Edsyn PTBC California Law Exam MC Qs Graded A+ (Fall 2021-2023)

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1. Definition of Physical Therapy? 2. What is the "PT of record?" 3. What is synonymous with physical therapy (term/title) 4. What is same as PT aide? - ANSWER 1. Practice of PT includes promotion ... and maintenance of physical fitness through use of PT interventions to enhance bodily movement as related to health and wellness of individuals 2. PT that completed initial eval - can be transferred to another PT but must be in writing 3. Physiotherapy 4. PT technician 1. Who are the Members of the Board of CA? 2. *Priority of the Board/Function (what can do (5))* 3. *What is the function of the FSBPT* 3. Can board inspect pt records? Process and penalty? 4. Can board appoint proctors for exams? 5. What can they do to a license applicant? - ANSWER 1. 1 PT involved in PT education, -3 PTs with 5 years experience, -3 public members who aren't licentiates of the board or any other medical board (CA citizen, not school faculty) 2. Creator/enforcer of practice act - regulation of practice in CA -Protection of the public -Issues/suspends/revokes/disciplines PT licenses in CA -administer continuing competency program -CAPTE (commission on accredation PT edu) requires coursework for school-*BOARD shall only approve edu programs* that prove satisfaction and min edu requirements set forth/maintained -publish at least 1x per year a sewsletter denoting actions taken by boards, disciplianry actions, relevant regulatory changes 3. FSBPT: administration and creation NPTE 3. Have authority to inspect PT facilities and *pt records* -if pt gives written auth = release of recorded given w/in 15 days by PT or penalty on $1000 for every day starting 16th day 4. board can appoint individuals to proctor exams —> appointed indiv CANNOT be board members 5. Can investigate each applicant to determine if rewuirements met Terms of Serving on the Board (who makes it up/who picks/who elects prez/VP, when appointed, who long) - ANSWER 1) Appointed every 4 years, exp. on June 1 2) 1 PT involved in PT edu -3 PTs >/ 5 yrs experience -3 public members citizens CA adn not licensed PTs or license by any other medical board of CA -governor of CA appoints PT members nad public ONE public member -President and VP of board determined by elected board members 3) Cannot serve more than 2 consecutive terms (8 yrs max) Qualifications of Public Members of Board - ANSWER 1) Be a citizen of CA. 2) Shall not be an officer or faculty member of any college in PT education. 3) Shall not be a licentiate of the Medical Board of CA How many board Meetings/ where - ANSWER 3 regular meeting annually in Sacramento, LA or SF (3 per year) Duties of the Members of the Board - ANSWER 1) May inspect PT facilities 2) May review patient charts -if pt gives written auth = release of recorded given w/in 15 days by PT or penalty on $1000 for every day starting 16th day 3) Can suspend and revoke licenses (notice must be given) Public Employees who is considered this - ANSWER PT consultants under contract for the board are considered a public employee ARTICLE 2 Practice Act General Provisions: is use of radioactive/electricity for surgical procedures authorized? - ANSWER The use of roentgen rays/radioactive materials or electricity for surgical purposes is not authorized ARTICLE 2: General Provisions - Direct Access 1) When can you treat direct access? 2) How to start treat and how long? - ANSWER 1) PTs MUST be within scope of PT —> if not then refer out 2) before treat must give oral notice and 14 pt writing to pt and signed by pt -PT has 45 calendar days (NOT business days, includes weekends) or 12 visits (whichever come first) for treat pt -at this date MD signature and date on PT POC MUST occur (pt must see MD) ARTICLE 2: General Provisions - Topical Meds 1) How can admin them? 2) which are approved? 3) PTBC: what is needed in notes? - ANSWER 1) direct application, iontophoresis (IFC), phonophoresis (US) -PTs CANNOT prescribe meds -must follow written protocol for admin including description meds, actions, indications, contra, proper technique for admin 2) bactericidal agents, debridement agents, topical anesthetic, anti inflamm, antispasmodic, adrenocortical steroids 3) name, signature, printed/stamped name/dated ARTICLE 2: General Provisions - Neuro Re-Education What can we do/not do? - ANSWER 1) Can perform tissue penetration (KEMG, ENMG) for evaluation neuro performance 2) *Must have authorization from MD* 3) PT must be certified by the board 4) PT CANNOT develop or make *diagnostic or prognostic interpretations of data obtained* ARTICLE 2: General Provisions - Neuro Re-Education 1) ENMG: what is it and certification to admin? 2) KEMG 3) how to get certified and how much $ 4) what are the regulations for tissue penetration? - ANSWER 1) ENMG: tissue penetration for *eval neuromuscular performance* -DOES include eval or specific abnormal potentials and evoked responses -Cert: 400 hrs traiing under licensed PT *or* MD auth to perform ENMG AND 200 ENMG exams 2) KEMG: *phasic activity multiple SKMS in relation to another physical or physio event or exercise* -does NOT include eval of specific abnormal potentials/responses -Cert: 200 hrs training"" AND 50 KEMG exams 3) must pass exam and renew every *2 yrs* —> $500 for exam, application $100, renewal $50 4) pt handout and posted sign ARTICLE 2: General Provisions MEDICAL RECORDS 1) Minimal Time that Patient Records must be kept for after pt discharge 2) What does a PT student document? 3) PTA? 4) *PTA student?* 5) PTLA? 6) PTALA? - ANSWER 1) 7 years. -Patient records shall be kept for a period of no less than 7 years following the discharge of the patient -Records of unemancipated minors shall be kept at least 1 year after the minor has reached 18 years of age and *not in any case less than 7 years* 2) PT student: CI or supervising PT must countersign w first initial and last name on ALL entries *SAME DAY* as treatment provided 3) PTA: shall notify PT of record and document in pt chart any change in pts condition not in planned progress or treatment goals and any change in pts general condition 4) PTA Student: same as PT student, but PT or PTA can sign same day -supervising PT must also complete *weekly case conference* and document in pt record 5) supervising PT must countersign first intiial last name same day treatment 6) same as PT student w case conference too ARTICLE 3: Licensing 1) Who needs a license and who issues to license? 2) *Who does not need a CA license when in CA?* 3) What must application for license include? 4) how much cost once get license for PT vs PTA? Renewal? Delinquent fee for late renewal? 5) how much is it for duplicate wall certificate and renewal receipt? 6) endorsement or letter good standing fee? - ANSWER 1) Practictioners performing any PT practice for *compensation* (volunteer can have inactive status) -issued by PTBC 2) PT and PTA students practicing as part of EDU -PT licenses in another state who is *teaching, researching, providing PT* in state of CA no more than 60 calendar days per year (applies to PTs for sports teams also) -PTs licensed outside of state/country invited by APTA or division for edu purposes -PT or PTA who must flee to CA bc of govt emergency (individual may practice for 60 days from date of emergency) 3) application must include application fee ($300 for PT/PTA/foreign), signature, statement under oath 4) license fee PT $150 (renewal $300), delinquent $150 (for late renewal) -PTA license $300 renewal $300, delinquent $150 5) both $50 6) $60 ARTICLE 4: Licensing Renewal 1) When do licenses expire? Renewal fee and *what must do to renew*? 2) What happens if you fail to renew after the expiration date *but before/after 5 yrs?* 3) *who is exempt from the license renewal fee? (2)* 4) *who can waive to renewal fee? (3)* - ANSWER 1) expire 12am on last day of brith month during the 2nd year of their 2 year term -$300 fee and documentation *30 hrs conned* to renew -PTBC will send notice of renewal requirements 60 days before renewal date 2. renewed w/in 5 yrs of expiration date = fee and *conned* required -renewed after 5yrs = cannot be reissued but can apply for new license after take NPTE 3) Exempt: working full time active military (renewal waived if discharged 60 days or less before renewal period) -retired licensee 4) Waiver: disability that does not allow individual to practice - to discontinue disability status must have form stating no disability/can do safe practice is issued by board adn signed by MD -PT performing unpaid PT in voluntary manner -retired license ARTICLE 3: Licensing 1) *What are the qualifications for licensure? (4)* 2) What exams do you need? How long do you have to take them? What else is needed for the application? 3) how many times can you sit for NPTE? What if fail? 4) penalty for cheating NPTE? 5) How long does board have to notify applicant that application sufficient and can sit for exam? 6) What requirements for license be issued to applicant without a written exam? (3) - ANSWER 1) >18 yo, not addicted to substance, completed education and training , not commit any crimes 2) State laws/regulations, NPTE, edu requirements -need application fee ($300), signature, statement under oath 3) sit for NPTE 3 timed per application in 12 mo period -*if not take exam/pass w/in 1 yr* from date of original notice new application and fee required in addition to *re exam fee* 4) disqualify from exam, no license, revoke license -pay fee no >$10,000 plus litigation fees 5) board must notify applicant w/in 30 days if applications acceptable —> 60 days must state if eligible to sit 6) ALL 3 MUST BE MET -applicant licensed PT or PTA in state/district/territory USA and has met licensing requirements -applicant graduate of PT or PTA edu -applicant files application w board ARTICLE 5: Edu Standards 1) What *titles* can a PT use? What about *written communication*? Spoken? 2) *Who determines edu requirements for PT/PTA?* How much clinical hours for each? 3) how much experience does a training for PTA require versus a PTA approved school? - ANSWER 1) licensed PT can use "physiotherapist, licensed PT, registered PT" -in written communication can use Dr. before name if immediately followed by *UNABBREVIATED* specification of degree -Ex: Dr. John Doe, *Doctorate of Physical Therapy* -if spoken communication pt can use Dr. if followed by specification of being a PT "Dr. ___ physical therapist" 2) CAPTE (commission on accredation PT edu) requires coursework for school -*BOARD* shall only approve edu programs that prove satisfaction and min edu requirements set forth/maintained -PT: need at least 18 wks full time work clinical experiences -PTA: ~16 wks full time clinical work (PT is supervisor and signs notes but PTA can be CI) 3) Training for PTA: military traiing 550 hrs of courses VS PTA 350 hrs of clinical experience -18 mo providing in patient related tasks under supervision PT -work experience must be obtained within 10 years of license and 1/2 w/in last 5 years -general edu requirements (English, speech) -full time work considered 40 hrs per week, credit given for part time as well ARTICLE 5: Edu Standards 1) What are the requirements for a foreign applicant to recieve PT degree? - ANSWER 1) full transcript from institution, proficiency in English, 9 mo clinical service with *APTA certified CI and CCCE* at approved location (PTBC) -*must complete NPTE exam prior to clinical service —> during this time individual ID as physical therapist licensed applicant (past NPTE THEN can do clinical service to be granted CA license)* -1 month can be waived every month clinical service inside of CA (up to all 9 mo) -3 mo waived if course in law/ethics completed at post secondary institution or conned units of ethics completed -can be evaluated for PTA exam if deemed not enough edu for NPTE for *foreign only* ARTICLE 8: Offenses against this chapter (*PT Practice Act*) 1) What is the penalty for violations of act? What are administrative fines and $? 2) Who may issue an injunction? - ANSWER 1) misdemeanor charge punishable by fine not exceeding $1000 or imprisonment in county jail not exceeding 6 month -or can get both -ADMINISTRATIVE FINES: can accompany citations, fine >$100 >$2500 (up to $5000 for multiple, elder/disabled, similar, health/safety) for violation PT practice act, violation of a regulation adopted by board or other statutes or regulations 2) whenever person has engaged or is about to engage in offense the superior court of any county, on application of board or 10 or more persons holding PT licenses issued under this chapter may issue injunction (judicial order retrain person from begin/continue action) ARTICLE 2/3: License and scope PTA 1) Who may use title PTA? Requirements? 2) ratio of PT to PTAs? 3) What is PT responsible for w regards to PTA? 4) penalty for use of PTA title w out license? 5) What can a PTA NOT do? (8) 6) How long does the PT have to co-sign documentation? How often must have conference? - ANSWER 1) Physical therapy assistance or physical therapist assistant -same as PT: pass exam, graduated PTA progressed, not addicted, no crimes 2) PT can supervise MAX 2 PTAs (1:2) -PTBC may approve greater # PTAs if deem adequate supervision and public safe -*NO CASE* shall total # PTAs be > 2x PTs regularly employed at facility in 1 time (NO 4PTs : 8 PTAs) 3) PT does not need to be at the same location for adequate supervision (telephone contact ok) (ex: PTAs doing home health) -PT responsible for PT care and documentation of PTA (have *7 days* to co-sign and must have weekly case conference) -POC must be verbally/in writing to PTA before tx -PTA MUST notify PT of record any change in condition of pt or pt progress not occurring as planned 4) $1000 fine and/or prison 6 mo 5) Perform measurements, data collection, care PRIOR to eval of pt by PT -Document pt eval/re eval -Write dx summary -EST change POC -write progress notes to another health care professional -be sole PT rep in any meeting w other healthcare -*supervise Aide performing health related tasks* -provide tx if PTA holds management position (if PTA can hire/fire then cannot treat) 6) PT has 7 days to co-sign and must have weekly case conference and *document in record* ARTICLE 5: PT Student & PTLA 1) When can student be ID as intern vs student? 2) What is the protocol for signing notes? 3) What credentials must CI/CCCE have? 4) name tag? 5) What can a PTLA do and how long? *Supervision?* 6) what about when pass exam? Fail? 7) NOT do? 8) *What is the alternate route to PTA licensure?* - ANSWER 1) PT student (not finished w coursework), intern (finished) 2) student will document —> CI will co-sign w *FIRST INITIAL AND LAST NAME* all entries pt's record *SAME DAY* as pt related tasks provided 3) FOREIGN STUDENTS CCCE and CI must be APTA certified CI 4) name tag 18 pt font (same as PTA student, aide, PTLA) 5) will get Letter in mail after apply for license = then can apply max 120 days until get results exam -may only qualify for *PTLA 1x* -can perform as PTLA under DIRECT and IMMEDIATE supervision of licensed PT for 120 days pending results of first licensing exam administered -licensed PT must be on site at *ALL* times and must have *documented receipt* of letter authorizing PTLA to practice and record of expiration date of status 6) upon passing NPTE PTLA status in effect until license issued -if exam failed or licensure denied or PTLA not take exam in first possible cycle test then no longer practice as PTLA 7) NOT supervise PTA or aide w pt related tasks 8) if board finds someone w proper training and adequate experience equivalent to PTA school (as well as qualifications for license - no crimes, >18, no addiction, edu/training) then they may apply for licensure as PTA ARTICLE 5: PTA Student 1) name tag? 2) Supervision? 3) PTALA Status requirements? - ANSWER 1) 18 pt font ID as Physical Therapy Assistant Student during rotations 2) PTA can be the CI but *all clinical performance occurs under licensed PT* -supervision MUST occur *ON SITE* not close poximity -supervising PT will conduct *weekly case conference*/review of pts that the PTA student has seen and document that the review has occurred -PTA CI can countersigned for a PTA students documentation but must occur *SAME DAY* (EVEN IF PT CO SIGN ALSO SAME DAY just like PT student) -sign w first initial and last name 3) PTALA status granted when graduated from approved edu program for 120 days -remain in effect after passing exam until license granted -fail exam = status revoked (same as PTLA) ARTICLE 2: Physical Therapy Aides/Technicians 1) What is the ratio for PT supervision? Amount of supervision? 2) What are pt related tasks? (CA) 3) non pt related tasks (CA) 4) Aide age? - ANSWER 1) PT can supervise ONE aide in patient related tasks -IMMEDIATE supervision at *ALL TIMES* (patient and non pt related tasks) the PT is in same facility and w/in *close proximity and must be immed available if needed* -no aide can indep perform PT related procedure -PT must perform *direct care w patient same day* if aide provide pt related tasks -PT responsible for all *PT related and non PT related tasks* aide performs 2) PT service delivered *directly* to the pt (ther ex) -pt related tasks can be performed only AFTER PT has performed initial eval -before aide can treat pt care *PT MUST eval and document aide's competency* in way that documentation is available to a member of PTBC or another PT upon request 3) tasks related to the *observation* of the patietn (transport, physcial support during gait/transfer traiing, housekeeping, clerical duties) 4) at least 18 yo ARTICLE 6 (Practice Act), 8 (CA): Suspension, Revocation and Reimbursement License 1) Who files PT license CA? 2) What is the scope of practice PTA? SUpervision? 3) What is the penalty for cheating? What counts as cheating? Fine? 4) What is the disciplinary action for unprofessional conduct? 5) *WHAT are the actions that can lead to this? (15)* *How long does PT have to report crime/arrest?* 6) What costs PT liable for? What if cannot pay? 7) What is the law for sexual activity w pt? 8) What are penalties for rebate from pt *referral* not treatment? What about repeated excessive prescription? - ANSWER 1) all licenses filed by PTBC 2) must be under supervision licensed PT -*CANNOT* perform evals or prepare discharge summaries for pts -supervising PT responsible for type, quality, amount and documentation of PT services rendered by PTA -PTLA *CANNOT* indep supervise a PTA 3) *MISDEMEANOR*: sharing info that was on exam., copying answers, allowing answers to be copied, using professional exam takers -FIne: liable for cost of damages sustained by entities administering exam not to exceed $10,000 + litigation fees 4) action for unprofessional conduct —> license can receive citation, denial, or be on probation as well as suspended (not more than 12 mo) 5) occur if 1 or more of following -advertising violation, fraudulent license, aid in procuring criminal abortion -conviction crime relating to PT or PTA, habitual intemperance (alcohol), addiction to habit forming drug -gross negligence in PT/PTA practice, conviction violation Practice Act or Medical Practice Act -Aiding or abetting someone to violate this act or perform unlawful PT -failure to protect Pt privacy (unless for good cause) -failure to follow infection control guidelines (except for good cause) -commission of verbal abuse/sexual harassment, sexual misconduct -charging fee for services not performed, unlawful referrals -take >15 days provide documents legally requested by board -failure report board *30 days citation/arrest/missed court*, conviction felony/misdemeanor, disciplinary action of other board 6) any costs of investigation and prosecution assoc w discipline action -1 year max renew or reinstate license for those demo financial hardship and cannot pay fees -all costs recovered to PT fund 7) pt or client *NOT* able to give free, full or informed consent to any sexual activity (so CANNOT have sexual relations w pt - unless spouse) -if PT charged as registered sex offender = license immed revoked w NO reissue -unless misdemeanor sexual offense 8) you cannot have personal gain for REFERRING someone (discount on their store etc) -*misdemeanor* for REFERRAL with up to 6 mo prison and or $2500 fine -repeated excessive prescription *misdemeanor* w fine up to $600 and or imprisonment up to 180 days ARTICLE 6: License Reinstatement 1) *What is the time frame* for PT to petition to get license reinstated after revoked or get out of probation For 3 scnarios? 2) When can you not make petition to get license reinstated/get out of probation? 3) Requirements for petition for reinstatement? 4) When does PTBC issue a probation license? 5) *What does board do when not prosecute (revoke/probation)?* 6) expedited license reinstatement? 7) What about if someone registered as a sex offender? - ANSWER 1) may petition to PTBC for reinstatement/modification of penalty after they revoke/probation only after period not less than following MINIMUM periods -Unprofessional Conduct: must wait *3 years* for petition (can be reduced to 2 via board) -Unprofessional conduct: break charter laws, not give up docs w/in 15 days requested by board, failure cooperation investigation by board, failure report board 30 days for felony, arrest, misdemeanor, disciplinary action, failure comply court order -Early termination of 3 yr probation: must wait *2 years* for petition -License revoked for Mental/physical illness or put on probation for >/3 yrs for mental/physical illness: must wait *1 year* for petition 2) no petition considered if under sentence for criminal offense 3) 2 recommendations by PTs who know indiv and aware of disciplinary actions 4) license issued on probation for someone uses drugs/alcohol and require a psych/mental evaluation (drug tests psychiatrist, rehab) 5) Board can post *public letter reprimand* license instead of formal prosecution (letter stating what performance must be improved) -may also include requirements for training or edu and cost recovery for investigation -board notify PT intention to issue letter 30 days before issuance date -PT has 15 days to agree to issuance -if disagree then board will file the accusation (prosecute) 6) can occur for PTs honorably discharged from military or military spouses 7) convicted as sex offender = *license revoked and not able to work on probation license (PTBC)* ARTICLE 7: Substance Abuse Rehab Program (Diversion Program) 1) What is the diversion program and who are the members of the PTBC rehab eval committee? Role/meetings? 2) What are the rehab program acceptance criteria (5) 3) What are the requirements to terminate rehab? (4) 4) What if program unsuccessful? 5) are records confidential? - ANSWER 1) program for PT/PTA need rehab from drugs/alcohol -rehab eval committee 3 members -members that have been free of substance abuse 3 yrs prior to join committee or knowledge in treatment -members serve term MAX 4 years -committee determine if safe return to practice can occur and treatment facilities should be used for participants -meetings at least 2x/yr and open to public for program eval 2) VOLUNTARY admission by clinician: must present initially unless program assigned as disciplinary action (if not assigned and PT not volunteered then cannot force) -use of dangerous substances that impacts ability deliver care safely -*applicant's agreement to medical/psych eval and release medical info/liability* -agreement in writing by applicant to participate in program -participation fee covered by pt [Show More]

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