Rules and Laws Study Guide

florida statutes chapter 486 is known as the ___

florida physical therapy practice act

the florida physical therapy practice act is florida statute chapter ___

486

64B17 florida administrative code is known as the ___

physical therapy practice rules

legislative intent

what the lawmakers who passed a law wanted the law to mean, why the law was made

what is the legislative intent of the practice act and administrative code?

to ensure every physical therapy practitioner practicing in this state meets minimum requirements for safe practice and to ensure physical therapist practitioners who fall below minimum competency or who otherwise may present a danger to the public be prohibited from practicing in the state of florida

the legislative intent of the practice act and administrative code is to ensure that every physical therapy practitioner in this state meets ___ and to ensure physical therapist practitioners who fall below minimum competency or who otherwise may present a danger to the public be ___

minimum requirements for safe practice, prohibited form practicing in the state of florida

chapter 458 is related to who?

medical doctors

chapter 459 is related to who?

doctor of osteopathy

chapter 460 is related to who?

chiropractor

chapter 461 is related to who?

podiatry

chapter 464 is related to who?

nursing

chapter 466 is related to who?

dentists

physical therapist assistant

practitioner who is licensed in accordance with the chapter to perform patient-related activities, including the use of physical agents, license is in good standing, and whose activities are performed under the direction of a physical therapist as set forth in the rules adopted pursuant to this chapter

physical therapist assistants are ___ in accordance with this chapter to perform patient-related activities, including the use of physical agents, ___ is in good standing and whose activities are performed under the direction of a ___ as set forth in the rules

licensed, license, physical therapist

patient-related activities performed by a physical therapist assistant for a board certified orthopedic physician or physiatrist shall be under the ___ supervision of a ___ and ___ require onsite supervision

general, physical therapist, shall not

patient-related activities performed by a physical therapist assistant for a ___ or ___ shall be under the general supervision of a physical therapist but shall not require onsite supervision of a physical therapist

board certified orthopedic physician, physiatrist

patient-related activities performed for all other health care practitioners licensed except for ___ and ___ shall be performed under the onsite supervision of a physical therapist as a physical therapist assistant

board certified orthopedic physician, physiatrist

patient-related activities performed for all other health care practitioners licensed except for board certified orthopedic physicians and physiatrists shall be performed under the ___ of a physical therapist by a physical therapist assistant

onsite supervision

describe the laws related to physical therapist assistants

they are licensed to perform patient-related activities, including the use of physical agents, have the licenses in good standing, and have activities performed under the direction of a physical therapist. patient-related activities performed by a physical therapist assistant for a board certified orthopedic physician or physiatrist shall be under general supervision of a physical therapist but shall not require onsite supervision of a physical therapist. patient-related activities for all other health care practitioners shall be performed under the onsite supervision of a physical therapist

direct supervision

supervision by a physical therapist who is licensed when they are immediately physically available. except in a case of emergency, direct supervision requires the physical presence of a licensed physical therapist for consultation and direction of the actions of a physical therapist or physical therapist assistant practicing under a temporary permit, unlicensed staff, and students

direct supervision can only occur from ___ physical therapists

licensed

direct supervision means supervision of personnel performing directed actions while the licensed supervisor is ___ available

immediately physically

except in case of emergency, direct supervision requires the ___ of the licensed physical therapist for consultation and direction of actions

physical presence

who requires direct supervision?

those with temporary permits, unlicensed staff, students

general supervision

supervision of a physical therapist assistant where the physical therapist is accessible at all times by two-way communication, available to respond to an inquiry when made, readily available for consultation during delivery of care, and is within the same geographic area as the physical therapist assistant

general supervision means supervision whereby the physical therapist is accessible at all times by ___

two-way communication

general supervision means the physical therapist is ___ to respond when an inquiry is made

available

general supervision means physical therapists are ___ available for consultation during the delivery of care

readily

general supervision means that the physical therapist is in the same ___ as the physical therapist assistant

geographic area

who requires general supervision?

physical therapist assistants

do those with temporary permits require direct or general supervision?

direct

do unlicensed staff require direct or general supervision?

direct

do students require direct or general supervision?

direct

do physical therapist assistant require direct or general supervision?

general

the practice of physical therapy involves the performance of physical therapy ___, the ___ of any disability, injury, disease, or other health conditions of human beings, or the ___ of such disability, injury, disease, or other health condition, and the ___ of such disability, injury, disease, or other health condition by alleviating impairments, functional movement limitations, and disabilities by ___

assessments, treatment, prevention, rehabilitation, designing, implementing, and modifying treatment interventions

how do we design, implement, and modify treatment interventions?

therapeutic exercise; functional movement training in self-management and in-home, community, or work integration or reintegration; manual therapy; massage; airway clearance techniques; maintaining and restoring the integumentary system and wound care; physical agent or modality; mechanical or electrotherapeutic modality; patient-related instruction; the use of apparatus and equipment in the application of such treatment, prevention, or rehabilitation; the performance of tests of neuromuscular functions as an aid to the diagnosis or treatment of any human condition; or the performance of electromyography as an aid to the diagnosis of any human condition only upon compliance with the criteria set forth by the Board of Medicine.

describe the practice of physical therapy

the practice of physical therapy involves the performance of physical therapy assessments, the treatment of any disability, injury, disease, or other health conditions of human beings, or the prevention of such disability, injury, disease, or other health condition, and the rehabilitation of such disability, injury, disease, or other health condition by alleviating impairments, functional movement limitations, and disabilities by therapeutic exercise; functional movement training in self-management and in-home, community, or work integration or reintegration; manual therapy; massage; airway clearance techniques; maintaining and restoring the integumentary system and wound care; physical agent or modality; mechanical or electrotherapeutic modality; patient-related instruction; the use of apparatus and equipment in the application of such treatment, prevention, or rehabilitation; the performance of tests of neuromuscular functions as an aid to the diagnosis or treatment of any human condition; or the performance of electromyography as an aid to the diagnosis of any human condition only upon compliance with the criteria set forth by the Board of Medicine 

acute care

the stage of illness or injury characterized by actual or reasonable potential for a rapid change in medical status that would affect the physical therapy plan of care

consultation

the offering of information aimed at the resolution of perceived problem

direction

the physical therapist's authorization and empowerment of a physical therapist assistant or unlicensed personnel, as authorized by Rule 64B17-6.007, F.A.C., to carry out actions requiring licensure under Chapter 486, F.S.

assessment

observational, verbal, or manual determinations of the function of the musculoskeletal or neuromuscular system relative to physical therapy, including, but not limited to, range of motion of a joint, motor power, postural attitudes, biomechanical function, locomotion, or functional abilities, for the purpose of making recommendations for treatment

program plan

the establishment of objectives (goals) and specific remediation techniques

unlicensed personnel

any individual, working or volunteering in a physical therapy setting, not holding a current license as a physical therapist or physical therapist assistant

what is the primary concern of the physical therapist and physical therapist assistant?

always the safety, well being, and best interest of the patient who must therefore recognize and carry out services consistent with legal rights and personal dignity of the patient

the primary concerns of the physical therapist and physical therapist assistant is always the ___, ___, and ___ of the patient who must therefore recognize and carry out services consistent with the ___ and ___ of the patient

safety, well being, best interest, legal rights, personal dignity

it is the responsibility of the physical therapist and physical therapist assistant to ___ effectively to the patient the treatment evaluation process and techniques to be used in any procedures before beginning treatment and anytime during the course of the treatment process

communicate

it is the responsibility of the physical therapist and physical therapist assistant to ___ of information and require written consent from the patient or legally authorized representative prior to releasing information to a third party not involved in the actual care

safeguard the confidentiality

it is the responsibility of the physical therapist and physical therapist assistant to avoid acts which blatantly disregard a patient's ___ and neither suggest or engage in ___ with patients

modesty, sexual activities

it is the responsibility of the physical therapist and physical therapist assistant to neither use or participate in the use of any form of communication ___

containing false, fraudulent, misleading, deceptive, unfair or sensational statement or claim, nor use bribery in any form, nor use false advertising, nor misrepresentation of services or self, nor engage in other unprofessional conduct

what are some examples of containing false, fraudulent, misleading, deceptive, unfair or sensational statement or claim, nor use bribery in any form, nor use false advertising, nor misrepresentation of services or self, nor engage in other unprofessional conduct?

inaccurately recorded, falsified, or altered patient records, falsely representing or misrepresenting facts on an application for employment, impersonating or acting as a proxy for an applicant in any examination for certification or registration, impersonating another certified or registered practitioner or permitting another to use his or her license for the purpose of practicing physical therapy or receiving compensation, providing false or incorrect information regarding the status of licensure

it is the responsibility of the physical therapist and physical therapist assistant to ___ the patient for the financial gain of the licensee or a third party

not exploit

it is the responsibility of the physical therapist and physical therapist assistant to practice physical therapy with that level of care, skill, and treatment ___

which is recognized by a reasonably prudent similar physical therapy practitioner as being acceptable under similar conditions and circumstances

how many primary physical therapist responsibilities

7

what are the 7 primary physical therapist responsibilities?

• be professionally responsible for providing a referring practitioner, or a practitioner of record, with any information which will assist in the determination of an accurate medical diagnosis

• not implement any plan of care that, in the physical therapist's judgment, is contraindicated. if the plan of care was requested by a referring practitioner, the physical therapist shall immediately notify the referring practitioner that he is not going to follow the request and the reasons for such refusal

• not direct any function or task which requires the skill, knowledge, and judgment of the physical therapist

• assume the responsibility for assessing the patient, identifying the level of acuity of illness, planning the patient's treatment program, and implementing and directing the program

• hold primary responsibility for physical therapy care rendered under the therapist's direction and shall be available for consultation at all times

• physical therapist's professional responsibilities include, but are not limited to interpretation of the practitioner's referral, provision of the initial physical therapy assessment of the patient, initial identification and documentation of precautions, special problems, contraindications, development of a treatment plan including the long and short term goals, implementation of or directing implementation of the treatment plan, direction of appropriate tasks, reassessment of the patient in reference to goals and, when necessary, modification of the treatment plan

• keep written medical records justifying the course of treatment of the patient, including, but not limited to, initial physical therapy assessment, plan of treatment, treatment notes, progress notes, examination results, test results, and discharge summary.

physical therapists shall be professionally responsible for providing a referring practitioner, or a practitioner of record, with any ___

information which will assist in the determination of an accurate medical diagnosis

physical therapists shall ___ implement any plan of care that in theit judgement is contraindicated

not

what should a physical therapist do if they believe the plan of care is contraindicated?

immediately notify the referring practitioner that he is not going to follow the request and the reasons for such refusal

physical therapists shall not direct any function or task which requires the ___, ___, and ___ of the physical therapist

skill, knowledge, judgement

physical therapists shall assume responsibility for ___ the patient, identifying the level of ___ of illness, planning the patient's ___, and ___ the program

assessing, acuity, treatment program, implementing and directing

physical therapists shall hold ___ responsibility for physical therapy care rendering under their direction and shall be available for consultation ___

primary, at all times

what are the physical therapist's professional responsibilities?

interpretation of the practitioner's referral, provision of the initial physical therapy assessment of the patient, initial identification and documentation of precautions, special problems, contraindications, development of a treatment plan including the long and short term goals, implementation of or directing implementation of the treatment plan, direction of appropriate tasks, reassessment of the patient in reference to goals and, when necessary, modification of the treatment plan

physical therapists should keep ___ justifying the course of treatment of the patient

medical records

can unlicensed personnel be used to assist in the delivery of patient care treatment?

yes, with direct supervision

unlicensed personnel may be utilized to assist in the delivery of patient care treatment by the physical therapist, with ___ supervision by the physical therapist or the physical therapist assistant

direct

it is the ___ of the physical therapist to consider the task delegated, select the appropriately trained personnel to perform the task, communicate the task or activity desired of the unlicensed personnel, verify the understanding by the unlicensed personnel chosen for the task or activity, and establish procedures for the monitoring of the tasks or activities delegated.

sole responsibility

it is the sole responsibility of the physical therapist to ___ the task delegated, ___ the appropriately trained personnel to perform the task, ___ the task or activity desired of the unlicensed personnel, ___ by the unlicensed personnel chosen for the task or activity, and establish procedures for the ___ of the tasks or activities delegated

consider, select, communicate, verify the understanding, monitoring

the physical therapist shall retain ___ for the patient's physical therapy treatment

ultimate responsibility

any delegation of treatment to supportive personnel shall be done with consideration of the ___, ___, and ___ of the support personnel

education, training, experience

it is the ___ of the physical therapist to assume competency in delegated skills

responsibility

the ___ is responsible for the evaluation and reevaluation of the patient's condition as may be necessary throughout the course of treatment to assure for appropriate treatment and any necessary revision of treatment

physical therapist

there are ___ tasks which physical therapists may not delegate

3

what are the 3 tasks which physical therapists may not delegate?

1. those activities that require the special knowledge, judgment, and skills of the physical therapist

2. those activities that require the special knowledge, judgment, and skills of the physical therapist assistant,

3. and patient progress notes

what are some activities that require the special knowledge, judgement, and skills of the physical therapist?

the initial evaluation or any subsequent reevaluation of the patient, interpretations of the initial evaluation or subsequent reevaluation, establishment or revision of the physical therapy goals, development or alteration of the plan of care, evaluation and interpretation of the progress of the patient in relationship to the plan of care.

what are some activities that require the special knowledge, judgement, and skills of the physical therapist assistant?

subsequent reassessments of the patient, assessment of the progress of the patient in relationship to the plan of care

patient progress notes ___ be delegated

may not

unlicensed personal ___ document tasks and activities of patients during their treatment

may

a physical therapist may only delegate tasks for which they are ___ or ___ to perform

legally entitled, qualified

a physical therapist may only supervise tasks or activities for which the licensee is ___ or ___ to perform

qualified, legally entitled

the number of unlicensed personnel participating in patient care tasks or activities, at any one given time shall be determined by the ___

physical therapist

a physical therapist ___ implement a plan of treatment developed by the physical therapist for a patient or provided for a patient by a practitioner of record or by an advanced registered nurse practitioner licensed

may

the physical therapist ___ refer the patient to or consult with a practitioner of record if the patient's condition is found outside the scope of physical therapy

shall

the physical therapist shall refer the patient to or consult with a practitioner of record if the ___

patient's condition is found outside the scope of physical therapy

can patient's see physical therapists without a referral?

yes for 30 days

if physical therapy treatment for a patient is required beyond ___ for a condition not previously assessed by a practitioner of record, the physical therapist shall have a practitioner of record reviews and sign the plan

30 days

if physical therapy treatment for a patient is required beyond 30 days for a condition not previously assessed by a practitioner of record, the physical therapist shall ___

have a practitioner of record reviews and sign the plan

the requirement that a physical therapist have a record review and sign a plan of treatment ___ when a patient has been physically examined by a physician licensed in another state, the patient has been diagnosed by the physician as having a condition for which physical therapy is required, and the physical therapist is treating the condition

does not apply

the requirement that a physical therapist have a record review and sign a plan of treatment does not apply when a patient has been ___, the patient has been diagnosed by a physician as having a condition for which ___, and the physical therapist is ___

physically examined by a physician licensed in another state, physical therapy is required, treating the condition

how many requirements to receive a temporary permit

5

what are the 5 requirements to receive a temporary permit?

• complete an application for a temporary permit on a form approved by the department,

• is a graduate from a provided united state physical therapy education program,

• submits an application for licensure,

• demonstrates proof of possessing malpractice insurance,

• submits documentation verifying that the applicant will practice under the direct supervision of a physical therapist

to receive a temporary permit, one must complete an application for a , be a graduate from a _, submits an application for ___, demonstrates proof of possessing ___, and submits documentation verifying that the applicant will practice under ___ supervision of a licensed physical therapist

temporary permit, approved US physical therapy education program, licensure, malpractice insurance, direct

a temporary permit ___ renewable

is not

a temporary permit is valid until a ___ is granted by the board

license

a temporary permit is void if what?

permittee does not pass a national examination within 6 months after the date of graduation

a temporary permit is void if the permittee does not pass a national examination within ___ after the date of graduation

6 months

an applicant for a temporary permit may not work as a physical therapist until ___

temporary permit is issued

a physical therapist who is practicing under a temporary permit must do so under the ___ supervision of a licensed physical therapist

direct

a supervising physical therapist for a temporary permittee shall supervise ___ at any given time

only 1

supervising physical therapists for temporary permittees must be licensed for at least ___ before the supervision period begins

6 months

supervising physical therapists for temporary permittees must ___ produced by the permittee

cosign all patient records

each applicant for licensure must pay an application fee payable to the ___

department of health