Professional Behavior, Clinical Decorum, and Clinical Experience

Question 2

Important Characteristic of a Profession

Answer 2

It has a service (rather than a profit) orientation enshrined in its code of conduct

Question 3

10 Elements of Professional Behavior

Answer 3

1) Commitment to Lifelong learning 2) Interpersonal skills3) Communication Skills4) Effective use of time and resources5) Use of constructive feedback6) Problem solving7) Critical thinking8) Professionalism9) Responsibility10) Stress management

Question 4

What is clinical expertise?

Answer 4

Clinical problem solving skills and having knowledge and clinical reason

Question 5

What is the advantage of a PT specializing in a particular area of expertise?

Answer 5

This allows you/your clinic to market you and your specialization

Question 6

8 ABPT offered board-certified categories

Answer 6

1) Cardiovascular and Pulmonary (CCS)2) Clinical Electrophysiology (ECS)3) Geriatrics (GCS)4) Neurology (NCS)5) Orthopaedics (OCS)6) Pediatrics (PCS)7) Sports (SCS)8) Women’s Health (WCS)

Question 7

What Factors Distinguish Experts From Novices?

Answer 7

Experts are… -More knowledge, highly organized, accessible, and integrated -Problem solve with efficiency, they monitor, adapt, and revise their approach to problems with ease -Engage in reflective processes, continue to learn by experience -Continue to develop skills through intense, focused, deliberate practice -Look beyond the stated problem

Question 8

Why is clinical decorum important?

Answer 8

For patient safety

Question 9

4 Basics of Clinical Decorum

Answer 9

• Clothing/shoes- Hair- Jewelry- Hygiene

Question 10

Important things to consider when communicating with pateints

Answer 10

• Avoid unnecessary medical terminology or jargon- Explain procedures step by step- Communicate with patients at an “equal” level; maintain eye contact- Remember a patient’s culture, age, gender, and race may affect his/her reaction to you

Question 11

What does safety mean?

Answer 11

Freedom from accidental harm or injury

Question 12

Who assumes the primary responsibility for safety?

Answer 12

You as the PT

Question 13

What types of activities in a health care setting have the potential to cause injury?

Answer 13

Infection, transfers, gait training, passive motion stretching, modalities

Question 14

What guidelines exist for safety?

Answer 14

The National Patient Safety Foundation is in place to regulate safety concerns

Question 15

Typically what causes accidents and/or injuries?

Answer 15

Simple failures of a healthcare professional are rarely the cause of patient injury more often, patient injuries are the result of flaws in the complex interactions among several individuals, the technologies they use, and the organizations in which they work

Question 16

Possible causes of HCP failure

Answer 16

• Medication errors- Surgery or procedure on the wrong part- Errors in the performance of hazardous activities- Misdiagnosis- Selection of inappropriate treatment- Nosocomial infection- Production pressures- Fatigue and sleep deprivation- Stress- Human factors

Question 17

When do accidents and injuries tend to occur?

Answer 17

When HCPs or family members are… - Careless - Inadequately trained - Inattentive - Excessively busy

Question 18

How are standards set for patient safety?

Answer 18

• Professional societies and groups can set standards of practice, communicate with members about safety, collaborate across disciplines…create a culture of safety.- As patient advocates we owe it to our patients to ensure safety.- Code of Ethics for the Physical Therapist and Standards of Ethical Conduct for the Physical Therapist Assistant

Question 19

9 Safety Recommendations

Answer 19

• Hand washing/hand hygiene - Effectively manage the environment- Maintain line of sight during transfers and ambulation- Establish maintenance program for equipment- Keep the floor clear of electric cords, water, dirt, throw rugs/mats, and other hazards- DO NOT leave patients unattended- Be certain that individuals who provide patient care are trained, qualified and competent in their assigned duties- Properly store hazardous materials, chemicals, heavy objects- Clearly label contents of boxes

Question 20

What does HIPAA stand for?

Answer 20

The Health Insurance Portability and Accountability Act of 1996

Question 21

What is HIPAA?

Answer 21

Federal law passed to protect all “individually identifiable health information” ** individually identifiable health information = protected health information

Question 22

What does the HIPAA Privacy Law pertain to?

Answer 22

Pertains to any protected health care related information held or transmitted via electronic, oral or written methods such as… - Email - Phone call - Hallways - Elevators - Written / typed notes - Sticky notes / scratch paper

Question 23

What is Individually Identifiable Health Information?

Answer 23

• Patient’s past, present, future physical or mental status- Treatment provided- Past, present or future payment for treatment- Name- Address- Date of birth- Social Security number

Question 24

What are some HIPP Violations?

Answer 24

• Sharing or discussing protected health information with other HCP not involved with the pt’s care- Not providing a pt access to his/her medical record within 30 days of a request