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1131 OT Practice I > Midterm > Flashcards

Midterm Flashcards

1
Q

What is an Ontario health team?

A

A new model of care that provides more integrated care introduced by the province

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2
Q

Who defines OT scope of practice?

A

The regulatory college (COTO) trough provincial legislation

Definition is additionally supported by professional organizations/associations

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3
Q

What is the purpose of regulatory colleges?

A

They exist to protect public interests, they establish generic regulations, and the protect the controlled acts

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4
Q

Define the OT scope of practice

A

Assessment of function and behaviour and the treatment or prevention of disorders which affect adaptive behaviour in the areas of self-care, productivity, and leisure

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5
Q

What are the 14 controlled acts?

A
  1. Communicating a diagnosis
  2. performing a procedure under the dermis
  3. Setting or casting a fracture or dislocation
  4. Moving joints of the spine
  5. Administering a substance by injections or inhalation
  6. Inserting an instrument, hand, or finger into a body opening
  7. Applying or ordering a form of energy
  8. Prescribing or dispensing a drug
  9. Prescribing or dispensing vision devices
  10. Presribe a hearing aid
  11. Orthodontics
  12. Managing about
  13. Allergy testing
  14. Psychotherapy
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6
Q

When can an OT perform a controlled act?

A

It can only be performed if it is delegated, exempted, or there is an exception

However, it still must fall within the scope of practice and the OT must have the competencies to carry out the act and handle any possible side effects

It must be strongly documented with rationale to why the act is being perfumed

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7
Q

What are the two steps of delegation?

A
  1. Transfer of authority - the authorizer who can perform the controlled act under RHPA transfers authority to the OT (implementer)
  2. Provision of instructions - the authorizer provides specific instructions that must be followed
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8
Q

If you are delegated a task that falls outside of your scope of practice, the responsibility falls on the authorizer for delegating a task you cannot do

True or False

A

False

It is the responsibility of the OT to determine if they have the competencies AND it is within their scope of practice

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9
Q

What are exemptions?

A

Modifications to the legislation that grant direct authority for a specific task that falls within the parameter of a controlled act to a profession that is not otherwise authorized to perform the controlled act

Thus, an OT would not need delegation for these exemptions

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10
Q

What exemptions do OTs have?

A

Procedure below the dermis - acupuncture & vaccination (temp)

Psychotherapy

However, it still needs to fall within scope of practice and the OT must have the necessary competencies

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11
Q

What is an exception?

A

Circumstances in which an OT can perform a controlled act without delegation or exemption

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12
Q

When dealing with first and or temporary emergency services what are the exceptions to the controlled act?

A

Adminsitering injection/inhalation - Give an epi pen

Setting or casting a fracture or dislocation - set a split

Applying or ordering a form of energy - apply a defibrillator

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13
Q

When treating a member of your household what are the exceptions to the controlled act?

A

Communicate a diagnosis

Administer a substance by injection/ inhalation

Place an instrument, hand, or finger into a body opening

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14
Q

Describe the exemptions an OT has when assisting a person within their activities of daily life?

A

May administer a substance by injection or inhalation

May place an instrument, hand, or finger into body opening

The OT must have the competencies and it must be an ADL in order to be considered within the scope of practice

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15
Q

An OT student may perform acupuncture if they have the competencies and are under the supervision or direction of a registrant of the profession

True or False

A

False

A student may perform some controlled acts under the supervision such as psychotherapy but cannot perform acupuncture

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16
Q

What is a professional boundary?

A

The implicit or explicit separation of the professional relationship with a client from one that is personal

17
Q

Why must OTs keep in mind the impact of power and trust when considering boundaries?

A

OT-client relationships are based on trust and the client feels they rely on them and would never do anything to harm them

This plus the inevitable power imbalance which allows OTs to make decisions that affect the client make clients vulnerable

18
Q

What is the difference between a professional boundary crossing and professional boundary violation ?

A

Boundary crossing occurs when an OT initiates or allows a behaviour to persist in a relationship that compromises or sets a future course that may compromise the relationship (ex. feeling the need to buy the OT coffee)

Boundary violations occur when the nature of the relationship moves from professional to personal and is or can result in exploitation of the client (ex. borrowing money, sexual relationships)

19
Q

What are the minimum standards for professional boundaries for an OT?

A
  1. Foster therapeutic relationships
  2. Assume full responsibility
  3. Anticipate, identify, and manage vulnerabilities
  4. Be aware of changes in therapeutic relationships
  5. Self-monitor and reflect
  6. Understand that client consent is never a defence
  7. Address and manage boundary violations
  8. Avoid providing service o family, partners, or people you know personally
  9. Avoid non-professional relationships with current clients
  10. Avoid personal relationships with former clients
  11. Maintain professional boundaries with students and subordinates
20
Q

What constitutes of sexual abuse?

A

Any sexualized touching between a patient and an OT or health professional, regardless of consent

21
Q

When must an OT report abuse?

A

Mandated to report any suspected child abuse or elder abuse when residing in a LTC or retirement home

22
Q

What are the steps to filing an abuse report against a health professional?

A
  1. File report with the regulatory college
  2. Report must include your name, name of suspected health care provider, and an explanation of alleged abuse, and the victims name if consented
  3. Report must be filed within 30 day of awareness or occurrence of abuse
23
Q

Define transference

A

Conscious and unconscious reactions that clients have towards you that are often based on prior relationships/experiences

24
Q

Define countertransference

A

Conscious and unconscious reactions that health professionals have towards our clients based on our previous experiences/relationships but also values and attitudes

25
Q

How do you manage transference and/or countertransference?

A

Exploration - openly discuss transference behaviours with client and clarify your role

OTs can manage countertransference with self-awareness, self-talk, and self-care

26
Q

what are some ways that an OT can maintain professional boundaries?

A

Avoid disclosure, giving/receiving gifts, treating people you know, sharing opinions, making exceptions, or becoming friend

27
Q

What are the 8 action points of the CPPF?

A
  1. Enter/Initiate
  2. Set the stage
  3. Assess/Evaluate
  4. Agree on Objectives & plan
  5. Implement plan
  6. Monitor and Modify
  7. Evaluate Outcomes
  8. Conclude/Exit
28
Q

Describe the enter/initiate phase of the CPPF

A

Receive referral

Decide about continuation of practice - area of expertise

Identify potential stakeholders

Establish consents (who, how)

29
Q

Describe the set the stage phase of the CPPF

A

Identify client values, beliefs, expectations, goals, occupational issues

Build rapport, ensure transparency, obtain informed consent

Agree to continue/not continue relationship

30
Q

Describe the assess/evaluate phase of the CPPF

A

Perform in-depth assessment and analysis, explore plausible explanations for each clients HIs,

Formulate possible solutions/recommendations and share with client

Decide whether to keep going or to conclude

31
Q

Describe the agree on objectives & plan phase of the CPPF

A

Through collaboration discuss, develop, negotiate, agree on plan

32
Q

Describe the implement plan phase of the CPPF

A

Adaptations of the person, occupation, environment

Restructure occupational routines & patterns

Restructure and reframe occupational life course

Considering societal and practice context for guiding implementation

33
Q

What are the regulatory mechanisms that lead to practice resources?

A

Legislation -> laws -> bylaws -> standards/competencies -> practice resources

34
Q

What is the difference between regulation and self-regulation?

A

Regulation - system of rules that are set out in law

Self-regulation - notion that members of a profession are best suited to govern their profession

35
Q

What are the functions of the regulatory college?

A

Registration - establish qualifications for entry into profession

Quality Assurance - monitor competence through professional development

Investivations & Resolution

Govern & Support practice - sets minimum expectations (standards of practice)

36
Q

How does the regulatory college differ from the professional association?

A

The College is mandatory, protects public interest, has legal/government mandates, made up of a board (both professionals and public), is accountable to the public, and investigates complaints

The association (CAOT or OSOT) is voluntary, protects professional interest, sells liability insurance, provides education, made up of a board of professional, and is accountable to the members

37
Q

Describe the regulated health professions act (RHPA)

A
  1. Applies to all regulated health professions
  2. Prescribes organizational structure and accountabilities of regulatory colleges
  3. Defines controlled acts

*It includes the occupational therapy act which defines scope of practice, protects OTs title, and protects the controlled acts

38
Q

What are the core standards of practice?

A

Standards for consent
Standards for record keeping
Standards for professional boundaries
Standards for prevention of sexual abuse
Standards for assessments

1131 OT Practice I (1 decks)

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