IEP states 60 mins of direct PT. Apparently, 1:1 RN is being instructed by PT on how to do ROM exercises on Boo. She cannot do his lower extremities for various reasons (her age and a previous injury combined with- Boo's tone resembling a 2 x 4). Isn't someone with- some kind of certification supposed to be doing this?? My goodness, for a program that wanted an rx just so he could eat a sandwich, you'd think they'd pay more attention to who is doing PT (which in my mind could have much more serious consequences if done wrong????). I'm going to check ISBE site because I seem to recall there is actually a "best practices" packet for Occupational Therapist (OT)/PT there, or there was 3 years ago, but I'm about to *stroke* out here because RN is ticked off (assertive woman which is good for Boo), PT is not doing any ROM with Boo, and per RN PT's reasoning is that a more appropriate nurse should have been hired (like RNs are falling out of the sky around here). If we lose this RN... we're down to 1 day of school every other week until a replacement is found. Venting here and hoping for rational reasoning because I'm about fit to be tied. It's going to be a *long* year.