Chapter 5 - Regulatory Requirements for Direction and Supervision of the Physical Therapist Assistant Flashcards
Give examples of different types of regulations pertaining to PTAs that might appear within a state’s practice act…
⭐️Registration - Least restrictive, used when the risk to the public is generally low. No requiremets for specific training or education
⭐️Certification - Used for higher level of regulation, requires some type of specific education and passing examination
⭐️Licensure - Highest level of oversight, used when the risk to the public is thought to be greatest. In additon to the above, subject to discipline by a state board when regulatory standards are not being met
Describe how regulatory requirements for PTAs may vary from state to state (or within practice settings)…
Each state has its own legal “statutes” that delineate the parameters under which PT services can be delivered. (Refered to as a states PT “practice act”)
Discuss the implications for not abiding by APTA viewpoints…
Members that are found to have violated “standards” could be faced with being barred from future APTA membership.
Describe the typical liscence requirements for PTAs…
Varies consiterably from state to state.
The National Physical Therapy Examination (NPTE);200?s.
Not all states require a liscencure examination.
Compare and contrast the levels of supervision defined by the APTA…
⭐️General Supervision - PT not required to be on site, but must be available by telecommunication
⭐️Direct Supervision - PT physically present and immediately available for direction and supervision(same facinity). PT will have direct contact with patient/client in 24-hour period. Telecommunication doesn’t meet requirements.
⭐️Direct Personal Supervision - PT or PTA (if allowed by law) is physically present and immediately available to direct and supervise tasks related to patient/client management (continous throughout time tasks are performed). Telecommunication doesn’t meet requirements.
Discuss the regulatory requirements that must be concidered to provide appropriate supervision of physical therapy students…
⭐️Physical Supervision ; supervisory visit.
⭐️PT/PTA Supervision Ratios; how many PTAs PTs can supervise at a time.
⭐️Limitation to Intervention Deliveries; state or facility can dictate if and what PTAs can do interventions.
Are the rules that apply to PTA supervision consistent from state to state?
No. Certain states have different regulations and requirements.
What rescources can a person use to learn about the regulations from state to state?
⭐️Physical Therapy “practice act” of the state.
⭐️FSBPT Web has a page that contains links to every state’s licensing board and practice act.
⭐”️Model Practice Act” via the Federation of State Boards of PT (FSBPT)
⭐️State Statues
Are there other factors beyond state regulation that will effect what task a person or persons can perform?
Yes.... 💡Third-Party Regulations (Medicare) 💡Level of experience 💡Complexity of the task 💡Risk to the patient
Do student PTAs follow the same regulation as do PTA graduates?
Yes except that PTA students have to be under the level of direct supervision as required by the APTA. PTAs will vary depending on the State law, APTA policies, and/or Third-Party guidelines.
Identify the various organizations and regulatory bodies that influence the scope of work of the PTA…
💡The State (laws)
💡The APTA (policies)
💡Third-Party Payer (guidelines)
