PHYSICAL THERAPIST ASSISTANT PROGRAM STUDENT

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PHYSICAL THERAPIST ASSISTANT PROGRAM

STUDENT RESOURCE MANUAL

2016-2017

Central New Mexico Community College

Albuquerque, New Mexico

CENTRAL NEW MEXICO COMMUNITY COLLEGE

PHYSICAL THERAPIST ASSISTANT PROGRAM STUDENT RESOURCE

MANUAL TABLE OF CONTENTS

SECTION PAGE PREFACE Welcome to the PTA Program 1

PREFACE Accreditation Status 1

PREFACE PTA Program Faculty/Division Office Staff, Department/College Credentialing Information

2

Resource Links CNM Campus Information 3-4

1 Mission, Vision, and Values of the College and Program

5

1.1 PTA Advisory Board 5-6

2 The Physical Therapist Assistant Program 62.1 Overall PTA Program Goals 62.2 PTA Program Objectives 62.3 The PTA Curriculum at CNM 7

The Role of the PTA 7Coursework 7

PTA Course Descriptions 8-10Six Semester Curriculum 11

3 College-Wide Student Policies and Information 123.1 Non-discrimination statement 123.2 CNM Access Policy 123.3 CNM Computer Ethics Guidelines 133.4 Liability 133.5 Smoking Policy 133.6 Drug and Alcohol Abuse Policy 133.7 Sexual Misconduct Policy 133.8 Inclement Weather Policy 143.9 Campus Security 14

3.10 CNM Procedures for Handling Common Emergency Situation

14

3.11 Student Financial Aid and Scholarships 143.12 Advising 143.13 Library Resources 14-153.14 Academic Computing Centers 153.15 Emergency Procedures While on Campus 153.16 OSHA Regulations 153.17 Social Media Policy 153.18 Student Records – Privacy/FERPA 15-16

4 PTA Program Policies and Procedures 164.1 The Associate of Applied Science (AAS)Physical

Therapist Assistant 16

4.2 Transfer Placement 16-174.3 Essential Functions of the PTA Student 17-184.4 PTA Curriculum Components 184.5 Evaluation of Student Performance In PTA Courses 18

4.5.1 Skill Checks 184.5.2 Practical Exams 18-194.5.3 Written Exams 194.6 Academic Progress/Grading 194.7 Attendance 19-204.8 Professional Behavior Expectations 20-214.9 Criteria for PTA Program Probation and Dismissal 21

4.10 Outcomes for Non-Compliance of Student Code of Conduct

22

4.11 Withdrawal 224.12 Conditions for Program Readmission 224.13 Academic Grievance/Due Process 234.14 Student Retention 23

5 Additional PTA Program Information 235.1 Mandatory Orientation 235.2 Academic Integrity 245.3 Policy for Student Expected of Impairment 245.4 Field Trips and Off-Campus Laboratory Sessions 245.5 Anticipated Student Program Costs 255.6 Equipment Requirements 255.7 Professional Organizations/Activities 255.8 Graduation Requirements 25-26

6 Lab and Classroom Policies and Procedures 266.1 PTA Program Lab Dress Code 266.2 Student Participation in Lab and Clinicals 26-276.3 Informed Consent Policy/Consent to Release of

Information 27-28

6.4 Photography/Videotaping 286.5 Responsibilities and Care of the PTA Lab 286.6 Lab Infection Control 28-296.7 Standard Precautions 296.8 HIPAA (Health Insurance Portability and Accountability

Act) 29

6.9 Equipment Testing 29-30

Appendices 31A APTA Guide for Conduct of the PTA 32-36

B Standards of Ethical Conduct for the PTA 37-39C Professional Behaviors Assessment Tool 40-48D HIPAA Form 49E Complaint Form 50F Confidentiality Agreement 51G Student Receipt and Acceptance of SRM 52H Incident/Exposure Form 53I Consent to Photograph/Videotape 54J Consent to release records 55

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WELCOME TO THE PHYSICAL THERAPIST ASSISTANT PROGRAM

The School of Health, Wellness, and Public Safety is pleased to welcome you to the

Physical Therapist Assistant Program at Central New Mexico Community College.

Admission to the program recognizes your history of strong academic performance and

personal commitment to the profession of physical therapy. We look forward to the next

year of working together to build your knowledge, skills, and professional behaviors as

you prepare for a rewarding career as a physical therapist assistant.

This resource manual has been prepared to assist you in adjusting to the academic and

clinical rigor of the program, and as a resource you will want to retain and return to

throughout the program. If there are changes to this handbook, you will be notified and

issued updated information. Please keep it handy for future reference.

In the event of a conflict between information contained in the student handbook and the CNM catalog, the catalog takes precedence. Students are responsible to know the information contained in the CNM Catalog and Student Handbook.

ACCREDITATION STATUS

Effective July 22, 2016 Central New Mexico Community College has been granted Candidate for Accreditation status by the Commission on Accreditation in Physical Therapy Education (1111 North Fairfax Street, Alexandria, VA, 22314; phone: (703) 706-3245; email: accreditation@apta.org). Candidate for Accreditation is a pre-accreditation status of affiliation with the Commission on Accreditation in Physical Therapy Education that indicates that the program is progressing toward accreditation and may matriculate students in technical/professional courses. Candidate for Accreditation is not an accreditation status nor does it assure eventual accreditation.

Central New Mexico Community College is institutionally accredited by the Higher

Learning Commission, North Central Association and is degree granting. Contact the

Higher Learning Commission at 230 South Lane La Salle Street, Suite 7-500, Chicago, IL

60624 or call (800) 621-7440.

(PTA Student Resource Manual Adopted 09/16. Revised 5/17.)

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PTA Program Faculty, Office Staff, and Department/College Credentialing

Information

Sandra M. Hartwig, MPH, PT Program Director

Office Location: Westside Campus, WSII 205

(505) 224-4000, Ext. 53054

shartwig@cnm.edu

Karen Browning, PT Academic Coordinator of Clinical

Education

Office Location: Westside Campus, WSII 205

(505) 224-4000, Ext. 45485

kbrowning2@cnm.edu

Dr. Tamra Mason Dean, School of Health, Wellness, and Public Safety

Office Location: Main Campus, JS 402

Phone: (505) 224-4117

tmason@cnm.edu

Shirley AragonAcademic Affairs SpecialistOffice Location: Main Campus, JS 401

Phone: (505) 224-4120saragon80@cnm.edu

School of Health Wellness and Public Safety/Physical Therapist Assistant Program Central New Mexico Community College – Westside Campus

10549 Universe Blvd. NW

Albuquerque, NM 87114

Commission for Accreditation in Physical Therapy Education (CAPTE) 1111North Fairfax Street

Alexandria, Virginia 22314

703-706-3245

http:/www.capteonline.org

Higher Learning Commission 230 South Lane La Salle Street, Suite 7-500

Chicago, IL 60624

800-621-7440

http://hlcommission.org

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Central Community College (CNM) Information and Resource Links

The PTA program abides by the CNM policies and procedures. Below are some, but not all helpful

links. Additional information may be located in the College Wide Policies section at

https://www.cnm.edu/student-resources/catalog/glossary Students enrolled in the PTA program will

receive an e-mail copy of this handbook annually as well as handbook availability on the CNM PTA

website.

American Physical Therapy Association

http://www.apta.org

Bookstore https://www.cnm.edu/student-resources/bookstore 505-332-7485

Business Office – Tuition & Fees

Financial Aid

https://www.cnm.edu/depts/enrollment/cost/

https://www.cnm.edu/depts/financial-aid

Campus Safety and Crime Awareness

https://www.cnm.edu/depts/security/crime-prevention

CNM PTA Program http://www.cnm.edu/programs-of-study/programentry/cpe-programs/physical-therapist-assistant

CNM HWPS Student Handbook

,

https://www.cnm.edu/programs-of-study/health-wellness-public-safety/hwps-student-handbook

Counseling Services

Info on Student Health Insurance-CNM does not provide

https://www.cnm.edu/depts/mental-health-services

https://www.cnm.edu/programs-of-study/health-wellness-public-safety/documents/HEALTHINSURANCE.pdf

Disability Services https://www.cnm.edu/depts/disability-resource-center

Help Desk – Information Technology Services

https://www.cnm.edu/depts/its/requests/helpdeskservices

Homepage about CNM www.cnm.edu

Library www.cnm.edu/depts/libraries 505-224-5423 Westside Campus

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New Mexico Physical Therapy Association

www.nmapta.org

Non-Discriminatory Policy- Admission

Non-Discriminatory Policy-Disability

https://www.cnm.edu/depts/enrollment/admissions/nondiscrimination

https://www.cnm.edu/depts/disability-resource-center/complaint-procedure

Registration for classes https://www.cnm.edu/registration

Scholarship Information https://www.cnm.edu/depts/financial-aid/scholarships

Student Resources https://www.cnm.edu/student-resources

Student Services https://www.cnm.edu/depts/student-services 505-224-3000

Testing Center-Main Campus

Testing Center –Westside Campus

https://www.cnm.edu/depts/...center/main-campus-assessment-center

https://www.cnm.edu/...center/westside-campus-assessment-center

Tutoring Services- Assistance Center for Education (ACE)

https://www.cnm.edu/depts/tutoring/ace-tutoring-services

Veterans https://www.cnm.edu/depts/financial-aid/veterans/contact-cnm-veterans-office

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Section 1: Mission, Vision and Values of Central New Mexico Community College

Mission, Vision and Values of the PTA Program

Central New Mexico Community College (CNM) is a state public institution of higher

education in Albuquerque, New Mexico. As a community college, CNM provides quality,

accessible, and affordable educational opportunities for the residents of New Mexico.

Mission of the College

The mission of CNM is to “Be a Leader in Education and Training”.

Mission of the PTA Program

The mission of the PTA program is “To develop competent, ethical, and professional

physical therapist assistants, who work under the direction and supervision of the physical

therapist, to enhance the wellbeing of the people of New Mexico”.

Vision of the College

The vision of CNM is “Changing lives, Building community”

Vision of the PTA Program

The Physical Therapist Assistant Program is committed to providing CNM students an

excellent and affordable educational experience that prepares them as valued healthcare

providers who are able to combine safe, effective, and ethical care delivery with cultural

and economic sensitivity to serve the communities of New Mexico.

Values of the College

CNM core values are:

Be Caring

Be Ethical

Be Inspiring

Be Courageous

Be Connected

Be Exceptional

Values of the PTA Program

The PTA Program supports the College’s core values of being caring, ethical, inspiring,

connected, exceptional, and courageous. These values are at the core of training

competent and caring allied health practitioners.

1.1 Advisory Board

The CNM Physical Therapist Program has an advisory board made up of members of the

community and the program including clinical affiliates’ department directors, clinical

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instructors, student representatives, program director, program clinical coordinator, HWPS

dean and associate deans, and other support CNM employees as required. The board

meets biannually at minimum to get input and feedback from the community.

Section 2: The Physical Therapist Assistant Program

2.1 PTA Overall Program Goals

1. The PTA education program will produce competent, ethical, and professional

entry level physical therapist assistants as a means of supporting the institution’s mission of providing educational opportunities which leads to employment, while creating community partnerships. 2. The PTA education program will provide students a curriculum which is based on current, evidence based practices and consistent with:

(a) CNM Associate of Applied Science requirements (b) The Commission of Accreditation in Physical Therapy Education (CAPTE) (c) Guidelines as delineated by the APTA including the Normative Model of Physical

Therapy Education (2007), Minimum Required Skills documents, Guide to Physical Therapist Practice, and Ethical Conduct of the PTA

(d) New Mexico Physical Therapy Practice Act/Regulations 3. The PTA education program will meet the diverse needs of the community through providing avenues for key stakeholders to contribute to the program, including input from the PTA Advisory Committee, academic faculty, and clinical instructors. 4. The PTA education program will promote the importance of continuing personal and professional development through life-long learning opportunities and involvement with community, state, and national organizations associated with the physical therapy profession. 5. The PTA education program will provide avenues for ongoing research and/or

assessment to determine program needs and goals.

2.2 PTA Program Objectives

Upon completion of the program, students/graduates will: 1. Be prepared to achieve licensure to practice as an entry-level physical therapist

assistant under the direction and supervision of a physical therapist.2. Demonstrate the necessary skills to practice as an entry level physical therapist

assistant, including competence in providing safe interventions to progresspatients through the plan of care, proper documentation, and knowing when toseek assistance from the supervising physical therapist.

3. Demonstrate appropriate, effective, and culturally competent communicationwith patients/clients, families, colleagues, and other health care providers.

4. Demonstrate a commitment to professional growth and lifelong learning, including understanding the role of the APTA, and other professional organizations which influence the physical therapy profession.

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2.3 The PTA Curriculum at CNM

The Role of the PTA

Physical Therapist Assistants (PTAs) provide physical therapy services under the

direction and supervision of a Physical Therapist (PT). The PT evaluates the patient and

determines an individualized plan of care for each patient, with specific interventions

designed to promote the ability to move, reduce pain, restore function, and prevent

disability. The PTA then carries out the plan of care under the supervision of the PT, who

is responsible for the services provided by the PTA. The interventions are applied and

progressed by the PTA, who monitors the patient and collects data to share with the

supervising PT. PTAs are responsible for knowing which tasks are within their scope of

work as defined by the American Physical Therapy Association and individual State

Practice Acts, and for ensuring that the supervising PT re-evaluates the patient when

warranted by a change in condition or to comply with state or other regulations.

PTAs work with people of all ages, from birth to old age, and in a variety of settings,

including outpatient clinics, hospitals, inpatient rehabilitation centers, nursing homes,

home health agencies, private practice, school systems, and sports programs. PTAs

address mobility deficits with interventions such as teaching therapeutic exercise, applying

therapeutic modalities, performing manual stretching or soft tissue mobilization, teaching a

patient to walk using an assistive device, teaching a family member how to assist a

patient, improving body mechanics for health and safety in the work place, or instructing

parents how to manage mobility or other access issues in young children.

Coursework

The PTA Program is a 71-72 credit-hour curriculum that culminates in an Associate of

Applied Science (AAS) degree. The technical portion of the program is in the second half

of the coursework and is conducted in four semesters.

Students of the PTA Program follow a structured curriculum designed to progress from the

simple to complex, and from basic understanding to competent performance. Students

will develop both cognitive and psychomotor skills through individual reading, traditional

lecture, hands-on laboratory experience, group projects, role playing, one-on-one

guidance, peer mentorship, use of interactive study aids, and off-campus experiences.

Competence as an entry-level PTA requires hours of hands-on performance practice, both

in the lab and in the clinic environment. Students will develop their skills by learning not

only intellectually, but in the psychomotor and behavioral domains. Consequently, the

student will be prepared with the knowledge, skills, and attitudes necessary to the

profession.

Emphasis is placed on using the classroom and the lab as the environment students can

practice newly acquired skills while maintaining safety. As students advance through the

curriculum, performance expectations increase from novice to intermediate to the levels of

competency and mastery. Full-time clinical experiences during the final two semesters of

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the program provide the opportunity to practice in the clinical setting what has been

learned in the classroom. These are one-on-one experiences under the supervision

and guidance of a clinical instructor.

The curriculum includes learning activities that address personal, civic, and vocational

development. Personal development addresses areas such as personal responsibility,

communication skills, and professional behavior. The student is expected to demonstrate

responsibility in his or her own learning. Community service is expected of individuals in

allied health professionals and students will be exposed to participation in a community

service project. Students are expected to become student members of the American

Physical Therapy Association (APTA). Career readiness is at the forefront of the PTA

Program as students are prepared with the knowledge and skills necessary to perform

competently as an entry level physical therapist assistant. Students will be prepared to

continue their professional development throughout their career through licensure renewal

and continuing education and an ongoing commitment to lifelong learning.

Students are expected to progress sequentially through the PTA curriculum. Progression

from one semester to the next is dependent on passing each course. Guidelines for

minimum requirements to pass each course will be included in the course syllabi. Below

are the Course Descriptions of the technical PTA Program

PTA 1110 Orientation to PTA Introduction to the profession of physical therapy and the roles of the physical therapist and the physical therapist assistant. The study of professional behaviors with emphasis on understanding the core documents of physical therapy as published by the APTA. Exploration of the history, ethics, and legalities associated with the PT/PTA profession. This course will cover PTA relationships including the patient/client/family, PT, and other healthcare providers. Evidence Based Practice, Confidentiality, and Documentation will be covered.

PTA 1120 Clinical Kinesiology This course is designed to provide the student with basic physics principles which govern dynamic systems so that the student is able to interpret human movement. Students will be exposed to detailed information including biomechanical principles of movement as it relates to the skeletal, neurological, and muscular systems. Techniques to assist in clinical decisions such as observation, manual muscle testing, functional testing, goniometry, palpation and gait/locomotor assessment are included.

PTA 1130 PTA Pathophysiology This course will focus on disorders and diseases of the human body, including: etiology, signs, symptoms, methods of diagnosis, and treatment. Implications for physical therapy intervention as well as disease prevention will also be covered.

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PTA 1140 PTA Procedures I This course covers physical therapy clinical procedures related to patient care including vital sign assessment, pain assessment, body mechanics, bed mobility, transfer training, gait training, activities of daily living, range of motion, hot pack application, and cryotherapy. In addition, students will practice proper documentation and communication of the treatment provided, including patient response.

PTA 1550 Physical AgentsThis course will study the biophysical principles, assessment, and application of therapeutic physical agents with specific emphasis on indications, contraindications, medical efficacy, and physiological effects. Additionally, this course will introduce proper documentation of physical agents and corresponding patient responses.

PTA 1520 Therapeutic Exercise Therapeutic interventions related to stretching, strengthening, posture, balance, coordination, agility, and aerobic conditioning will be included within the course. Student will be provided with the background to determine the applicability of therapeutic exercise procedures including safety, indications and contraindications, and the ability to determine treatment response.

PTA 1530 Orthopedics for PTA This course will focus on orthopedic injuries/disorders, musculoskeletal tissue healing, and related physical therapy treatment interventions.

PTA 1540 Clinical Neurology and Management This course will prepare students for clinical application of rehabilitation techniques, with a focus on neurological pathologies and their treatment. Patient management of neurologic conditions, including hemiplegia, traumatic brain injury, and spinal cord injuries, will be included within this course Lifespan development and concerns related to pediatric and geriatric patient populations will be covered, including cognition and motivational principles for each. Laboratory practice will provide hands on experience with neurologic interventions, exercise programs, and treatment progressions for a variety of neurological diagnoses.

HLTH 1001 Clinical Preparation The purpose of the Health 1001 course is to provide initial training in several areas key to the compliance process before the clinical experience can begin. Also, the intent of the course is to educate students about the expectations, requirements, and professional behaviors asked of them in the clinical environment.

PTA 2010 PTA Procedures II This course is designed to expose students to clinical procedures related to patient care including amputations, wound care, cardiopulmonary rehabilitation, and health, wellness and prevention. Specific interventions for women-related health conditions, and oncology patients will also be discussed.

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PTA 2090 Clinical Practicum I This 4 week clinical externship provides students with the opportunity to apply, integrate, and perform clinical skills acquired in the academic setting directly to patients in a physical therapy clinical setting under the direct supervision of a licensed physical therapist or physical therapist assistant. Students are expected to demonstrate basic clinical reasoning skills and provide high quality care for non-complicated to complex patients with a degree of supervision that will vary with the complexity of the patient of the environment.

PTA 2210 Professional Issues This course is designed to assist with preparation for licensure, identify life-long learning opportunities, and develop a career plan. Study of career related topics to include maintaining quality assurance, recognizing organizational planning, operation of the physical therapy service, and recognizing finances related to physical therapy.

PTA 2290 Clinical Practicum II This seven week clinical externship provides students with the opportunity to apply, integrate and perform skills acquired in the academic setting directly to patients in a physical therapy clinical setting under the direct supervision of a licensed physical therapist or physical therapist assistant. Students are expected to develop clinical reasoning skills and provide high quality care for non-complicated to complex patients, with varying degrees of supervision based on the complexity of the patient or the environment.

PTA 2390 Clinical Practicum III This six week clinical externship provides students with the opportunity to apply, integrate and perform skills acquired in the PTA program academic setting directly to patients in a physical therapy setting under the direct supervision of a licensed physical therapist or physical therapist assistant. The emphasis is to integrate previously learned and practiced PTA skills, special topics, and clinical management and healthcare issues into the delivery of a comprehensive physical therapy treatment program. Students are expected to be responsible for patient care compatible to the role and entry level skills of the PTA.

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The following chart outlines the entire six-semesters of the PTA program curriculum. The

technical portion of the program begins in the third semester.

GENERAL EDUCATION PREREQUISITES SPRING COURSES (15 wks) Credits Class

Hrs/wk Lab Hrs/wk

Clinic Hrs/wk

Written Communication - English 1101 or higher 3 3

Introduction to Computers – IT 1010 3 3

Intermediate Algebra – Math 1310 or higher 3-4 3-4

Anatomy and Physiology (Non-majors) – BIO 1310 3 3

Anatomy and Physiology Lab (Non-majors) BIO 1392 1 3

Semester Totals 13-14 12-13 3

SUMMER COURSES (12 wks)

Medical Terminology – HIT 1020 3 3

Basic Patient Care Skills – BPCS 1092 1 3

PTA Anatomy Fundamentals – PTA 1020 3 2 3

The profession of Physical Therapy – PTA 1010 1 1

Human Relations Req. (Psych 1105 or higher) 3 3

Semester Totals 11 9 6

PTA PROGRAM COURSES (Fall Term – 12 weeks)

Orientation to PTA – PTA 1110 3 3

Clinical Kinesiology – PTA 1120 3 2 3

PTA Pathophysiology – PTA 1130 3 3

PTA Procedures I - PTA 1140 4 3 3

Semester Totals 13 11 6

PTA PROGRAM COURSES (Spring Term - I5 weeks)

Physical Agents – PTA 1550 4 3 3

Therapeutic Exercise – PTA 1520 3 2 3

Orthopedics for PTA – PTA 1530 3 3

Clinical Neurology and Management –PTA 1540 4 3 3

Clinical Preparation – Hlth 1001 1 1

Semester Totals 15 12 9

PTA PROGRAM COURSES (Summer Term – 12 weeks)

Practicum I – PTA 2090 (5wks) 4 36

PTA Procedures II – PTA 2010 3 2 3

Semester Totals 7 2 3 180

PTA PROGRAM COURSES (Fall Term – 14 weeks)

Practicum II – PTA 2290 (7 wks) 6 38 Practicum III PTA 2390 (6 wks) 5 39

Professional Issues – PTA 2210 1 1

Semester Totals 12 1 500

TOTAL FOR DEGREE 71-72

47-48 27 680

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Section 3: College-Wide Student Policies and Information

3.1 Non-discrimination Statement(s)

Non- Discriminatory Statement Related to Admission: Students are considered for

admission to CNM without regard to gender, race, color, national origin, religion, age,

disability, sexual orientation, or marital status.

https://www.cnm.edu/depts/enrollment/admissions/nondiscrimination

Non-Discriminatory Statement Related to Disabilities: In accordance with the

Americans with Disabilities Act (ADA), Section 504 of the Rehabilitation Act of 1973 and

other applicable law, CNM takes appropriate action to ensure that its programs and

services are readily accessible to qualified individuals with disabilities. No qualified

individual with a disability shall, on the basis of the disability, be excluded from

participation in, be denied the benefit of, or otherwise be subjected to discrimination

related to any of the institution’s programs or activities. This procedure assists the college

in carrying out its responsibilities in administering and enforcing applicable federal and

state laws and university policies related to nondiscrimination on the basis of disability and

investigation of complaints. Any student who feels he or she is the victim of discrimination

on the basis of disability, should follow the complaint procedures outlined below. The

college reserves the right to investigate any allegation of discrimination based on

disability. Retaliation CNM also investigates and resolves allegations of retaliation against

individuals who have raised claims of discrimination based on disability or who have

cooperated in an investigative process in some manner. Retaliation is an adverse action

taken against an individual as a result of a complaint being filed or after the individual has

cooperated with an investigative process. Retaliation is prohibited whether or not the

charged party prevails in the original allegation of disability discrimination. No agent,

employee or student of the college may harass, coerce, intimidate, or discriminate against

an individual who has filed a complaint or participated in a complaint resolution process.

Charges of retaliation will be treated as separate and distinct from the original charges

and allegations, and will be investigated by the college.

https://www.cnm.edu/depts/disability-resource-center/complaint-procedure

3.2 CNM College Access Policy: In accordance with the Americans with Disabilities Act (ADA), Section 504 of the Rehabilitation Act of 1973 and other applicable law, CNM takes appropriate action to ensure that its programs and services are readily accessible to qualified individuals with disabilities. No qualified individual with a disability shall, on the basis of the disability, be excluded from participation in, be denied the benefit of, or otherwise be subjected to discrimination related to any of the institution’s programs or activities. To this end, services are provided to ensure equal access to all aspects of the college experience for students with disabilities through the most appropriate accommodations. Services are available to students who self identify and provide appropriate documentation of their disability.

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This procedure assists the college in carrying out its responsibilities in administering and enforcing applicable federal and state laws and university policies related to nondiscrimination on the basis of disability and investigation of complaints. Any student who feels he or she is the victim of discrimination on the basis of disability, should follow the complaint procedures outlined below. The college reserves the right to investigate any allegation of discrimination based on disability. https://www.cnm.edu/depts/disability-resource-center/complaint-procedure

3.3 CNM Information Technology Policy: Central New Mexico Community College (CNM) promotes and provides Information Technology (IT) resources that enhance educational services and facilitate job performance and CNM operations. These resources are shared by CNM students, CNM employees and the public at large. All persons using these systems share the responsibility for seeing that they are used in an effective, efficient, ethical, and lawful manner. The purpose of this administrative directive is to define acceptable and unacceptable uses of these resources and to delineate the rights of CNM and technology users. https://www.cnm.edu/depts/hr/policies-and-procedures/the-source/is-1002

3.4 Liability: CNM does not provide students with health/accident insurance. The

student is strongly encouraged to maintain health/accident insurance. This means that

expenses incurred by the student, e.g., hospitalization, physician’s fees, x-rays, would be

the responsibility of the student, not the school.

CNM provides liability insurance for students. Students should not be practicing independently the skills learned in the program outside of those activities scheduled in conjunction with the academic programming. https://www.cnm.edu/programs-of-study/health-wellness-public-safety/documents/HEALTHINSURANCE.pdf

3.5 Smoke Free Campus Policy: CNM is committed to wellness, prevention, and providing a healthy environment in which to learn, work, and visit. Therefore, smoking and the use of tobacco-related products of any kind, to include e-cigarettes, are prohibited on all CNM campuses except in clearly marked designated smoking areas. https://www.cnm.edu/about/smoke-free-campus

3.6 Drug and Alcohol Abuse Policy: The PTA Program will adhere to the College Substance Abuse Policy as located in the Central New Mexico Community College Student Resources, Catalog,Substance Abuse tab. https://www.cnm.edu/student-resources/catalog/substance-abuse

3.7 Off-Site Consensual Relationship Policy: Students enrolled in HWPS programs

shall not engage in any dating, romantic or sexual relationships with individuals who

teach, coach, evaluate, precept, guide or otherwise have influence over the student

educational experience at an offsite location. This policy is located in the HWPS

Handbook at

http://www.cnm.edu/programs-of-study/health-wellness-public-safety/hwps-student-

handbook

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3.8 Inclement Weather Policy: If the CNM District is impacted by snow or other weather

that can make travel dangerous, CNM may close or enact delays for the campuses that

are affected by winter conditions while keeping other campuses open that are not

significantly affected by winter conditions. This helps CNM ensure that it fulfills the course

and program requirements of accrediting bodies that can be negatively affected when

numerous classes don’t take place due to weather Inclement weather policy can be

viewed at http://www.cnm.edu/depts/marketing/weather

3.9 Campus Security: CNM Security deploys uniformed officers with comprehensive training to patrol each campus 24 hours a day, seven days a week. A security officer at the Westside Campus may be reached at (505) 224-5400 or Dispatch (505) 224-3002 (24/7). Security officers are available to escort faculty members or students to the parking lot at night. Please report crimes, injuries, property damage to campus security. Please inform the security office if you are leaving a vehicle on campus overnight to avoid having the vehicle towed. Lost and Found for the Westside Campus is in the Security Office in the MJG Building Information on campus security can be found at https://www.cnm.edu/depts/security/security-office-locations

3.10 CNM Procedures for Handling Common Emergency Situations: A complete guide for campus emergency procedures is available at the following link on the CNM Website: https://www.cnm.edu/depts/security/Emergency-Procedures.html You can call Campus Security to report an emergency 224-3002.

3.11 Student Financial Aid and Scholarships: The Financial Aid office staff are available to provide information about CNM financial aid programs and scholarships. https://www.cnm.edu/depts/financial-aid https://www.cnm.edu/depts/financial-aid/scholarships The Legislative Lottery Scholarship is available to New Mexico students who have met the requirements and can be found at the CNM website at https://www.cnm.edu/depts/financial-aid/scholarships/recent-nm-high-school-graduates-and-ged-recipients Work study positions are also available through the financial aid website.

3.12 Advising: Once accepted into the program, students are assigned to a full-time PTA faculty for academic advising. Students meet with the faculty by appointment and during office hours throughout the program if academic guidance is required. Students will see their faculty advisor for review of their Professional Behaviors Assessment once per semester.

3.13 Library Resources: CNM has libraries at Main, Montoya, South Valley, Westside, Rio Rancho, and a small collection at the Advanced Technology Center. The campus library locations (with maps) and hours are available here: http://subjectguides.cnm.edu/pages/hours.

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Library resources relevant to the Physical Therapist Assistant program include Ebooks, Print Books, Journals, Health Care Specific and General Research Databases, and iPad Apps. There are also online videos available through one of CNM’s video databases.

3.14 Computer Labs: CNM computer labs offer students a convenient and quiet lab environment to complete course assignments, review computer-based tutorials, access and send email, and class registration assistance. CNM labs have friendly and knowledgeable staff that will provide assistance with basic computer skills. Students willhave an initial printing allotment and are able to pay for more printing if needed. https://www.cnm.edu/depts/tutoring/computer-labs In addition to the other CNM campuses, the Westside Campus has its own computer lab for students with tutoring on site.

3.15 Emergency Procedures While on Campus: If an individual becomes ill while attending CNM, CNM employees are encouraged to provide assistance in emergency situations to accommodate the safety and well being of ill or injured individuals or employees. CNM is not responsible for administering medical care, however, employees and students are expected to respond quickly to an emergency and should contact CNM Security Dispatch at 224-3002 https://www.cnm.edu/depts/hr/policies-and-procedures/the-source/is-1400/is-1400-medical-emergency-policy Transportation of life threatening situations or severe accidents involving students, staff, or visitors is done by ambulance on the recommendation of a fire department emergency response crew (911 response).

3.16 OSHA Regulations: The PTA program will adhere to the policies and procedures for hazardous materials as outlined in the CNM hazard communication plan which can be found at https://www.cnm.edu/depts/hr/policies-and-procedures/the-source/is-1406/is-1406-standard-for-hazard-communications

3.17 Social Media Policy: Students agree to comply with all state, local, and federal requirements governing the privacy of medical information. This includes all HIPAA andother privacy requirements during clinical rotations. Furthermore, students are bound to comply with privacy requirements whether in person, via telephone, or in any electronic format in conversations with family, friends, and peers.

To uphold the privacy of such information, students agree not to post or discuss any clinical experience or information regarding their experience with the clinical agency, its staff, or its clients/patients on any internet social media.

As per the CNM Computer Ethics Guidelines, https://www.cnm.edu/depts/hr/policies-and-procedures/the-source/is-1002 all persons using these systems share the responsibility for seeing that they are used in an effective, efficient, ethical, and lawful manner with acceptable and unacceptable uses and the rights of CNM technology users defined on the above CNM website.

3.18 Privacy Rights under FERPA: The Family Educational and Rights of Privacy Act

of 1974 (FERPA), is a federal law that protects the privacy of education records of all

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current and formerly enrolled students of institutions of higher education. FERPA rights begin when the student registers and attends class. FERPA provides students with the right to inspect review and challenge the content of their official educational records, to request corrections and to protect the privacy of student education records. The process explained in this document provides information regarding the definition of education records and directory information, the type, location and custodians of education records, access to education records, and inspection and correction of education records.

As a CNM student, your educational information is protected by FERPA. Students are

granted the following rights under FERPA:

Exercise their right to inspect and review their education records. Submit a formal request for non-disclosure of directory information. Request an amendment of inaccurate or misleading education records that are in

violation of your privacy rights under FERPA. Exercise your right to file a complaint with the US Department of Education.

If you have any questions or concerns about your FERPA rights, contact the Student Records Office at (505) 224-3202. https://www.cnm.edu/student-resources/academic-records/academic-records-list/FERPA

Section 4: PTA Program Policies and Procedures

4.1 The Associate of Applied Science (AAS) Physical Therapist Assistant

Graduates with an AAS Physical Therapist Assistant degree will be prepared with a broad general education background to include English, humanities, computer literacy, social and biological sciences, all of which support the student objectives listed above. Students in the PTA program will have completed all prerequisite coursework prior to entering the technical program. Graduates of an accredited PTA program are qualified to take PTA licensure examination, required in all states. The PTA program will produce graduates who will be prepared to obtain and maintain PTA licensure and to deliver safe, effective, and ethical entry-level physical therapy care under the supervision of a licensed physical therapist.

4.2 Transfer Placement: To help you transfer your course credits between New Mexico’s colleges and universities, the state’s public institutions of higher education are required to accept in-state transfer courses taken within approved modules of lower-division course work and apply them toward degree requirements. Students will need to consult the Admissions and Records Office for an evaluation of transfer credit. Official transfer credit evaluations will be completed when all official transcripts and a Request form are received by the Admissions and Records Office. https://www.cnm.edu/depts/enrollment/admissions/transfer-and-other-credit

PTA credits earned at other institutions are reviewed by the Program Director and the Associate Dean to determine if any course substitutions may be made within the

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curriculum. Transfer students must meet all the PTA program application and admission requirements.

4.3 Essential Functions of the PTA Student During the course of the PTA curriculum students are required to demonstrate certain physical, behavioral, and cognitive skills related to those expected in physical therapy practice, as well as specific factors related to the classroom experience. The CNM PTA program has adopted the following essential functions students are expected to possess. Individuals who have a disability and are qualified will not be denied admission into the program if they are able to perform these essential functions with reasonable accommodations. Students with a disability must contact the CNM’s Disability Resource Center to determine what reasonable accommodations are appropriate to this program. Students will be expected to: PTA Student Expectations

attend all classes, and be available for 40 hours per week during clinicalassignments

tolerate extended sitting and/or standing in classroom and lab environment

give and receive treatment interventions such as physical modalities, therapeuticexercise, massage, and manual therapies

wear appropriate lab attire which may involve exposure of the area(s) to be treated

use critical decision making

exhibit professional behaviors including critical thinking, sound judgment,confidentiality, courtesy, and respect and participation in the ProfessionalBehaviors assessment tool each semester

present professional attire as required by the clinical setting free which may prohibitvisible tattoos, non-traditional piercings, or unnatural hair color

meet program standards for successful completion, including regular attendance,timely submission of work, and compliance with academic honesty guidelines

reflect thoughtfully on personal strengths and weaknesses as opportunities forgrowth

Physical Strength, Endurance, and Dexterity

perform physical activities such as standing, walking, sitting, bending, squatting,kneeling, crawling, reaching, pushing, and pulling

lift 25-50 pounds occasionally and/or 10-25 pounds frequently, and/or up to 10pounds constantly (Dept. of Labor definition of Medium Work).

demonstrate CPR, and certified in CPR

ability to use hands for grasping, pulling, and fine manipulation

coordination sufficient to perform treatments, respond to patient needs, and useequipment appropriately

Sensation

tactile sensation sufficient for physical assessment and discrimination oftemperature

visual acuity sufficient for reading medical records, instruments, and for monitoringpatients

hearing sufficient to hear soft voices, equipment timers, and to assess patientsincluding breathing sounds, and to respond to emergency situations

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sense of smell sufficient to maintain a safe environment and to respond toemergencies

Communication

ability to use spoken and written English, including appropriate interpretation andexpression of information

ability to communicate with patients and members of the healthcare team, includingappropriate cultural, intellectual, and social sensitivity

4.4 PTA Curriculum Components The PTA courses are taken in a prescribed manner. Once accepted into the program, students are expected to follow the sequence of the technical courses with a cohort of classmates. The degree is composed of 71-72 credit hours, including 24-25prerequisite general education requirements. The program will cover in detail the interventions required of a physical therapist assistant across the continuum of care.

4.5 Evaluation of Student Performance in PTA Courses There are many skills the student needs to become proficient and competent in performing. Skills are presented in a preplanned sequence. This sequence of skill acquisition is a very important part of the program. Each student needs to allow plenty of time to learn, practice, make mistakes, and develop competency. Acquisition of skills will require repeated practice on the part of the student.

4.5.1 Skill Checks

Skill check assessments are done in two different ways. First, peer skill checks must be

completed with a lab partner(s). The results of the peer skill check must be documented

on the skill check form. Students must pass peer skill checks prior to being tested by the

instructor to work on any problem areas(s). Faculty skill checks will be performed during

course labs. Skill checks contain safety elements, similar to the critical safety elements

on the CPI, which must be completed in order to pass and progress to the practical exam.

If a student fails any safety element, they automatically fail the skill check and must retake

it. Students must successfully pass a skill check prior to taking the practical exam which

contains the skill check content area. It is the student’s responsibility to make sure all skill

checks have been completed prior to practical exams. Students who have successfully

passed a skill check are considered to have demonstrated competence in that skill.

4.5.2 Practical Exams

Practical exams are used to assess a student’s ability to effectively and safely integrate

course material and perform a patient treatment following a physical therapist’s plan of

care. Practical exams integrate content from current and prior program courses.

Practical exams must be passed with a score of at least 75% and can be retaken two

times if a

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score of 75% is not achieved. If a student obtains a score above 75% on the retake, a maximum of 75% will be used for final grade calculation. Failure of a practical exam and the retakes (<75% on both) means the student will fail the course and will not be able to progress within the program.

4.5.3 Written Exams PTA faculty strive to schedule the exams throughout the semester so that learning is reinforced and students can reasonable manage the work. In most courses an evaluative assignment is required by midterm. If the faculty have concerns about the student’s academic achievement based on the evaluation(s), the instructor will notify the student as soon as possible. The students with concerns about their academic performance are encouraged to schedule a meeting with their instructor to develop a plan for a remainder of the term.

4.6 Academic Progress and Grading Standards of academic progress are established to require students to progress satisfactorily and timely towards the completion of their degree. Students are responsible for their academic progress and for seeking assistance when experiencing academic difficulty. Students are encouraged to work with their academic advisor to ensure that they are maintaining satisfactory progress. All lecture/lab and clinical education courses in the technical portion of the program must be taken in sequence. A minimum grade of “C” is required in all technical courses within the PTA program curriculum. If the student does not obtain a “C” in any course within the PTA curriculum, the student will not be able to progress in the program. The grading scale that will be used in the PTA program is as follows:

A = 91 to 100% C = 75 to 81 % F = 0 to 59 %

B = 82 to 90% D = 60 to 74 %

For the three clinical education courses within the program curriculum Credit (CR) or No Credit (NC) grades are given. Please refer to the Clinical Education Handbook regarding grading for these courses.

4.7 Attendance

Students are expected to attend all class sessions. Students are expected to be in class on

time and to attend a minimum of ninety percent of the course sessions. Instructors will take

attendance. Absences do not relieve students of the responsibility for missed assignments

and exams. Students must take the initiative in arranging with their instructors to make up

missed work if allowed. If absence is anticipated, it is the STUDENT’S responsibility to notify

the instructor, in person or by phone/email prior to the scheduled class. An email will be sent to students after they approach 90 percent (3 absences) detailing the attendance policy, including that they will be dropped for any further absences for non-attendance.

A student who misses the first class meeting and has not contacted the instructor, or who

misses two consecutive class meetings in the first week may be dropped from the

course. A student with excessive absences may be dropped from a course. Students

dropped

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from a course for non-attendance will also be dropped from co-requisite courses.

A student who is dropped by an instructor for nonattendance is notified at their CNM e-

mail address. The instructor's decision is final, but if the student disagrees with the action

he or she must contact the instructor within two working days of receipt of the

notification.

Please refer to the CNM’s PTA Program Clinical Education Manual for clinicalattendance policies.

Excessive absence and or tardiness may jeopardize your grade and may preventyou from advancing in the program. If you are between 1-10 minutes late, it willcount as a tardy. Three tardies will equal one absence.

Students absent more than 2 consecutive days because of illness or amedical/dental procedure may be required to submit a note from the treatingphysician indicating the student can resume normal class/clinical activities.

Students may be allowed to make up exams and quizzes only by prior arrangementwith the instructor.

Mitigating circumstances will be considered in an appeal process.

4.8 Professional Behavior and Student Performance Expectations Students are expected to behave in a responsible and professional manner in the classroom, lab, and the clinical setting. Students will be assessed utilizing the Professional Behaviors Assessment tool. In the classroom and/or lab students are expected to:

Be courteous and respectful toward faculty and peers

Come prepared to class

Respect the classroom, lab and clinic as a place of learning and avoid disruptivepractices

Show respect for personal differences

Maintain a partner’s dignity by practicing proper draping at all times

Adhere to the Standards of Ethical Conduct for the PTA (Appendix A) and theGuide for Conduct of the PTA (Appendix C)

Do their own work

Adhere to the program’s Professional Behavior Policy and Student PerformanceExpectations in both academic and clinical settings

Approach the instructor with questions or concerns about program material

Approach the instructor to discuss any special needs or accommodations requiredto be successful in the program. This includes informing faculty of any conditionsprecluding them from receiving treatment in the course of the program

Receive treatment interventions as would a patient in the clinical setting, includingbut not limited to various modalities, therapeutic exercise, massage, manualtherapies such as passive range of motion or manual muscle testing, transfers, andgait training

Notify instructor prior to absence or tardiness

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Attend class regularly. Refer to the program’s attendance policy as well asinformation on each course syllabus

Seek approval from the program faculty prior to borrowing items from the labreference library (to make personal or group copies)

Properly maintain classroom and lab space by removing trash and returningsupplies and equipment to the designated area

Gain the skills necessary to become proficient in the provision of entry-levelphysical therapy treatment under the direction and supervision of a physicaltherapist

In the clinical setting, students are expected to:

Be punctual, dependable and adhere to scheduled assignments

Wear appropriate professional attire, and maintain appropriate hygiene

Adhere to legal and ethical standards of physical therapy practice and follow thepolicy and procedures of the college and clinical facility

Show respect for others (patients, staff, peers, clinical instructors, family members)

Treat clients in a manner which reflects dignity, respect, and value for human life

Maintain confidentiality and use discretion when conversing with and in front ofpatients (Confidentiality Form, Appendix F)

Demonstrate initiative and accept responsibility for learning

Practice active listening

Evaluate positive and negative experiences

Express a positive attitude, cooperate and be flexible

Maintain balance between personal and professional relationships with clients andstaff

Perform only skills and procedures in accordance with your scope of practice andexperience

4.9 Criteria for CNM PTA Program Expectations for SuccessA student enrolled in the PTA Program who does not meet the following criteria may be subject to program failure and/or withdrawal:

1. Grades: Individuals not meeting the satisfactory academic progress as written inthe Academic Progress and Program Grading policy (Section 4.6)

2. Attendance: Individuals not meeting the program attendance policy (Section 4.7)3. Behavior: Individuals not adhering to the Professional Behavior policy are subject

to disciplinary action at the discretion of the PTA program director in consultationwith PTA program faculty, HWPS Administration, and the Dean of Students(Section 4.8).

Students must also meet CNM’s Student Code of Conduct Policy. By enrolling at CNM, a student accepts responsibility for compliance with all local, state and federal laws and with CNM's regulations while retaining the rights guaranteed under the Constitutions of the United States and the state of New Mexico. A student alleged to have engaged in any misconduct shall have the right of due process and appeal as delineated in this Code. The College expects all students to show respect for the rights of others and for authority, to protect private and public property, to carry out contractual obligations and to take responsibility for their own actions and the actions of their guests. https://www.cnm.edu/depts/dean-of-students/student-code-of-conduct

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4.10 Outcomes for Non-compliance of Professional Behavior The PTA Program will follow CNM guidelines for Code of Conduct/Professional behavior non-compliance https://www.cnm.edu/depts/dean-of-students/student-code-of-conduct Professional behavior by students is expected at all times. Students are expected to follow professional standards when in the classroom, laboratory and clinical settings. Guidelines for these standards are as follows: 1. Professional Behaviors (Appendix C)

Ten specific “Professional Behaviors” are assessed throughout the PTAProgram curriculum. PTA program faculty will assess the ProfessionalBehaviors once per semester with students also performing a self-assessmentonce per semester.Expected Professional Behavior levels are:

a. End of Semester III: All Professional Behaviors at least beginning levelb. End of Semester IV: 50% of Professional Behaviors at intermediate level or higher

c.End of Semester V: all Professional Behaviors at least intermediate leveld. End of Semester VI: all Professional Behaviors at entry level

Faculty will provide both oral and written feedback regarding professional behaviors eachsemester. Copies of this feedback will be placed in the student’s file. Students areexpected to change unsatisfactory behaviors after receiving feedback from faculty. If astudent is not demonstrating professional behaviors at an appropriate level, students maydevelop a plan for improvement with faculty.

2. (APTA) Standards of Ethical Conduct for the PTA (Appendix B)

4.11 Withdrawal Students considering withdrawal from the program should discuss the matter with the PTA Program Director. Students need to follow the CNM policies and procedures regarding program and course withdrawal.

4.12 Conditions for Program Readmission Based on Insufficient Grades or Withdrawal

1. Should a student fail to meet the minimum grade requirement in any PTA course, he/shemust submit a written request to return to the program resuming the following year. The request must be made to the PTA Program Director within 3 months of the last date of attendance for the course in question. It must include student justification for consideration for readmission.2. The student must meet all college and program admission requirements.3. Program faculty and HWPS Administration will determine the appropriateness of readmissionon a case-by-case basis, considering factors including the student’s status at the time of withdrawal, reason for program withdrawal, justification for readmission, and adequacy of program space and staffing.4. All courses within the PTA curriculum must be completed within a 3 year period from the dateof entry into the program (not the readmission date).5. The student must follow the policies and procedures of the program which are consistent withthe academic year he/she is readmitted. This may include satisfactorily completing syllabi objectives and skill checks that may have changed from when the student withdrew.

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4.13 Academic Grievance/Due Process Grade Appeal Policy: It is the student's responsibility to communicate concerns he/she may have about any grade in a class to the instructor of the class. If the issue is not resolved, the student may formally appeal a final grade if the student believes that there is an inconsistency between what is written in the syllabus and what is practiced, a grade miscalculation, if errors in the final exam would change in the final exam grade which would cause a change in the course grade or inconsistent classroom practices would cause a change in the final course grade.

Appeal Process: Policy - The student must begin the formal grade appeal process by obtaining a Grade Appeal Form and process guide from the school in which the course was taken and submitting it to the instructor by the end of the first week of the term following the course. If the instructor is not available the student should submit a Grade Appeal Form to an academic administrator in the school. If the request for a grade change is approved, the instructor or academic administrator will submit a grade correction to the Records Office.

4.14 Student Retention The Achievement Coaches are a group of people who can support student success at CNM. The role of the Achievement Coach is to help students succeed with their education

and career goals. This is accomplished by problem solving to overcome barriers to education and utilize strengths. An achievement coach is available to students both individually and in a class setting to assist in areas of study habits, test taking skills, time management and other life skills as needed. Appointments may be made through the School of HWPS administrative assistants (224-4111). The coach may make referrals to other student services and agencies as needed https://www.cnm.edu/depts/achievement-coach

The PTA faculty are also available through regular office hours and additional times by request. Students will have access to Open Lab hours, with PTA faculty present to review concepts and skills as needed. Open Lab hours will coincide with faculty office hours as needed. Study sessions will be offered for preparation for exams as well as to prepare for the PTA licensure exam. The ACCE will be available for support during clinical affiliations, as will the Program Director, if needed.

SECTION 5: Additional PTA Program Information

5.1 Mandatory Orientation There will be a mandatory orientation session in August prior to the start of classes each fall semester once students are accepted into the program. Students should plan on spending half a day on campus.

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5.2 Academic Integrity Policy

Personal and professional ethics are inherent to the practice of physical therapy. At CNM, academic dishonesty is taken very seriously. We believe that when academic integrity issues arise, they should be dealt with appropriately. Our teaching mission includes helping you understand the importance of honor, integrity and ethics as fundamental life values. CNM expects that you will, at all times, conduct in a manner that supports and affirms these fundamental values. Cheating, falsifying work, or plagiarism will not be tolerated. These offenses are subject to penalty ranging from a “0” on the assignment or test, to an “F” for the course.

5.3 Policy for Student Expected of Impairment

Although CNM enforces a policy regarding substance abuse, the special needs of the

Health, Wellness, & Public Safety(HWPS) programs require additional procedures for

handling the suspected drug/alcohol impairment of students enrolled in HWPS

coursework designated as theory/clinical, practical or laboratory courses. Due to the

nature of the course of study, students enrolled in such HWPS

theory/clinical/practical/laboratory courses must not be under the influence of any

substance (regardless of whether the use of the substance is legal or illegal), which

impairs or is likely to impair their clinical judgment while in the patient care, clinical,

practical or laboratory setting. If the instructor/preceptor reasonably suspects

impairment, the student shall be sent for a drug screen to a suitable laboratory

designated by CNM. https://www.cnm.edu/programs-of-study/health-wellness-public-safety/documents/suspected-impairment.pdf

5.4 Field Trips and Off-Campus Laboratory Sessions

At times within the PTA program, students and faculty may travel off campus for

departmental related field trips and off-campus laboratory sessions. The following

procedures apply for off-campus experiences:

All CNM and PTA program policies and procedures are applicable during off-

campus experiences.

Students are required to sign the “Activity Waiver” agreement for off campus

activities. This form will be signed at the beginning of each semester. See

Appendix for the form.

PTA faculty will accompany and supervise students participating in all off-campus

program experiences except for clinical experiences.

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5.5 Anticipated Student Program Costs

The following is the estimated cost of the program using the 2015-2016 tuition/fee schedule:

Books: $1,200 Tuition: $3,621(New Mexico Resident) $14,184 (Non-New Mexico Resident) Program Fees

- 2 Pair Scrubs with Patch $79.50 - DOH Caregivers Criminal History Screening $74.40 - Expanded Background Check $12.00 - Verified Credentials Document Management $32.00 - Drug Screen 10 Panel + $17.65

Registration Fee $240.00 ($40 per term) Technology Fee $426.00 ($6 per credit hour)

Total costs for NM Resident - $5,702.55 (Not including General Education Books) Total Costs for Non-NM Resident – $16,265.55 (Not including General Education Books)

5.6 Equipment Requirements

Students will purchase a gait belt (with metal buckle, no Velcro or plastic closures and no nylon belts), tape measure, and a goniometer for the first day of the program.

5.7 Professional Organizations/Activities

The American Physical Therapy Association (APTA) is the professional organization which defines and maintains practice standards. If a student elects to join the APTA, they are eligible to a student rate or discounted price. For more information on memberships and benefits, please visit their website at www.apta.org

5.8 Graduation Requirements

Please refer to the College Catalog for an explanation of graduation requirements as they pertain to the award of an Associate Degree. Specific requirements of the PTA are listed below:

1. In addition to the requirements stated in the catalog, each student mustsuccessfully complete all PTA courses with a grade of “C” or better to be eligible for graduation.

2. You must apply for graduation to receive a degree or certificate from CNM.

Upon graduation, the student who completes the Physical Therapist Assistant curriculum of study is awarded an Associate of Applied Science (AAS) degree. The award of the AAS degree entitles the graduate to sit for a state licensure examination. The licensure exam is a computerized exam and administered four times per year – January, April, July, and October.

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The initial cohort (class) to graduate from the CNM PTA Program may not register for the National Physical Therapy Exam (NPTE) until CAPTE (Commission on Accreditation in Physical Therapy Education) makes a positive accreditation decision. PTA Program graduates must register at least 5 weeks prior to testing date.

Section 6: Lab and Classroom Policies and Procedures

6.1 PTA Program Lab Dress Code

Each student is to be dressed for lab according to the guidelines below. Students are expected to be appropriately dressed each and every laboratory session. Students who are not prepared for lab will not be permitted to attend. Females: Halter top or tank top, shorts with an elastic waist, sweat shirt or t-shirt, and tennis shoes. Males: T-shirt/sweat shirt, shorts with an elastic waist, and tennis shoes

Scrubs will also be worn as requested for labs, practical exams, and clinical rotations (If directed by assigned clinic)

6.2 Student Participation in Lab and Clinicals-Requirements Student participation in the PTA laboratory is required. It is the student’s responsibility to inform faculty and staff in the PTA Program about any potential problems or medical conditions that may limit ability to participate in any lab activity or field trip. Participation in the laboratory includes (but is not limited to) the following:

1. Students are randomly assigned to groups of 2 or more for practice of laboratoryskills. Student groups are changed periodically at faculty discretion.

2. Student groups will include members of the opposite sex.3. Students are expected to take part in all laboratory activities. Proper laboratory

dress is expected at all times. Students who are not in proper lab clothes will notbe permitted into lab class for that day.

4. On occasion, periods of partial dress are necessary in lab to assess body parts fortreatment purposes. Draping for privacy will be utilized during these sessions.

5. Please note, students will practice treatment techniques on each other andparticipation will involve physical contact between lab partners and classmates.

Typical laboratory activities include, but are not limited to the following: palpation, massage, use of heat and cold modalities, therapeutic exercise, cardiovascular training, electrotherapy, traction, transfers, gait, and wheelchair activities.

Background Checks/Vaccine Information

Each student must have a current CPR certification (American Heart Association Health Care Provider or American Red Cross CPR for the Professional Rescuer) prior to entering their first clinical experience.

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During orientation, we will review the following clinical compliance requirements. You are not required to complete these prior to your orientation. We will provide paperwork and due dates during your orientation session.

Fingerprinting for Caregivers Background Check: Fingerprinting is required to complete the NMDOH Criminal Caregivers background check. Fees for this service are paid through your student program fees.

Immunizations: Verification of several vaccinations will be required.

Drug Screening: Students are required to undergo a routine drug screening prior to starting the program or prior to beginning their clinical experience.

Healthcare Provider CPR Card: Copies of all the cards you received in the Health 1001 course will need to be turned into the Office of Verification & Compliance.

Hospital Specific Requirements: Many students will attend clinicals at multiple locations. As a result there will be computer based training and in-class computer trainings that you will be required to complete.

Although students are not required to have health insurance, it is highly encouraged. Students should be aware that some clinical education sites require students to have health insurance.

Medical Conditions In the event that a student has surgery or experiences a significant change in medical status, the student must notify the PTA program director immediately. The director may request that the student have permission from a physician to participate in class, laboratory, or clinical experiences.

Pregnancy Policy Students who are, or become pregnant during their studies in the program must inform the program director of her status at the earliest possible time. Pregnancy is a condition that is a contraindication to several physical therapy modalities. Pregnancy could affect a student’s full participation in lab situations, and/or clinic work.

6.3 Informed Consent Policy/Consent to Release of Information Students enrolled in the PTA Program shall give consent to release educational records maintained by the Central New Mexico Community College PTA Program to administrative and professional staff of clinical affiliates of the PTA Program. Information may include but not limited to, immunization records, criminal background/drug screen, and CPR certification. The CNM Office of Verification and Compliance is responsible for overseeing this process.

Students within the PTA program are expected to perform a variety of physical therapy procedures on each other in the classroom and laboratory for educational purposes. This participation is very important to the learning process. Students must sign a

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General Waiver of Liability at the start of the program that will remain in effect during the student’s tenure in the PTA Program.

6.4 Photography/Videotaping On occasion, PTA students in classroom and laboratory setting will be simulating a work environment and will practice skills on one another. During this time, the student may be videotaped or have digital pictures taken which will be used only for educational purposes. Each student will be asked to sign a permission form to allow videotaping and digital photography at the start of the first semester of the PTA Program. During clinical rotations, students must follow the clinical site’s policies and procedures (confidentiality and obtaining consent) for photography or videotaping a patient for educational purposes.

6.5 Responsibilities of the Care of the PTA Lab/Lecture Room 1. Each person will be responsible for cleaning up his/her work area before leaving theroom after every session as well as during open lab. This includes straightening up the assigned treatment area and returning all supplies and equipment to the appropriate places. 2. No food will be permitted in the lab during lab classes or open lab sessions. Waterbottles and travel mugs with closeable lids will be permitted. 3. No audio/visual recording of class and lab conversations are permitted for confidentiality andHIPAA.4. All book bags, clothing, jackets, etc. should be placed out of the way in an area of theroom or if lockers are available as directed by PTA faculty. 5. Personal cell phones should be placed on silent/vibrate mode during classes. Astudent may check for messages during scheduled class/breaks. If an emergency occurs and a student needs to be contacted immediately, students may give out the HWPS phone number 224-4111 and someone from the school will contact you immediately. The ACCE will provide contact list to the HWPS office during clinicals. 6. No therapeutic equipment is to be turned on in the classroom or lab unless PTAfaculty are present. No equipment is to leave the laboratory site for any reasonother than when PTA faculty places an item on reserve in the library. This rule applies during school hours and open lab hours. 7. Leave the laboratory in an orderly manner at all times, or open lab privileges will belost.

6.6 Lab Infection Control To ensure a clean laboratory environment and to facilitate infection control, the following policies will be in effect:

1. Plinths, mats and other treatment surfaces will be cleaned using abactericidal/germicidal agent at least once a week.

2. Soiled linen will be placed in the linen hamper.3. PTA lab faculty members are responsible for ensuring infection control policies are

enforced in the lab.

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4. The hydrocollator will be cleaned a minimum of every six months, per manufacturerinstructions located in the PTA lab.

6.7 Standard Precautions Information on Standard Precautions will be provided in the 2nd and 3rd semesters of the PTA program. Content includes but is not limited to: HIV, Hepatitis B, Universal Precautions and Infection Control, Chain of Infection, and proper hand washing technique. All students must demonstrate satisfactory understanding of this information by passing a test which includes content on standard precautions, skill checks, and lab practical evaluations.

6.8 HIPAA (Health Insurance Portability and Accountability Act HIPAA will be discussed more in length throughout the PTA program. Here is a brief description of what HIPPA involves: HIPAA, which stands for the American Health Insurance Portability and Accountability Act of 1996, is a set of rules to be followed by doctors, hospitals, and other health care providers. HIPAA took effect in April 14, 2006. HIPAA helps ensure that all medical records, medical billing, and patient accounts meet certain consistent standards with regard to documentation, handling and privacy. HIPAA compliance can be summarized by the three major rules or standards:

1. The HIPAA Privacy Rule mandates the protection and privacy of all healthinformation. This rule specifically defines the authorized uses and disclosures of “individually-identifiable” health information.

2. The HIPAA Transaction and Code Set Rule addresses the use of predefinedtransaction standards and code sets for communication and transactions in thehealthcare industry.

3. The HIPAA Security Rule mandates the security of electronic medical records(EMR). Unlike the Privacy Rule, which provides broader protection for all formatsthat health information may take, such as print or electronic information, theSecurity Rule address the technical aspects of protecting electronic healthinformation. More specifically, the HIPAA Security standards address theseaspects of security:(a) Administrative security – assignment of security responsibility to an individual(b) Physical security- required to protect electronic systems, equipment and data(c) Technical security – authentication and encryption used to control access to

data (from: http:www.hipaaguidance.com)

6.9 PTA Program Equipment Testing All electrical equipment owned and used by the CNM PTA Program will be annually inspected and labeled by qualified biomedical personnel.

A qualified biomedical engineer will be scheduled to visit annually before the start of spring semester. The following will be performed at that time: equipment testing and calibration, labeling that verifies testing and calibration, documentation of testing results, repair as needed.

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Non-electrical equipment (treatment tables, wheelchairs, crutches, etc.) will be inspected annually by the PTA Program Faculty prior to the start of the Fall Semester. Repairs will be made or arranged by the program as needed.

Any real or potential equipment safety concerns discovered by faculty or students will be labeled and taken out of use until repaired or replaced.

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APPENDICES

32

APPENDIX A-APTA Guide for Conduct of the Physical Therapist Assistant

http://www.apta.org/uploadedFiles/APTAorg/Practice_and_Patient_Care/Ethics/GuideforConductofthe

PTA.pdf#search=%22GUIDE%20FOR%20CONDUCT%20OF%20THE%20PTA%22

Purpose

This Guide for Conduct of the Physical Therapist Assistant (Guide) is intended to serve physical therapist assistants in interpreting the Standards of Ethical Conduct for the Physical Therapist Assistant (Standards) of the American Physical Therapy Association (APTA). The APTA House of Delegates in June of 2009 adopted the revised Standards, which became effective on July 1, 2010.

The Guide provides a framework by which physical therapist assistants may determine the propriety of their conduct. It is also intended to guide the development of physical therapist assistant students. The Standards and the Guide apply to all physical therapist assistants. These guidelines are subject to change as the dynamics of the profession change and as new patterns of health care delivery are developed and accepted by the professional community and the public.

Interpreting Ethical Standards

The interpretations expressed in this Guide reflect the opinions, decisions, and advice of the Ethics and Judicial Committee (EJC). The interpretations are set forth according to topic. These interpretations are intended to assist a physical therapist assistant in applying general ethical standards to specific situations. They address some but not all topics addressed in the Standards and should not be considered inclusive of all situations that could evolve.

This Guide is subject to change, and the Ethics and Judicial Committee will monitor and timely revise the Guide to address additional topics and Standards when necessary and as needed.

Preamble to the Standards

The Preamble states as follows:

The Standards of Ethical Conduct for the Physical Therapist Assistant (Standards of Ethical Conduct) delineate the ethical obligations of all physical therapist assistants as determined by the House of Delegates of the American Physical Therapy Association (APTA). The Standards of Ethical Conduct provide a foundation for conduct to which all physical therapist assistants shall adhere. Fundamental to the Standards of Ethical Conduct is the special obligation of physical therapist assistants to enable patients/clients to achieve greater independence, health and wellness, and enhanced quality of life. No document that delineates ethical standards can address every situation. Physical therapist assistants are encouraged to seek additional advice or consultation in instances where the guidance of the Standards of Ethical Conduct may not be definitive.

Interpretation: Upon the Standards of Ethical Conduct for the Physical Therapist Assistant being amended effective July 1, 2010, all the lettered standards contain the word “shall” and are mandatory ethical obligations. The language contained in the Standards is intended to better explain and further clarify existing ethical obligations. These ethical obligations predate the revised Standards. Although various words have changed, many of the obligations are the same. Consequently, the addition of the word “shall” serves to reinforce and clarify existing ethical obligations. A significant reason that the Standards were revised was to provide physical therapist assistants with a document that was clear enough such that they can read it standing alone without the need to seek extensive additional interpretation.

The Preamble states that “[n]o document that delineates ethical standards can address every situation.”

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The Preamble also states that physical therapist assistants “are encouraged to seek additional advice or consultation in instances where the guidance of the Standards of Ethical Conduct may not be definitive.” Potential sources for advice or counsel include third parties and the myriad resources available on the APTA Web site. Inherent in a physical therapist assistant’s ethical decision-making process is the examination of his or her unique set of facts relative to the Standards.

Standards Respect

Standard 1A states as follows: Physical therapist assistants shall act in a respectful manner toward each person regardless of age, gender, race, nationality, religion, ethnicity, social or economic status, sexual orientation, health condition, or disability.

Interpretation: Standard 1A addresses the display of respect toward others. Unfortunately, there is no universal consensus about what respect looks like in every situation. For example, direct eye contact is viewed as respectful and courteous in some cultures and inappropriate in others. It is up to the individual to assess the appropriateness of behavior in various situations.

Altruism

Standard 2A states as follows: Physical therapist assistants shall act in the best interests of patients/clients over the interests of the physical therapist assistant.

Interpretation: Standard 2A addresses acting in the best interest of patients/clients over the interests of the physical therapist assistant. Often this is done without thought, but sometimes, especially at the end of the day when the clinician is fatigued and ready to go home, it is a conscious decision. For example, the physical therapist assistant may need to make a decision between leaving on time and staying at work longer to see a patient who was 15 minutes late for an appointment.

Sound Decisions

Standard 3C states as follows: Physical therapist assistants shall make decisions based upon their level of competence and consistent with patient/client values.

Interpretation: To fulfill 3C, the physical therapist assistant must be knowledgeable about his or her legal scope of work as well as level of competence. As a physical therapist assistant gains experience and additional knowledge, there may be areas of physical therapy interventions in which he or she displays advanced skills. At the same time, other previously gained knowledge and skill may be lost due to lack of use. To make sound decisions, the physical therapist assistant must be able to self-reflect on his or her current level of competence.

Supervision

Standard 3E states as follows: Physical therapist assistants shall provide physical therapy services under the direction and supervision of a physical therapist and shall communicate with the physical therapist when patient/client status requires modifications to the established plan of care.

Interpretation: Standard 3E goes beyond simply stating that the physical therapist assistant operates under the supervision of the physical therapist. Although a physical therapist retains responsibility for the patient/client throughout the episode of care, this standard requires the physical therapist assistant to take action by communicating with the supervising physical therapist when changes in the patient/client status indicate that modifications to the plan of care may be needed. Further information on supervision via APTA policies and resources is available on the APTA Web site.

Integrity in Relationships

Standard 4 states as follows: Physical therapist assistants shall demonstrate integrity in their relationships with patients/clients, families, colleagues, students, other health care providers, employers, payers, and the public.

34

Interpretation: Standard 4 addresses the need for integrity in relationships. This is not limited to relationships with patients/clients, but includes everyone physical therapist assistants come into contact with in the normal provision of physical therapy services. For example, demonstrating integrity could encompass working collaboratively with the health care team and taking responsibility for one’s role as

a member of that team.

Reporting

Standard 4C states as follows: Physical therapist assistants shall discourage misconduct by health care professionals and report illegal or unethical acts to the relevant authority, when appropriate.

Interpretation: When considering the application of “when appropriate” under Standard 4C, keep in mind that not all allegedly illegal or unethical acts should be reported immediately to an agency/authority. The determination of when to do so depends upon each situation’s unique set of facts, applicable laws, regulations, and policies.

Depending upon those facts, it might be appropriate to communicate with the individuals involved. Consider whether the action has been corrected, and in that case, not reporting may be the most appropriate action. Note, however, that when an agency/authority does examine a potential ethical issue, fact finding will be its first step. The determination of ethicality requires an understanding of all of the relevant facts, but may still be subject to interpretation.

The EJC Opinion titled: Topic: Preserving Confidences; Physical Therapist's Reporting Obligation With Respect to Unethical, Incompetent, or Illegal Acts provides further information on the complexities of reporting.

Exploitation

Standard 4E states as follows: Physical therapist assistants shall not engage in any sexual relationship with any of their patients/clients, supervisees, or students.

Interpretation: The statement is fairly clear – sexual relationships with their patients/clients, supervisees or students are prohibited. This component of Standard 4 is consistent with Standard 4B, which states:

4B. Physical therapist assistants shall not exploit persons over whom they have supervisory, evaluative or other authority (e.g., patients/clients, students, supervisees, research participants, or employees).

Next, consider this excerpt from the EJC Opinion titled Topic: Sexual Relationships With Patients/Former Patients (modified for physical therapist assistants):

A physical therapist [assistant] stands in a relationship of trust to each patient and has an ethical obligation to act in the patient's best interest and to avoid any exploitation or abuse of the patient. Thus, if a physical therapist [assistant] has natural feelings of attraction toward a patient, he/she must sublimate those feelings in order to avoid sexual exploitation of the patient.

One’s ethical decision making process should focus on whether the patient/client, supervisee or student is being exploited. In this context, questions have been asked about whether one can have a sexual relationship once the patient/client relationship ends. To this question, the EJC has opined as follows:

The Committee does not believe it feasible to establish any bright-line rule for when, if ever, initiation of a romantic/sexual relationship with a former patient would be ethically permissible.

….. The Committee imagines that in some cases a romantic/sexual relationship would not offend ... if initiated with a former patient soon after the termination of treatment, while in others such a

35

relationship might never be appropriate.

Colleague Impairment

Standard 5D and 5E state as follows: Physical therapist assistants shall encourage colleagues with physical, psychological, or substance-related impairments that may adversely impact their professional responsibilities to seek assistance or counsel.

5E. Physical therapist assistants who have knowledge that a colleague is unable to perform their professional responsibilities with reasonable skill and safety shall report this information to the appropriate authority.

Interpretation: The central tenet of Standard 5D and 5E is that inaction is not an option for a physical therapist assistant when faced with the circumstances described. Standard 5D states that a physical therapist assistant shall encourage colleagues to seek assistance or counsel while Standard 5E addresses reporting information to the appropriate authority.

5D and 5E both require a factual determination on the physical therapist assistant’s part. This may be challenging in the sense that you might not know or it might be difficult for you to determine whether someone in fact has a physical, psychological, or substance-related impairment. In addition, it might be difficult to determine whether such impairment may be adversely affecting someone’s work responsibilities.

Moreover, once you do make these determinations, the obligation under 5D centers not on reporting, but on encouraging the colleague to seek assistance. However, the obligation under 5E does focus on reporting. But note that 5E discusses reporting when a colleague is unable to perform, whereas 5D discusses encouraging colleagues to seek assistance when the impairment may adversely affect his or her professional responsibilities. So, 5D discusses something that may be affecting performance, whereas 5E addresses a situation in which someone is clearly unable to perform. The 2 situations are distinct. In addition, it is important to note that 5E does not mandate to whom you report; it gives you discretion to determine the appropriate authority.

The EJC Opinion titled Topic: Preserving Confidences; Physical Therapist's Reporting Obligation With Respect to Unethical, Incompetent, or Illegal Acts provides further information on the complexities of reporting.

Clinical Competence

Standard 6A states as follows: Physical therapist assistants shall achieve and maintain clinical

competence.

Interpretation: 6A should cause physical therapist assistants to reflect on their current level of clinical competence, to identify and address gaps in clinical competence, and to commit to the maintenance of clinical competence throughout their career. The supervising physical therapist can be a valuable partner in identifying areas of knowledge and skill that the physical therapist assistant needs for clinical competence and to meet the needs of the individual physical therapist, which may vary according to areas of interest and expertise. Further, the physical therapist assistant may request that the physical

therapist serve as a mentor to assist him or her in acquiring the needed knowledge and skills. Additional resources on Continuing Competence are available on the APTA website.

Lifelong Learning

Standard 6C states as follows: Physical therapist assistants shall support practice environments that

support career development and lifelong learning.

Interpretation: 6C points out that the physical therapist assistant’s obligation is to support and

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environment conducive to career development and learning. The essential idea here is that the physical therapist assistant encourages and contributes to the career development and lifelong learning of him/herself and others, whether or not the employer provides support.

Organizational and Business Practices

Standard 7 states as follows: Physical therapist assistants shall support organizational behaviors and business practices that benefit patients/clients and society.

Interpretation: Standard 7 reflects a shift in the Standards. One criticism of the former version was that it address primarily face-to-face clinical practice settings. Accordingly, Standard 7 addresses ethical obligations in organizational and business practices on a patient/client and societal level.

Documenting Interventions

Standard 7D states as follows: Physical therapist assistants shall ensure that documentation for their interventions accurately reflects the nature and extent of the services provided.

Interpretation: 7D addresses the need for physical therapist assistants to make sure that they thoroughly and accurately document the interventions they provide to patients/clients and document related data collected from the patient/client. The focus of this Standard is on ensuring documentation of the services rendered, including the nature and extent of such services.

Support - Health Needs

Standard 8A states as follows: Physical therapist assistants shall support organizations that meet the health needs of people who are economically disadvantaged, uninsured, and underinsured.

Interpretation: 8A addresses the issue of support for those least likely to be able to afford physical therapy services. The Standard does not specify the type of support that is required. Physical therapist assistants may express support through volunteerism, financial contributions, advocacy, education, or simply promoting their work in conversations with colleagues. When providing such services, including pro bono services, physical therapist assistants must comply with applicable laws, and as such work under the direction and supervision of a physical therapist.

Additional resources on pro bono physical therapy services are available on the APTA Web site.

Issued by the Ethics and Judicial Committee American Physical Therapy Association October 1981, Last Amended November 2010 Last Updated: 9/4/13

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APPENDIX B

American Physical Therapy Association (APTA) Standards of Ethical Conduct for the

Physical Therapist Assistant

HOD S06-09-20-18 [Amended HOD S06-00-13-24; HOD 06-91-06-07; Initial HOD 06-82-04-08] [Standard]

Preamble The Standards of Ethical Conduct for the Physical Therapist Assistant (Standards of Ethical Conduct)

delineate the ethical obligations of all physical therapist assistants as determined by the House of Delegates

of the American Physical Therapy Association (APTA). The Standards of Ethical Conduct provide a

foundation for conduct to which all physical therapist assistants shall adhere. Fundamental to the Standards

of Ethical Conduct is the special obligation of physical therapist assistants to enable patients/clients to

achieve greater independence, health and wellness, and enhanced quality of life.

No document that delineates ethical standards can address every situation. Physical therapist assistants are

encouraged to seek additional advice or consultation in instances where the guidance of the Standards of

Ethical Conduct may not be definitive.

Standards

Standard #1: Physical therapist assistants shall respect the inherent dignity, and rights, of all

individuals. 1A. Physical therapist assistants shall act in a respectful manner toward each person regardless of age,

gender, race, nationality, religion, ethnicity, social or economic status, sexual orientation, health condition,

or disability. 1B. Physical therapist assistants shall recognize their personal biases and shall not discriminate against

others in the provision of physical therapy services.

Standard #2: Physical therapist assistants shall be trustworthy and compassionate in addressing

the rights and needs of patients/clients. 2A. Physical therapist assistants shall act in the best interests of patients/clients over the interests of the

physical therapist assistant.

2B. Physical therapist assistants shall provide physical therapy interventions with compassionate and caring

behaviors that incorporate the individual and cultural differences of patients/clients.

2C. Physical therapist assistants shall provide patients/clients with information regarding the interventions

they provide.

2D. Physical therapist assistants shall protect confidential patient/client information and, in collaboration

with the physical therapist, may disclose confidential information to appropriate authorities only when

allowed or as required by law.

Standard #3: Physical therapist assistants shall make sound decisions in collaboration with the physical therapist and within the boundaries established by laws and regulations. 3A. Physical therapist assistants shall make objective decisions in the patient’s/client’s best interest in all

practice settings.

3B. Physical therapist assistants shall be guided by information about best practice regarding physical

therapy interventions.

3C. Physical therapist assistants shall make decisions based upon their level of competence and consistent

with patient/client values.

38

3D. Physical therapist assistants shall not engage in conflicts of interest that interfere with making sound

decisions.

3E. Physical therapist assistants shall provide physical therapy services under the direction and supervision

of a physical therapist and shall communicate with the physical therapist when patient/client status requires

modifications to the established plan of care.

Standard #4: Physical therapist assistants shall demonstrate integrity in their relationships with

patients/ clients, families, colleagues, students, other health care providers, employers, payers, and the public. 4A. Physical therapist assistants shall provide truthful, accurate, and relevant information and shall not make

misleading representations.

4B. Physical therapist assistants shall not exploit persons over whom they have supervisory, evaluative or

other authority

(eg, patients/clients, students, supervisees, research participants, or employees).

4C. Physical therapist assistants shall discourage misconduct by health care professionals and report illegal

or unethical acts to the relevant authority, when appropriate.

4D. Physical therapist assistants shall report suspected cases of abuse involving children or vulnerable adults

to the supervising physical therapist and the appropriate authority, subject to law.

4E. Physical therapist assistants shall not engage in any sexual relationship with any of their patients/clients,

supervisees, or students.

4F. Physical therapist assistants shall not harass anyone verbally, physically, emotionally, or sexually.

Standard #5: Physical therapist assistants shall fulfill their legal and ethical obligations. 5A. Physical therapist assistants shall comply with applicable local, state, and federal laws and regulations.

5B. Physical therapist assistants shall support the supervisory role of the physical therapist to ensure quality

care and promote patient/client safety.

5C. Physical therapist assistants involved in research shall abide by accepted standards governing protection

of research participants.

5D. Physical therapist assistants shall encourage colleagues with physical, psychological, or substance-

related impairments that may adversely impact their professional responsibilities to seek assistance or

counsel.

5E. Physical therapist assistants who have knowledge that a colleague is unable to perform their professional

responsibilities with reasonable skill and safety shall report this information to the appropriate authority.

Standard #6: Physical therapist assistants shall enhance their competence through the lifelong acquisition and refinement of knowledge, skills, and abilities. 6A. Physical therapist assistants shall achieve and maintain clinical competence.

6B. Physical therapist assistants shall engage in lifelong learning consistent with changes in their roles and

responsibilities and advances in the practice of physical therapy.

6C. Physical therapist assistants shall support practice environments that support career development and

lifelong learning.

Standard #7: Physical therapist assistants shall support organizational behaviors and business practices that benefit patients/clients and society. 7A. Physical therapist assistants shall promote work environments that support ethical and accountable

decision-making.

39

7B. Physical therapist assistants shall not accept gifts or other considerations that influence or give an

appearance of influencing their decisions.

7C. Physical therapist assistants shall fully disclose any financial interest they have in products or services

that they recommend to patients/clients.

7D. Physical therapist assistants shall ensure that documentation for their interventions accurately reflects

the nature and extent of the services provided.

7E. Physical therapist assistants shall refrain from employment arrangements, or other arrangements, that

prevent physical therapist assistants from fulfilling ethical obligations to patients/clients.

Standard #8: Physical therapist assistants shall participate in efforts to meet the health needs of people locally, nationally, or globally. 8A. Physical therapist assistants shall support organizations that meet the health needs of people who are

economically disadvantaged, uninsured, and underinsured.

8B. Physical therapist assistants shall advocate for people with impairments, activity limitations,

participation restrictions, and disabilities in order to promote their participation in community and society.

8C. Physical therapist assistants shall be responsible stewards of health care resources by collaborating with

physical therapists in order to avoid overutilization or underutilization of physical therapy services.

8D. Physical therapist assistants shall educate members of the public about the benefits of physical therapy.

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APPENDIX C

Professional Behaviors Assessment Tool

Student Name ____________________________________________ Date: ____________________

Directions: 1. Read the description of each professional behavior.

2. Become familiar with the behavioral criteria described in each of the levels.

3. Self-assess your performance continually, relative to the professional behaviors, using thebehavioral criteria.

4. At the end of each semester, complete this form.

a. Using a Highlighter pen, highlight all criteria that describes behaviors you demonstrate inBeginning Level (column 1), Intermediate Level (column 2), or Entry Level (column 3).

b. Give at least one specific example of a time when you demonstrated a behavior from the highest level highlighted.

c. Place an “x” along the visual analog scale to indicate the level (B, I, or E) at which you primarily function in each ability. This should be based on your highlighted areas, the specificexample, and feedback from your CI.

5. Share your self assessment with your clinical instructor, specifically seeking his/her feedback.

6. Sign and return to Program Director

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1. Critical Thinking: The ability to question logically; identify, generate and evaluate elements oflogical argument; recognize and differentiate facts, appropriate or faulty inferences, and assumptions; and distinguish relevant from irrelevant information. The ability to appropriately utilize, analyze, and critically evaluate scientific evidence to develop a logical argument, and to identify and determine the impact of bias on the decision making process.

Beginning Level:

Raises relevant questions;

Considers all available

information; Articulates

ideas; Understands the

scientific method; States the

results of scientific literature

but has not developed the

consistent ability to critically

appraise findings (i.e.

methodology and

conclusion); Recognizes

holes in knowledge base;

Demonstrates acceptance of

limited knowledge and

experience

Intermediate Level:

Feels challenged to examine

ideas;

Critically analyzes the

literature and applies it to

patient management;

Utilizes didactic knowledge,

research evidence, and

clinical experience to

formulate new ideas; Seeks

alternative ideas; Formulates

alternative hypotheses;

Critiques hypotheses and

ideas at a level consistent

with knowledge base;

Acknowledges presence of

contradictions

Entry Level:

Distinguishes relevant from irrelevant

patient data; Readily formulates and

critiques alternative hypotheses and

ideas; Infers applicability of information

across populations; Exhibits openness

to contradictory ideas;

Identifies appropriate measures and determines effectiveness of applied solutions efficiently; Justifies solutions selected

Specific Example: Place an “x” on the visual analog scale

________________________

B I E

42

2. Communication: The ability to communicate effectively (i.e. verbal, non-verbal, reading, writing,

and listening) for varied audiences and purposes.

Beginning Level:

Demonstrates understanding

of the English language

(verbal and written): uses

correct grammar, accurate

spelling and expression,

legible handwriting;

Recognizes impact of non-

verbal communication in self

and others;

Recognizes the verbal and

non-verbal characteristics

that portray confidence;

Utilizes electronic

communication

appropriately

Intermediate Level:

Utilizes and modifies

communication (verbal, non-

verbal, written and

electronic) to meet the

needs of different audiences;

Restates, reflects and

clarifies message(s);

Communicates

collaboratively with both

individuals and groups;

Collects necessary

information from all

pertinent individuals in the

patient/client management

process; Provides effective

education (verbal, non-

verbal, written and

electronic)

Entry Level:

Demonstrates the ability to maintain

appropriate control of the

communication exchange with

individuals and groups ; Presents

persuasive and explanatory verbal,

written or electronic messages with

logical organization and sequencing;

Maintains open and constructive

communication; Utilizes

communication technology effectively

and efficiently

Specific Example: Place an “x” on the visual analog scale

________________________

B I E

3. Problem Solving: The ability to recognize and define problems, analyze data, develop andimplement solutions, and evaluate outcomes.

Beginning Level:

Recognizes problems; States problems clearly; Describes known solutions to problems; Identifies resources needed to develop solutions; Uses technology to search for and locate resources; Identifies possible solutions and probable outcomes

Intermediate Level:

Prioritizes problems; Identifies contributors to problems; Consults with others to clarify problems; Appropriately seeks input or guidance; Prioritizes resources (analysis and critique of resources); Considers consequences of possible solutions

Entry Level:

Independently locates, prioritizes and uses resources to solve problems; Accepts responsibility for implementing solutions; Implements solutions; Reassesses solutions; Evaluates outcomes; Modifies solutions based on the outcome and current evidence; Evaluates generalizability of current evidence to a particular problem

Specific Example: Place an “x” on the visual analog scale

________________________

B I E

43

4. Interpersonal Skills: The ability to interact effectively with patients, families, colleagues, otherhealth care professionals, and the community in a culturally aware manner.

Beginning Level: Maintains professional demeanor in all interactions; Demonstrates interest in patients as individuals; Communicates with others in a respectful and confident manner; Respects differences in personality, lifestyle and learning styles during interactions with all persons; Maintains confidentiality in all interactions; Recognizes the emotions and bias that one brings to all professional interactions

Intermediate Level: Recognizes the non-verbal communication and emotions that others bring to professional interactions; Establishes trust; Seeks to gain input from others ; Respects role of others; Accommodates differences in learning styles as appropriate

Entry Level: Demonstrates active listening skills and reflects back to original concern to determine course of action; Responds effectively to unexpected situations; Demonstrates ability to build partnerships; Applies conflict management strategies when dealing with challenging interactions; Recognizes the impact of non-verbal communication and emotional responses during interactions and modifies own behaviors based on them

Specific Example: Place an “x” on the visual analog

scale

________________________

B I E

5. Responsibility: The ability to be accountable for the outcomes of personal and professionalactions and to follow through on commitments that encompass the profession within the scope of work, community and social responsibilities.

Beginning Level:

Demonstrates

punctuality; Provides a

safe and secure

environment for

patients; Assumes

responsibility for

actions; Follows

through on

commitments;

Articulates limitations

and readiness to learn;

Intermediate Level:

Displays awareness of

and sensitivity to diverse

populations; Completes

projects without

prompting; Delegates

tasks as needed;

Collaborates with team

members, patients and

families; Provides

evidence-based patient

care

Entry Level:

Educates patients as consumers of health care

services; Encourages patient accountability;

Directs patients to other health care

professionals as needed; Acts as a patient

advocate; Promotes evidence-based practice in

health care settings; Accepts responsibility for

implementing solutions; Demonstrates

accountability for all decisions and behaviors in

academic and clinical settings

44

Abides by all policies

of academic program

and clinical facility

Specific Example: Place an “x” on the visual analog scale

________________________

B I E

6. Professionalism: The ability to exhibit appropriate professional conduct and to represent theprofession effectively while promoting the growth/development of the Physical Therapy profession.

Beginning Level:

Abides by all aspects

of the academic

program honor code

and the APTA Code of

Ethics;

Demonstrates

awareness of state

licensure regulations;

Projects professional

image; Attends

professional meetings;

Demonstrates

cultural/

generational

awareness, ethical

values, respect, and

continuous regard for

Intermediate Level:

Identifies positive

professional role models

within the academic and

clinical settings; Acts on

moral commitment during

all academic and clinical

activities; Identifies when

the input of classmates,

co-workers and other

healthcare professionals

will result in optimal

outcome and acts

accordingly to attain such

input and share decision

making; Discusses societal

expectations of the

profession

Entry Level:

Demonstrates understanding of scope of

practice as evidenced by treatment of patients

within scope of practice, referring to other

healthcare professionals as necessary; Provides

patient & family centered care at all times as

evidenced by provision of patient/family

education, seeking patient input and informed

consent for all aspects of care and maintenance

of patient dignity; Seeks excellence in

professional practice by participation in

professional organizations and attendance at

sessions or participation in activities that further

education/professional development; Utilizes

evidence to guide clinical decision making and

the provision of patient care, following

guidelines for best practices; Discusses role of

physical therapy within the healthcare system

and in population health; Demonstrates

45

all classmates,

academic and clinical

faculty/staff, patients,

families, and other

healthcare providers

leadership in collaboration with both individuals

and groups

Specific Example: Place an “x” on the visual analog scale

________________________

B I E

7. Use of Constructive Feedback: The ability to seek out and identify quality sources of feedback,reflect on and integrate the feedback, and provide meaningful feedback to others.

Beginning Level:

Demonstrates active listening skills; Assesses own performance; Actively seeks feedback from appropriate sources; Demonstrates receptive behavior and positive attitude toward feedback; Incorporates specific feedback into behaviors; Maintains two-way communication without defensiveness

Intermediate Level:

Critiques own performance accurately; Responds effectively to constructive feedback; Utilizes feedback when establishing professional and patient related goals; Develops and implements a plan of action in response to feedback; Provides constructive and timely feedback

Entry Level:

Independently engages in a continual process of self evaluation of skills, knowledge and abilities; Seeks feedback from patients/clients and peers/mentors; Readily integrates feedback provided from a variety of sources to improve skills, knowledge and abilities; Uses multiple approaches when responding to feedback; Reconciles differences with sensitivity; Modifies feedback given to patients/clients according to their learning styles

Specific Example: Place an “x” on the visual analog scale

________________________

B I E

46

8. Effective Use of Time and Resources: The ability to manage time and resources effectively to

obtain the maximum possible benefit.

Beginning Level:

Comes prepared for the day’s activities& responsibilities; Identifies resource limitations (i.e. information, time, experience); Determines when and how much help/assistance is needed; Accesses current evidence in a timely manner; Verbalizes productivity standards and identifies barriers to meeting productivity standards; Self-identifies and initiates learning opportunities during unscheduled time

Intermediate Level:

Utilizes effective methods

of searching for evidence

for practice decisions;

Recognizes own resource

contributions; Shares

knowledge and

collaborates with staff to

utilize best current

evidence; Discusses and

implements strategies for

meeting productivity

standards; Identifies need

for and seeks referrals to

other disciplines

Entry Level:

Uses current best evidence;

Collaborates with members of the team

to maximize the impact of treatment

available; Has the ability to set

boundaries, negotiate, compromise, and

set realistic expectations; Gathers data

and effectively interprets and

assimilates the data to determine plan

of care; Utilizes community resources in

discharge planning; Adjusts plans,

schedule etc. as patient needs and

circumstances dictate; Meets

productivity standards of facility while

providing quality care and completing

non-productive work activities

Specific Example: Place an “x” on the visual analog scale

________________________

B I E

9. Stress Management: The ability to identify sources of stress and to develop and implement

effective coping behaviors; this applies for interactions for: self,

patient/clients and their families, members of the health care team and in

work/life scenarios.

Beginning Level:

Recognizes own stressors; Recognizes distress or problems in others; Seeks assistance as needed; Maintains professional demeanor in all situations

Intermediate Level:

Actively employs stress management techniques; Reconciles inconsistencies in the educational process; Maintains balance between professional and personal life; Accepts constructive feedback and clarifies expectations; Establishes outlets to cope with stressors

Entry Level:

Demonstrates appropriate affective responses in all situations; Responds calmly to urgent situations with reflection and debriefing as needed; Prioritizes multiple commitments; Reconciles inconsistencies within professional, personal and work/life environments; Demonstrates ability to defuse potential stressors with self and others

Specific Example: Place an “x” on the visual analog scale

________________________

B I E

47

10. Commitment to Learning: The ability to self direct learning to include the identification of needs

and sources of learning; and to continually seek and apply new

knowledge, behaviors, and skills.

Beginning Level:

Prioritizes information

needs; Analyzes and

subdivides large questions

into components;

Identifies own learning

needs based on previous

experiences; Welcomes

and/or seeks new learning

opportunities; Seeks out

professional literature; Plans

and presents an in-service,

research or cases studies

Intermediate Level:

Researches and studies

areas where own knowledge

base is lacking in order to

augment learning and

practice; Applies new

information and re-

evaluates performance;

Accepts that there may be

more than one answer to a

problem; Recognizes the

need to and is able to verify

solutions to problems; Reads

articles critically and

understands limits of

application to professional

practice

Entry Level:

Respectfully questions conventional

wisdom;

Formulates and re-evaluates position

based on available evidence;

Demonstrates confidence in sharing

new knowledge with all staff levels;

Modifies programs and treatments

based on newly-learned skills and

considerations;

Consults with other health professionals

and physical therapists for treatment

ideas

Specific Example: Place an “x” on the visual analog scale

________________________

B I E

48

Based on my Professional Behaviors Assessment, I am setting the following Goals:

To accomplish these goals, I will take the following specific actions:

Student Signature: ____________________________________________ Date:

________________

49

APPENDIX D

Central New Mexico Community College PHYSICAL THERAPIST ASSISTANT PROGRAM

Health Insurance Portability and Accountability Act Consent The students of Central New Mexico Community College Community College PTA Program will be instructed on the 1996 HIPAA legislation during orientation to the PTA Program. After having this instruction, each student will sign a statement of compliance to this law. A copy of the signed statement will be provided to all facilities that these students will be assigned to for clinical education experiences. Students will also participate in any HIPAA presentation of the individual facilities in order for compliance to be validated if necessary. Failure to sign the statement will cause the student to be ineligible to attend clinical experiences and will result in dismissal from the PTA Program. I, ____________________________________________________________, have received education

about HIPAA (1996). I understand and will comply with its regulations for patient confidentiality as outlined

by the law.

50

APPENDIX E

CNM PTA PROGRAM COMPLAINT FORM – For Internal use only; to be

filled out by CNM Personnel upon receiving a complaint

Date: Name of Person Filing Complaint _

Complaint Received: via phone in person (location)

via email other

Complaint Origin: Clinical Site Public CNM Employee Employer

Other

Contact Information:

Description of Complaint: _

Resolution:

Follow Up:

Received by: Date:

51

APPENDIX F

CNM PTA PROGRAM CONFIDENTIALITY AGREEMENT

Students are expected to demonstrate professional behavior consistent with standards associated with health care practitioners. This includes, and is not limited to, confidentiality with respect to the affairs of all patients in all clinical agencies. Each student acknowledges and agrees to keep confidential all information acquired pertaining to any clinical agency and any related activities in the course of clinical education.

This commitment to confidentiality includes:

Any information regarding the patient, the patient’s family or health issues related to the patient. Patient information is to be shared only with those persons needing such information to facilitate the care of the patient. A patient’s condition is not to be discussed in public areas or within the public’s hearing distance.

Patient information on paper or the computer screen is not to be left unattended in public view.Discussing, releasing, confirming, assessing, distributing or otherwise using patient data isstrictly prohibited except as need for legitimate business purposes by and between authorizedindividuals.

Only a member of the clinical staff, allied health professionals may give information about thecondition of a patient or other authorized personnel. Inquiries from news media should bereferred to the appropriate department (clinical or college public affairs). Confidentiality alsoextends to information about employees.

Information regarding the strategic plan, programs, and process toward meeting goals in theagency plan

Issues related to legal, moral, and regulatory responsibility for the oversight of patient quality.This includes information regarding appointment and reappointment of professionals to themedical staff; information included in quality reports and statistical data regarding the agency’sclinical services and patient care; risk management and malpractice information; and individualprofessional performance and reviews of attitudes and opinions from those who work for theagency.

Financial information including annual budgets, revenues, expenses, long-term capitalexpenditure plans and equipment purchases, and information regarding the agency’s financialcondition such as debt, liquidity, return on investment, profitability, and other financial data.

Employment information including employee salaries, employment agreements, and terms andconditions of employment.

It is particularly important that the student recognizes the sensitivity of information regarding medical recruitment plans, capital decisions, real estate purchases, decisions regarding closures, mergers, and other strategic plans that may have an impact on the agency’s competitive position relative to other health care providers (both institutional and individual) in the service area.

I understand and agree to adhere to the statements and information above:

(Student Signature) (Date)

(Printed Name)

52

APPENDIX G

Student Resource Manual Receipt and Acceptance of Responsibility

These policies and procedures have been prepared to assist students in successful completion of the

PTA program. The student should be thoroughly familiar with this manual and keep it available for

reference. If you have any difficulty understanding any of the policies or procedures of the program

and/or the College, please consult the ACCE or Program Director for clarification.

By signing this statement, I acknowledge receipt of CNM’s PTA Student Resource Manual and accept

my responsibility to observe the policies and procedures outlined in this Manual. I understand the

policies contained therein and the responsibilities to be undertaken. I understand that failure to

comply with the established policies may result in suspension or administrative withdrawal from the

program.

Student Signature

Print Name

Date

53

APPENDIX H

CNM PTA PROGRAM

Incident/Infectious Exposure Report form

To be completed by the student

1. Name

2. Address

3. Phone numbers (H) (C) 4. Date of incident/exposure Time of incident/exposure

5. Clinical name & Location

6. Clinical Instructor’s Name

7. Route of Incident/Exposure Intact skin Non-Intact skin Parenteral

_Respiratory tract Mucous membrane _Other

8. Describe the circumstances/cause of incident/exposure

9. List the protective equipment used at the time of incident/exposure

10. List the first aid treatment given at the time of the incident/exposure

To be completed by CNM PTA Program Faculty:

1. Source Tested: YES NO

2. Results Expected Date Where Tested

3. Test for Test Results

4. Date of Initial Student Counseling Date of F/U Counseling

5. Action taken as a result of incident/exposure

Student Signature

PTA Program Faculty Signature

54

APPENDIX I

CENTRAL NEW MEXICO COMMUNITY COLLEGE PTA PROGRAM PHOTOGRAPHY/VIDEOTAPE CONSENT

I, ______________________________________________________, give Central New Mexico Community College PTA program consent to videotape/photograph/audiotape me during classroom, lab and/or off-campus education experiences. These documents are to be used for educational purposes only. This consent form will remain in effect for my tenure in the CNM PTA program.

________________________________________________________ Student Name – Printed and Date

________________________________________________________ Student Signature and Date

55

APPENDIX J

Review of Records/Release of Records Consent Forms CENTRAL NEW MEXICO COMMUNITY COLLEGE PHYSICAL THERAPIST ASSISTANT PROGRAM REVIEW OF RECORDS CONSENT FORM

I (Print Name) ______________________________________________ give permission to the HWPS

Division and the Physical Therapist Assistant Program of CNM to allow access of my records for

accreditation purposes.

Student’s Signature ___________________________________________

Date _______________________________

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