Christian Mongrain

Forensic investigation, analysis, report, and testimony as it relates to issues involving standard of care in acute care hospitals, long term acute care hospitals, acute inpatient rehab facilities, sub-acute rehab facilities, skilled nursing facilities, and outpatient centers

Standard of Care issues as they relate to: Supervision - appropriateness of healthcare setting for provision of care, staff training and competence, program compliance; Policies and Procedures - analysis of organizational structures, formulation, implementation and evaluation of policies, procedures

Patient Assessment and Care

Evaluated, treated, and directed patient care in numerous hospital and rehabilitation settings

Trained patients on use of braces, and physician directed precautions (weight bearing, movement or activity restrictions, positioning)

Assessed, trained, and assigned durable medical equipment to patients including wheelchairs, walkers, axillary crutches, Lofstrand crutches, hemi-walkers, knee scooters, canes, Hoyer lifts, full body and stand assist lifts

Quality of Care

Performed staffing including hiring employees and utilizing contracted agency staff

Ensured all therapy staff were compliant with state and federal regulations, and competent in skills required to perform duties

Participated in Infection Control Committees and participated in initiatives to reduce infection rates within multiple facilities

Monitored and trained staff in Personal Protective Equipment (PPE) use and proper hand hygiene to prevent spread of infection

Monitored and investigated patient incidents involving unintended or unexpected outcomes

Purchased, inspected, cleaned, inventoried, and performed preventative maintenance on rehabilitative and durable medical equipment

Fall Investigation and Prevention

Performed Root Cause Analysis of incidents involving patient falls in hospital and rehab facilities

Created and provided staff training to prevent patient falls

Participated on the interdisciplinary care team involving creation/modification/implementation of fall prevention interventions

Participated on Fall Committees in Hospitals and Rehab Facilities

Safe Patient Handling / Patient Transport

Trained the interdisciplinary team on safe and effective patient transfer techniques, including use of Hoyer Lifts, standing lifts, wheelchairs, stretchers, horizontal transfer devices, specialized chairs and beds

Provided fall prevention and body mechanics training to staff

Identified and communicated most appropriate mode of patient transportation

Performed patient vehicle transfer assessments and training

Assisted wheelchair patients during transportation: vehicle loading and unloading, application of wheelchair securement and passenger restraint systems, and monitoring of patients during transit

Interdisciplinary Team

Participated in Care Conferences where the employees of all disciplines providing care for the patient communicate information to concur on a plan of care and discharge plan

Created, modified, and implemented the individualized patient Interdisciplinary Plans Of Care (IPOC), and supervised staff performing these requirements

Communicated with doctors, nurses, respiratory therapists, nurse aides, social workers, case managers, dietary specialists, ancillary services, and other therapists to optimize patient care

Patient Confidentiality and Privacy

Completed annual Health Insurance Portability and Accountability Act (HIPAA) Training

Participated in training of staff on HIPAA, and ensured all therapy staff were competent and compliant

Policy and Procedure

Completed annual review, revision, creation, training, and enforcement of Policy and Procedures for therapy departments within multiple settings

Ensured that all therapy staff practiced in accordance with all federal and state regulations for provision of care, infection control, and charge entry

Facility and Equipment Safety

Performed regular assessments of the facility and equipment as a clinician and a member of the Environment of Care Committee to identify defective or expired equipment, potential hazards, and violations of standards

Provided training to staff on procedures for visually inspecting equipment prior to use, and policy for tagging and removing equipment in need of repair

Provided training to staff on new equipment prior to use