DACUM Competency Profile for The Physical Therapist Assistant
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1 DACUM Competency Profile for The Physical Therapist Assistant DACUM Panel Members Lisa Steiber Theracare Rehab Inc. Crestwood Convalescent Hospital Tammie B. Kirmil Community Hospital Monterey Peninsula Marc Rede Theracare Rehab Inc. Crestwood Convalescent Hospital Lynda Richardson PT Lynda Richardson Physical Therapy Myrna R. Cavanah Nova Care, Inc. Alain Claudel PT Community Hospital Monterey Peninsula Carol A. High Guardian of Salinas Salinas, CA DACUM Facilitator Joanne Gray, R.N., M.S.N. Joanne Gray & Associates Anaheim, CA Assisted By Ann Coleman-Brown, RN, MSN Project Director, RHORC Fresno City College Fresno, CA Produced For Regional Health Occupations Resource Center Fresno City College 1101 East University Avenue Fresno, CA (209) Fax (209) February 1996
2 DACUM Competency Profile for The Physical Therapist Assistant The Physical Therapist Assistant is one who provides treatments and documentation of treatment under the supervision and guidelines of a Physical Therapist, to maximize the functional abilities of each individual patient. Duties Tasks A Perform Continuous Assessment A-1 Assess Mechanical Alignment A-2 Assess Gait A-3 Assess Posture A-4 Measure Range of Motion A-5 Manual Muscle Testing A-6 Assess Change in Muscle Tone A-7 Recognize symptoms of Contra-indications to A-8 Assess Vital Signs A-9 Assess Tolerance to Activity A-10 Assess Tolerance to A-11 Assess Appropriateness of TX Goals A-12 Assess Patient Accountability A-13 Assess & Screen Patients for Potential Interventions B Deliver Modalities B-1 Administer Ultrasound B-2 Administer Hot Pack s B-3 Apply Cryotherapy B-4 Provide Hydrotherapy B-5 Administer Diathermy B-6 Administer Electrical Stimulation Therapy B-7 Administer Paraffin B-8 Administer Fluidotherapy B-9 Administer Mechanical Traction B-10 Administer Sequential Pumping C Perform Physical Therapy Procedures C-1 Provide Pregait, Transfer & Gait Training C-2 Provide Prosthetic Training C-3 Mobilize Soft Tissue C-4 Provide Wound Care/Burn Care C-5 Administer & Supervise Functional Electrical Stimulation C-6 Administer Iontophoresis C-7 Administer Phonophoresis C-8 Passive Joint Mobilization C-9 Passive R.O.M. C-10 Apply & Modify Orthotics C-11 Perform Manual Traction C-12 Administer Spray & Stretch
3 D Therapeutic Exercise D-1 Facilitate Neurodevelopmental Training D-2 Provide Active/Resistive Range of Motion D-3 Provide Active Assistive R.O.M. D-4 Administer Biofeedback D-5 Provide Aquatic Therapy D-6 Administer Proprioceptive Neuromuscular Facilitation D-7 Provide Open/Closed Chain Exercises D-8 Provide Balance/Stabilization Exercises D-9 Administer Chest Therapy E Provide Education E-1 Teach Patient/Caregiver Home Exercise Programs E-2 Teach Patient/Caregiver Activities of Daily Living E-3 Provide Patient/Caregiver Joint Protection Education E-4 Teach Patient/Caregiver Pain Control & Management E-5 Teach Patient/Caregiver Stress Management E-6 Provide Community Education F Documenting Patient Care/ Progress F-1 Document Assessments F-2 Documentation of s/functional Outcomes F-3 Generate Periodic Patient Progress Reports F-4 Document Equipment Needs F-5 Document Patient/Caregiver Teaching F-6 Integrate Visual Support in Documentation F-7 Generate Charges for & Supplies F-8 Document Discharge G Participate Interdisciplinary G-1 Report Patient Status to Primary Therapist G-2 Participate in Sessions With the Therapist G-3 Coordinate Schedules G-4 Participate in Discharge G-5 Make recommendations to primary therapist for changes in patients treatment plan H Assist with Department Management H-1 Maintain Equipment H-2 Maintain Inventory of Supplies H-3 Participate in Staff Meetings H-4 Precept/Mentor P.T.A. Students/Rehab Aides H-5 Participate in Data Collection for Quality Assurance H-6 Performs various office duties I Maintain Professional Development I-1 Maintain Safety Certifications I-2 Participate in Continuing Education/Staff Development I-3 Maintain Licensure I-4 Participate in Professional Organizations
4 CURRENT TRENDS/ISSUES Aging Population Changes in Reimbursement Managed Care Consolidation of Services DRG's Ergonomics Multi-Drug Resistant Organisms Opportunities for Professional Growth & Education Capitation Wound Care Women's Health Issues Manual Therapy Aquatic Therapy GENERAL KNOWLEDGE & SKILLS Anatomy Physiology Physio-Pathology Kinesiology Physics Applied to Medicine Body Mechanics Aseptic Techniques Communication Skills (Oral/Written) Computer Skills C.P.R. Cultural Awareness Age Specific Awareness Departmental Policies & Procedures Knowledge of English Infection Control Interpersonal Skills Listening Skills Mechanical Skills Medical Terminology Organizational Skills Patient's Rights Problem Solving Skills State & Federal Regulations Stress Management Skills Teaching Skills Universal Precautions Cost Containment & Medical Eco. Elementary Psychology Elementary Psychiatry Knowledge of Rehab Disc. O.T. S.T. Nursing PCP Goniometry Observation Skills Critical Thinking Elementary Pharmacology Take Vitals Medical Ethics Information Management Medical Imaging Knowledge of 3rd Party Payor Leadership Skills Computer Tech Cost Containment TOOLS, EQUIPMENT, SUPPLIES AND MATERIALS Ultrasound Machine Ultrasound Gel Diathermy Electric Stimulation Machines High Volt Galvanic Interferential FES (Functional Electrical Stimulation) TENS Media - Sponges, Gel Paraffin Traction Cervical Pelvic Belts Application Computer Assistive Isokinetic Machine Sequential Pumps Pumps/Hose/Measurement Free Weights Reflex Hammers Isotonic Exercise Equipment Hand Grips Hotpack Iontophoresis and Medications Dex/Lido/Hydrocortisones Cold Pack Fluoromethane Spray Goniometer Measuring Tapes Walkers Front Wheel Pick up Platform Hemi Reciprocating Walker Wheelchair Canes Quad - Wide Base - Narrow Base Single point Crutches Hemi-cane Orthotics Wrist Splints Knee Braces Back Braces Sacro-lliac Joint/Lumbar Corset Slings Dry Casting Ankle Foot Orthosis Computers Laser Cameras Video Hospital Beds Roto bed Blood Pressure Cuff Stethoscope Sterilization & Disinfectant Agents Gait Belts Beepers - Pagers Balms - Chemical Irritants Theraband Crash Cart Faces Masks/Bonnet/Gowns/Gloves/Goggles Dressings for Wound Care Swiss Balls Bikes-Stationary/Restorator Balance Board Cardiac Monitor Ergometer Medicine ball Tru-K-Isokineltic Resistance Machine Trampoline Pools High/Low Manipulation Table Syphgmomenometer Treadmill Whirlpools Tilt Table Total Lift Chair Hoyer Lift Biofeedback Standing Cage/Standing Table Raised Toilet Seat Tumblers Parallel Bars Reachers Balance Beams Sliding Boards Powder Boards Stairs/Ramps Prosthetics Arms Below Knee Above the Knee Athletic Tape Needles WORKER TRAITS & BEHAVIORS Accept Constructive Criticism Compassionate Assertive Team Player Honesty Confidentiality Efficient (ability to manage multiple tasks) Ethical Patient's Rights Manual Dexterity Organized Sense of Humor Physically Fit Follow Directions Personal Hygiene
5 WORKER TRAITS & BEHAVIORS Punctuality Flexible Creative Adaptable
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