Best Practices, Ethics, References Flashcards
Sections of best practice guidelines
Client intake
Clinical visual screen
Clinical physical assessment
Clinical cognitive perceptual screening
Behind the wheel evaluation
Behind the wheel training/intervention
Vehicle and equipment assessment for drivers
Vehicle and equipment assessment for passengers
Documentation
Prescription/equipment recommendation form
Final fitting
Licensing
Quality improvement
Components of client intake best practice guidelines
-Determine the client‘s medical history
-Determine the clients current medical status
-Assess the clients communication needs
-Obtain all required consents – release of records, notice of privacy practices, medical consent from treating physician, etc.
-determine clients current medications
-Assess clients driving history
– Assess clients license status
– Determine the clients driving goals
– Determine the clients vehicle availability
– Determine the clients function for daily living tasks
Components of clinical visual screen best practices
– Determine the clients visual history
– Determine the clients visual acuity
– Assess the clients functional field of vision
– Screen for ocular motor abilities and other visual skills
Components of clinical physical assessment best practice guidelines
– Determine if the clients ROM is sufficient to operate vehicles controls
– Determine if the client strength is sufficient to operate vehicles controls
-Determine if clients hand strength is sufficient to operate vehicles controls
– Determine if client sensation is sufficient to operate vehicles controls
-determine if clients proprioception is sufficient to operate vehicles controls
– Determine if clients coordination is sufficient to operate the vehicles controls
– Assess clients muscle tone as it relates to operation of vehicle controls and determine presence of abnormal reflexes
– Determine clients mobility status
– Assess client static and dynamic valance
-determine clients use of orthotic or prosthetic devices
– Determine clients transfer skills – including mobility device storage
– Determine if clients reaction time is sufficient to operate vehicles controls
– Educate client regarding performance on physical assessment an impact on driving safety or mobility issues
Components of cognitive perceptual screening best practice guidelines
– Determine clients pass and current medical history and diagnosis that may underline or contributed to cognitive and permit
– Screen for presents and level of cognitive impairment
– Determine the clients level of self-awareness
– Determine appropriate intervention to address clients needs related to cognitive impairment in the context of driving
– Determine need and frequency of reassessment of client for progressive conditions
– Determine presents and level of visual perceptual impairment in client
– Determine, based on severity of cognitive/perceptual deficit whether or not on road assessment or continued services are indicated
Components of behind the wheel evaluation best practice guidelines
– Assess appropriateness of evaluation vehicle and/or equipment to meet clients evaluation needs
– Assess clients ability to enter an exit driver station
– Assess clients ability to stow, secure, and retrieve any existing mobility aids
– Assess clients ability to obtain and maintain an appropriate driving position
-assess clients ability to satisfactorily operate primary OEM controls
-assess clients ability to operate secondary OEM controls -assess when stationary and in motion
– Assess clients driving performance and progressively complex traffic/roadway conditions and weather conditions similar to those he would normally encounter
– Determine an appropriate graduated process for the client evaluation
– Assess impact of cognitive/perceptual, behavioral, and visual limitations on safely performing all driving tasks in the conditions encountered
– Assess safe use of any necessary adaptive driving equipment
– Assess for potential for improved safety with use of equipment and/or compensatory strategies
– Assess the impact or potential for impact of fatigue
-Assess appropriateness of current vehicle and determine if need a vehicle change
-assess appropriate equipment needs
– Determine outcome and options and review them with client/family
Adequate visual ellipse
Level should be close to the inferior border of rearview mirror as possible
Components of behind the wheel training/intervention best practice guidelines
– Set goals based on clients functional abilities
– Provide training that supports safe driving performance and client specific driving goals
– Provide training in a variety of conditions and environments
– Just clients goals as needed(3–4 rides without progress towards dated goals may require a change in intervention or equipment, referral to a specialist, or counseling on driving cessation)
Vehicle and equipment assessment for drivers best practice guidelines
– Determine funding source for driving eval, training, adaptive equipment
– Determine whether client has completed a clinical assessment
– Assess the clients ability to enter/exit current vehicle and transport any required mobility aids- determine if client should remain seated in mobility aid to enter/exit vehicle
– Based on industry norms, current knowledge of OM vehicles, available structural modifications determine most appropriate structural modification configuration and/or ingress options for client
– Determine clients ability to obtain an appropriate driving position
– Determine how the client will activate the gas and break
– Determine need for adapted or secondary switches and complementary accessory switches
– Determine how client will steer the vehicle
– Determine clients key/ignition activation skills
– Ensure the clients ability to obtain aid in emergency situation
– Ensure vehicles compliance with existing standards and guidelines
– Determine replacement vehicle options with the client
– Know and utilize resources to obtain adaptive equipment
-Provide pertinent information regarding local mobility equipment dealers
– Advise and assess client in meeting regulatory requirements of licensing agency for driving with adaptive equipment
– Ensure other drivers modified vehicle understand mechanics of the adaptive equipment

Components of vehicle and equipment assessment for passengers best practice guidelines
– Determine whether passenger can safely enter an exit vehicle
– Determine passenger and family members ability to safely Stowe, secure, retrieve all pertinent mobility aids
– Determine whether the client who uses a wheelchair will remain in that wheelchair during travel
– Assess vehicles capability for wheelchair/scooter transport
Components of documentation best practice guidelines
– Maintain written and electronic records of all services provided, while respecting clients confidentiality
– Release the documentation with respect to clients privacy
– Follow records retention guidelines
Components of prescription/equipment recommendation form best practice guidelines
-generate a comprehensive report that includes all pertinent findings from various assessments and evaluations
-base prescription/equipment recommendation form contents on clients actual performance in vehicle and with equipment functionally equivalent to that necessary for safe driving performance
– Make prescription/recommendation form as complete and specific as possible
– Provide copies of prescription/recommendation form to client and other parties as necessary
Components of final fitting best practice guidelines
– Ensure that recommendations in the prescription/equipment recommendation form have been followed
– Ensure clients functioning is optimal following any modifications performed and or equipment installed per prescription/equipment recommendation form
– Provide follow-up training as necessary
Components of licensing best practice guidelines
– Be knowledgeable about state licensure requirements for establishment of a driving program and provision of driver training services
-assist clients in Meeting State driver licensing requirements relevant to their particular situation
Components of quality improvement best practice guidelines
– Consult the document “spectrum of driver services”
– Join and maintain membership in ADED
-seek out relevant resources for continuing education
– Stay current with industry changes that may affect my ability equipment prescriptions and recommendations
– Develop a network of driver rehabilitation professionals
– Pursue specialty certification as a driver rehab specialist
– Establish a program based quality improvement system
ADED code of ethics principles
– Demonstrating concern for the well-being of client served
– Respecting the rights of clients served
– Fostering excellence in the field of driver rehab by achieving and maintaining a high standard of competence
– Complying with laws and association precepts governing the driver rehab profession
– Providing accurate information regarding driver rehab services and qualifications
– Treating colleagues and other professionals with fairness, discretion, integrity
– Promoting greater understanding and awareness of driver we have issues through communication to those in rehab, healthcare, and education

Components of demonstrating concern for the well-being of clients served
– Client welfare
– Provider objectivity
– Appropriate relationships
– Fees for service
- avoidance, termination, and referral
– Client records
Components of respecting the rights of clients served
– Respecting diversity
– Right to information and self-determination
– Right to privacy
Components of Fostering excellence in the field of driver rehab by achieving and maintaining a high standard of competence
– Code of ethics and best practice guidelines
– Professional competence
– Public responsibility
– Assessment techniques
– Teaching and training programs
– Resolving ethical issues
Components of complying with laws and association precepts governing the driver rehab profession
– Illegal standards
-client records
Components of providing accurate information regarding driver rehab services and qualifications
-Advertising practices
– Credentials
– Reporting
Components of treating colleagues and other professionals with fairness, discretion, and integrity
Responsibility to other professionals
Components of promoting greater understanding and awareness of driver we have issues three communication to those in rehab, healthcare, education, and to the public
– Professional association involvement
– Public responsibility
