Physical Medicine & Rehabilitation


(718) 963-7656

Purpose
The Division of Physical Medicine and Rehabilitation at Wyckoff Height Medical Center is committed to provided quality rehabilitation services all patients.

Scope of Care: (Patient Population Served)
Physical/Hand/Speech Therapy Services are provided to patients of all ages in both inpatient and ambulatory settings at all acuity levels. In-patient services are provided to all patients in the facility as warranted or so ordered. Treatments are provided at the bedside and in the 3rd floor P.T. gym as needed. Ambulatory services are provided in the 3rd floor Physical/Hand-OT Therapy areas/Speech Therapy office.

Description and Goals of Physical Therapy Hand Therapy/Speech/Language Pathology
The practice of physical/hand-ot/speech therapy is defined by the hospital's mission and corporate values, the division's philosophy and objectives, a variety of policies, job descriptions, procedures and guidelines as well as State regulations.

Physical and Hand Therapy are forms of health care that prevent, identify, correct, and alleviate acute or prolonged movement dysfunction of anatomic or physiologic origin. The primary objective of physical, hand and speech therapy is to promote optimum human health and function.

Speech/Language Pathology is a form of health care that prevents, identifies, corrects and alleviates speech, language, cognitive, voice and/or swallowing disorders. The primary objectives of speech/ language pathology are to promote optimum human communication and swallowing function.

Physical/Hand-OT/Speech Therapy encompass areas of specialized competence and includes the development of new principles and applications to more effectively meet existing and emerging health needs.

The Physical Therapist performs tests and measurements that provide information about the status of the musculoskeletal, neurological, pulmonary, cardiovascular systems and the patient's functional independence level.

The Hand-Occupational Therapist performs tests and measurements that provide information about the status of the hand, fingers, upper extremity concerning ROM, muscle strength, sensation, coordination and function. Splint fabrication is provided on an as needed basis.

The Speech Therapist performs tests and measurements that provide information about the status of the receptive/expressive language skills, speech production, vocal quality, cognition and swallowing function.

Staff Competency

  • Licensed personnel (PT, OT, SLP, PTA) must be graduates of accredited schools in their respective areas.
  • Licensed personnel must maintain current New York License in their respective areas.

Staffing Availability
The physical Therapy Division is comprised of physiatrists, physical therapists, physical therapy assistants, an occupational therapist, speech/language pathologists and residents rotating through this division and support staff. The division's budgeted positions are determined annually during the budget preparation period, and are modified when increased volume or new program needs are anticipated.

  • Qualifications for each staff position are included in the job descriptions included in the Divisional Policy and Procedure Manual.
  • Treatment shall be provided by, or shall be under, the immediate supervision of qualified personnel who meet applicable federal, state and local laws and regulations. Designated tasks may be performed by support personnel who have satisfactorily completed their on-the-job training programs.  
  • Students and other trainees in the hospital shall participate only in training programs approved by an appropriate professional educational organization and shall be supervised at all times when performing patient care activities.
  • The division is staffed to provide adequate services:

Physical/Hand Therapy Hours:

  • Ambulatory Services:   Monday -Friday 8:00 a.m. through 7:30 p.m.
  • In-patient Services:   Monday- Friday 8:00 a.m. through 7:30 p.m.      
  • Saturday or Sunday each day as patient load dictates

Speech Therapy Hours:

  • Ambulatory Services:   Mon Tues  Wed  Fri   8:00 a.m. through 4:00 p.m.
  • In-patient Services:     Mon Tues  Wed  Fri   8:00 a.m. through 4:00 p.m.
  • Projected:        Monday through Friday for both In and Outpatients. Sat PRN inpatient coverage.
  • 4 Full-time Physical Therapists
  • 5 Physical Therapist Assistants
  • 2 Physical Therapy Aides
  • Ortho Tech/Physical Therapy Aide
  • 4 Per Diem Physical Therapists
  • 1 Per Diem Physical Therapist Assistant
  • 2 Part -time Occupational (Hand) Therapist
  • 3 Per Diem Speech/Language Pathologists
  • Full-time physician coverage

External coverage available as needed, for sick time or other unscheduled leave or absence, via contract with a management corporation

Emergency coverage arranged through Director.

  • Holiday coverage is provided ion a prioritized basis for inpatients on most major holidays. Staff is paid per hospital policy. Staff rotates through holiday coverage.
  • Assignment of staff is based on patient needs and volume. A plan for re-assignment of therapy staff when changes in staffing and patient volume occur is monitored and adjusted by the Divisional Director, Clinical Director, Hand Therapist and Speech/Language Pathologist.

Methods Used to Assess and Meet Patients' Care Needs
Upon receipt of physicians' orders for patients in need of physical therapy/hand therapy/speech/language pathology, a plan of care is initiated by the division. Depending upon the individual patient's need, a referral is made to Physical/Hand/Speech Therapy. All referrals for these services will be completed within 24 hours from receipt of Physiatry orders and therapy services are provided within 48 hours. The plan of care includes assessment, program planning, treatment, patient/family education, and discharge planning across the continuum of care. The plan is revised as indicated by changes in the patient/family condition and situation. Through collaboration with other members of the health care team, the rehabilitation goals are incorporated into the overall plan of care.  Goals are modified with input from the interdisciplinary team, patient and family.

Patient care assignments are made by the Divisional and/or Clinical Director based on the patient/family needs and the competency and skill level of available staff. Licensed physical, occupational, and speech therapists provide care to patients. Certified physical therapy assistants provide care to patients under the supervision of licensed therapists.

Rehabilitation Aides support physical/hand/speech therapists and physical therapy assistants in providing care to patients.

Extent to Which Care Provided Meets Patients’ Needs
The quality of patient care is monitored on a regular basis through the division's Continuous Quality Assessment and Improvement Plan as well as routine chart audits. Indicators which measure various components of patient-focused and organizational functions, as defined by The Joint Commission, are used to assess current performance and improve patient care.

Justification for continued rehabilitation care shall require either evidence of problems necessitating active treatment or evidence of observed or expected improvement in functional ability.




Aruna Thyagraj, MD
Director

Raymond Savidge
Director, Clinical Therapeutic Services

Division Contact
Tel: (718) 963-7656

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