PTA 206 Advanced Clinical Training II

Credits: (4)

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.
6. Participate in self-assessment to identify strengths and limitations in clinical performance and develops 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
        *Stretching exercise/Flexibility
        *Selected exercise protocols based on the clinical setting
        *Balance and coordination activity
        *Endurance activity
        *Strength and power training
        *Body mechanics and postural stabilization
        *Positioning and turning
        *Breathing strategies
        *Relaxation
        *Manual Therapy techniques including therapeutic massage
        *Wound management
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 including gait patterns, sequence, measurement and adjustment of devices
        *Wheelchair management and mobility skills
        *Developmental activities
        *Prosthetics and orthotics
10. Demonstrate competence in administering the following physical therapy interventions related to physical and mechanical agents identified in the plan of care established by the physical therapist (to include entry level safety, knowledge of physiological and therapeutic effects, indications and contraindications).
    -Superficial thermal agents (Hydrocollator packs)
    -Cryotherapy (ice packs, ice massage, cryocuff)
    -Electrical stimulation (Interferential, TENS, High Volt Pulsatile Current, Russian stimulation)
    -Deep thermal agents (Ultrasound)
    -Mechanical traction (cervical and lumbar)
    -Iontophoresis
    -Hydrotherapy
    -Paraffin
    -Ultraviolet
    -Infrared
    -Diathermy
    -Intermittent compression
    -Athermal agents such as LASER
    -Biofeedback
11. 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.
    -Aerobic capacity and endurance including vital signs
    -Anthropometric characteristics
    -Arousal, mentation, attention, cognition
    -Assistive, adaptive, orthotic, protective, supportive, and prosthetic devices
    -Body mechanics
    -Environmental barriers, self-care, and home issues
    -Gait, locomotion, balance, wheelchair management and mobility
    -Integumentary integrity
    -Joint integrity and mobility
    -Muscle performance
    -Neuromotor function
    -Pain
    -Posture
    -Range of Motion
    -Sensory Response
    -Ventilation, respiration and circulation assessment
12. 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.
13. 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.
14. 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.
15. Participate in the administrative role of the PTA including:
    -Interact with members of the health care team in patient care and non-patient care activities
    -Provide accurate and timely information for billing and reimbursement
    -Describe aspects of organizational planning/operation of physical therapy services
    -Participate in quality assurance activities
16. Demonstrate participation in discharge planning and follow-up care.
17. Integrate information from professional literature into clinical practice.
18. Demonstrate social responsibility by displaying a commitment to meeting the needs of patients and consumers including addressing primary and secondary prevention needs of patients or consumers.

Completion of the preceding objectives is dependent on each clinical site and the availability of patients during the time of PTA 206: Advanced Clinical Training II.