Direct Access in Kansas and PTA Supervision Flashcards
Describe Direct Access
Effective July 1, 2013 individuals in Kansas can seek the services of a physical therapist without a physician referral
Where can you find specific laws and other details about direct access?
HB 2066 from the KPTA
What does HB 2066 allow for?
It amends the Physical Therapy Practice Act to allow physical therapists to initiate a physical therapy treatment without referral from a licensed health care practitioner
When is a PT required to obtain a referral from an appropriate licensed health car practitioner to continue treatment?
After ten patient visits or a period of 15 business days from the initial treatment visit (follows the initial evaluation) and the patient is not progressing toward documented treatment goals as demonstrated by objective, measurable, or functional improvement, or any combination of these criteria.
What is the PT required to do prior to commencing treatment?
They are required to provide written notice to the patient that a physical therapy diagnosis is not a medical diagnosis by a physician
When are physical therapists are authorized to perform wound debridement services?
Only after approval by a person licensed to practice medicine and surgery or other licensed health care practitioner in appropriately related cases
Who is considered a licensed health care professional?
- a person licensed to practice medicine and surgery
- a licensed podiatrist
- a licensed physician assistant or a licensed advanced practice registered nurse working pursuant to the order or direction of a person licensed to practice medicine and surgery
- a licensed chiropractor
- a licensed dentist
- licensed optometrist
How shall a PT personally supervise a PTA?
They must be on-site and immediately available to the support personnel
5 things a PT needs to consider before delegating a task to support personnel?
(1) The education, training, experience, and skill level of the physical therapist assistant
(2) the complexity and acuteness of the patient’s or client’s condition or health status
(3) the predictability of the consequences
(4) the setting in which the care is being delivered to the patient or client
(5) the frequency of reexamination of the patient or client
8 things only a PT may perform
(1) Interpretation of a referral
(2) performance and documentation of an initial examination, testing, evaluation, diagnosis, and prognosis
(3) development or modification of a plan of care
(4) determination of the qualifications of support personnel performing an assigned task
(5) delegation of and instruction about the service to be rendered by the PTA
(6) timely review of documentation, reexamination of the patient or client, and revision of the plan of care when indicated
(7) establishment and documentation of the discharge plan and discharge summary
(8) oversight of all documentation for services rendered to each patient or client under the care of the PT
How many PTAs can work under one PT concurrently?
No more than 4
