Supervision of PTA (chap 2) Flashcards
PTAs and healthcare teams
PTA
Technically educated health care provider who assists the PT in the provision of physical therapy. APTA considers PTA to be only individual who assists PT in delivery of physical therapy interventions. Graduate from CAPTA accredited PTA program
General supervision
PT not required to be physcically present onsite, but must be available by telecommunication at all times - PT assumes accountability for acts delegated to or performed by PTA
Direct personal supervision
PT in same room
Direct supervison
PT on premises
Regulation in CO
PT can supervise up to 4 nonPT personnel including PTA, aide, tech, CNA, etc. Excludes students - supervising PT must physically see and document on the patient every 6 visits or 30 days, whichever is less - supervising PT must be in contact via telecommunications at all times
Safe and legal
Type of clinical practice - enrivonmental surroundings of practice - type of communication between PT and PTA - experience of the PTA - patient/client needs - tupe of supervision required by law - accessibility of the PT - PTs expectations for patient/client
PTA don’ts in clinic (3)
- Evaluate, develop, or change POC
- Write a discharge plan or summary
- Perform joint mobilization techniques and sharp debridment wound therapy because it requires evaluateive skills during application of intervention
* Joint mobilization may differ by state and clinic
PT duties in clinic (10)
- Integrates 5 elements of patient/client management to optimize outcomes
- .referral interpretation
- Development/modification of POC
- Appropriate delegation of responsibilities to the PTA
- Re-examination
- Establishment of discharge plan
- Oversight of all documentation
- Ongoing communication regarding patient/client’s care
- Documentation conferences
- Ultimately responsible for PTA’s assistance in delivering services
Collaboration path
Between PT and PTA allows for appropriate communication and patient care 12 steps
Collab path steps 1-3
- PT performs initial examination of patient/client, PTA can (if asked) gather specific data and take notes
- PT performs initial evaluation by comprehensively assessing all results of initial examination. PTA not involved, does not interpret results
- PT establishes a diagnosis by organizing the examination data into defined cluster, syndromes, or categories to be able to determine prognosis, including POC. PTA not involved
Collab path steps 4-5
- PT determines patient/client’s prognosis (level of optimal improvement) that may be obtained through specific interventions; PT also decides necessary amount of time, frequency, and types of interventions required to reach optimal level. PTA not involved.
- PT establishes the goals/outcomes to be accomplished by the POC and plan for interventions. PT creates POC to use various physical therapy procedures and techniques to produce changes in patient/client’s condition
Collab path 6-8
- PT performs patient/client’s interventions, delegating selected interventions to PTA
- PTA performs selected intervention as directed by PT. There is established, ongoing communication between PT and PTA.
- PTA may perform data collection during the course of interventions to record progress/lack of since initial evaluation.
- PTA may ask PT for re-eval - PTA’s utilization and understanding of problem solving is integral part of patient care. APTA developed Decision Making Algorithm to assist
Collab path steps 9-12
- PT performs re-examination and establishes new patient/client outcomes and POC.
- PT performs new interventions/delegates to PTA
- PTA performs new interventions as directed. There is established, ongoing communication between PT and PTA
- PT performs discharge examination and evaluation of patient/client when the outcomes are met. PTA can gather requested specific data to be utilized in discharge eval.
Intradisciplilnary
Work together within the same discipline
Multidisciplinary
Members work separately and independently in their different disciplines
