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Physical Therapy Board of CA Laws/Regs Exam Review

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Priority of the board
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protection of the public
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Board members
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-1 PT involved in education of PTs -3 PTs with at least 5 yrs experience -3 public members who shall not be licentiates of the board or any other board
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Term served by board members
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-4 yr term -expires on June 1 of each year -Governor appoints 1 public member and 4 PT members of board -Senate Rules Committee and Speaker of Assembly each appoint other 2 public members of board -cannot serve for more than 2 terms consecutively
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Public board members’ qualifications
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-citizen of CA -not be an officer or faculty member of any school engaged in PT education -not be licentiate of Medical Board of CA or any other board
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Board meetings
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at least 1 regular meeting annually in Sacramento, LA, or SF
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Board Members Duties
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-may inspect PT facilities -may review pt charts -can suspend and revoke licenses (notice must be given)
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PT cannot…
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-use roentgen rays/radioactive materials or electricity for surgical purposes -prescribe medication -use data from EMG studies to provide diagnostic or prognostic interpretation -diagnose disease
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Patient records retained for how many years?
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-Pt’s records are held for no less than 7 years following D/C -Records of minors are held for 7 years or 1 year after minor turns 18
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Topical Medications, PT roll
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PT can apply/administer medication but cannot prescribe
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Topical Medications, administration of medications
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-direct application -iontophoresis -phonophoresis
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Topical Medications, Authorization and protocols
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-ordered by practitioner legally authorized to prescribe medication -written protocols prepped for administration/application of medication
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Topical Medications, Authorized medications
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-bacteriocidal agents -debriding agents -topical anesthetic agents -anti-inflammatory agents -antispasmodic agents -adrenocortico-steriods
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Supervision of Aides
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-continuous and immediate -in same facility and in proximity to location where aide is performing patient related tasks -readily available at all times to provide advice or instruction
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Aide to PT ratio
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1:1
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Aide participating in patient-related tasks
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-PT must at some point during treatment day provide PT services to patient (aide cannot solely provide PT services to patient)
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Before aide participates in patient related care, PT must
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evaluate and document competency level with regard to patient related care tasks
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Aide, patient related tasks
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PT services rendered directly to patient by an aide
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Aide, non-patient related tasks
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-observation of pt -transport of pt -physical support only during gait or transfer -housekeeping duties -clerical duties -and similar functions
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Supervision of Physical Therapist License Applicant (PTLA) (foreign applicants who have PTLA status)
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-direct and immediate supervision -close proximity to location PTLA is providing PT services -work as PTLA for 90 days pending results of first licensing exam (if fail, can no longer work as PTLA) -document receipt of ATT letter, record expiration date -Co-sign same day (first initial, last name)
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Supervision of Physical Therapist Assistant Applicant (PTAA)
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-direct and immediate supervision -close proximity to location PTAA is providing PT services -work as PTAA for 90 days pending results of first licensing exam (if fail, can no longer work as PTAA) -co-sign same day (first initial, last name) -weekly meetings
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Supervision of PT Student
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-On-site supvervision -co-sign same day (first initial, last name)
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Supervision of PTA
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-adequate supervision -available in person/by phone at all times -PT periodically provide observation of pt care -PT evaluate, POC, goals, discharge -POC communicated verbally/written to PTA before they begin Tx -Co-sign within 7 days of Tx provided by PTA -weekly conferences
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Supervision of PTA Student
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-on-site supervision -co-sign same day (first initial, last name)
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Ratio of PTAs to PTs
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2:1 -board may approve of more if deem adequate supervision would be provided -BUT # of PTAs can never be 2x the # of PTs
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Applicants for licensure qualifications
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-18 yrs old -successful completion of education/training required -not addicted to alcohol/drugs -not committed crimes that constitute grounds for denial of license
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If fail exam, can you take it again?
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Yes -must pay re-examination fee
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PTLA status effective until…?
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in effect until regular renewable license is issued (even after passed exam)
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Can you qualify for PTLA status more than once?
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NO
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PTAs qualifications
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-18 yrs old -complete PTA education program -pass exam -not addicted to alcohol/drugs -not committed crimes
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PTA without exam if
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-approved, licensed, or registered PTA in another state MISDEMEANOR if fraudulently say PTA when actually not
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PT education requirements
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-school accredited by CAPTE of APTA -completed at least 18 weeks of full-time clinical experience with variety -during internships, use nomenclature “Physical Therapy Student”
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Can suspend license for up to 12 months for:
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-wrongful ads, fraud, impersonating a PT -negligence, verbal/sexual harassment/abuse -habitual intemperance (alcoholism) -not following infection control guidelines
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Education Equivalents for PTA
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-Military training in hospital and PTA course including min 550 hour of courses, 350 clinical experience -Combo of training and 36 mos of full-time work experience in PT, 30 semester of instruction, 18 mos PT work -60 months of full-time PT experience, 30 months experience in acute care
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Foreign education requirements
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-submit docs to prove equivalence -pass written exam -complete 9 months clinical service (can work as PTLA in those 9 mo) **same requirements apply to American student from non-accredited school
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Foreign applicants
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-complete 9 months clinical service -submit quarterly reports 15 days after each 3 month clinical service -supervising PT must be in same facility -CCCE and CI must be APTA certified -3 of 9 mo waived if complete law and ethics course -1 mo waived for each month of licensed practice in another state up to required 9 mo **may have to pass oral exam if previously held license in another state ** if do not qualify to take PT exam, board may approve to take PTA exam
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Sexual activity
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Pt, client, or customer is presumed to be incapable of giving free, full, and informed consent to any sexual activity
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Probationary license (guilty of unprofessional conduct but has met all other requirements for licensure)
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-Medical or psychiatric evaluation -Continuing medical or psychiatric Tx -Restriction of the type or circumstances of practice -Continuing participation in a board-approved rehab program -Abstention from use of alcohol or drugs -Random fluid testing for alcohol or drugs -Compliance with laws and regs governing practice of PT
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Petition for license reinstatement, after a minimum period elapsed:
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-at least 3 years after unprofessional conduct -at least 2 years after early termination of probation of 3 yrs or more -at least 1 year after mental/physical illness/termination of probation of <3 yrs **no petition considered when under sentencing of criminal offense **Petition must include 2 letters from PTs.
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Offenses and Enforcement
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Misdemeanor -fine <$1,000 -county jail <6mo -OR both
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Continuing Competency Requirements (ConEd)
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30 hours every 2 years 2 hrs in ethics, laws/regulations, or combo 4 hrs in life support for healthcare professionals -first time renewal, 15 hrs in 2 yrs (one half normal cycle) -1 continuing education unit (CEU)= 10 hours
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Other ways to obtain ConEd hours
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-Publish peer-reviewed article, case study, or book chapter -Develop/present approved college or ConEd course for first time -Subject matter expert in the exam process for the board, FSBPT, or ABPTS -Serve on Board appt task force -APTA certified CI -Attending conference offered by FSBPT, APTA, or component thereof -Attending board meeting -Completing FSBPT practice review tool -Pass APTA specialty certified exam/re-exam -Expert consult for board training -Successfully passing Board’s CA Law Exam
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How long do you maintain record of ConEd?
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5 years -title of course/activity -date taken or completed -record of participation
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Exemption from ConEd requirments
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-Residing in another country for 1 yr or longer -Military service outside of CA for 1 yr or longer -Total physical/mental disability for 1 yr or more that’s been verified by physician/surgeon/psychologist -Total physical/mental disability for 1 yr or more of immediate family member licensee is totally responsible for verified by physician/surgeon/psychologist
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How many times can exception from ConEd be granted?
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cannot be granted for 2 consecutive renewal periods -if cannot complete ConEd for a second renewal period, can only renew license as “inactive” status
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How long does Board maintain records of events/citations of all persons licensed?
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5 years
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What info does the board maintain for all persons licensed?
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-name -last known place of residence -date and number of his/her license as PT
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When does PT license expire?
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At midnight on the last day of the birth month of the licensee during 2nd year of 2 year term, if not renewed
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Can you renew a license after it has been expired?
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Yes Can renew within 5 years upon payment of accused unpaid renewal fees and satisfied requirements for renewal
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Board will notify how many days before expiration?
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60 days prior to expiration date
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Fee for PT application
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$125 ($200 for Foreign) ** should never be >$300
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Fee for PTA application
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$125 ($200 for Foreign) ** should never be >$300
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Fee for PT license issue
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$100 **should never be >$150
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Fee for PTA license issue
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$125 ($200 foreign) **should never be >$150
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Fee for license renewal
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PT: $200 PTA: $200 ** should never be >$300
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Delinquency fee
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50% of renewal fee in effect ($100)
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Duplicates of wall certificate and renewal receipt fee
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$50 **should never be >$100
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Endorsement or letter of good standing fee
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$60
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Special Certification fee (EMG)
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Application: $100 Exam/Reexam: $500 Biennial renewal: $50
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PT Corporation
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-Corp name MUST contain works Physical Therapy or Physical Therapist -each shareholder, director and officer, EXCEPT assistant secretary and assistant treasurer shall be licensed PT
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Change of address notification to board
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within 30 days -does not have to be residence address -residence address is confidential only if alternative address provided (i.e. PO Box)
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Change of name to board
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within 30 days
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Change of email to board
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within 30 days
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Identification of PT Aide, Student and Applicant
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Must display: -his/her name -working title -at least 18 point font
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Administrative Citations- Fines
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Normally, >$100 but <$2500 Up to $5000 if board determines at least one of following: -violation presents immediate threat to health and safety of another person -multiple violations of PT Practice Act or regulations that demonstrate a willful disregard of the law -violation(s) perpetrated against a senior citizen or disabled person -cited person has Hx of 2 or more prior citations of same or similar violations
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Contest to Citation
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-request informal hearing within 10 days after service/receipt of citation -Executive officer hold informal conference within 30 days
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Using a suspended license or duplicating a license, warrants a…
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citation
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Practicing without a license or fraudulently taking the Board exam is a:
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Misdemeanor and a punishable by a fine $1000-$5000