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| Pregunta | Respuesta |
| How many days does a PT have to respond to request for medical information after a patient requests? | 30 - 60. |
| What is IDEA short for? | Individuals with Disabilities Education Act |
| T/F: If a child had disabilities, PT acts as a consultant to the IEPs (individualized education plans) to guide and meet the physical, mental and emotional health of the child. | F. PT is part of the IEP team, not a consultant! |
| How long is a typical PTA degree program? | 2-year. |
| Can a PTA interpret exam results? | No. not within scope of practice. |
| Can PTAs perform exams and gather patient information? | Yes. |
| If proven competent, the PTA can change treatment program for the best interest of the patient. | NO. PTAs cannot alter treatment plans. |
| Can the PTA adjust a specific procedure due to changes in patient's status? | Yes. (providing modification if the prescribed exercise is too hard). |
| T/F: When a patient asked about their prognosis, the PTA can check the documentation and tell them about it. | False. It is the PT's responsibility to inform the patient about prognosis. |
| T/F: The PT must be on site when PTA is working with a patient. | F. Not necessary. |
| What type of communication must be available if the PTA is seeing the patient by themselves? | Telecommunication. |
| Frequency of supervisory visits if a patient primarily works with PTA? | once a month. Can be more frequent. |
| Can PT aides provide hands-on treatments? | No. |
| Can PT aides provide ambulation training, routine exercises, hot/cold packs? | Yes in some states. |
| Can PTA supervise PT aide? | Yes. |
| T/F: If you are supervising a PT student, it is the CI's responsibility if the student makes a mistake. | False. Each person is responsible for their own actions. |
| Three requirements for negligence to occur: | 1. there was duty 2. there was breach of duty 3. injury |
| Is malpractice a type of professional negligence? | Yes. |
| Under which circumstances do the supervisor or the superior assume liability? | If they contributed to negligence (fauty supervision, inappropriate training, improper delegation of responsibilities). |
| Can a patient contribute to negligence? | Yes if they do not follow instructions properly. |
| Who assumes liability if the patient is harmed as a result of environmental problem? | the institution |
| Who assumes liability if the PT is not licensed or is incompetent? | The institution |
| Can a facility be sued if the PT is incompetent? | yes. |
| A patient walks in with smell of alcohol and is unable to follow PT directions. What should the PT do? | Defer care because they may not be able to perform the activities safely. |
| If the local government fails to provide funding for the healthcare of elderlies >65 y.o., which act are they violating? | Title XVIII of the Social Security Act |
| If a patient is <65, but has long-term diabilities and require dialysis, do they need to pay for it themselves? | No. Medicare should cover it regardless of age. |
| Which organization regulate Medicare and Medicaid programs? | CMS (center for medicaid services) |
| Which organization set standards and rules for employee safety? | OSHA (Occupational Safety and Health Administration) |
| Which organization helps with voluntary accreditation of facilities? | TJC (the joint commission) CARF (Commission on Accreditation of Rehabilitation Facilities) |
| T/F: The accrediation process only involves the clinical director. | F. Involves all imployees. |
| Who does the Medicare program cover? | 1. > 65 years 2. Disabled 3. End-stage renal disease |
| If the policy is mostly related to making healthcare affordable, it is most likely related to the _______. | Affordable Care Act. |
| What is the terminology for one-sided termination of services by a healthcare provider without patient consent or agreement? | Abandonment |
| To be eligible to home health, ______ certification is required. Patient must be predominately _______ (at least ________ or _______ are needed). And the patient has a potential to _______. | To be eligible to home health, [physician] certification is required. Patient must be predominately [confined at home] (at least [part-time nursing] or [therapy services] are needed). And the patient has the potential to [make progress]. |
| Medicare eligible patients receiving home health must be re-certified in ____ days. | 30 days. |
| If the patient cannot get to the bathroom in time or safely, what should you recommend? | Bedside Commode. |
| What should you recommend if the patient is able to get inside the bathroom but has difficulty performing some ADLs? | Raised toilet, grab bars, shower chair |
| Who makes the final call about which assistive device to use? | the patient. |
| Under which of the following situations should you terminate PT at home setting? 1. patient is not compliant with medications or is having some side effects. 2. Patient seems to be deteriorating 3. you suspect substance abuse | NONE of them. You should continue PT and talk to physician. |
| What is the goal that allows PT treatment to be performed in school? | If it is to improve the child's functioning in the school setting. |
| You just opened a PT clinic but you have not received your provider number yet. Can you tell your patient you take their insurance? | NO. Must have provider number to take insurance. |
| T/F: PT service is optional in a hospice care setting. | T. |
| According to Medicare and Medical, ___% of hospice care is provided at home. | 80% |
| To be qualified for reimbursement for hospice care, the physician must provide a letter to certify ______, which means ____ of life. | Letter to certify terminal illness. <6 months of life |
| Which facility provides services for 60 days or longer? | Long-term care facility |
| You are working in a SNF and making D/C decision for a patient who is permanently disabled due to a nonreversible illness. His family members are unable to take care of him. Where should you recommend to DC? | Long-term care facilities |
| A hospital that coordinates medical, social, rehab, education and vocational services for patients to maximize their functionality when returning to life is likely a ________. | Rehab hospital. |
| To qualify as a SNF, nursing must be provided __ days/week and rehab must be provided ___ days/week. Patient must NOT be ______. | nursing: 7 days/week rehab: 5 days/week Patient cannot be critically ill. |
| T/F: Nursing must be 24/7 at a SNF. | T. Also must have PT, OT and ST available. |
| Medicare requires orders of SNF coverage provided every __ days. | 60 |
| Time of D/C in an acute-care setting. | <30 days. |
| Order for putting on protective garments: | 1. hat 2. shoe covering 3. masks 4. goggles 5. visor 6. face shield 7. gloves |
| Ways to isolate patient with Tuberculosis or measles: | 1. special masks 2. isolate patient in negative pressure environments |
| Droplet precaution: | regular mask (no need for special ventilation) |
| Contact precaution diseases: | HIV, hepatitis B |
| Protocol for contact precautions | 1. gloves 2. frequent hand washing |
| What is the most effective way to disinfect areas of body fluid contamination? | Bleach. |
| T/F: You have to double-glove to treat a patient with open wound if you also have an open wound. | F. CANNOT TREAT AT ALL. |
| Where should you recommend for a patient to be d/c to if they require ventilator, have major complications and have pressure ulcer that requir 24-hour physician and nursing care along with PT? | Long-term care hospital. |
| Average stay at a long-term care hospital? | 25 days. |
| How long must a patient participate in rehab if they stay in an acute rehab hospital? | 3 hours daily. (minimum) |
| Hospice care is authorized for 2 ___ -day benefit periods and unlimited _____-day extensions. | 2 90-day benefit periods. Unlimited 60-day extensions. |
| How can supplemental equipment be reimbursable for patients d/c to home? | - delivered by a licensed durable medical equipment vendor - delivered to home - at the time of d/c |
| Which items are reimbursable when ordered at home? | - wheelchairs - commodes - hospital beds |
| How often must a private clinic submit re-evals for reimbursement purposes? | every 30 days. |
| How large must an employer be to contribute to worker's comp? | 10 or more employees. |
| T/F: if you have HMO, you cannot seek care 'out of network'. | F. You may, at a higher out of pocket fee. |
| Patient has HMO, can you initiate PT PoC without physician's authorization? | No. |
| Can PTAs write interim progress notes? | Yes. (if not the progress note required every 30 days) |
| Can a PTA supervise a PT aide? | Yes. |
| Can PT aide carry out patient transportation? | Yes. |
| Can a PT volunteer set up patient care? | No. |
| Can a PT volunteer transfer patients? | No . |
| Can a PT volunteer clean whirlpools? | NO. |
| Can a PT volunteer maintain equipment? | No. |
| Can PTA or Nurse practitioner write PT orders? | Yes. |
| Differentiate EIP and IEP | EIP: Early intervention program (PT, OT, ST for children with developmental delays or infants at risk) IEP: Individualized education plans (not mandatory, considers functional limitation and language proficiency). |
| Can you instruct an RN to carry out ROM, Bed exercises, transfers, and ambulation? | Yes. |
| Patient on restraint needs to be checked every _____. | 30 min. |
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