chapter 4 Flashcards
APTA’s definition of a PTA
“A technically educated health care provider who assists the PT in the provision of physical therapy.”
3 levels of supervision defined from APTA
1) General supervision
2) Direct supervision
3) Direct personal supervision
General supervision
Care provided by the PTA that requires that the PT to be available for supervision by telecommunications at all times.
Direct supervision
-Requires that the PT be physically present and immediately available to supervise the PTA.
-PT also has contact with patient.
Direct personal supervision
The PT is continuously directing and supervising all the care provided to the patient.
Who dictates the requirements for supervision?
-State statues and insurance provider requirements
what does the APTA Minimum Required Skills of the PTA graduate at Entry-level describe?
Describes specific skills that can be delegated to the PTA
Tasks of a PTA
-therapeutic massages
-therapeutic exercise
-patient/caregiver/family education
-therapeutic modalities (hot packs, ultrasound, etc.)
What can PTAs not do?
-Change or develop POC
-Cannot write discharge plan or summary
-Cannot perform joint mobilization techniques or sharp debridement wound therapy (unless allowed by PT).
what 5 elements of the patient/client management model are only for the PTs?
1) examination
2) evaluation
3) diagnosis
4)prognosis
5) interventions (although the PT may ask PTA to assist with this).
What does the PT have to consider before letting the PTA assist the interventions?
- PTAs education and experience
-patient/client stability
-predictability of consequences
-type of setting
-liability and risk management
-federal and state statues
-frequency of reexamination
-mission of of services of specific setting
Decision making algorithm
-developed by APTA to help PTAs develop clinical reasoning skills
Difference between licensure of PT and PTAs in regard to states.
PTs are licensed providers in all states and PTAs are licensed providers in majority of states.
For PTA’s what else influences supervision requirements?
State specific practice act
Insurance
types of settings
Medicare’s supervision requirements in home health
- EX Medicare in home health agencies require general supervision
Which will have more control: the insurance supervision requirement or the specific state physical therapy practice act?
Specific state physical therapy practice act.
3 types of healthcare teams
1)intradisciplinary
2)interdisciplinary
3)multidisciplinary
Intradisciplinary team
-Members work together within the same discipline
-other disciplines are not involved
EX of intradisciplinary team
-A PT and PTA working together in a homehealth care setting where other services are not necessary
multidisciplinary team
-members work separately and independently in their different disciplines.
-they do not need to meet or collaborate with each other
-competition may happen
interdisciplinary team
work together within all disciplines to set goals relevant to the patients/clients individual case.
-all collaborate in decision making but evaluation and interventions done separately. (SNF, PEDIATRIC CLINIC)
which team is the most successful in regard to patients outcome?
-interdisciplinary team
Rehabilitation team includes…
-OT,PT,PTA,SLP, Physician, PT aide, etc.
Physical therapy director
-part of rehabilitation team
-a experiences PT or PTA who manages and supervises a physical therapy department
Responsibilities of PT director
-motivate subordinates
-communicate effectively with supervisors
-evaluate staff and give feedback
-educate all employees
-interview new personnel
-delegate tasks to appropriate staff
After what year did APTA consider DPT as the minimum postbaccalaurate degree?
2003
What year were all PT postbaccalaurate degrees DPT programs?
2019
-adopted by HOD in 2014, needs changes in 2025.
PTs can educate patients/clients, families of patients/clients, and caregivers on what?
-use of assistive devices
-perform home exercise programs
-help facilitate patient independence at home, work, etc.
-prevent disease
-promote wellness and healthy behaviors
which population is particularly vulnerable to chronic conditions that require therapeutic services?
growing elderly population
Occupational Therapists
Help people improve their ability to perform tasks in their daily living and working environments.
Who do orthotist and prosthetist work closely with?
-orthopedic surgeons
-physicians of many disciplines
-PTs and OTs
orthotist
designs, fabricates, and fits patients with orthoses prescribed by physician
(braces, splints, corsets).
prosthetists
designs, fabricates, and fits prostheses for patients with partial or total limb loss.
physical therapy aide
-nonlicensed worker trained up PT, or when allowable by law, a PTA
-aide can function if only supervised directly and continuously by PT.
tasks of physical therapy aide
-patient transportation
-secretarial duties
-housekeeping duties
-equipment cleaning and maintience
