Lecture 1 - OPPQ and Professionalism Flashcards
What does it mean to be a professional and member of a profession? (4 things)
being a professional encopasses “Competence and expertise are certainly the basis of patient care, but other characteristics of a professional are equally important. Being a professional implies a commitment to excellence and integrity in all undertakings. It places the responsibility to serve (care for) others above self-interest and reward.”
what is a collegial discipline? (4 things)
Physical and Occupational Therapy Student Pledge
describe the overall scope of the quebec law (chart)
what is the professional code of Quebec?
- Legal framework for Quebec professional system
- Regulates the practice of professions
- Establishes oversight
**gives the Office des professions supervisory responsibilities - each law protects the public
what are the 2 types of professions under the professional code?
Exercise is not an exclusive right for a physiotherapist (other professionals can use it too!)
-Only physicians can do surgery
what does the OPPQ do?
1) Ensure the public’s protection: Controls the way that the profession is enacted, carried out
2) Differs from a union/association: socioeconomic and professional interests of its members
- Patient safety, keep integrity of profession, mainly to protect the public!!
- They are more there to protect the patient, not the professional
what is the CPA?
what are the requirements for the issue of a permit to practice PT by OPPQ?
What are the professional and reserved activities of members of the OPPQ?
Professional:
- Assess physical function limitations and disabilities related to the neurological, musculoskeletal and cardiopulmonary systems
- Determine a treatment plan
- Apply treatment in order to obtain optimal functional performance
Reserved:
- Assess neuromusculoskeletal function (physical function limitation/disability)
- Functional assessment
- Introduce instrument or finger in the human body beyond the labia majora or anal margin (perineal reeducation)
- Introduce instrument in the human body in and beyond the pharynx or the nasal vestibule (chest physio)
- Use invasive forms of energy (electrotherapy)
- Provide treatment for wounds
- Make decisions as to the use of restraint measures
- Insert needles under the dermis to reduce inflammation (Certification)
- Perform spinal and joint manipulations (Certification)
explain 94m: PRTs
what can a TRP (PRT) do?
How does the OPPQ ensure professional oversight?
Through:
- Professional Inspection Committee (PIC)
- Syndic
what is the Professional Inspection Committee (PIC) and what is the main criteria under analysis?
Mandate:
–Ensure the competence of all members
–Oversee Professional Practice
–Inform the syndic if there is a reason to think that a member could be in contravention of professional requirements
Main criterion under analysis is competence
How does the PIC evaluate compitence?
Secondary Criteria
Security: precautions/contraindications/red flags?
Objectivity: pertinent, valid and precise tools for evaluation
Efficiency: evaluation of «I» effects with objective demonstration (before and after) and making an appropriate decision about pursuing or ceasing treatment
how often will you be inspected by PIC in Quebec and what does it entail?
ON-SITE ASSESSMENT:
- Inspector goes to the workplace of the member
- Inspector performs a thorough analysis of indicators
- Inspector proceeds with a competency evaluation based on PIC’s normative framework
Self evaluation
The member is required to self-evaluate one of the records he/she is submitting to inspection. The grid used for this self- evaluation is the same used by the inspector… This is to ensure transparency.
Reference books for evaluation of appropriate and pertinent items by members, inspectors and investigators
Evaluation Grids are designed for inspectors and investigators to assess the record-keeping of the members (present, absent, incomplete or non applicable items entered)
read over the charting basics
- Chart as soon as possible
- Write clearly and legibly
- Use accepted abbreviations –Don’t create your own abbreviation system
- Signature (name & title PT or PT student) –Initial evaluation: full name
- Correction of mistakes –Draw a line on the error, date it and initial it
common mistakes:
O is not an analysis, Specify active or passive ROM, Identify the affected body part, Compare affected side to healthy one, Specify the right or the left side, Measured or observed, Don’t overuse «N» (for sensation, tonus), Not written: considered not done
be precise:
“patient doing well” –Compared to what? Where is your evidence? What precisely have you observed?
“patient ambulating today” –How? With aid or not? How far? What speed? How is his balance? Gait pattern?
“patient uncooperative” –It is better to say « Patient refuses to walk » as it is a fact and not a judgment.
ethical considerations:
- Be attentive to your patient’s dignity (facts that could stigmatize patients, not all facts should be written -even if true, might not be pertinent, if the information is questionable, needs to be stated…..)
- Confidentiality…. Fax, internet, chart sharing
- Who will have access to the chart? (future employers, insurance companies,… )
what is the code of ethics?
