6.1 - Professional Responsibilities

Question 1

What is the primary purpose of standards of documentation?

Answer 1

Communication among the rehab team

Question 2

What components does the examination include?

Answer 2

Patient history
Systems review - MSK, CVP, integumentary, communication/cognition
Tests & measures

Question 3

What is the “evaluation” of the patient/client management model?

Answer 3

Clinical judgement process
Dynamic process based on the availability of data
Determining causative factors & interventions

Question 4

Describe the PT diagnosis

Answer 4

Identifies the impact of a condition on function, movement

Ex: s/sx of weakness and difficulty walking associated w/ a medical diagnosis of Parkinson’s disease

Question 5

What is included in the “prognosis”?

Answer 5

Expected functional improvement
Timeframe for that improvement

Frequency / duration of visits
Goals

Question 6

What should be documented about the interventions?

Answer 6

Details of intervention (sets, reps, weight)
Results
Adverse effects
Factors that alter the treatment

Question 7

Describe the purpose of the ADA of 1990

Answer 7

Prohibits discrimination and ensures equal opportunity for persons w/ disabilities

Question 8

Describe the ADA requirements for each of the following:

Ramp slope
Ramp landings
Maximum ramp length

Answer 8

Slope - 1:12 rise:run (8.3% grade)
Landing - 60 inches
Max ramp length - 30 ft (before requiring a landing)

Question 9

Describe the ADA requirements for each of the following:

Minimum door width
Hallway width
Minimum bathroom sink height
Toilet set height
Carpet pile

Answer 9

Door width = 32 inches
Hallway = 36 in
Bathroom sink = 29 in
Toilet seat = 17-19 in
Carpet Pile <.5 in

Question 10

Describe the purpose of IDEA

Answer 10

Law ensuring services to children w/ disabilities

Question 11

Describe the following components of HIPAA

Privacy Rule
Security Rule
Breach Notification Rule

Answer 11

Privacy Rule
- Sets guidelines for the disclosure of PHA as needed for efficient and effect patient care

Security Rule
- Deals specifically with how ELECTRONIC PHI is protected
- Administrative safeguards (policies & procedures; staff training)
- Physical safeguards (controlling physical access)
- Technical safeguards (use of passwords, PHI transmitted electronically, etc.)

Breath Notification Rule
- Must notify patient of any breach of PHI w/in 60 days

Question 12

Define beneficence

Answer 12

to act for the benefit of others

Question 13

Define fidelity

Answer 13

related to confidentiality. The moral duty to keep commitments that have been promised

Question 14

Define nonmaleficence

Answer 14

Above all else, do no harm

Question 15

Define paternalism

Answer 15

failure to recognize another individual’s rights and autonomy

Question 16

Define malpractice

Answer 16

the failure of a professional to exercise the skills that would normally be exercised by other members of the profession with similar skills and training

“Professional negligence”

Question 17

Define negligence

Answer 17

the failure to do what a reasonable and prudent person would ordinarily have done

Question 18

What is required for negligence to be proven?

Answer 18

• A duty to act
• Breach of that duty
• Damage that occurs from that conduct
• Proximate cause of the damage to the breach

Question 19

What is the role of OSHA?

Answer 19

To ensure safe and healthful working conditions

Question 20

Common bloodborne pathogens

Answer 20

HIV, Hep B virus

Question 21

What components of the POC can a PTA carry out?

Answer 21

• Patient / client interventions (treatment)
• Obtain data related to the interventions provided
• Make modifications in selected interventions to progress patient or ensure patient safety and comfort

Question 22

Describe the supervision rule for PTAs

Answer 22

General supervision
- Must be able to be contacted, but don’t have to have direct supervision

Question 23

Define assault

Answer 23

Any willful attempt or threat to inflect injury with the apparent ability to do so

Question 24

Define battery

Answer 24

Intentional touching without consent (w/o the intent to damage / do harm)