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This document offers a detailed overview of the california physical therapy practice act, covering board composition, member qualifications, duties, and regulations. it outlines requirements for licensing, including education, examinations, and clinical experience, as well as stipulations for ptas and the consequences of misconduct. the guide also addresses patient record-keeping, continuing education, and the process for license renewal and reinstatement.
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Members of the Board ✔✔1) 1 PT involved in PT education,
3 PTs with 5 years experience,
3 public members who aren't licentiates of the board or any other medical board (CA citizen, not school faculty)
Priority of the Board ✔✔Protection of the public
Terms of Serving on the Board ✔✔1) Appointed 4 years, exp. on June 1
1 public and 4 PT members appt'd by governor
Cannot serve more than 2 consecutive terms
Qualifications of Public Members ✔✔1) Be a citizen of CA.
Shall not be an officer or faculty member of any college in PT education.
Shall not be a licentiate of the Medical Board of CA
Meetings ✔✔3 regular meeting annually, at least one in nor cal and one in so cal
Need 4 members present to make a quorum
Duties of the Members of the Board ✔✔1) May inspect PT facilities
May review patient charts
Can suspend and revoke licenses (notice must be given)
Administer continuing competency, publish yearly newsletter, administer program for PT education
Evaluates applicants and establishes examination process and passing score
How is this Chapter cited? ✔✔This chapter may be cited as the Physical Therapy Practice Act
Public Employees ✔✔PT consultants under contract for the board are considered a public employee and any member of a rehabilitation evaluation committee
Definition of Physical Therapy ✔✔"art and science of physical or corrective rehab of any bodily or mental condition of any person by use of physical, chemical or other properties of heat, light, water, electricity...active, passive and resistive exercise and shall include PT evals, treatment planning, instruction and consultative services"
PT Aide Duties & Regulations ✔✔1) Observation, transport, physical support only during gait training/transfers
what does "patient-related task" mean ✔✔PT service rendered directly to a patient by an aide
what does "non-patient-related task" mean ✔✔Tasks related to observation of patient, transport, physical support only during gait training/transfers, housekeeping, clerical duties.
Who is allowed to use "P.T."and "D.P.T." ✔✔1) Only a licensed PT can use the letters "P.T."
Accrediting Institution ✔✔Western Association of Schools & Colleges
PT Applicant Qualifications ✔✔1) Over 18 years old.
Completed schooling.
Not addicted to drugs/alcohol.
Examinations required before licensing ✔✔1) Laws & regulations to the practice of PT.
Requirements for Reciprocity Applicant ✔✔Requirements for being issued a license without a written examination
Licensed in another state deemed equal/higher than CA
Graduated PT Edu program
Files an app and meets requirements
May need oral exam if issued only a certificate
May perform as a PTLA while waiting for license
Conditions of Graduate Practice as a PTLA ✔✔1) PTLA in effect until regular, renewable license is issued or licensure denied by board or applicant didn't take examination during first available testing period. Good for 120 days
Upon failure, licensee can no longer practice as a PTLA
PTLA is under direct and immediate supervision of PT
Supervising PT must receipt of PTLA status and must update once license is granted
Supervision of PTA ✔✔1) 1 PT: 2PTAs
Board may permit more if adequate supervision available BUT
Onsite & adequate supervision (available by phone)
PTA - Qualifications ✔✔1) Successfully pass examination
Completed schooling.
Not addicted to drugs/alcohol.
No crimes (constituting denial of license).
Requirements for being issued a PTA license without a written examination ✔✔1) Licensed in another state deemed equal/higher than CA
Graduated PTA Edu program
Files an app and meets requirements
Cause for Suspension of License ✔✔Can suspend for 12 months for:
-Wrongful ads, fraud, impersonating a PT, unprofessional conduct
-Negligence, verbal/sexual harassment/abuse
-Habitual intemperance (alcholism)
-Not following infection control guidelines
Length of time license can be suspended ✔✔not more than 12 months
Requirements for issuance of a probationary license to applicants ✔✔A probationary license may be issued to any applicant by the executive officer for a license who is guilty of unprofessional conduct but has met all other requirements pending:
Psychiatric or medical evaluation
Continuing medical or psychiatric treatment
Restriction of the type of practice
Continuing Rehab program
Abstentation from alcohol or drugs
Random fluid testing
Purpose and Disclosure of Public Letter of Reprimand ✔✔1) Used for only minor violations
Petition must include 2 letters from PTs.
Petition not considered while under sentence for criminal offense.
Legislative Intent of Diversion Program ✔✔Board shall seek ways and means to identify & rehabilitate PTs and PTAs whose competency is impaired due to abuse of dangerous drugs or alcohol so that they may be treated & returned to the practice of PT
Composition of Diversion Program Board Members ✔✔-Diversion Evaluation Committee administers program
-Composed of at least 3 members
-Members have previous experience in substance abuse edu
-Board considers appt'ing MD certified in psych or people who have been clean for 3 years w/ history of substance abuse
-Term is not to exceed 4 years
Duties of Diversion Program ✔✔1) Evaluate eligibility of PTs and PTAs
Evaluate those participating in program
Review & designate treatment facilities
Hold a general meeting at least twice a year to evaluate program's progress that are open to the public
Assess the return of participant in diversion program to safely resume PT practice
Violations are a misdemeanor ✔✔Any person who violates any provision of this chapter shall be guilty of a misdemeanor, punishable fine not exceeding $1000 or imprisonment in county jail < months or both
Required Continuing Ed to maintain license ✔✔Required to have 30 hours every 2 years
Reports to Fiscal Administration ✔✔The Board reports within 10 days of each calendar month to state controller:
When does the license expire? When must an expired license be renewed? ✔✔- License shall expire at midnight on the last day of birth month of licensee on the second year since renewal
-Expired license may be renewed within 5 years
Qualification of Directors & Officers of PT Corporation ✔✔Each shareholder/director/officer should be licensed PT (except assistant treasury and secretary)
Income of PT Corporation for disqualified shareholders ✔✔Shareholder rendered disqualified - does not get profit
Regulations of PT Corporation ✔✔Corp regulations should include bylaws of stock and adequate insurance coverage
Stocks held by disqualified or decreased persons shall be sold
Notice of Address/Name Change required within: ✔✔1) Each licensee must report any change in residence/name/email address to the Board no later than 30 days after change has occurred.
Information documented in Patient Records (by PT) ✔✔PT shall document & sign the following information:
Exam & Eval & Re-eval/exam
Diagnosis/Prognosis
Interventions
Treatment plan & modification of POC
Name and title of who provided treatment (patient-related tasks only)
D/C summary
Date & nature of service provided
Information documented in Patient Records (by PTA) ✔✔Any treatment provided by that PTA
Identification Name Tag needed for PT Aide, Intern, & Applicant ✔✔All PT aides/apps/students must wear name tag with 18 point font with name and working title
Identification & Supervision of Students & Interns ✔✔1) Students shall only be identified as physical therapist student/intern
Must wear identification tag
CI must provide ON SITE supervision
CI shall countersign all entries in the patient's record on the same day as patient related tasks were provided by the student
Time given to pass NPTE before license application is denied ✔✔1 year.
Processing time for foreign applications ✔✔1) Shall inform applicant of complete application within 30 days
Inform applicant about completion of examination requirements within 150 days
Minimum processing time ~ 95 days
Medial processing time ~ 400 days
Maximum processing time ~ 550 days
Or 45 days from receiving all exam scores and fulfilling deficiencies
Processing time for PTA Applications ✔✔1) Shall inform applicant of complete application within 30 days
Inform applicant about completion of examination requirements within 60 days
Minimum processing time ~ 67 days
Medial processing time ~ 127 days
Maximum processing time ~ 166 days
Or 45 days from receiving all exam scores
Supervision required for PTA ✔✔1) PT must provide "adequate supervision" including ability to communicate in person/on phone at all times
PT will periodically provide observation of pt care
PT will evaluate, treatment/goals and reveal
POC communicated verbally/in writing to PTA before PTA treats patient
PT will hold weekly conferences with students and license applicants
Duties of PTA ✔✔1) Notify the PT of record.
Document in patient record any change in patient's condition not within planned progress
Document any change in patient's general condition
Document date, service, name & title
When is Co-signature of PTA documentation needed ✔✔within 7 days.
Within 7 days of PTA care, PT shall review, cosign and date all documentation by PTA and conduct weekly case conference and document in record
Within 7 days of D/C, PT documents patient discharge along with signature and patient's response to treatment
Education considered 'equivalent training' for PTA ✔✔Education Equivalents for PTA's:
Supervisor will conduct a weekly case conference
Substantial Relationship Criteria for denial, suspension, or revocation of a license ✔✔Denial, suspension, or revocation of a license shall be considered if the person commits a crime that is substantially related to:
Conspiring to violate any term of the Physical Therapy Practice Act.
Fiscal dishonesty
Violating any term of the Medical Practice Act
Presents as unfit to provided services of PT in a manner consistent with public health, safety, and wellness
Rehabilitation Criteria for Denial & Reinstatement of Licensure ✔✔When considering the DENIAL OF A LICENSE, criteria for evaluating the rehabilitation of the applicant and his/her present eligibility for a license are:
Nature & severity of the crime
Evidence of any act/crime committed after initial offense
Time that has elapsed since offense
Extent to which the applicant has complied with any terms of parole, probation, restitution
Rehabilitation Criteria for Suspensions or Revocations of Licensure ✔✔When considering the SUSPENSION/REVOCATION OF A LICENSE, criteria for evaluating the rehabilitation of the applicant and his/her present eligibility for a license are:
Nature & severity of the act
Total criminal record
Time that has elapsed since offense
Extent to which the applicant has complied with any terms of parole, probation, restitution
Evidence of any rehabilitation submitted by the licensee
Required Actions against Sex Offenders ✔✔If an individual is required to register as a sex offender, the proposed decision is to:
Revoke the individual's license
Not reinstate or reissue the individual's license
Does not apply to people who relieved of duty to register or if required to register solely due to a misdemeanor
Provisions considered Unprofessional Conduct ✔✔The following provisions are considered "unprofessional conduct":