Texas Physical Therapy Rules and Practice Act for Profession of PT Exam with Questions and Answers

Texas Physical Therapy Rules and Practice Act for Profession of PT Exam with
Questions and Answers

10. Discuss proper documentation of treatment provided by a PTA; qualify an aide's
responsibility in documenting patient care. - ✔✔✔-At a minimum, documentation of physical
therapy services must include the following:

(A) any referral authorizing treatment;

(B) the initial examination and evaluation;

(C) the plan of care;

(D) documentation of each treatment session by the PT or PTA providing the services;

(E) reevaluations as required by this section;

(F) any conferences between the PT and PTA, as described in this section; and

(G) the discharge summary.

(2) The PTA must include the name of the supervising PT in his documentation of each
treatment session.

(3) Physical therapy aides may not write or sign any physical therapy documents in the
permanent record. However, a physical therapy aide may enter quantitative data for tasks
delegated by the supervising PT or PTA.

(4) Discharge Summary. The PT must provide final documentation for discharge of a patient,
including patient response to treatment at the time of discharge and any necessary follow-up
plan. A PTA may participate in the discharge summary by providing subjective and objective
patient information to the supervising physical therapist.



11. Discuss who is responsible for the discharge summary; determine the PTAs role. 322.1 -
✔✔✔-PT provides final documentation for discharge.PTA may participate by providing
subjective and objective patient info to the supervising PT.



12. Discuss the role of the PT in providing therapy services. 322.2 - ✔✔✔-(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;

,Texas Physical Therapy Rules and Practice Act for Profession of PT Exam with
Questions and Answers

(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

Texas Board of Physical Therapy Examiners March 2018

5

(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.



13. Discuss the PTAs role in the following areas: 322.2

a. responding to acute changes in pts status

b. educating other healthcare providers, patients, families

c. identifying architectural barriers

d. patient/family interaction

e. communication skills

f. recognizing strengths/limitations/scope of practice

g. safe, legal, ethical practice

h. basic concepts of the healthcare system

i. basic principles of administration - ✔✔✔-PTA may be assigned responsibilities by a
supervising PT to:

, Texas Physical Therapy Rules and Practice Act for Profession of PT Exam with
Questions and Answers

(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.



14. Identify what type of modifications the PTA may make to the interventions within the POC.
322.2 - ✔✔✔-



15. Identify areas that the Board has specifically stated that a PTA may not do. 322.2 - ✔✔✔-
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.