OH PT Juris flashcards
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- ORS chapter 688
- Oregon's statutory chapter governing physical therapy practice, including licensure, scope, and discipline; the Board's implementing rules are in OAR chapter 848.
- Scope of physical therapy
- Examination, evaluation, diagnosis within PT scope, prognosis, intervention, and outcomes assessment for movement-related impairments and functional limitations; excludes surgery and independent drug prescription.
- Title protection
- Only a licensed person may use the title physical therapist or physical therapist assistant; unlicensed use of the title and unlicensed practice are statutory violations.
- Board composition
- The Oregon Board of Physical Therapy includes licensed physical therapists, at least one physical therapist assistant, and public members appointed by the Governor for fixed terms.
- Board rulemaking authority
- The Board adopts rules under the Oregon Administrative Procedures Act, requiring notice, public comment, and filing with the Secretary of State before rules take effect.
- Declaratory ruling
- A Board interpretation of the practice act or its rules issued on request, clarifying how the Board would apply the law to a specific factual situation.
- Initial licensure requirements
- Graduation from a CAPTE-accredited program, passing the NPTE, passing the Oregon jurisprudence exam, and a criminal background check before a license is issued.
- Continuing education requirement
- Licensees must complete Board-specified CE hours each renewal cycle, including mandatory jurisprudence and ethics content, and retain documentation for audit.
- Lapsed license
- A license not renewed by the deadline; practicing on it is unlicensed practice, and reinstatement requires late fees, CE evidence, and any additional Board requirements.
- Inactive license status
- A status allowing a licensee to retain the license without practicing; inactive licensees may not treat patients and must meet reactivation requirements to return to active status.
- PTA supervision
- A physical therapist assistant practices under PT supervision; the PT retains responsibility for evaluation, the plan of care, reassessment, and discharge decisions.
- PTA prohibited duties
- A PTA may not perform the initial evaluation, establish the plan of care, make the initial diagnosis, or discharge the patient from physical therapy care.
- Aide duties
- Aides perform non-skilled, non-clinical tasks such as transport, equipment setup, and clerical work; they may not perform skilled interventions or modalities requiring clinical judgment.
- Delegation competency requirement
- Before delegating a task, the supervising PT must confirm the delegatee has the training and documented competency to perform it safely.
- Informed consent elements
- Disclosure of the intervention's nature, expected benefits, material risks, reasonable alternatives, and the right to refuse, with consent documented in the record.
- Documentation content
- Records must include evaluation findings, PT-scope diagnosis, plan of care, interventions, patient response, and discharge summary, entered timely and accurately.
- Record amendment rule
- Records may not be altered retroactively; corrections are made by clearly identified addenda stating the date and reason for the change.
- Confidentiality exception
- Patient information may be disclosed without authorization only under legal exceptions such as mandatory reporting, court order, or public health requirements.
- Prohibited billing practice
- Billing for services not rendered, upcoding, and falsifying records are prohibited practices and grounds for Board discipline and possible fraud liability.
- Sexual misconduct prohibition
- Sexual contact with a patient and exploitation of the therapist-patient relationship are prohibited and constitute grounds for discipline, including license revocation.
- Patient abandonment
- Terminating care without notice, without offering transfer options, or without documentation constitutes abandonment and is a disciplinable violation.
- Impairment self-reporting
- A PT must not practice while impaired by alcohol or drugs and must self-report impairment or comply with a Board-approved monitoring program as required by rule.
- Grounds for discipline
- Unprofessional conduct, incompetence, negligence, fraud, substance impairment, criminal conviction, and violation of the Act or Board rules are disciplinable offenses.
- Consent order
- A negotiated resolution of a Board complaint in which the licensee accepts specified findings and sanctions without a contested case hearing.
- Available sanctions
- Board sanctions include reprimand, probation with conditions, suspension, revocation, civil penalty, and required remediation, monitoring, or coursework.
- Emergency suspension
- The Board may impose an interim or emergency suspension when continued practice poses an immediate risk to public safety, pending a full hearing.
- Direct access limits
- Oregon permits PT evaluation and treatment without physician referral, subject to statutory and rule conditions, including referral when red flags or lack of progress appear.
- Referral trigger
- Findings suggesting a condition outside PT scope, red flags, or failure to progress within the rule-defined period require prompt referral to a physician or appropriate provider.
- Referral communication duty
- When a patient is referred, the PT must communicate significant changes in condition and plan of care to the referring provider and document that communication.
- Imaging and prescribing limits
- A PT may not independently order imaging or prescribe medication unless specifically authorized by Oregon law; such actions exceed the standard scope.
- Direct access patient notice
- The PT must inform the patient about direct access and the limits of the PT's authority to treat without a physician referral.
- Public license verification
- License status, license number, and public disciplinary history are verifiable through the Board's public license lookup before hiring or referral.