La. Admin. Code tit. 46 § LIV-333

Current through Register Vol. 50, No. 11, November 20, 2024

Section LIV-333 - Physical Therapist Responsibilities; Supervision of Physical Therapist Assistants [Formerly Section 321]

A. A supervising PT of record is responsible for and shall participate in the patient's care.

1. conducting the initial patient evaluation and documenting a plan of care for the patient;

2. treating and reassessing the patient at least every sixth treatment day or every 30 days, whichever occurs first;

3. treating the patient for the final treatment session unless the patient is physically unavailable; and4. writing the discharge summary.

B. A Supervising PT of Record shall comply with the following requirements in providing patient care and in supervising PTAs.

1. The level of responsibility assigned to a PTA is at the discretion of the supervising PT of record who is ultimately responsible for the care provided by this PTA.

2. In all settings, the Supervising PT of Record shall:

a. perform an initial physical therapy evaluation and create the plan of care on each patient prior to delegation of treatment;

b. treat and reassess the patient at least every sixth treatment day or every 30 days, whichever occurs first;

c. treat and assess the patient for his final treatment session when feasible, as defined in §123, and write a discharge summary;

d. be readily accessible by telecommunication device and available to the patient by the next scheduled treatment session upon request of the patient or PTA; and

e. hold a patient care conference with a PTA regarding the patient. The PT is responsible for determining the frequency of the conferences consistent with accepted standards of practice; however, such conference shall occur at least every sixth treatment day or every 30 days, whichever occurs first.

C. In a wellness setting, after conducting an appropriate screening as to suitability for wellness or preventive services, a PT may delegate the provision of client wellness or preventive services to a PTA or a technician to perform and/or assist in the implementation of wellness services.

La. Admin. Code tit. 46, § LIV-333

Promulgated by the Department of Health and Human Resources, Board of Physical Therapy Examiners, LR 13:750 (December 1987), amended by the Department of Health and Hospitals, Board of Physical Therapy Examiners, LR 15:388 (May 1989), LR 19:208 (February 1993), LR 24:41 (January 1998), LR 26:1447 (July 2000), LR 28:1980 (September 2002), LR 34:1910 (September 2008), amended by the Physical Therapy Board, LR 37:3052 (October 2011), Amended by the Department of Health, Physical Therapy Board, LR 442183 (12/1/2018), Amended by LR 471138 (8/1/2021).

AUTHORITY NOTE: Promulgated in accordance with R.S. 37:2418(F) and Act 139 of 2010.