Physical Therapist Assistant Programpatient

Mercer County Community College2012Learner:

Physical Therapist Assistant ProgramPatient:

Practical Examination RubricScenario:

Date: Course:

Instructions:

The learner will select one of the possible test scenarios that he or she will need to perform with an assigned patient. The selection will take place approximately __15___* minutes before the actual testing time. During that time notes may be made on a separate piece of paper that may be used during the testing. All papers must be turned in at the completion of the practical.

Each test will take a total of __60___* minutes to complete. *PTA 106 learners have 5 minutes prep for 30 min test

The tester will be looking for the following: (from the individual being tested)

preparation of the treatment/assessment area for the patient (before and after the session)

Scores

Equivalent to: / Observations
5 / 5 / 5 / Entry level performance for a PTA / Set up with appropriate equipment, supplies, assistive devices, gait belt, towels, foot stool, all were put away at end of Rx
4 / 4 / 4 / Competent for a PTA learner at this level / Set up was mostly appropriate with minor exceptions, the learner needed to leave the patient to get something, but the patient was safe & supported
3 / 3 / 3 / Nervous but safe / Set up was appropriate with minor exceptions, learner just forgot several things and left pt.(several times) but pt. was supported & safe
2 / 2 / 2 / Inappropriate / Did not use a sheet on the treatment plinth during Rx
2 / 2 / 2 / Unsafe / left the patient unsupported when going to retrieve something needed for treatment
1 / 1 / 1 / Fraudulent / N/A
1 / 1 / 1 / Disrespectful to the patient / Not speaking to the patient to explain where/why leaving pt. to retrieve something ,leaving a patient in the treatment area at the conclusion of Rx, not concluding Rx with any type of remark to the pt.
0 / 0 / 0 / Forgotten or incomplete task performance / Forgetting to clean up Rx area before starting to document or until prompted to do so

Comment:

preparation of the clinician, hand-washing before touching a patient, lab coat and name tag

Scores

Equivalent to: / Observations
10 / 10 / 10 / Entry level performance for a PTA / hot water, towel to turn on and off water, 15 second scrub with soap, sleeves away from wrists, name tag with his or her name, coat buttoned & neat
9 / 9 / 9 / Competent for a PTA learner at this level / hot water, towel to turn on and off water, 15 second scrub with soap, sleeves away from wrists, name tag
8 / 8 / 8 / Nervous but safe / hot water, towel to turn on and off water, 15 second scrub with soap, sleeves away from wrists, as above, but may have needed to start over
7 / 7 / 7 / Inappropriate / cold water, no towel to turn on and off water, 5 second scrub with soap ,no name tag , continually touching self and re-washing hands (leaving pt.) Circle infraction(s)
6 / 6 / 6 / Unsafe / cold water, no towel to turn on and off water, touching oneself after washing hands and not re-washing hands Circle infraction(s)
5 / 5 / 5 / Fraudulent / wrong name on name tag
3 / 3 / 3 / Disrespectful to the patient / no lab coat, or no name tag, exposed tattoos, inappropriate clinical attire, hair in face, colored nail polish, etc.
0 / 0 / 0 / Forgotten or incomplete task performance / forgot to wash hands, touched self and forgot to wash hands, forgot lab coat or name tag

Comment:

to see how the clinician introduces him/herself to the patient (name & title), (clarity and speed)

Scores

Equivalent to: / Observations
5 / 5 / 5 / Entry level performance for a PTA / My name is “”I am a Physical Therapist Assistant Student and I will be working with you today.
Slow, clear, easily audible, looked for acknowledgment by pt.
4 / 4 / 4 / Competent for a PTA learner at this level / as above but the volume, speed or clarity could be improved
3 / 3 / 3 / Nervous but safe / as above but Physical Therapy Assistant Student and/or the volume, speed or clarity could be improved
2 / 2 / 2 / Inappropriate / as above but Physical Therapy Assistant or Physical Therapist Assistant and /or the volume, speed or clarity could be improved
2 / 2 / 2 / Unsafe
1 / 1 / 1 / Fraudulent / My name is “”I am a Physical Therapist Student (or “I am a Physical Therapist Assistant) and I will be working with you today. Slow, clear, easily audible, looked for acknowledgment by pt.
1 / 1 / 1 / Disrespectful to the patient / No eye contact, utilization of poor grammar “Hi, I’m goin’ to be working with you today”
0 / 0 / 0 / Forgotten or incomplete task performance / no introduction “Come with me”

Comment:

to see that the dignity of the patient is respected by making eye contact at eye level, draping the patient, allowing the pt. to do as much as he/she can do for him/herself

Scores

Equivalent to: / Observations
5 / 5 / 5 / Entry level performance for a PTA / intro at eye level, greet pt., have pt. propel him or herself to Rx area if capable, pt. Hx in Rx area, drape pt. at all times, pt. is responsible for w/c
4 / 4 / 4 / Competent for a PTA learner at this level / as above, may not remember to speak to pt. from the front
3 / 3 / 3 / Nervous but safe
2 / 2 / 2 / Inappropriate / reviewing Hx.in Rx area or pushing pt. to Rx area, or not permitting able pt. to perform tasks (one of these) not allowing the pt. to perform skills that were practiced to his or her ability
2 / 2 / 2 / Unsafe
1 / 1 / 1 / Fraudulent / N/A
1 / 1 / 1 / Disrespectful to the patient / Not draping the pt and more than one of the items from “inappropriate”
0 / 0 / 0 / Forgotten or incomplete task performance

Comment:

to see that the pt. is positioned appropriately for what is being done with them and that they are not asked to change positions un-necessarily.

Scores

Equivalent to: / Observations
5 / 5 / 5 / Entry level performance for a PTA / initially positioning the pt so that he/she can perform all activities that can be formed in one position before having a pt. change positions, pt’s feet are supported
4 / 4 / 4 / Competent for a PTA learner at this level / as above but the initial position may need to be changed resulting in more than one position change
pt’s feet are supported
3 / 3 / 3 / Nervous but safe / the SPTA realized that position changes were necessary and explained the need for a change to the patient accepting responsibility, pt’s feet are supported
2 / 2 / 2 / Inappropriate / the SPTA had the pt. change position more than 3 times including a return to a position due to poor planning, accepting NO responsibility, pt’s feet are not supported
2 / 2 / 2 / Unsafe / the SPTA repeatedly had the pt change position and failed to guard the changes , pt’s feet are not supported and the PTA left the pt. unattended to retrieve something
1 / 1 / 1 / Fraudulent / N/A
1 / 1 / 1 / Disrespectful to the patient / the SPTA repeatedly had the pt change position and failed to guard the changes or explain the reasons for the change
0 / 0 / 0 / Forgotten or incomplete task performance / The SPTA did not have the pt change positions when it would have been more appropriate to do so

Comment:

to see that the clinician is demonstrating appropriate concern for the patient and him or herself during the treatment session and as manifested in the treatment environment and the observation and practice of body mechanics that represent good habits and an awareness of the principles for self and others

Scores

Equivalent to: / Observations
10 / 10 / 10 / Entry level performance for a PTA / The SPTA practices safe body mechanics techniques throughout the Rx session and explains them to the pt. as appropriate, (w/c, mat table, transfers, pt. positioning, and all aspects of care) Selected an Rx area that was conducive to both pt. needs and clinician needs. Reminded pt. of body mech during session and provided rationale behind it.
9 / 9 / 9 / Competent for a PTA learner at this level / As above however, when sitting, The SPTA may need to improve upon personal body mechanics & posture but left something from above out. One omission
8 / 8 / 8 / Nervous but safe / Self corrected errors in body mechanics during Rx session, More than one omission from a “10”
7 / 7 / 7 / Inappropriate / Bending at the waist to remove w/c parts, retrieve various items throughout session
6 / 6 / 6 / Unsafe / Bending at the waist to transfer pt. with a narrow BOS
5 / 5 / 5 / Fraudulent / N/A
3 / 3 / 3 / Disrespectful to the patient / N/A
0 / 0 / 0 / Forgotten or incomplete task performance / N/A

Comment:

to see that things are explained to the patient in terms that he/she is capable of understanding

Scores

Equivalent to: / Observations
10 / 10 / 10 / Entry level performance for a PTA / the SPTA explained all activities in lay terminology and demonstrated activities before expecting pt. to perform task, asked pt if he or she had any ?s
9 / 9 / 9 / Competent for a PTA learner at this level / the SPTA used medical terminology and demonstrated activities before expecting pt. to perform task, asked pt if he or she had any ?s
8 / 8 / 8 / Nervous but safe / the SPTA explained all activities in lay or medical terminology and demonstrated activities before expecting pt. to perform task, but may have forgotten involved side
7 / 7 / 7 / Inappropriate / the SPTA explained all activities in medical terminology and did not demonstrate or ask pt if he/she had any ?s
6 / 6 / 6 / Unsafe / the SPTA explained some but not all of the activities OR did it in an inappropriate format for THIS patient OR did not demonstrate the activity before asking the patient to perform it OR did the teaching when the pt was standing, not sitting and supported
5 / 5 / 5 / Fraudulent / N/A
3 / 3 / 3 / Disrespectful to the patient / Did not ask the patient if he or she had ever performed the activity previously or how, OR did not ask the pt if he or she had any ? before proceeding
0 / 0 / 0 / Forgotten or incomplete task performance / No instruction took place prior to the expectation that the pt. would be expected to respond or perform something

Comment:

8.to see that the documentation is meaningful and accurate and meets each of the following criteria:

correct abbreviations, spelling, and documentation format in black ink,
to see that session measurements are accurate and in agreement with the testers visual assessment of the measurements and the session, recording only what is done and planned

Scores

Equivalent to: / Observations
10 / 10 / 10 / Entry level performance for a PTA / All activities were documented in SOAP note format with appropriate abbreviations, including the side, # sets, # reps, Rx, pt. comments, outcome, etc. and signed leaving no blank spaces and the note was legible, and neat in black ink
9 / 9 / 9 / Competent for a PTA learner at this level / As above but something could have been improved upon or was left out and would be with experience (e.g. side, # reps, S: too lengthy or not quoted when it should be, etc.) OR prof. designation may have been left out. Only one omission
8 / 8 / 8 / Nervous but safe / There may have been some items corrected with a single crossed out line that indicated that the SPTA was nervous, spelling errors were present, OR there was more than one omission OR measurements were not in agreement with the tester
7 / 7 / 7 / Inappropriate / Portions of the documentation do not match up with each other or relate to each other. MMT, ROM, Placement of items not within the correct area of the SOAP note etc.OR there might have been parameters for the application of a modality or exercises left out of the note OR illegible words in documentation
6 / 6 / 6 / Unsafe / N/A
5 / 5 / 5 / Fraudulent / Statement of test results that did not take place OR an adverse response of the application of a treatment intervention was left out of the documentation
3 / 3 / 3 / Disrespectful to the patient / Statement of assessments that are beyond the scope of practice for a PTA
0 / 0 / 0 / Forgotten or incomplete task performance / The documentation was unsigned

Comment:

9.Patient Safety:to see that the treatment has been prioritized for the patient with evidence of a physiologically sound and rational plan for the session

Comments:

Scores

Equivalent to:
20 / 20 / 20 / Entry level performance for a PTA
18 / 18 / 18 / Competent for a PTA learner at this level
15 / 15 / 15 / Nervous but safe
12 / 12 / 12 / Inappropriate
9 / 9 / 9 / Unsafe
6 / 6 / 6 / Fraudulent
3 / 3 / 3 / Disrespectful to the patient
0 / 0 / 0 / Forgotten or incomplete task performance

10.Patient Safety:to see that the demonstration of the selected tasks with the patient is done with evidence of skill and safety in the techniques performed

Comments:

Scores

The tester will be looking for the following from the “patient” during the test:

that the patient does ONLY what he or she is told to do
the patient does NOT try to help the clinician
that the patient does NOT ask questions of the tester
that the patient does NOT prepare or clean up the area
that the patient respects the stress of the clinician and do not try to make it more difficult for the clinician to successfully complete the practical

Please note:

Patient safety is a critical component for the successful completion of this and all PTA program courses within the PTA curriculum. Items 9 & 10 on the list are considered to be skills that must have a score of “15” of higher for the learner to pass this practical examination and be considered “safe.” Additionally, a minimum score of 77 must be earned to pass the practical exam, consistent with all PTA program courses.

Summary / Total Score for the Clinician: / Review Date:
1
2
3 / Point Deductions (as a patient): / Learner Initials:
4
5
6
7 / Final Score: / Safe/Unsafe / Pass/Fail
8
9
10 / Tester(s):
Total

BJB 3/12 rev