Supervision scenarios free essay sample

In the first supervision scenario there is an example of patient’s noncompliance with MDs protocol. The orthopedic MD should be contacted by PT prior to initiation of exercises to verify for any protocol adjustments. Since this case involves stretching that requires continuous examination and evaluation throughout the intervention it’s required to be performed exclusively by the physical therapist as stated in APTA Guidelines: â€Å"The physical therapist’s scope of practice as defined by the American Physical Therapy Association Guide to Physical Therapist Practice includes interventions performed by physical therapists. These interventions include procedures performed exclusively by physical therapists and selected interventions that can be performed by the physical therapist assistant under the direction and supervision of the physical therapist. Interventions that require immediate and continuous examination and evaluation throughout the intervention are performed exclusively by the physical therapist. † [1] However ATCs are trained and allowed to perform stretching for athletes since it’s part of athletic rehabilitation as supported by Illinois Athletic Trainers Practice Act: â€Å"[†¦] H. We will write a custom essay sample on Supervision scenarios or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Provision of on-site injury care and evaluation as well as appropriate transportation, follow-up treatment and rehabilitation as necessary for all injuries sustained by athletes in the program. † [2] Assignment #3 Supervision Scenario Case #1 I think the intervention could be delegated to ATC since Illinois Athletic Trainers Practice Act supports that. However according to APTA Guidelines for supervision of support personnel it should be performed under direct personal supervision as stated: â€Å"Physical therapy aides are any support personnel who perform designated tasks related to the operation of the physical therapy service. [†¦] Direct personal supervision requires that the physical therapist, or where allowable by law, the physical therapist assistant, be physically present and immediately available to direct and supervise tasks that are related to patient/client management. The direction and supervision is continuous throughout the time these tasks are performed. The physical therapist or physical therapist assistant must have direct contact with the patient/client during each session. †[3] Reference: 1. (PROCEDURAL INTERVENTIONS EXCLUSIVELY PERFORMED BY PHYSICAL THERAPISTS HOD P06-00-30-36). 2. (225 ILCS 5/) Illinois Athletic Trainers Practice Act 3. (PROVISION OF PHYSICAL THERAPY INTERVENTIONS AND RELATED TASKS HOD P06-00-17-28 [Amended 06-99-10-12] Assignment #3 Supervision Scenario Case #2 In the second supervision scenario PT made mistakes by not verifying pt’s medical Hx and WB status with MD’s office or hospital and not being specific with type of hip replacement done prior to developing appropriate plan of care. A physical therapist may delegate a patient to a physical therapist assistant as long as at least general supervision occurs. In Illinois practice act we ca read: â€Å"A licensed physical therapist shall be accessible by telephone to the physical therapist assistant at all times while the physical therapist assistant is treating patients†[1]. However the major mistake made by the PT that could prevent THR complications is lack of the required supervisory visit as stated: â€Å" On-site supervision shall take place every four to six visits [†¦] The supervisory visit shall include a complete on-site functional assessment, an on-site review of activities with appropriate revision of treatment plan, and an assessment of the utilization of outside resources. † [1] Also APTA Guidelines support that: â€Å"[†¦] a supervisory visit by the physical therapist will be made: b. At least once a month, or at a higher frequency when established by the physical therapist, in accordance with the needs of the patient/client. c. A supervisory visit should include: i. An on-site reexamination of the patient/client. ii. On-site review of the plan of care with appropriate revision or termination. iii. Evaluation of need and recommendation for utilization of outside resources. † [2] Assignment #3 Supervision Scenario Case #2 At the same time the PTA observing the patient condition should have reported it to the PT : â€Å"The physical therapist assistant shall: Observe patients progress and response to treatment, and report to the physical therapist. † [1] Also, per APTA Guidelines : â€Å"In those situations in which a physical therapist assistant is involved in the care of a patient/client, a supervisory visit by the physical therapist will be made: a. Upon the physical therapist assistants request for a reexamination, when a change in the plan of care is needed, prior to any planned discharge, and in response to a change in the patient’s/client’s medical status. † [2]