delegation and supervision
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| Delegated responsibilities must be. | commensurate with the qualifications, including experience, education, and training of the individuals to whom the responsibilities are being assigned
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| When the physical therapist of record delegates patient care responsibilities to | physical therapist assistants or other supportive personnel, that physical therapist holds responsibility for supervision of the physical therapy program. physical therapist: 1. Interpretation of referrals when available.
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| physical therapist: . | 2. Initial examination, evaluation, diagnosis, and prognosis
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| physical therapist: | 3. Development or modification of a plan of care that is based on the initial examination or the reexamination and that includes physical therapy anticipated goals and expected outcomes.
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| physical therapist: | 4. Determination of (1) when the expertise and decision making capability of the physical therapist requires the physical therapist to personally render physical therapy interventions and
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| physical therapist: | (2) when it may be appropriate to utilize the physical therapist assistant. A physical therapist determines the most appropriate utilization of the physical therapist assistant that will ensure the delivery of service that is safe, effective
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| physical therapist: | 5. Re-examination of the patient/client in light of the anticipated goals, and revision of the plan of care when indicated.
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| physical therapist: | 6. Establishment of the discharge plan and documentation of discharge summary/status.
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| physical therapist: | 7. Oversight of all documentation for services rendered to each patient.
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| Examination: . | The process of obtaining a history, performing a systems review, and selecting and administering tests and measures to gather data about the patient/client
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| The initial examination is a | comprehensive screening and specific testing process that leads to a diagnostic classification.
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| The examination process also may | identify possible problems that require consultation with, or referral to, another provider.
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| Evaluation: | A dynamic process in which the physical therapist makes clinical judgments based on data gathered during the examination. This process also may identify possible problems that require consultation with, or referral to, another provider.
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| Diagnosis: Both the process and the end result of | evaluating examination data, which the physical therapist organizes into defined clusters, syndromes or categories to help determine the prognosis (including the plan of care) and the most appropriate intervention strategies.
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| Prognosis (including plan of care):Determination of the level of | optimal improvement that may be attained through intervention and the amount of time required to reach that level. The plan of care specifies the interventions to be used and their timing and frequency.
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| Intervention: Purposeful and skilled interaction of the physical therapist | with the patient/client and, if appropriate, with other individuals involved in the care of the patient/client, using various physical therapy methods and techniques to produce changes in the condition that are consistent with the diagnosis and prognosis.
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| The physical therapist conducts a re-examination | to determine changes in patient/client status and to modify or redirect intervention. The decision to re-examine may be based on new clinical findings or on lack of patient/client progress.
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| The process of re-examination also | may identify the need for consultation with, or referral to, another provider.
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| Outcomes: . | Results of patient/client management, which include the impact of physical therapy interventions in the following domains: pathology/pathophysiology (disease, disorder or condition); impairments, functional limitations and disabilities, risk reduction/pre
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| The physical therapist assistant | is a technically educated health care provider who assists the physical therapist in the provision of physical therapy.
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| The physical therapist assistant, | under the direction and supervision of the physical therapist, is the only paraprofessional who provides physical therapy interventions.
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| The physical therapist assistant is a graduate of a | physical therapist assistant associate degree program accredited by the Commission on Accreditation in Physical Therapy Education (CAPTE).
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| The physical therapist of record is | directly responsible for the actions of the physical therapist assistant.
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| The physical therapist assistant may perform specific components of | physical therapy interventions, where allowable by law or regulations that have been selected by the supervising physical therapist.
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| The ability of the physical therapist assistant to perform | the selected interventions should be assessed on an ongoing basis by the supervising physical therapist.
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| The physical therapist assistant may modify an intervention | only in accordance with changes in patient/client status and within the scope of the plan of care that has been established by the physical therapist.
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| Aides are any support personnel who may be involved in the | provision of physical therapist directed support services.
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| he physical therapy aide is a | non-licensed worker who is specifically trained under the direction and supervision of a physical therapist.
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| Physical therapist directed support services are limited to | those tasks which may include methods and techniques that do not require clinical decision making by the physical therapist or clinical problem solving by the physical therapist assistant.
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| The determination of what tasks are appropriately directed to the aide must be made by the physical therapist or, where allowable by law or regulations, the physical therapist assistant. To make this determination, | the physical therapist or physical therapist assistant must have direct contact with the patient/client during each session.
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| The aide may function only with | continuous on-site supervision by the physical therapist or, when allowable by law or regulations, the physical therapist assistant.
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