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Preparation
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Order
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Description
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1
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Review the plan of care established by the physical therapist prior to initiating patient intervention.
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2
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Prepare patient and treatment area observing universal precautions.
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3
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Prepare equipment to be used in intervention applications.
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4
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Demonstrate skill in measurement of standard vital signs.
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5
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Monitor and record vital signs.
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6
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Implement safe and effective transfer techniques.
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7
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Encourage active involvement of the patient in his or her care.
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Therapeutic Exercises
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Order
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Description
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1
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Implement applications of techniques used in passive ROM, active-assistive ROM, active ROM, stretching and strengthening exercises.
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2
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Implement applications of techniques used for aerobic conditioning, balance and coordination training.
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3
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Observe and monitor thoracoabdominal movements and breathing patterns with activity.
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4
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Compare and Contrast effects, indications, and contraindications of therapeutic exercises.
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5
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Recognize normal and abnormal joint movement.
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6
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Assess the presence or absence of muscle mass.
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7
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Recognize normal and abnormal muscle length.
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8
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Recognize changes in muscle tone.
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9
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Apply isometric, isotonic/dynamic and isokinetic exercise on various parts of the body.
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10
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Recognize activities that aggravate or relieve edema, pain, dyspnea, or other symptoms.
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11
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Apply safe therapeutic exercise as directed in the plan of care and supervised by the physical therapist.
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Neurological and Limb Deficiency Rehabilitation Interventions
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Order
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Description
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1
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Recognize fine motor and gross motor milestones.
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2
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Implement proper rehabilitation interventions for patients with a CVA, spinal cord injury and limb deficiencies.
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3
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Recognize safety factors while utilizing prosthetics and orthotics devices.
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4
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Implement proper NDT and PNF techniques.
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5
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Express the safety, status, and progression of patients while engaged in wheelchair management and mobility.
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Architectural Barriers
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Order
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Description
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1
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Inspect the physical environment and measure physical space.
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2
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Recognize safety and barriers in home, community and work environments.
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3
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Point out architectural barriers and modifications to minimize/alleviate barriers.
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Electrotherapeutic Agents
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Order
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Description
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1
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Apply electrotherapeutic agents.
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2
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Assess the effects, indications, and contraindications of electrotherapeutic agents.
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Traction
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Order
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Description
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1
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Apply traction devices.
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2
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Assess the effects, indications, and contraindications of traction devices.
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Compression Therapies
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Order
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Description
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1
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Apply compression devices.
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2
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Assess the effects, indications, and contraindications of compression devices.
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Manual Muscle Testing
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Order
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Description
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1
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Use proper measurement of muscle strength by manual muscle testing.
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2
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Establish the presence or absence of muscle mass.
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3
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Recognize normal and abnormal muscle length.
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4
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Recognize changes in muscle tone.
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5
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Perform proper goniometric measurements in head/neck, trunk, upper extremity, pelvis, and lower extremity areas
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Gait Analysis and Training
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Order
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Description
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1
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Assess gait.
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2
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Perform gait analysis.
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3
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Compare and Contrast components of a normal gait and deviations from a normal gait.
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4
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Formulate possible causative factors for gait deviations.
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5
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Perform proper gait training techniques utilizing appropriate assistive devices.
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6
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Evaluate the safety, status, and progression of patients while engaged in gait, locomotion, balance and mobility training.
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7
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Perform proper ADL training techniques utilizing appropriate adaptive devices.
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Postural Analysis
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Order
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Description
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1
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Assess body alignments and body posture.
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2
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Recognize alignment of trunk and extremities at rest and during activities and identifies postural abnormalities.
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3
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Suggest possible causative factors for postural abnormalities.
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4
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Perform posture awareness training.
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Interpersonal Skills / Communication / Teaching and Learning
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Order
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Description
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1
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Communicate an understanding of the plan of care developed by the physical therapist to achieve short and long term goals and intended outcomes.
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2
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Follow professional behaviors, conduct, actions, attitudes, and values consistent with the roles, responsibilities, and tasks of the physical therapist assistant.
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3
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Exhibit conduct that reflects practice standards that are legal, ethical and safe.
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4
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Place patient’s needs above the physical therapist assistant’s self interests.
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5
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Exhibit compassion, caring, and empathy in providing services to patients.
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6
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Participate in educating patients and caregivers as directed by the supervising physical therapist.
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7
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Develop patient-related instruction for patients, family members, and caregivers to achieve patient outcomes based on the plan of care established by the physical therapist.
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8
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Communicate verbally and non-verbally with the patient, the physical therapist, health care delivery personnel and others in an effective, appropriate, and capable manner.
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9
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Consider psychosocial principles in self-understanding and in developing communication with patients, families, the public, and other health team members.
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10
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Demonstrate effective instruction to the patient and others to achieve the goals and outcomes as described in the plan of care.
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11
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Respect individual and cultural differences and respond appropriately in all aspects of physical therapy services.
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12
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Effectively educate others using teaching methods commensurate with the needs of the learners.
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13
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Devise effective instruction for the patient and others to achieve the goals and outcomes as described in the plan of care.
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14
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Educate others about the role of the physical therapist assistant.
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Documentation and Management Skills
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Order
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Description
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1
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Model the essential components of patient documentation.
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2
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Develop written note writing skills using medical terminology and proper format.
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3
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Apply the SOAP format for note writing.
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4
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Compose documentation that follows professional guidelines, health care system, and physical therapy setting policies.
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5
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Provide accurate and timely information for billing and reimbursement purposes.
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6
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Participate in discharge planning and follow-up as directed by the supervising physical therapist.
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7
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Follow facility policies and procedures and payer regulations consistent with the health care delivery system and the practice setting.
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8
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Adhere to federal and state legal practice standards and institutional regulations related to patient care and fiscal management.
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9
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Justify aspects of organizational planning and operation of the physical therapy service.
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10
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Schedule patients for treatment appointments.
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11
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Seek performance improvement activities.
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12
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Promote and participate in efforts that promote physical therapy.
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13
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Under the direction and supervision of the physical therapist, instructs other members of the health care providers or practitioners.
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14
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Organize time efficiently.
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15
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Demonstrate a commitment to meeting the needs of patients and consumers.
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Intervention Modification
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Order
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Description
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1
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Observe patient's response to intervention.
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2
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Recognize changes in the direction and magnitude of patient's state of arousal, mentation and cognition.
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3
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Perform appropriate tasks or responsibilities assigned by the physical therapist.
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4
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Collect data to quantify the patient's response to interventions as directed and supervised by the physical therapist.
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5
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Progress the patient interventions through the plan of care.
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6
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Adjust interventions within the plan of care established by the physical therapist in response to patient clinical indications and reports this to the supervising physical therapist.
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7
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Recognize when intervention should not be provided due to changes in the patient's status and report this to the supervising physical therapist.
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8
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Report any changes in the patient's status to the supervising physical therapist.
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9
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Recognize when the direction to perform an intervention is beyond that which is appropriate for a physical therapist assistant and initiates clarification with the physical therapist.
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10
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Offer cultural competency and the best practices for providing culturally competent and culturally proficient care.
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11
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Appreciate, respect, and act with consideration for the patient's differences, values, preferences, and expressed needs in all physical therapy activities.
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12
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Respond appropriately in an emergency situation.
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