DACUM Competency Profile for The Physical Therapist ... - CA-HWI
DACUM Competency Profile for The Physical Therapist ... - CA-HWI
DACUM Competency Profile for The Physical Therapist ... - CA-HWI
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
<strong>DACUM</strong> <strong>Competency</strong> <strong>Profile</strong> <strong>for</strong><strong>The</strong> <strong>Physical</strong> <strong>The</strong>rapist Assistant<strong>DACUM</strong> Panel MembersLisa SteiberPTA<strong>The</strong>racare Rehab Inc.Crestwood Convalescent HospitalMonterey, <strong>CA</strong>Tammie B. KirmilCommunity Hospital Monterey PeninsulaMonterey, <strong>CA</strong>Marc RedePTA<strong>The</strong>racare Rehab Inc.Crestwood Convalescent HospitalMonterey, <strong>CA</strong>Lynda RichardsonPTLynda Richardson <strong>Physical</strong> <strong>The</strong>rapyMonterey, <strong>CA</strong>Myrna R. CavanahPTANova Care, Inc.Monterey, <strong>CA</strong>Alain ClaudelPTCommunity Hospital Monterey PeninsulaMonterey, <strong>CA</strong>Carol A. HighPTAGuardian of SalinasSalinas, <strong>CA</strong><strong>DACUM</strong> FacilitatorJoanne Gray, R.N., M.S.N.Joanne Gray & AssociatesAnaheim, <strong>CA</strong>Assisted ByAnn Coleman-Brown, RN, MSNProject Director, RHORCFresno City CollegeFresno, <strong>CA</strong>Produced ForRegional Health Occupations Resource CenterFresno City College1101 East University AvenueFresno, <strong>CA</strong> 93741(209) 265-5701Fax (209) 485-7303February 1996
<strong>DACUM</strong> <strong>Competency</strong> <strong>Profile</strong> <strong>for</strong> <strong>The</strong> <strong>Physical</strong> <strong>The</strong>rapist Assistant<strong>The</strong> <strong>Physical</strong> <strong>The</strong>rapist Assistant is one who provides treatments and documentation of treatment under the supervision and guidelines ofa <strong>Physical</strong> <strong>The</strong>rapist, to maximize the functional abilities of each individual patient.DutiesTasksAPer<strong>for</strong>m ContinuousAssessmentA-1 Assess MechanicalAlignmentA-2 Assess Gait A-3 Assess Posture A-4 Measure Range of MotionA-5 Manual Muscle Testing A-6 Assess Change in MuscleToneA-7 Recognize symptoms ofContra-indications toTreatmentA-8 Assess Vital SignsA-9 Assess Tolerance toActivityA-10 Assess Tolerance toTreatmentA-11 Assess Appropriatenessof TX GoalsA-12 Assess PatientAccountabilityA-13 Assess & Screen Patients<strong>for</strong> Potential InterventionsBDeliver TreatmentModalitiesB-1 Administer Ultrasound B-2 Administer Hot PackTreatmentsB-3 Apply Cryotherapy B-4 Provide HydrotherapyB-5 Administer Diathermy B-6 Administer ElectricalStimulation <strong>The</strong>rapyB-7 Administer ParaffinTreatmentB-8 Administer FluidotherapyB-9 Administer MechanicalTractionB-10 Administer SequentialPumpingCPer<strong>for</strong>m <strong>Physical</strong> <strong>The</strong>rapyProceduresC-1 Provide Pregait, Transfer& Gait TrainingC-2 Provide ProstheticTrainingC-3 Mobilize Soft Tissue C-4 Provide Wound Care/BurnCareC-5 Administer & SuperviseFunctional ElectricalStimulationC-6 Administer Iontophoresis C-7 Administer Phonophoresis C-8 Passive Joint MobilizationC-9 Passive R.O.M. C-10 Apply & ModifyOrthoticsC-11 Per<strong>for</strong>m Manual Traction C-12 Administer Spray &Stretch
D<strong>The</strong>rapeutic ExerciseD-1 FacilitateNeurodevelopmental TrainingD-2 Provide Active/ResistiveRange of MotionD-3 Provide Active AssistiveR.O.M.D-4 Administer BiofeedbackD-5 Provide Aquatic <strong>The</strong>rapy D-6 Administer ProprioceptiveNeuromuscular FacilitationD-7 Provide Open/ClosedChain ExercisesD-8 ProvideBalance/StabilizationExercisesD-9 Administer Chest <strong>The</strong>rapyEProvide EducationE-1 Teach Patient/CaregiverHome Exercise ProgramsE-2 Teach Patient/CaregiverActivities of Daily LivingE-3 Provide Patient/CaregiverJoint Protection EducationE-4 Teach Patient/CaregiverPain Control & ManagementE-5 Teach Patient/CaregiverStress ManagementE-6 Provide CommunityEducationFDocumenting Patient Care/ProgressF-1 Document Assessments F-2 Documentation ofTreatments/FunctionalOutcomesF-3 Generate Periodic PatientProgress ReportsF-4 Document EquipmentNeedsF-5 DocumentPatient/Caregiver TeachingF-6 Integrate Visual Supportin DocumentationF-7 Generate Charges <strong>for</strong>Treatment & SuppliesF-8 Document DischargePlanningGParticipate InterdisciplinaryPlanningG-1 Report Patient Status toPrimary <strong>The</strong>rapistG-2 Participate in PlanningSessions With the <strong>The</strong>rapistG-3 Coordinate TreatmentSchedulesG-4 Participate in DischargePlanningG-5 Make recommendations toprimary therapist <strong>for</strong> changesin patients treatment planHAssist with DepartmentManagementH-1 Maintain Equipment H-2 Maintain Inventory ofSuppliesH-3 Participate in StaffMeetingsH-4 Precept/Mentor P.T.A.Students/Rehab AidesH-5 Participate in DataCollection <strong>for</strong> QualityAssuranceH-6 Per<strong>for</strong>ms various officedutiesIMaintain ProfessionalDevelopmentI-1 Maintain SafetyCertificationsI-2 Participate in ContinuingEducation/Staff DevelopmentI-3 Maintain Licensure I-4 Participate in ProfessionalOrganizations
CURRENT TRENDS/ISSUES Aging Population Changes in Reimbursement Managed Care Consolidation of Services DRG's Ergonomics Multi-Drug Resistant Organisms Opportunities <strong>for</strong> Professional Growth &Education Capitation Wound Care Women's Health Issues Manual <strong>The</strong>rapy Aquatic <strong>The</strong>rapyGENERAL KNOWLEDGE & SKILLS Anatomy Physiology Physio-Pathology Kinesiology Physics Applied to Medicine Body Mechanics Aseptic Techniques Communication Skills (Oral/Written) Computer Skills C.P.R. Cultural Awareness Age Specific Awareness Departmental Policies & Procedures Knowledge of English Infection Control Interpersonal Skills Listening Skills Mechanical Skills Medical Terminology Organizational Skills Patient's Rights Problem Solving Skills State & Federal Regulations Stress Management Skills Teaching Skills Universal Precautions Cost Containment & Medical Eco. Elementary Psychology Elementary Psychiatry Knowledge of Rehab Disc. O.T. S.T. Nursing PCP Goniometry Observation Skills Critical Thinking Elementary Pharmacology Take Vitals Medical Ethics In<strong>for</strong>mation Management Medical Imaging Knowledge of 3rd Party Payor Leadership Skills Computer Tech Cost ContainmentTOOLS, EQUIPMENT, SUPPLIESAND MATERIALS Ultrasound Machine Ultrasound Gel Diathermy Electric Stimulation Machines High Volt Galvanic Interferential FES (Functional Electrical Stimulation) TENS Media - Sponges, Gel Paraffin Traction Cervical Pelvic Belts Application Computer Assistive Isokinetic Machine Sequential Pumps Pumps/Hose/Measurement Free Weights Reflex Hammers Isotonic Exercise Equipment Hand Grips Hotpack Iontophoresis and Medications Dex/Lido/Hydrocortisones Cold Pack Fluoromethane Spray Goniometer Measuring Tapes Walkers Front Wheel Pick up Plat<strong>for</strong>m Hemi Reciprocating Walker Wheelchair Canes Quad - Wide Base - Narrow Base Single point Crutches Hemi-cane Orthotics Wrist Splints Knee Braces Back Braces Sacro-lliac Joint/Lumbar Corset Slings Dry Casting Ankle Foot Orthosis Computers Laser Cameras Video Hospital Beds Roto bed Blood Pressure Cuff Stethoscope Sterilization & Disinfectant Agents Gait Belts Beepers - Pagers Balms - Chemical Irritants <strong>The</strong>raband Crash Cart FacesMasks/Bonnet/Gowns/Gloves/Goggles Dressings <strong>for</strong> Wound Care Swiss Balls Bikes-Stationary/Restorator Balance Board Cardiac Monitor Ergometer Medicine ball Tru-K-Isokineltic Resistance Machine Trampoline Pools High/Low Manipulation Table Syphgmomenometer Treadmill Whirlpools Tilt Table Total Lift Chair Hoyer Lift Biofeedback Standing Cage/Standing Table Raised Toilet Seat Tumblers Parallel Bars Reachers Balance Beams Sliding Boards Powder Boards Stairs/Ramps Prosthetics Arms Below Knee Above the Knee Athletic Tape NeedlesWORKER TRAITS & BEHAVIORS Accept Constructive Criticism Compassionate Assertive Team Player Honesty Confidentiality Efficient (ability to manage multipletasks) Ethical Patient's Rights Manual Dexterity Organized Sense of Humor <strong>Physical</strong>ly Fit Follow Directions Personal Hygiene
WORKER TRAITS & BEHAVIORS Punctuality Flexible Creative Adaptable
Change language