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MINIMUM
ESSENTIAL FUNCTIONS
FOR ADMISSION, PROMOTION,
AND GRADUATION
(Adapted
from the Univ. Of Colorado and other selected schools with
permission)
Introduction
The purpose of this document is to describe the
knowledge, attitude, and motor skills, abilities, and behaviors
deemed essential for the completion of the program. These essentials
carry forward into the formation of the generalist PT Assistant. The
following list is illustrative, and not intended as an
all-encompassing picture of the essential abilities that a PTA must
have. More information about specifics concerning the frequency,
lifting and force limits, and other physical activities performed by
a PTA may be found in the Dictionary of Occupational Titles,
published by the US Government.
Standards
It is during the two-year curriculum that the
student develops or enhances the qualities needed to practice
physical therapy. Students acquire the knowledge, attitudes, skills,
and behaviors needed beginning in the program and continue to
develop these as their career unfolds. The abilities listed below
are the basis for safe and effective practice, along with the
APTA’s Core Values, State of Ohio Code of Ethics for the PT or PTA. As students
progress through the program, they are evaluated by clinical
instructors with the Clinical Performance Instrument (CPI), and Warren May’s
Professional Behaviors. The CPI is
consistent with many of the skills and abilities below, being
integral to student training.
Reasonable accommodation is offered to students
if needed, consistent with the Americans with Disabilities Act.
Successful completion of the program includes passing exams, lab
tests, and other required certifications, along with obtaining the
necessary immunizations, and physical examination prior to clinical
participation.
Specific
Standards and Areas of Essential Function
Candidates for the degree must be able to meet
these minimum standards and be in compliance with the standards of
practice for the locale in which the clinical is performed.
Observation
Observation
involves the functional use of vision, hearing and somatic
sensations.
Standard: A student must be able to
observe lectures, lab demonstrations, radiographic images, and
microscopic tissue specimens and gauges or meters on various
modality units.
Essential Functions: The student must be
able to observe a patient accurately, including observing digital and waveform
and other graphic readings from therapeutic devices in order to
determine a patient’s treatment or condition. Examples include,
but are not limited to: palpation of peripheral pulses, bony
prominences, body shape, posture or alignment, visual and tactile
(touch) assessment of areas of inflammation, swelling or edema,
wound color and size, gait analysis, and ECG/EKG readings.
Communication
Competence in
communication is fundamental in the career of the student. This
includes an aspect of patient/client education.
Standard: This area includes speech,
language, reading and writing in English, and computer literacy.
Essential Functions: Students must be
able to communicate effectively and sensitively with clients/
patients to elicit necessary information regarding pain
level/intensity, and mood via the perception of non-verbal cues and
verbal statements. Students must be able to communicate effectively and
efficiently with other members of the health care community to
convey essential information for safe, ethical care. Students need to
communicate with individuals in a culturally sensitive way, while
accepting individual differences. They must be able to read, write,
speak and understand English at a level of competence consistent
with successful course and clinical completion.
Motor
or Muscle Use
Motor skills
require the coordination of both gross and fine muscular movement,
equilibrium, and the integrated use of touch and vision.
Standard: Students
must possess sufficient motor function to elicit information from
patients for use in assessment and intervention. This is exemplified
by palpation, auscultation, tapping and other assessment maneuvers.
Essential
Functions: Students must be able to execute movements required
to provide general and therapeutic interventions including, but not
limited to: positioning patients of varying sizes and weights,
draping and transferring (im)mobile patients, gait training with
varying assistive devices, applying orthotics and prosthetics,
performing range of motion and other mobilization techniques,
performing non-surgical wound care, placing of electrodes onto body
surfaces, and applying ultrasound applicators to the same.
Intellectual
and Conceptual, Quantitative and Integrative
These abilities
include measurement, calculation, reasoning, analysis, judgment, and
numerical recognition.
Standard:
Problem-solving and critical thinking are key skills demanded
of the PT Assistant. These abilities
must be performed quickly and
efficiently, especially in emergency situations.
Essential Functions: Students must be
able to identify significant findings from the PT plan of care and
examination/evaluation and provide a reasoned explanation to
patients for the care prescribed. They must
recall information in an
efficient and timely manner. The ability to incorporate new
information from peers,
teachers, medical literature, and courses
into a lifelong learning plan is essential. Knowledge and skills
gained
in this area will enhance treatment interventions and the
execution of the therapist’s plan of care. Sound
judgment in the
patient assessment and therapeutic planning are essential. Students
must communicate their
limits and scope of care to others when
appropriate. Students must assist in collecting and managing data
for
the PT’s caseload.
Behavioral
and Social Attributes
Students must
demonstrate ethical behavior and recognize the psycho-social impacts
of impairment, functional limitations, and disabilities, while
integrating the needs of the patient and family into the plan of
care provided by the supervising physical therapist. This includes
patient/client education.
Standard: The student must possess the
psychological ability required for the full utilization of their
intellectual potential. Students must demonstrate the exercise of
sound judgment, in addition to the prompt completion of all
responsibilities assigned. This includes not only the care of the
patients, but the development of mature, sensitive and effective
professional relationships with them and other health care
providers.
Essential Functions: Students must be
able to handle the stresses of a fulltime school course load during
training in class, along with a fulltime caseload by their final
clinical. They must be able to work effectively to manage stress and
resources, displaying flexibility as they learn to face some
uncertainties of the health care environment and patient clinical
problems.
Reasonable Accommodation
It is the policy of Shawnee State University to
provide reasonable accommodation for any qualified student with a
disability, so long as it does not fundamentally alter the nature of
the program offered, and does not impose an undue hardship upon the
program, staff or other students.
If a student cannot meet or demonstrate the
above listed essential functions at the standards above, it is the
responsibility of the student to request reasonable accommodation(s)
as
early as possible.
The determination of whether the accommodation is reasonable will be
on an individual basis. This determination will be on an interactive
basis with the program leader, in conjunction with the coordinator
of disability services on campus. Advance notice is highly
encouraged.
Section 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act of 1990, requires Shawnee State University to provide academic adjustments or accommodations for students with documented disabilities. Students seeking academic adjustments or accommodations must self-identify with the Coordinator of Disability Services, Student Success Center, Massie Hall at 740-351-3276. After meeting with the Coordinator, students are encouraged to meet with their instructors to discuss their needs, and if applicable, any classroom or lab safety concerns related to their disabilities.
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