Ethics and Jurisprudence for the Indiana Physical Therapy Professionals, 2nd Edition: Summary 5
Standards of Professional Conduct Physical therapy practitioners must: • Maintain the confidentiality of all knowledge and information regarding a patient, including the patient’s diagnosis, treatment, and prognosis • Provide truthful information about patient conditions • Exercise reasonable care based on scientific principles • Practice within their scope and competence • Document accurately—A practitioner shall maintain adequate patient records • Report misconduct • Maintain professional boundaries The supervising physical therapist shall examine each patient to review treatments and progress not less than: • Every 14 days for inpatients in either a hospital or comprehensive rehabilitation facility; • The earlier of every 90 days or 6 physical therapy visits for patients in a facility for the developmentally disabled (DD) and school system patients • The earlier of every 30 days or every 15 physical therapy visits for all other patients If this daily consultation is not face-to-face, the physical therapist may not supervise more than the equivalent of 3 full time physical therapist assistants. Consultation between a supervising physical therapist and the physical therapist assistant may be in person, by telephone, or by a telecommunications device for the deaf (TDD), so long as there is interactive communication concerning patient care. Dry Needling Requirements • Charge reasonable fees • Avoid conflicts of interest Standards or Practice for PT Services To perform dry needling, physical therapists must: • Complete a minimum of 50 hours of education specific to dry needling theory, practice, and technique • Ensure 40 of these hours are completed in person
• Bright-line rule : An objective rule that resolves legal questions in a straightforward, predictable manner. A bright-line rule is easy to administer and produces certain—though arguably, not always—equitable results • Dual or multiple relationships : A multiple relationship occurs when a therapist or assistant is in a professional role with a person and (1) at the same time is in another role with the same person, (2) at the same time is in a relationship with a person closely associated with or related to the person with whom the therapist has the professional relationship, or (3) promises to enter into another relationship in the future with the person or a person closely associated with or related to the person • Informed consent : Informed consent is a process, not just a form. Information must be presented to enable persons to voluntarily decide whether to participate. It is a fundamental mechanism to ensure respect for persons through provision of thoughtful consent for a voluntary act. The procedures used in obtaining informed consent should be designed to educate the subject population in terms that they can understand. Therefore, informed consent language and its documentation must be written in lay language, that is, understandable to the people being asked to participate. The written presentation of information is used to document the basis for consent and for the subjects’ future reference. The consent document should be revised when deficiencies are noted or when additional information will improve the consent process • Fiduciary duty : The responsibility to act in the best interest of a person or organization • Personal bias : The action of supporting or opposing a particular person or thing in an unfair way, because of allowing of personal opinions to influence • Veracity : The principle that one should tell the truth, that honesty is the best policy Conclusion This course covered the mandatory principles and standards of ethical practice for physical therapy professionals in Indiana, as well as the legal requirements governing practice. Understanding these ethical principles and legal requirements is essential for maintaining professional standards and protecting patient welfare.
• Maintain documentation of training • Not delegate dry needling to others GLOSSARY
• Altruism : The primary regard for or devotion to the interest of patients/clients, thus assuming the fiduciary responsibility of placing the needs of the patient/client ahead of the physical therapist’s self- interest • Autonomy : Self-directing freedom and especially moral independence
WORKS CITED
https://qr2.mobi/ethicsIN
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