PTA 109 Clinical Training I

1. Perform in a safe manner that minimizes risk to patient, self and others.
2. Demonstrate expected clinical behaviors in a professional manner in all situations consistent with employer expectations, American Physical Therapy Association guidelines, and Essential Skills as defined in the Onondaga Community College Physical Therapist Assistant Student Handbook. These behaviors include, but are not limited to, adhering to designated times for the clinical experience, following the dress code, completing scheduled assignments in a timely manner, accepting responsibility for own actions, and demonstrating integrity in all interactions.    
3. Demonstrate accountability by performing in a manner consistent with established legal standards, standards of the profession, and ethical guidelines. These behaviors include, but are not limited to, adhering to Onondaga Community College’s Code of Conduct, APTA Code of Conduct and Standards of Ethical Behavior, OSHA safety regulations, institutional policy and procedures, and state law.
4. Demonstrate cultural competence by adapting delivery of physical therapy services with consideration for patients’ differences, values, preferences, and needs.
5. Communicate in ways that are congruent with situational needs including:
   -Demonstrate verbal and non-verbal communication with patients, the physical therapist health care delivery personnel, and others in an effective, appropriate, timely and capable manner.
   -Effectively communicate with the clinical instructor, the supervising physical therapist assistant or physical therapist to: 
        *Review physical therapy examinations/evaluation and plan of care and ask questions to seek clarifcation on selected interventions.
        *Report any changes in patient’s status that may affect the patient’s safety and/or progression in the established plan of care (physiological signs, level of awareness, red flags.)
        * Report and observations, data collection, and treatment modifications relevant to patient progress.
6. Participate in self-assessment to identify strengths and limitations in clinical performance and develop a plan to improve knowledge, skills, and behaviors.
7. Demonstrate clinical problem solving by explaining rationale for treatment interventions based on chart review, data collection, safety, and/or legal/ethical issues.  
8. Demonstrate competence in implementing selected therapeutic interventions including therapeutic exercise and therapeutic techniques identified in the plan of care established by the physical therapist (to include appropriate body mechanics, universal precautions, communication, and knowledge of indications/contraindications of interventions, and level of assistance for interventions). 
   -Therapeutic exercise and therapeutic technique interventions include:
        *PROM
        *AAROM/AROM
        *Open vs. closed chain activity
        *Flexibility
        *Selected exercise protocols (THR/TKR)
        *Balance and coordinator activity
        *Endurance activity
        *Postural exercise
        *Body mechanics
        *Positioning and turning
        *Breathing strategies
9. Demonstrate competence in performing selected components of functional training and application/adjustment of devices identified in the plan of care established by the physical therapist (to include appropriate body mechanics, universal precautions, communication, knowledge of indications/contraindications, and level of assistance for interventions). 
   -Functional training interventions used in self-care and home management include:
        *ADL training
        *Bed mobility training
        *Transfer training
        *Gait training with assistive devices inclusing gait patterns, sequence, measurement and adjustment of devices
        *Wheelchair prescription/management
10. Perform the following data collection/assessment procedures integrating the findings into the patient’s plan of care under the direction of the supervising PTA/PT.
         *Anthropometric characteristics
         *Arousal, attention, cognition
         *Assistive and adaptive devices
         *Body mechanics
         *Environmental barriers, self-care, and home issues
         *Gait, locomotion, and balance
         *Integumentary integrity
         *Muscle function
         *Pain
         *Posture
         *Range of Motion
         *Sensory response
         *Vital signs
11. Participate in educating others (patients, family, caregivers, staff, students, other health care providers) using relevant and effective teaching methods as directed by the supervising physical therapist.
12. Produce quality documentation in a timely manner to support the delivery of physical therapy services. Complete thorough, accurate, logical, concise, timely, and legible documentation that follows guideline and specific documentation formats required by the state practice act, the practice setting, and other regulatory agencies to support the delivery of physical therapy services. 
13. Participate in the efficient delivery of physical therapy services by using time and space effectively, using equipment in an efficient and effective manner assuring safety prior to use, and adhering to established schedules.
    
    *Completion of the preceding outcomes is dependent on each clinical site and the availability of patients during the time of PTA 109: Clinical Training I.