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FLORIDA PHYSICAL THERAPY JURISPRUDENCE REAL FULL EXAM |ALL VERIFIED
RATIONALES GRADED A+
Legislative Intent Practice ensures every PT and PTA practicing meet minimum safety requirements The department of health and the board CANNOT set unreasonable standards that would prevent qualified people from entering therapy. They also CANNOT create regulations that unreasonably affect job creation or retention Interchangeable Terms for Physical Therapy Physical Therapy and Physiotherapy Practice of Physical Therapy A plan of care can be developed and implemented by a physical therapist, a practitioner of record, or an advanced registered nurse practitioner Practice of Physical Therapy If the condition is outside the scope of physical therapy the patient is to be referred to the appropriate professional Practice of Physical Therapy (Direct Access)
Patients can be seen for 30 days through direct access for a condition that was not previously assessed by the practitioner of record. After 30 days the practitioner of record must review and sign the POC. Does NOT apply if the patient has been diagnosed by an out of state physician as having a condition that requires physical therapy AND the physical therapist is treating that condition. X-rays and Radium for diagnostic or therapeutic purposes Outside scope of PT Specific Chiropractic Spinal Manipulations NOT allowed to perform, must refer to a licensed chiropractor practitioner if manipulation is required. Definition of a Physical Therapist a person who is licensed and who practices physical therapy in accordance with the provisions established by Florida Definition of a Physical Therapist Assistant A person who is licensed under the provisions of Florida and is able to perform patient- related activities under the direction of the physical therapist
Florida Board of Physical Therapy Fees to change from Active Status to Inactive Status
- Inactive Status Fee
- Delinquency Fee
- Fee to change licensure status The fee to change to Retired status shall not exceed ____ AT THE TIME OF LICENSE RENEWAL. $ (If outside the time of license renewal, this fee plus change in status fee must be paid) INACTIVE may change to ACTIVE at any time so long as:
- At the time of renewal: must pay the active status renewal fee
- At any other time: will only pay the difference between inactive renewal fee and active renewal fee PLUS any reactivation fees If a licensee fails to renew before expiration they become: Delinquent
Failure of a delinquent licensee to become active or inactive before the next renewal cycle (2 years) renders the license: Void.
- Must apply for NEW licensure to obtain active or inactive status Fees applied to a delinquent license
- Additional delinquency fee (not to exceed the renewal fee) Active status applying for a change in status will: incur an additional fee (not to exceed biennial renewal fee) Inactive licensees that have been so for at least 2 consecutive biennial licensure cycles ( years) applying for active status may:
- have to take a portion of the national exam
- special purpose exam to ensure competency and safety
[2 FPT Laws and Rules] [6 home study]
- Documentation showing applicant is in good standing and has practiced in another state for the 4 years (at least 400 hours a year) preceding reactivation IF TRANSFERRING OUT OF STATE
- Proof of passage of the NPTE Definition of Direct Supervision Supervision that is characterized by the physical presence of a licensed physical therapist to be able to direct care. Definition of General Supervision Supervision in which the physical therapist is accessible at all times by two-way communication and available for consultation during treatment and in the same geographic location. Must have a physical therapy license (cannot be suspended or revoked) in order to use the following words implying that they are a physical therapist.
- Physical Therapist
- Physiotherapist
- Physical Therapy
- Physiotherapy
- Registered Physical Therapist
- Licensed Physical Therapist
- PT
- Any other words, letters, abbreviations or insignia indicating they are a physical therapist In order to use the letters "DPT" in association with their name or place of business, what must the person have?
- a Physical Therapy license
- a Doctoral degree A clinician must have a physical therapist assistant license (cannot be suspended or revoked) in order to use the words:
- Physical therapist assistant
- PTA
- Any other words, letters, abbreviations or insignia indicating or implying they are a PTA It is unlawful for any person to practice or attempt to practice physical therapy:
- Without a license or temporary permit
- With a license that is suspended, revoked or void. It is unlawful for any person to obtain, attempt to obtain a temporary or actual license via: fraudulent misrepresentation
A) Practiced in a volunteer capacity for a minimum of 350 hours per year that the license was inactive B) Taken and passed the licensing examination C) Taught a continuing education course that spanned a duration of 8 hours D) Payment of the reactivation fee B) Taken and passed the licensing examination A licensee who is seeking contact hours for continuing education through clinical instruction MUST meet which of the following criteria? A) Practiced full time for a duration of 3 months B) Be credentialed with the APTA C) Taken and passed the Florida Laws and Rules examination within 2 months of accepting students D) Served as a supervising licensee to an applicant who is working under a temporary permit prior to clinical instruction B) Be credentialed with the APTA Definition of Physical therapy assessment
is observational, verbal or manual determination of the functioning of the neuromuscular or musculoskeletal system relating to physical therapy. What components may be included in a physical therapy assessment? ROM, Motor power, posture, biomechanical function, locomotion and functional abilities Definition of Acute Care stage of illness or injury characterized by the potential for rapid change in medical status that could affect physical therapy. Definition of Direct Supervision Immediate physical ability from the licensed supervisor. Subordinate personnel are performing directed actions. Definition of General Supervision Physical therapist is to be accessible at all times by two-way communication, able to respond during the session and in the same geographic location. Definition of Unlicensed Personnel Anyone working or volunteering in a physical therapy setting without a current license as a physical therapist or physical therapist assistant.
- Assume responsibility for evaluating and assessing the patient
- Hold Primary Responsibility for physical therapy care that is rendered under the therapist's direction
- Ensure direct supervision of students is provided
- Keep written medical records to justify treatment provided The Physical Therapist will be held to the following professional responsibilities:
- Interpret physician referal
- Assessment of the patient
- Identification of precautions, special problems and contraindications
- Direction of appropriate tasks for assistants and unlicensed personnel
- Development / alteration of a patient's treatment plan and goals Physical Therapist Assistants shall:
- Not initiate or change treatment without assessment and approval of the physical therapist
- Treat a patient who is an inpatient in a hospital or who is in the acute phase of injury / illness under the DIRECT SUPERVISION of a physical therapist
- Not carry out treatment that is detrimental to the patient or for which the assistant is not qualified
- Report all changes in medical status or negative responses to treatment to the physical therapist
- Refer inquiries of patient prognosis to the physical therapist
- Immediately discontinue all treatment which appears to be harmful
- Ensure students receive direct supervision while performing patient care activities Direct supervision of a PTA is required when:
- patient is in the acute phase of injury
- patient is in an inpatient hospital Regarding podiatrists or dentists, what type of supervision is required when an assisting is performing patient related activities? Onsite supervision
- Physiology
- Neurology
- Neuro-anatomy
- Neuro-physiology
- Pathological conditions Regarding the Minimum Qualifications to perform Electromyography, how many hours must a clinician complete before qualifying to utilize Electromyography? Complete 200 hours of testing human subject with at least 100 tests upon neurologically involved patients while under DIRECT SUPERVISION of an electromyography certified physical therapist or physician. Regarding the administration of Topical Medications, what requirements must be fulfilled to legally administer?
- Physician prescribed the medication
- Prescription medication used is dispensed by a Florida pharmacist
Unlicensed personnel may assist with patient care under what kind of supervision by a physical therapist or physical therapist assistant? Direct Supervision Regarding an unlicensed personnel's involvement in patient care, who assumes responsibility (liability) for the training and tasks the personnel carries out? Physical Therapist Before an unlicensed personnel member can perform a task related to patient care, what must first occur? Training by the physical therapist The Physical Therapist CANNOT delegate:
- Initial evaluations, reevaluations, and interpretation of data
- Creation or modification of physical therapy goals
- Creating or changing the plan of care
- Evaluating and interpreting a patient's progress with relation to the plan of care. T/F - Unlicensed personnel may document tasks, activities and / or interventions of a patient during treatment.
Regarding deceased / dead Physical Therapists or Physical Therapist Assistants, within 1 month from the date of death of the licensee, the executor, administrator, personal representative or survivor shall: publish in the newspaper of greatest circulation in the county where the licensee practiced a notice to the clients / patients of the deceased licensee. (This notice must include how they can obtain their medical records). Regarding deceased / dead Physical Therapists or Physical Therapist Assistants, after 22 months following the death of the licensee, a notice must be published once a week for 4 consecutive weeks in the greatest circulating newspaper describing: patients / clients of the deceased licensee records will be disposed or destroyed 1 month or later from the last day the 4th week publication. Regarding deceased / dead Physical Therapists or Physical Therapist Assistants, disposal of client / patient records shall: be in a manner that will secure permanent confidentiality Regarding Costs of Duplicating medical records, documents or reports shall not be more than:
- $1 first 25 pages
- $0.25 each page over 25 pages
- Reasonable costs of reproducing X-rays and other kinds of similar records shall be the actual costs.
Regarding Costs of Duplicating Medical Records, the term "Actual Costs" means: the cost of the material and supplies needed, the labor and overhead costs A practitioner regulated through the Medical Quality Assurance department shall NOT be civilly or criminally liable for disclosure of confidential information to a sexual or needle- sharing partner under which circumstances?
- If the patient who has tested positive for HIV has disclosed the identity of a sexual partner or needle-sharing partner to the practitioner
- The practitioner recommends the patient notify the partner of the positive test and refrain from engaging in sexual or drug activity and the patient refuses and the practitioner informs the patient of their intent to inform the partner of the patient
- The practitioner under ethical guidelines of the profession reasonably and in good faith advises the sexual partner or needle-sharing partner of the patient of the positive test and facts concerning transmission of the virus. Any notification of a partner shall be done according to the rule of the Department of Health T/F - A practitioner regulated through the Division of Medical Quality Assurance of the department shall NOT be held liable for failure to disclose information relating to a positive result for HIV of a patient to a sexual or needle-sharing partner of the patient. TRUE Definition of Consultant
