Quiz #2
what are the components of evidence based practice?
-best available evidence -clinical expertise -patient or client values and circumstances
what are the three components of health?
-body functions and structures -activities -participation
what can a temporary licensee do?
-can perform all duties of a PT
what are the 4 preferred practice patterns?
-cardiovascular and pulmonary -musculoskeletal -neuromuscular -integumentary
what are some principles of PT patient and client management?
-communication -coordination -documentation
what is critical to ensure clients receive services throughout the episode of care
-coordination -communication -documentation
What are the roles of Guide 3.0?
-describe PT practice -standardize terminology -delineates the clinical decision-making process -describes hot outcome measures are used
what is a prognosis?
-determined after PT establishes a diagnosis -determination of the predicted optimal level of improvement in function
what are some examples of particiaption restrictions?
-driving a car -lifting -babysittin grandkids -hiking
what are the elements of the patient/client management model?
-examination -evaluation -diagnosis -prognosis -intervention -outcomes
Where can PTAs work?
-hospitals -skilled nursing facilities -rehabilitation centers -school systems -outpatient clinics -private practice -home care
what is one of the most important part of an evaluation?
-interview -patient history
what is a PT Aide?
-not recognized as part of physical therapy practice in NY -support personnel -On the job training
what type of supervision does a temporary licensee need?
-on site supervision -therapist must be in the same facility and readily available
What are PTAs not allowed to do?
-perform inital evaluations -determine or modify the plan of care -make discharge decisions or write the entire D/C summary -joint manipulations and spinal mobilizations -provide services in NYS under NYS workers compensation law
what are PT Aides not allowed to do?
-place CP of MHP on patients (they allowed to remove them) - cannot turn on machines (can turn them off and take off pads)
what are the duties of a PT Aide?
-secretarial tasks -clerical tasks -housekeeping tasks
what are procedural interventions performed excluseively by the PT?
-spinal and peripheral joint mobilizations/manipulations -sharp selective debridement for wound care -anything that requires constant examination
what are examples of activity limitations?
-stairs -dressing -bed mobility
what are some examples of health conditions in the ICF?
-stroke -TBI -Herniated disc
what are PTAs allowed to do?
-work under the supervision of the PT -Perform interventions and patient related activities assigned by thePT - perform data collection to record change in status -progress the patient within the plan of care as established by the PT
what needs to be the ratio for PTs to PTAs in home care ?
1:2
What needs to be the ratio or PTs to PTAs in acute care
1:4
a licensed PT is qualified to treat patients without a referral after:
4,320 hours of practice and 36 months of experience
how is documentation defined?
any entry into the individual's health record. should follow APTA guidelines
on-site supervision of a PTA means that the PT must
be in the same building as the PTA except as provided in section 6738 of the education law
according to the education law, Article 130, section 6502, a license shall be valid during the life of the holder unless the:
board of reents revokes, annuls, or suspends the license
how is communcation defined?
exchange of information
what is direct supervision?
the PT must be physically present and available and have direct contact with the patient/client each visit
what doe Medicare part B say about student supervision?
the student can particpate only if the PT is in the room at all times and making all decisions.
what are students allowed to do during a clinical?
they can provide patient related physical therapy sevices but only under the supervision of a licensed PT
a physical therapist may treat a patient without a referral for:
thirty days or ten treatment sessions
what is the function of the office of profession disciplaine in relation to the practice of physical therapy?
to investigate and prosecute allegations of progessional misconduct
which alternatives may an unlicensed person perform?
transporting patients
what is general supervision?
not required on site but must be available by telecommunications
according to the Education Law, article 136, section 6731, from which professional may a PT accept a referral for treatment?
nurse practitioner
What type of supervision does the New YOrk State Pracrice Act mandate?
on site supervision but not necessarily direct
what is activity limitations?
restriction of the ability to perform a physical actions, activity or task in an efficient, typical expected or competent manner
with regard to patient records, the rules of the board of regents, part 29.2 (a) (3) require all licensed health professionals to:
retain a patient's records for 6 years and maintain the records of a minor for 6 years and until one year after a minor's 21st birthday
according to the education law, article 130, section 9509, which one of the following does not constitute professional misconduct?
sharing professional fees with a partner authorizeed to practice the same profession
supervision of a PTA in home care setting requires both the licensed PT and the PTA to follow specific conditions. Which of the following conditions is not correct?
supervision of three to four PTA by one supervising PT
can you do a clinical rotation where you worked as a PT aide?
no
According to the education law, Article 130, section 6502, to practice in this state, all physical therapists and physical therapists assistants must register with the New York State:
Education Department
physical therapists and physical therapists assistant re-registering with the state education department need to provide documentation of his/her completion of a countinuing competency requirement when they re-register (T/F)
False
if a student is hired by a PT office, what is their role
PT Aide
which of the following statements is incorrect regarding the definition of PT as stated in education law, article 136 and section 6731?
PT includes the use of x-rays or radium or the use of electricity for surgical purposes
what is direct/personal supervision?
PT must be physically present and available to direct and supervise as needed
Who, besides PTs, are recognized by the APTA?
PTAs
which is true concerning the definition of a PA as written in education law section 6738 (d) of article 136, which deals with the provision of a physical therapy services in public or provate primary or secondary schools?
PTAs may treat children in preschools, primary or secondary schools without on-site supervision
What is a Physical Therapy Assistant?
an educated individual who works under the direction and supervision of a PT
supervision of a PTA can legally be conducted by which one of the following licensed professionals?
a PT
what does an outcome represent?
a discharge point
the use of a limited permit is necessary for a new graduate of a PT program until such time as the graduate has passed the national licensure exam and been awarded a license by the department of education. The permitee shall practice only when:
a licensed PT is supervising on-site except when the PT has determined that the program is one of maintenance
a PTA is defined by all of the following except:
a person whose duties include evaluation, testing, interpretation, planning or modification of patient programs
Pursuant to education law, article 136, section 6736, the only individual permitted to practice PT in New York State without a license is:
a physical therapy student engaged in clinical practice in an approved program of physical therapy
which of the following statements is correct regarding the notice of advice form required for treatment of a patient without a referral:
all of the above -it must be signed by the patient -patient must sign the form regardless of the practice setting in which the treatment will take place -it is part of a patient's record
according to education law, article 130, section 6508, a board for each profession shall be apppointed by the board of regents. The purpose of the state board for physical therapy is to:
assist the board of regents and the department on matters of professional licensing, practice and conduct
how does the ICF define body structures and functions?
consequences of diesease, pathological process or lesions -alterations in anatomical, physiological of psychological structures or functions
according to the rules of the new york state board of regents, part 29.1 and 29.2, which of the following conduct is lawful?
delegating professional responsibilities to a physical therapist assistant
according to the rules of the new york state board of regents, part 29.2, a licensed professional is practicing proper infection control if:
direct patient contact is discontinued when the professional has weeping skin lesions
Are PTAs allowed to work with patients who are on workers comp?
no
what are particiaption restrictions?
inablility or restricted ability to perform actions, tasks and activites related to required self-care, home management, work, community, and leisure roles
a physical therapist may direct/ delegate a PTA to do which of the following tasks?
measure range of motion
In NYS does a PT need to co-sign on a PTAs documents
no
is it lawful for a PT to treat animals in NYS?
under no circumstances
what is coordination?
working together with all parties involved with the individual
Are PTAs allowed to treat early intervention
yes
once the PT with the direct access privilege has completed the evaluation, discussed the plan of care with the patient and determined the treament plan, can the PT treating without a referral delegate treatment to a PT without the direct access privilege, a PTA, a student or someone on a milited permit?
yes, the care can be provided by a PTA, a student or someone on a limited permiit, or another PT even though that PT may not have the direct access privilege