My Guided tour through the Texas Physical Therapy Practice Act and Rules and Occupational Therapy Examiners exam questions and answers

What are the four (4) requirements of all applicants who completed their training in the USA for licensure by examination? 329.1 application with color photograph Application fees Jurisprudence exam passing score Documentation of academic qualifications - transcript and letter of completion from Program Director How much will it cost to get your PTA license by examination including your temporary license? 651.2 $125 + $60 = $185 To obtain your temporary license, what else must you submit in addition to the items in #1, how long is it good for, and how do the supervisory requirements differ? 329.3 (a) (1) temporary license and supervisor affidavits and temporary license fee ($60) 329.3 (a) (3) till receives scores on NPTE or 3 months whichever comes first 329.3 (c) on-site supervision by PT with permanent license You complete the requirements to take your licensure exam. Unfortunately, the test kicks your butt (which I know won't happen) and you do not pass. What do you have to do to retake the exam and how does this effect your temporary license? 329.2 (b) register and pay to take the exam again $25 exam fee + NPTE fees 329.3 (4) void and must be returned to the board What is the maximum number of times someone can take the National Physical Therapy Exam? What happens if a student scores less than a score of 400 points on the PTA NPTE twice? 329.2 (b)(2) Six; Ineligible to test again A P.T. who took their licensing exam the same time you took your PTA exam fails the PT exam. This person decides to sign up to take the PTA exam. Is this allowable? YES Yea!!! You pass your exam are now licensed to practice as a Physical Therapist Assistant in the state of Texas. What title and initials can you now use? 335.1 physical therapist assistant/ PTA Name one (1) thing which must be displayed in your principle place of practice. 337.1 original license In interviewing for your job as a PTA, you ask about the status of the registration of that facility with the Board. Why is it important whether or not that facility that you plan to work in is registered or exempt from registration? 347.2 can practice only in registered facilities or those that are exempt Which types of physical therapy facilities are exempt from registration? 347.6 hospitals, nursing homes, ambulatory surgery centers, birthing centers, abortion clinics, continue care, personal care, special care facilties, college/schools, home health settings You are now ready to work as a licensed PTA. Under the guidelines, a PTA may provide physical therapy services only under the supervision of a licensed physical therapist What are the supervision requirements of a licensed PTA 322.3 (b) supervising PT on-call and readily available Documented conferences with PT Identify the five (5) main categories of duties appropriate for a PTA? 322.2 (b) (2) screen patients Provide PT services - prep pts/treatment areas/equipment, implement treatment programs, modify treatment techniques Respond to acute changes in physiological state Teach other health care providers, pts, and families to perform selected treatment procedures and functional activities Identify architectural barriers to the supervising PT What are four things a PTA may not do? 322.2 (b)(3) perform definitive evaluative and assessment procedures Alter plan of care (POC)/goals Recommend wheelchair, orthoses, prostheses, other AD, or alterations to architectural barriers Sign progress notes which design or modify the POC What item must a PTA's progress note include that is addition to the minimum documentation requirements? What type of progress note must a PTA not sign? 322.1 (e)(2) name of supervising PT 322.2 (b) (3) design or modify the POC What is the relationship between a PTA and the plan of care? 322.1 (c) can't provide treatment until POC is established Can modify treatment techniques as indicated in the POC How often must you interact with the patient and what should this interaction include? 322.1 (c)(6) during each treatment session In your facility, there is a physical therapy aide. What are the supervisory requirements for a PT aide? 322.3 (c) PT/PTA responsible Onsite supervision - reasonable proximity What are the three (3) things a PT aide may not do? 322.2 (c)(3) perform evaluation/assessment activities Initiate PT treatment including exercise instruction Write or sign PT documents in the permanent record except as quantitative data What is the guideline regarding PT aides and documentation? 322.1 (e)(3) quantitative data for delegated tasks Your supervising physical therapist asks you to do some screenings for possible referral. Is this within your legal guidelines and, if so, what are the guidelines? 322.1 (b)(2) yes - collect information using predetermined standardized format to the supervising PT to determine further intervention needs You work in a facility that receives referral from a number of sources. Identify six (6) possible qualified referral sources? 322.1 (a)(1) physicians, dentists, chiropractors, podiatrists, physician assistants, and advanced nurse practitioners Texas has a modified "Direct Access" aspect in that some patients may be seen directly in physical therapy without a physician's referral. What are the four (4) exceptions to this referral requirement? Also, give four (4) specific examples of when prior referral can be an exception. 322.1 (a)(2) Evaluate without referral Instructions to asymptomatic person for health, wellness, fitness Emergency circumstances Prior referrals: --notify original referral source within 5 days by phone or letter --20 treatments or 30 days max then must confer with referral source before other treatments --prior referral for the same thing within 1 year previously --the PT providing treatment must have at least 1 year of experience You have been working with a patient who is reaching their goals and nearing discharge status. Can you as a PTA discharge a patient? What is your role in writing discharge summaries? 322.1 (e)(4) no; subjective and objective information to the supervising PT How often must you renew your license? (a) every 2 years b. What are the requirements for renewal? How much does it cost? (c) renewal application documenting board-approved continuing competence activities, passing score on jurisprudence exam; $184 renewal fee How many continuing competence units are required? What must be included in the total continuing competence requirement? 341.2 (c) 20 CCUs; (f) jurisprudence assessment module (legal and ethical) Name six (6) broad categories of approved continuing competence activities with examples of each. 341.3 Continuing education courses College/university courses pertinent to physical therapy Scholarship - publications, manuscript review, grant proposal submission/review for researc