22 Tex. Admin. Code § 322.2 - Role Delineation
(a) The role of the
PT.
(1) The PT holds primary responsibility
for physical therapy care rendered under his supervision.
(2) The PT's professional responsibilities
include, but are not limited to:
(A)
Performance and documentation of the initial physical therapy examination and
evaluation of the patient;
(B)
Interpretation of the practitioner's referral;
(C) Development and documentation of a plan
of care;
(D) Implementation of, or
directing implementation of, the plan of care;
(E) Delegation of tasks to appropriate
personnel;
(F) Direction and
supervision of the PTA and physical therapy aide;
(G) Completion and accuracy of the patient's
physical therapy record;
(H)
Performance and documentation of the reexamination and reevaluation of the
patient as described in this section; and when necessary, modification of the
plan of care;
(I) Discharge of a
patient or discontinuation of treatment;
(J) Development of any follow-up plan for the
patient; and
(K) Collaboration with
members of the health care team when appropriate.
(3) The PT shall not implement any plan of
care that, in his judgment, is contraindicated.
(b) The role of the PTA.
(1) A PTA may provide physical therapy
services only under the supervision of a PT (See §
322.3 of this title (relating to
Supervision)).
(2) A PTA may be
assigned responsibilities by a supervising PT to:
(A) screen patients designated by a PT as
possible candidates for physical therapy services (See §
322.1(b) of this
title (relating to Evaluation and screening));
(B) provide physical therapy services as
specified in the physical therapy plan of care (See §
322.1(c) of this
title (relating to Physical therapy plan of care development and
implementation)) which may include but are not limited to:
(i) preparing patients, treatment areas, and
equipment;
(ii) implementing
treatment programs that include therapeutic exercises; gait training and
techniques; ADL training techniques; administration of therapeutic heat and
cold; administration of ultrasound; administration of therapeutic electric
current; administration of ultraviolet; application of traction; performance of
intermittent venous compression; application of external bandages, dressings,
and support; performance of goniometric measurement;
(iii) modifying treatment techniques as
indicated in the plan of care;
(C) respond to acute changes in physiological
state;
(D) teach other health care
providers, patients, and families to perform selected treatment procedures and
functional activities; and
(E)
identify architectural barriers and report them to the PT.
(3) The PTA may not:
(A) specify and/or perform definitive
(decisive, conclusive, final) evaluative and assessment procedures;
(B) alter a plan of care or goals;
(C) recommend wheelchairs, orthoses,
prostheses, other assistive devices, or alterations to architectural barriers
to persons;
(D) sign progress notes
which design or modify the plan of care.
(c) The role of the physical therapy aide.
(1) All rules governing the services provided
by a PTA are further modified for the physical therapy aide.
(2) A physical therapy aide may be assigned
responsibilities by the supervising PT or PTA to provide services as specified
in the physical therapy plan of care within the scope of on-the-job training
with supervision by a PT or PTA who is on the premises and readily available to
respond in person.
(3) A physical
therapy aide may not:
(A) perform any
evaluative or assessment activities;
(B) initiate physical therapy treatment, to
include exercise instruction; or
(C) write or sign physical therapy documents
in the permanent record, except as provided for in §
322.1(e) of this
title (relating to Documentation of treatment).
Notes
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