Texas Administrative Code
Title 22 - EXAMINING BOARDS
Part 16 - TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS
Chapter 322 - PRACTICE
Section 322.2 - Role Delineation
Universal Citation: 22 TX Admin Code ยง 322.2
Current through Reg. 49, No. 38; September 20, 2024
(a) The role of the PT.
(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;
(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
(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.
(b) The role of the PTA.
(1) A PTA may provide physical therapy
services only under the supervision of a PT (See §
322.3 of
this title (relating to Supervision)).
(2) A PTA may be assigned responsibilities by
a supervising PT to:
(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.
(3) The 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.
(c) The role of the physical therapy aide.
(1) All rules governing the services provided
by a PTA are further modified for the physical therapy aide.
(2) A physical therapy aide may be assigned
responsibilities by the supervising PT or PTA to provide services as specified
in the physical therapy plan of care within the scope of on-the-job training
with supervision by a PT or PTA who is on the premises and readily available to
respond in person.
(3) A physical
therapy aide may not:
(A) perform any
evaluative or assessment activities;
(B) initiate physical therapy treatment, to
include exercise instruction; or
(C) write or sign physical therapy documents
in the permanent record, except as provided for in §
322.1(e)
of this title (relating to Documentation of treatment).
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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