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Physical Therapy Regulations and Responsibilities, Exams of Nursing

A comprehensive overview of the practice of physical therapy, including the definition of physical therapy, the roles and responsibilities of physical therapists and physical therapy assistants, the powers and duties of the physical therapy board in california, the requirements for obtaining and maintaining a physical therapy license, the regulations around patient referrals and kickbacks, and the reporting requirements for suspected abuse. A wide range of topics related to the legal and ethical aspects of physical therapy practice, making it a valuable resource for physical therapy students, practitioners, and educators.

Typology: Exams

2024/2025

Available from 10/20/2024

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Download Physical Therapy Regulations and Responsibilities and more Exams Nursing in PDF only on Docsity! California Jurisprudence Exam: Study Guide questions with best solutions 2024 update. Define Physical Therapy - Answer The practice of PT includes the promotion and maintenance of physical fitness through the use of physical therapy intervention in order to enhance the bodily movement as related to the health and wellness of individuals Define PTOR - Answer Physical therapist that completed the initial evaluation -The Pt can be transferred to another PT, but it must be in WRITING What is another name for PT and PTA - Answer Physical therapist = "Physiotherapy" Physical therapy aide = "Physical therapy technician" Both are interchangeable What are the powers and duties of the physical therapy board of Ca? - Answer 1. Highest priority is protection of the public 2. Creator and enforcer of the Practice Act 3. Issue, suspend, revoke, and discipline PT licensees within state of Ca 4. Publishing newsletter denoting actions taken by the board 5.Board shall hear all matters 6.Appoint individuals to proctor examinations, those appointed CANNOT be a board member Do the PTBC have the authority to inspect PT facilities and Pt records - Answer - Yes, they can obtain Pt records as long as they get written or verbal consent -If the Pt's written authorization has been provided, the release of records shall be given within 15 days or a penalty of $1,000 will occur for every day starting on the 16th day What is the "Board" made up of? - Answer 1 Licensed PT involved with education 2. An applicant is allowed to sit for the NPTE 3 times per application per 12-month period (If they do not pass they have to do a new application and pay the fee) 3. Once you past the NPTE you have 5 years to pay for the initial license or its considered abandoned Where is the Physical Therapy Board of Ca located at? - Answer Sacramento Applicant may be issued a license without written exam, if ALL the following criteria are met - Answer 1. If the PT or PTA is licensed in a state, district, or territory of the U.S. and has met requirements for licensing 2. Has graduated from an accredited program 3. If they filed an application w/ the board What are the Educational standards for a PT and PTA program? - Answer 1. CAPTE approved 2. Clinical experience for PT's 18wks of full time work and PTA 16wks of full time work How much is the Application Fee? - Answer $300.00 Just to clearify PT's have to pay two seperate fees for application and license which is the 300 and 150 PTA's however, both fees are included in one which is the 300 How much is the initial license fee? - Answer $150.00 How much is the Biannual renewal fee? - Answer $300.00 How much is a delinquency fee aka late fee? - Answer $150.00 (50% of renewal fee) How much is a Duplicate wall certificate and renewal receipt? - Answer $50.00 each How much is a endorsement or letter of good standings? - Answer $60.00 What are the Foreign Education Requirements - Answer 1. Full transcript of the professional instruction completed 2. Proficiency in English by the (TOEFL) 3. 9months of clinical service w/ an APTA certified CI at an approved location (if clinical service was done outside of Ca it still counts towards the 9months) 4.Take NPTE if the education meets sufficient standards Are there any other alternatives for foreign students to complete clinical service? - Answer Three months can be waived if a course in law and ethics is completed Three months can also be waived if four CEU's worth of ethics are complete When does your license expire? - Answer Expires at 12a.m. on the last day of the birth month of the licensee during the second year of a two-year term if not renewed -The PTBC will send a notice of renewal 60days prior to expiration Exemption from renewal fee's - Answer If you are active military you will be exempt from paying renewal fee, but are only allowed to practice within the military service -Upon discharge, if you were discharged before the 60day expiration you have to pay the fee. If you were discharged within/after the 60 day expiration you are exempt from the fee. 4. Include everyone that created the course 5. Periodic review of course material 6. A place to provide feedback and complaints 7. Must maintain records of completion for 7yrs 8. Disclosure of products sold what topical medications can a Physical Therapist apply or administer ? - Answer a)Bacteriocidal agents b)Deriding agents c)Topical anesthetic agents d)Anti-inflammatory agents e)Antispasmodic agents f)Adrenocortico-agents What are the parameters of a physical therapist performing tissue penetration? - Answer Upon specified authorization of a physician and surgeon, PT can perform tissue penetration for the purpose of evaluating neuromuscular performance as long as the physician therapist does not develop or make diagnostic or prognostic interpretations of the data obtained. What are the certification hours and exam/reexamination fee for Electroneuromyography and Kinesiological electromyography - Answer Electroneuromyography: certification 400hrs of training under a licensed PT or physician authorized to perform ENM & 200 ENM exams Kinesiological electromyography: certification 200hrs of training under a licensed PT or a physical authorized to perform KENM & 50 KENM exams Exam/reexam is $500, application fee $100, and renewal fee $50 Appropriate abbreviation after being licensed - Answer "Licensed Physical Therapy" LPT "Registered Physical Therapy" RPT Do you have to be a PT to have shares in a PT corporation? - Answer No, you do not need to be a PT to be a shareholder of a corporation. However those who are not PT's can not exceed 49%. In other words PT's should own at least 51% of the shares. Other professionals who can own shares: 1. Medical Dr, including naturopathic physicians and psychologist 2. Acupuncture 3. OTs 4. SPT 5. RNs 6. PAs How are topical medications administered by the PT and are PTs allowed to perscibe medication? - Answer Administered through: direct application, Iontophoresis, or phonophoresis (ultrasound) And NO PTs can not prescribe medications PT to PTA ratio - Answer ONE PT to every TWO PTAs In NO CASE shall the total number of PTAs exceed twice the number of PTs regularly employed at a facility at one time Documentation re PTA students - Answer A PTA can be a CI however all clinical performances occurs under the supervision of a PT 1. Supervision MUST occur on site 2. If at anytime the PT believes the patient has a condition that falls outside of PT scope of practice or the patient is not progressing towards treatment goals the therapist must refer them out 3. Written authorization from the patient needed in order to contact the physician of direct access care How long does the patient have to be treated under the direct access of physical therapy - Answer If within the scope of physical therapy, the PT has 45 calendar days (including weekends) or 12 visits (whatever comes first) for treatment of the patient. A notice stating this information shall be provided for the patient both orally and in writing When are patient referrals considered unlawful - Answer Consider unlawful if the financial interest is equal to or greater than 5% of the whole service provided or $5,000 And if the referral is provided to immediate family such as: Spouse of licensee, children of licensee, parents or licensee or licensee's spouse, and spouses of the licensee children Are there any exceptions regarding a referral - Answer A referral can be given for a good service if there is no alternative provider within 25miles or 40min of Pt's home -The provide some type of written document stating they are getting money back from the facility they are recommending them to -If another facility becomes available, then a referral to this facility shall occur within 6months from the time that the licensee becomes aware of the alternative provider -or the Pt should be made aware about it What happens if the PT is caught writing and receiving kick back from referral? - Answer IT is a MISDEMEANOR with up to 6months imprisonment and/or up to $2500 fine. What happens if your caught providing unnecessary PT services to a Pt? - Answer Repeated excessive prescription of treatment is guilty of a MIDEMEANOR which carries a fine up to $600 and or imprisonment up to 180 days. All licenses are issued and filled by who? - Answer All licenses are issued and filled by the PTBC What happens if you cheat on the NPTE exam - Answer -Cheating is a MISDEMEANOR -The board can disqualify the applicant from taking an exam -Deny the application for licensure or revoke license -Any one involved are liable for the cost of the damages sustained by entities administering the exam not to exceed $10,000 plus litigation fees What happens if you are suspended or convicted of unprofessional conduct? - Answer Disciplinary Action: for unprofessional conduct a license can receive a citation denial, or be on probation as well as suspended (For Not More Than 12 MONTHS) -If guilty of unprofessional conduct, can be liable for the cost of the investigation and prosecution associated with the disciplinary action. Sexual Activity - Answer The patient or client is NOT able to give free, full, or informed consent to any sexual activity. -If a PT provider is charged as a registered sex offender, his/her license will be immediately revoked without potential for reissue Suspension of licensee - Answer -Can be suspended if you do not pay your child support -Automatic suspension of license shall occur for a licensee convicted of fraud related to workers compensation or medi-cal 4. Be publicly reprimanded by the board 5. Have other action taken in relation to discipline as part of an order of probation Who does the PTBC assign to the rehabilitation evaluation committee - Answer 1. Members who have been free from substance abuse for three years prior to appointment on the committee 2. Members serve for a term of 4 years 3. This committee determines if safe return to practice can occur as well as what treatment facilities should be used for the program for practicipants If you agree and attend rehab, does that excuse you from your initial charge? - Answer NO If you were to go to rehab it would be confidential What happens if you work as a PTA without a license or proper licensure? - Answer Any person who holds himself/herself as a PTA without appropriate licensing by the PTBC is guilty of a MISDEMEANOR. This can be with a up to a $1000 fine and/or imprisonment for up to 6 months How long does a citation last on your record? - Answer It will be five years before a citation is wiped from the individuals record. All citations remain until the most recent citation has been present for five years How much are can the administrative fines be and what does the PTBC based them on? - Answer Typically not less than $100 no more than $2500: Amount is based on good/bad faith of cited person, nature/severity of violation, history of similar violations, intent of cooperation with board, attempts of the cited individual to minimize damages from violation Why would the administrated fines increase - Answer May increase up to $5000 if the board determines at least one of the following circumstances apply: 1. involves present/immediate threat to health and safety of another person 2. Multiple violations or willful disregards of the law 3. Violations perpetrated against a senior citizen or disabled person 4. Hx of two or more prior citations for the same or similar violations Disputing citation - Answer -FORMAL meeting to be held within 30days of being notified of the citation -Within 10 days of receipt, cited individuals can ask for an INFORMAL conference with the board's executive officer to discuss charges -If the charges are not excused, than a FORMAL hearing will be held 30days from the INFORMAL conference What can a PT do if they are unable to complete the correction for which they were cited for? - Answer If unable to complete correction within the time line provided, the cited individual may request, in writing, an extension within the time set forth for abatement (AKA removal of a problem) -Failure to comply with an order will result in disciplinary action Define Mandated Reporters - Answer A person who has regular contact with vulnerable individuals is legally required to report when abuse is observed or suspected (All you need to report is reasonable suspicion) -self-harm -injury from firearm -elder abuse -child abuse -spousal abuse What should you do if you suspect abuse? - Answer MUST make an initial report by TELEPHONE IMMEDIATELY or as soon as possible and fax or send/transmit a