Professionalism Flashcards
- Assessment
-RT receives and responds to regulatory requirements and policies for the setting and requests, such as referrals and physician orders
-conducts individualized assessment to collect systematic, comprehensive, and accurate data to determine course of action and treatment plan
- Treatment Planning
RT plans and develops individualized plan that identifies goals and evidence-based treatment intervention strategies
- Plan Implementation
-RT implements treatment plan using EBP to restore, remediate, or rehabilitate function abilities to improve and maintain independence, quality of life, and to reduce activity limitations or restrictions to participation
-Consistent with overall or interdisciplinary patient/client treatment program
- Re-assessment and Evaluation
-RT systematically re-assesses, evaluates, and compares client’s progress to treatment plan
-Plan is revised based on changes in intervention, diagnosis, and client responses
- Discharge/Transition Planning
RT collaborates to develop discharge plan for the client to discharge or continue treatment and aftercare
- Prevention, Safety Planning and Risk Management
RT plans to improve client and staff safety by planning for prevention and reduction of risks to prevent injury and reduce harm
- Ethical Conduct
Adhere to ATRA Code of Ethics for humane and professional treatment
- Written Plan of Operation
RT treatment is governed by this WPO that is based upon SOP and COE, laws, and agency policies and procedures
- Staff Qualifications and Competency Assessment
RT meets qualifications, demonstrates competencies, maintain appropriate credentials, and have opportunities for competency development
- Quality Improvement
Objective and systematic processes for continuously improving safety, RT opportunities, and client care and outcomes
- Resources Management
RT treatment is provided in an effective and efficient manner that reflects the reasonable and appropriate use of resources
- Program Evaluation and Research
RT staff engage in routine, systematic program evaluation and research for the purpose of determining appropriateness and effectiveness of treatment
12 Standards of Practice
- Assessment
- Treatment Planning
- Plan Implementation
- Re-Assessment and Evaluation
- Discharge/Transition Planning
- Prevention, Safety Planning, and Risk Management
- Ethical Conduct
- Written Plan of Operation
- Staff Qualifications and Competency Assessment
- Quality Improvement
- Resource Management
- Program Evaluation and Research
- Beneficence
Actively making efforts to provide for client’s well-being by maximizing possible benefits and relieving, lessening, or minimizing possible harm
- Non-Maleficence
Obligation to use their knowledge, skills, abilities, and judgement to help persons while respecting their decisions and protecting them from harm
- Autonomy
Duty to preserve and protect the right of each individual to make their own choices by giving them the opportunity to determine their own course of action; if not possible, must follow decisions made by legal representative
- Justice
Individuals are served fairly and equity of service distribution; they should receive services without regard to race, color, creed, gender, sexual orientation, age, disease/disability, social/financial status
- Fidelity
To be loyal, faithful, and meet commitments made to person receiving services as well as colleagues, agencies, and profession
- Veracity
Truthful and honest; deception should always be avoided
- Informed Consent
Shared decision making; should provide each client with information about services, benefits, outcomes, length of treatment, expected activities, risk and limitations, professional’s training and credentials; informed consent from individual
- Confidentiality and Privacy
Disclose all relevant information persons seeking services as well as not disclose private information to third parties; if shared information is necessary, they must inform individual
- Competence
Maintain and improve their knowledge related to the profession and demonstrate current, competent, practice to clients; obligation to maintain their credential
- Compliance with Laws and Regulations
Responsible for complying with local, state, and federal laws/regulations as well as ATRA policies governing RT profession
10 Code of Ethics
- Beneficence
- Non-Maleficence
- Autonomy
- Justice
- Fidelity
- Veracity
- Informed Consent
- Confidentiality & Privacy
- Competence
- Compliance with Laws and Regulations
9 Qualities of Professionalism
- Appropriate educational background
- Professional organization as a reference (ATRA)
- Individual believes in autonomy and self-regulation (SOP and COE)
- Believe in power of own profession
- Contribute to body of knowledge
- Provide professional and community service
- Continue to grow and learn by attending conferences and reading journals
- Follow the TR process, practice model, and continue to read and incorporate researched techniques
Credential Maintenance
5 year certification cycle where each year can become recertified through CE or retaking exam
7 CTRS Specialization Areas
(must have certification for at least 5 years and demonstrate advanced knowledge and skill in this area)
1. Adaptive Sports and Recreation
2. Behavioral Health
3. Community Inclusion Services
4. Developmental Disabilities
5. Geriatrics
6. Pediatrics
7. Physical Medicine/Rehabilitation
Licensure
-most restrictive form of credentialing
-a government agency enacts legislation that defines professional practice
-5 states: NH, NJ, NC, OK, UT
CEUs
taking courses for academic credit, attending TR CE programs at conferences and workshops, writing publications, presenting guest lectures in courses, making poster presentations, and ATRA resources
Advocacy
-To recommend or plead for a specific cause or policy and speak on behalf of another
-often up to CTRS to advocate for RT services and clients’ specific needs
-for profession: legislative recognition and treatment team recognition for importance of RT
HIPAA
Health care personnel cannot release patient information unless given permission from patient
Healthy People 2020
Health initiative that builds on Health Initiative 2010 by providing a “renewed focus on identifying, measuring, tracking, and reducing health disparities through a determinants of health approach”
Normalization
people with disabilities should have the same opportunities as those without disabilities
-their lives should be as typical as possible (going to school or work, participating in leisure, same life cycle of activities, expectations, and opportunities
Least restrictive environment
-first used in IDEA
-placing a child in an environment that best fits their needs where they can have the greatest individual success
-“situations in which adaptations would be made only when evidence indicates that a person with a disability needs changes to function”
-could mean segregated programming at first then inclusive or vice versa
Accessibility
- Architectural accessibility
- Program accessibility
- Skills required to access resources are available
-CTRS must be aware of standards to ensure all recreation areas meet federal, state, and local accessibility laws and regulations
How to make sure program is accessible?
-eliminating architectural barriers
-transportation and access to program
-activities have range of skill levels and adaptations
-fee does not keep people from participating
-program is advertised to all people (those who needs guides or interpreters)
Promoting RT
-ensures TR has a part in health care arena
-promote to legislators, health care providers, third party payers, health care providers, physicians, and treatment team
NCTRC
-certifying body, not a professional organization
-“To protect the safety of consumers of RT services”
-“Protects the public by promoting the provision of quality services offered by the NCTRC certificants”
ATRA
-the national membership organization representing the interests and needs of RT
-“To empower the more than 10,000 RTs that connect through ATRA as members of recipients of ATRA services and resources”
RT history
Review powerpoint and highlighted section pg. 52-53
Evidence-based practice
check definition in book
Practice settings
Community recreation, physical rehab centers, psychiatric hospitals, out-patient clinics, day treatment program, long-term care facilities (TR process is constant, no matter where it is being processed and it is a “process” not “setting dependent”
Cultural Competency
CTRS must be able to “work effectively with cultures other than their own by using a set of behaviors, attitudes, and policies that are congruent with that culture”; 5 dimensions of diversity that generate strongest emotional response:
1. Race and ethnicity
2. Gender
3. Physical impairments and qualities
4. Sexual orientation
5. Age
Transdisciplinary treatment team
each team member works across disciplinary boundaries to develop goals and plans, and often co-treats clients
