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The PT and PTA Relationship

Terms in this set (25)

Notify PT of any changes in patient status immediately; Ask before trying something new; Speak up if you have suggestions; Don't change the Plan of Care without consulting PT; Communicate
What does a PT need from a PTA?
Wish PT's knew what the PTA can do; Understand the role of the PTA better; Make sure to tell PTA about patient and that I understand; Listen to PTA suggestions; Trust that the PTA knows what he/she is doing; Communicate
What does a PTA need from a PT?
State Practice Act; PT and PTA ethical documents (3E-PT provide appropriate direction /communication with PTA, 4B-PT don't exploit persons over whom they supervise, 5B-PT primary responsibility for supervision of PTA); Third Party Payer Regulations (PTA can't treat Medicaid patients, Reduced payment for Workmans' Comp treated by PTA, Some third party payers may not pay for PTA or have reduced payment-Tricare); PTA and the PT experience level and scope of practice
What do the PT and PTA need to know?
Ther Exercise, Ther Act; Gait Training; Document; Neuromuscular Rehab; Aquatics; Ultrasound; Electrical Stimulation; Patient Education
What CAN the PTA do?
Evaluations/Reevaluations; Interpretation of Referrals; Alter Plan of Care; Discharge Planning; Sharp debridement HOD-18-31-36; Spinal/peripheral joint mobilization HOD-18-31-36; Dry Needling HOD-18-31-36; Screens 1.3.8 MS Practice Act
What can the PTA NOT do?
The supervising PT is responsible for the PTA's documentation (HOD P06-18-32-23)
What do you need to know about documentation concerning PTs and PTAs?
Associate degree, classes taken (anatomy, physiology, public speaking, English), skills learned (goni, MMT, FOM), State Boards, Licensure
What do you need to know about a PTA's education and license?
4
How many PTA's can a PT supervise?
Telecommunication (supervision)
What are the general requirements of supervision between a PT and PTA? This is often seen in SNF and Hospitals
UMMC - general hospital - telecommunication center
Direct (on the premises)
What are the supervision requirements between a PT and PTA in private practice?
Direct Personal
This type of supervision means in the room (line of sight)
in line of sight = directly in personal space
Before a PTA can treat a patient, the PT must perform an evaluation and written POC. The first supervisory visit can be done in person or over the phone. Following initial supervisory visit, the PT must perform a follow up supervisory visit at least once every sixth PTA visit or thirtieth day whichever comes first. PT must re-assess and render personal treatment to a patient on these supervisory visits. PT must treat and assess patient on the final treatment session, establish discharge plan, and write discharge summary. PTA does not have to be present for eval, but case/patient must be explained before initial treatment can begin.
What are some supervision requirements of the PT and PTA in the state of MS?
PT/PTA teams
Communication model where both therapists are present together throughout the day. Tag team and communication is ongoing
Formal daily meetings
Communication model where at beginning of the day to review schedule, make changes to POC. Each therapist has own schedule
Weekly rounds
Communication model with daily supervisory visits per regs
Telecommunication (communication model)
Communication model with formal plan with daily phone calls and/or weekly conference calls with individual supervisory visits per regs
Co-tx
Communication model for mentoring/training purposes. Especially useful for new graduates or new relationships (only one therapist can bill)
Effective Communication
Begins with trust. Be truthful. Acknowledge the need for personal improvement. Ask for feedback. Admit mistakes. Avoid talking negatively about others. Be willing to change your mind when others have a good idea. Openly acknowledge the contribution of others. Sharing information that is useful to others. Listening attentively to what others are saying.
Debate
Oral communication in which goal is to have your opinion prevail over another's; adversarial by design
Discussion
Oral communication in which interactions occurs for the purpose of exchanging information, ideas, opinions
Deliberation
Oral communication in which type of discussion that reviews reasons for and against a measure
Dialog
Oral communication in which all participants must be considered equal; participants must be empathetic to opinions of others; assumptions must be revealed
PT's are "solely" responsible for: Examination, Evaluation, Diagnosis, and Prognosis. PTA's may assist in selecting interventions and providing interventions. The PTA has the knowledge, skills, and value-based behaviors needed to help the PT provide selected interventions as described in the plan of care. PTAs are clinical problem-solvers who ensure patient/client safety and comfort, as well as completion of interventions selected to achieve desired outcomes. Other than PTs, PTAs are the only valid providers of physical therapy services
The 5 elements of patient management and how they relate to PTs and PTAs...
APTA House of Delegates position statements; APTA core documents - Standards of Ethical Conduct; Federal and state legal practice standards; Institutional regulations
All selected interventions are directed and supervised by the PT. The PT directs and supervises the PTA consistent with...
Spinal and peripheral joint mobs/manipulations, sharp selective debridement, dry needling
The PTA does not perform interventions that require immediate and continuous examination and evaluation throughout, as described in APTA House of Delegates position Procedural Interventions Exclusively Performed by Physical Therapists. What does this include?
THIS SET IS OFTEN IN FOLDERS WITH...