Use of physical agents (week 14)

Correct Utilization

Only use modalities that are within the plan of care developed by the PTA

Only use modalities that you are qualified and trained to perform

Carefully check for precautions and contraindications

Do not overuse modalities.

If they aren’t improving, don’t keep using it. Initiate discussion with the PT.

Physical agents should not be used by themselves*

Stay current on practice standards

Does current research support the modality/ parameters you are utilizing?

Sources of current information:

• Research articles

• Continuing education courses

• Conferences

Document

Perform timely, accurate documentation that includes parameters, patient response and communication with the PT.

Informed consent

 Make sure you obtain informed consent.  May need to document informed consent in certain situations.

Effectively communicate with patient

Ensure there are no barriers to communication

• Education level (vocabulary, reading)

• Language

• Cultural

• Avoid medical terminology

Perform Safety check on equipment

Calibration

Fraying of wires

Electrical surges

Knots, hooks

Waiving deductibles and copays

These decisions are typically made by physical therapist and clinic managers, but PTAs should understand there are legal implications to waiving copays and deductibles.

how to reduce risk

Correct Utilization

Stay current on practice standards

Document

Informed consent

Effectively communicate with patient

Perform Safety check on equipment

Waiving deductibles and copays