The non-systems portion of the examination covers those topics that do not fit into a particular category and include important areas that the physical therapist assistant (PTA) must be aware of to ensure patient safety.
Every PTA’s responsibility is to maintain current clinical prediction rule (CPR) certification and training and basic first aid knowledge. In all settings, the PTA should be aware of facility, agency, or management policies and protocols regarding disaster response and their role in the situation (Table 10-1). Within the home health setting, the PTA should be aware of the disaster levels of the patients and follow up after a natural disaster within the appropriate time frame. If a facility has to be evacuated, the PTA should assist as needed, providing the appropriate assistive device (AD) for ambulatory patients and coordinating with other interdisciplinary teams (IDTs) to provide oxygen and other medical support as appropriate.
TABLE 10-1Emergency Response. ||Download (.pdf) TABLE 10-1 Emergency Response.
|Location ||Policies ||Obvious Injury ||No Obvious Injury ||Follow-up ||Who to Contact |
|Outpatient clinic ||Follow clinic policy and procedures ||Call 911 for medical support ||Get patient up, take vital signs; if normal, continue with caution and patient consent ||Continue to monitor the patient and only allow them to leave the clinic if you are sure they are stable and safe || |
Primary care physician
Management of the facility
|Home health setting ||Follow agency policies and contact the agency immediately ||Call 911 for medical support ||Get patient up, take vital signs; if normal, continue with caution ||Continue to monitor the patient throughout the session and do not leave the home until you are sure the patient is safe and stable and not alone || |
Home health agency
Primary care physician
Family as appropriate with patient consent
|Inpatient setting ||Follow facility protocols ||Call nursing, emergency response team, and/or MD to the location || |
Call nursing and/or MD to the location
Get patient up and continue per MD recommendations
|Complete all facility paperwork and ensure that all appropriate follow-up calls will be made, or make them as needed ||Ensure nursing has agreed to contact family and physician; otherwise, the PT may be required to do so. Document all calls made. |
All patients should be constantly monitored for their response to activity when participating in physical therapy. Exercise protocols, including maximum heart rates and response to activity, should be adhered to. In addition, patients on medications or pacemakers to control heart rate should be carefully monitored with rating of perceived exertion (RPE) scales to ensure they are not overdoing physical activity.
Any unexpected event, such as obvious bleeding, ...