Exam 1 - Texas PT Rules
A/an _____ is a dynamic process in which the PT makes clinical judgments based on data
gathered. - Answer evaluation
A/an _____ is a comprehensive screening and specific testing process leading to a diagnostic
classification or referral. - Answer examination
A _____ is an open-book MC, T/F assessment with questions from the PT Act and Board Rules.
- Answer jurisprudence exam
A _____ is an adjudicative proceeding concerning the issuance, denial, etc. of a license. -
Answer hearing
What does "on-site" mean? - Answer PT or PTA is on the premises and readily available to
respond.
Supervision of PTAs - Answer PT must be on call and readily available when services are
being provided; have to hold documented conferences with the PTA
Supervision of PT aides - Answer PT or PTA must provide on-site supervision of the PT aide
and remain within reasonable proximity during the aide's interaction with the patient
What are the exceptions to the referral requirement in Texas? - Answer Can evaluate (no dx or
treatment), asymptomatic people (wellness, fitness, health), emergency circumstances, prior
referrals
What can PTs do with a patient with whom they had a prior referral? - Answer Have to notify
the referral HCP within 5 days by phone or letter or fax, can't treat more than 20 times or 30
consecutive calendar days, referral must be less than 1 year, and PT has to be licensed for > 1
year
If a PT receives a referral by phone, what has to be done? - Answer Must be received,
recorded, and signed by the PT, PTA, or other authorized personnel; must include all information
that would appear on a written referral
Can PTAs do the screening? - Answer They can collect the data but the PT decides if a referral
is needed or make recommendations
T/F: The treatment cannot be initiated until the POC has been established. - Answer True
T/F: The PTA can begin treatment before the POC has been written. - Answer False - no
delegation until POC is WRITTEN
, Who can change the POC/goals? - Answer ONLY the PT
T/F: The PTA may be able to modify treatment techniques if indicated in the POC. - Answer
True
How often does a re-eval have to be done? - Answer Every 60 days after treatment is initiated,
in response to a change in medical status, prior to any planned D/C, or when a change in the
POC is needed
What does a change in medical status mean? - Answer Acute exacerbation, major
improvements, new dx, change in current status
What are the elements of the re-eval? - Answer Direct PT-to-patient interaction and a review of
the POC
What must be included in the documentation of treatment? - Answer Referral, initial exam/eval,
POC, each treatment session by PT/PTA, re-evals, any conferences with PT and PTA, D/C
summary
T/F: The PTA does not have to include the name of the supervising PT for each treatment
session. - Answer False
What can the aide put in the documentation? - Answer Any quantitative info (reps, sets, etc.)
What is included in a D/C summary? - Answer Response to treatment at time of D/C and a
follow-up plan
Which portions of the initial eval can a PTA do and what does the PT have to do? - Answer
PTA - S, O
PT - A, P
Role of the PTA - Answer Screen the patient, provide PT services as specified in the POC,
prepare patient, treatment area, and equipment, teach other HCPs, patients, and families,
identify architectural barriers and report them to the PT (can do home evals and the PT makes
the recommendations)
What can the PTA NOT do? - Answer Specify and/or perform definitive evaluative and
assessment procedures, alter the POC/goals, recommend W/Cs, orthoses/prostheses, other
ADs, or alterations to architectural barriers, sign progress notes which design/modify the POC
What can the aide NOT do? - Answer Perform any evaluative or assessment activities, initiate
PT treatment including exercise instruction, write/sign PT documents in the permanent record
(except quantitative info)
A/an _____ is a dynamic process in which the PT makes clinical judgments based on data
gathered. - Answer evaluation
A/an _____ is a comprehensive screening and specific testing process leading to a diagnostic
classification or referral. - Answer examination
A _____ is an open-book MC, T/F assessment with questions from the PT Act and Board Rules.
- Answer jurisprudence exam
A _____ is an adjudicative proceeding concerning the issuance, denial, etc. of a license. -
Answer hearing
What does "on-site" mean? - Answer PT or PTA is on the premises and readily available to
respond.
Supervision of PTAs - Answer PT must be on call and readily available when services are
being provided; have to hold documented conferences with the PTA
Supervision of PT aides - Answer PT or PTA must provide on-site supervision of the PT aide
and remain within reasonable proximity during the aide's interaction with the patient
What are the exceptions to the referral requirement in Texas? - Answer Can evaluate (no dx or
treatment), asymptomatic people (wellness, fitness, health), emergency circumstances, prior
referrals
What can PTs do with a patient with whom they had a prior referral? - Answer Have to notify
the referral HCP within 5 days by phone or letter or fax, can't treat more than 20 times or 30
consecutive calendar days, referral must be less than 1 year, and PT has to be licensed for > 1
year
If a PT receives a referral by phone, what has to be done? - Answer Must be received,
recorded, and signed by the PT, PTA, or other authorized personnel; must include all information
that would appear on a written referral
Can PTAs do the screening? - Answer They can collect the data but the PT decides if a referral
is needed or make recommendations
T/F: The treatment cannot be initiated until the POC has been established. - Answer True
T/F: The PTA can begin treatment before the POC has been written. - Answer False - no
delegation until POC is WRITTEN
, Who can change the POC/goals? - Answer ONLY the PT
T/F: The PTA may be able to modify treatment techniques if indicated in the POC. - Answer
True
How often does a re-eval have to be done? - Answer Every 60 days after treatment is initiated,
in response to a change in medical status, prior to any planned D/C, or when a change in the
POC is needed
What does a change in medical status mean? - Answer Acute exacerbation, major
improvements, new dx, change in current status
What are the elements of the re-eval? - Answer Direct PT-to-patient interaction and a review of
the POC
What must be included in the documentation of treatment? - Answer Referral, initial exam/eval,
POC, each treatment session by PT/PTA, re-evals, any conferences with PT and PTA, D/C
summary
T/F: The PTA does not have to include the name of the supervising PT for each treatment
session. - Answer False
What can the aide put in the documentation? - Answer Any quantitative info (reps, sets, etc.)
What is included in a D/C summary? - Answer Response to treatment at time of D/C and a
follow-up plan
Which portions of the initial eval can a PTA do and what does the PT have to do? - Answer
PTA - S, O
PT - A, P
Role of the PTA - Answer Screen the patient, provide PT services as specified in the POC,
prepare patient, treatment area, and equipment, teach other HCPs, patients, and families,
identify architectural barriers and report them to the PT (can do home evals and the PT makes
the recommendations)
What can the PTA NOT do? - Answer Specify and/or perform definitive evaluative and
assessment procedures, alter the POC/goals, recommend W/Cs, orthoses/prostheses, other
ADs, or alterations to architectural barriers, sign progress notes which design/modify the POC
What can the aide NOT do? - Answer Perform any evaluative or assessment activities, initiate
PT treatment including exercise instruction, write/sign PT documents in the permanent record
(except quantitative info)
