the hospital. Bryan’s time on the ICU has been spent advocating for the growing role of therapies on the ICU, specifically with the cardiac patient population. He is the therapy service line MCS educator and advanced practice specialist. He participates in the ICU’s interdisciplinary team, Heart Transplant/VAD selection weekly meeting and Lung Transplant selection weekly meetings. Bryan also helped institute a mobility communication program for use with every patient on therapy caseload in the cardiac ICU.
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Haley Bento, PT, DPT and ABPTS Certified Clinical Specialist in Cardiovascular and Pulmonary Physical Therapy
Physical Therapist on the Critical Care Team primarily on the Cardiovascular ICU
University of Utah Health
Haley Bento, PT, DPT and ABPTS Certified Clinical Specialist in Cardiovascular and Pulmonary Physical Therapy is originally from Moss Beach, California but currently resides in the Salt Lake City area of Utah. Haley graduated from University of Utah’s DPT program and then remained at University of Utah Health as a Physical Therapist on the Critical Care Team primarily on the Cardiovascular ICU. She recently became core faculty for the entry-level DPT program at University of Utah teaching acute care and cardiopulmonary content. Her research and education interests include early mobility, mobility on life support devices, inspiratory muscle training in the ICU, and patient prioritization in acute care. Haley worked to develop and is program director of two new residency programs through the University of Utah- one in acute care and one in cardiopulmonary care- both which started their first cohorts in 2021. Haley serves as the residency and fellowship liaison and SIG chair for the Academy of cardiovascular and pulmonary physical therapy and as a member of the knowledge translation taskforce for the core outcome measures clinical practice guideline through the academy of acute care.
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Paul Arnold, MOT, OTR/L, CLT
Occupational Therapist in the Cardiovascular Intensive Care Unit at the University of Utah
University of Utah Health
Paul Arnold earned his Masters of Occupational Therapy in 2017 and began working in the Cardiovascular Intensive Care Unit at the University of Utah soon after. He has spent his time at the University of Utah doing direct patient care in the ICU. He has worked on developing the role of occupational therapy on the Cardiovascular ICU, and he has played a large role in identifying and implementing a pilot study addressing delirium. Beyond his work life, Paul has lived in the Salt Lake City area since 2011, and enjoys spending time hiking, camping and listening to live music with his wife and three children.
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