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SCOPE OF PRACTICE GUIDELINES FOR LICENSED HEALTHCARE PROFESSIONALS
March 2020
Page 2 of 3
Document Title Scope of Practice Guidelines for Licensed Healthcare Professionals
Document Ref. Number DOH/GDL/ICMD/SOP/0.9 Version 0.9
Effective Date March 2020
Previous Versions n/a
Document Owner Healthcare Licensing & Medical Education Division
Applies to All Healthcare Professionals mentioned in this document or it’s Appendix who are licensed by DOH and are working in different healthcare settings in the Emirate of Abu Dhabi.
Page 3 of 3
1. Introduction
The Department of Health (DOH) is responsible for regulating the practice of Healthcare Professionals in the Emirate of Abu Dhabi. A system of licensing and examination has been established to ensure that licensed healthcare professional are fit and safe to practice.
2. Purpose
The purpose of this document is to outline the clinical procedures that selected healthcare professionals (refer to Appendix), once licensed, are recommended to perform as per DoH Professional Qualification Requirement (PQR). The document was developed by the Department of Health (DoH), Assessment and Examination Section in collaboration with approved Subject Matter Experts (SMEs). The list of professionals can be revised in the future.
SCOPE OF PRACTICE GUIDELINES FOR LICENSED HEALTHCARE PROFESSIONALS Appendix – List of Professionals
Page 2 of 27
Contents 1. Anesthesia Technologist and Technician ............................................................................ 3
2. Central Sterilize Technician/Aid .......................................................................................... 5
3. Emergency Medical Services ................................................................................................ 7
4. Optometry ............................................................................................................................ 13
5. Physiotherapy ....................................................................................................................... 18
6. Psychology ............................................................................................................................ 21
7. Sport Therapist ..................................................................................................................... 27
1. Scope of Practice Guidelines for Anesthesia Technologist and Technician
Responsibilities
An
est
hesi
a
Tech
no
log
ist
An
est
hesi
a T
ech
nic
ian
A. Prior to Anesthesia Administration:
Check and set up vital anesthetic equipment, including the anesthesia machine, supplies, monitors and other equipment
√ √
Communicate with the anesthesiologist to determine individualized care and appropriate equipment needed
√ √
Assist with preparation of intravenous drugs, under the direct supervision of an anesthesiologist
√ √
Prepare intravenous therapy administration equipment √ √ Prepare all needed devices to maintain the patient's airway (e.g. laryngeal masks, endotracheal tube)
√ √
Communicate with the patient when they arrive into the operating theatre, and take part in pre-operative patient checks and sign in
√ √
Establish peripheral intravenous access, with ultrasound assistance if necessary
√ √
Assist and support placement of invasive monitoring (e.g. central venous access, arterial line placement)
√ √
Apply anesthetic monitoring to help assess the patients' condition whilst under anesthesia. This may include electrocardiography (ECG), blood pressure and oxygen saturation devices. The monitoring of other parameters such as anesthesia depth monitors (EEG, bispectral index etc.) and invasive monitoring may also be necessary
√ √
Ability to perform either role of two-person bag mask ventilation √ √ Assist the anesthesiologist in preparing and performing awake fiber optic intubation
√ √
Ability to resolve trouble shoot issues about anesthesia equipment and machines
√ √
B. During Anesthesia: Assist with inducing and maintaining appropriate depth of anesthesia √ Assist with intubating and maintaining the patient's airway √ √ Support patient positioning, making sure that patients are positioned in such a way not to cause discomfort or injury during the procedure
√ √
Under the direct supervision and prescription of an anesthesiologist, preparing and administering anesthesia medication
√
Page 4 of 27
Assist with monitoring and maintaining patients' vital signs √ √ Advocate for anaesthetized patient at all times √ √
Responsibilities
An
est
hesi
a
Tech
no
log
ist
An
est
hesi
a T
ech
nic
ian
Assist with temperature monitoring and regulation √ √ Carry out all roles and responsibilities in such a way as to promote and protect the rights and health of the patient
√
Assist with collection and analysis of patient (blood) samples √ Assist with acquiring and administering transfusion fluids (blood, FFP, platelets etc.) with associated equipment
√
C. After Anesthesia: Assist with extubation √ √ Assist with the safe transfer of patients to post-operative care units, intensive care units and other areas
√
Facilitate turnover of the OR list √ √ Participating in the operating room infection control program by the performing duties such as maintaining clean linens in anesthesia equipment in according to the established procedures, to minimize operation room pollution
√
Transfer post-operative patients to the post anesthesia care unit and ICU √ √ Respond to cardiac arrest in the operating room, post anesthesia care unit or other location, according to the hospital procedures and policies
√
Page 5 of 27
2. Scope of Practice Guidelines for Central Sterilize Technician/Aid
Responsibilities
Ce
ntr
al St
eri
lize
Serv
ice
Tech
nic
ian
Ce
ntr
al St
eri
lize
Serv
ice A
id
Collection/Reception Establish, conduct and monitors the collection of instruments and clinical equipment that requires reprocessing (disinfection / sterilization) in quality and timely manner. Contaminated instruments required to be contained during transport from the point of use to the decontamination are
√ √
Decontamination/Wash Room Identify and use appropriate methods and solutions to receive, sort, disassemble, decontaminate, rinse and disinfect Instruments and clinical equipment, operates and troubleshoots cleaning equipment (washer disinfectors, ultrasonic washers, cart washers, endoscopy-reprocessing machines) and handle biohazard materials, maintaining safety standards.
√ √
Carry out daily routine cleaning of decontamination/wash room area √ √ Troubleshoot cleaning equipment such as washer disinfectors, ultrasonic washers, cart washers and endoscopy reprocessing machines.
√
Inspection/Assembly/Packing Inspect for the cleanliness and functionality using appropriate tools √ Assemble, protect, label, package using approved sterile barrier system SBS and requisitions for equipment maintenance (repair or replacement) and removes defective instruments and equipment
√
Repossess of instrument and clinical equipment in CSSD following manufacturer’s recommendations/IFU and established procedure
√
Sort mismatched sets of instruments, trays, and medical equipment √ √ Arrange the pouches and wrapping materials in the rack √
Sterilization Select appropriate sterilization method and follows correct principles of sterilization
√
Documents and verify sterilization loads and biological tests to determine the efficacy of sterilization process and troubleshooting of failed processes
√
Ensure traceability of reusable medical devices in accordance with organizational requirements
√
Page 6 of 27
Identify and perform established cleaning and validation protocols for the CSSD equipment
√
Responsibilities
Ce
ntr
al St
eri
lize
Serv
ice
Tech
nic
ian
Ce
ntr
al St
eri
lize
Serv
ice A
id
Allows adequate cooling before moving to storage or deliver and handles based on Event Related practice
√ √
Make sterilization reels appropriate sizes and kept for daily uses √ √ Perform weekly cleaning and daily validations of sterilizer √ √ Perform daily cleaning and validations of sterilizer √
Storage Management and Inventory Control Maintain inventory of supplies and equipment and fills surgical case cart requisitions using the hospital available system
√
Distribution Retrieves, distributes, and tracks medical and surgical supplies and equipment
√
Environmental Standards Maintain clean orderly work area in accordance with infection control identified zones with following appropriate dress code completes assigned housekeeping duties
√
Perform environmental maintenance duties and assists in maintaining inventory levels unsterile processing, the operating room, and in equipment storage areas
√ √
Select the appropriate sterilization cycle for each item/load, load item into the sterilizer according to the standard of practice (IFU)
√ √
Sort, document, and disinfect all the collected equipment, instruments, tubes and bottles using the appropriate procedures.
√ √
Verify that equipment functions properly, requisitions for equipment maintenance, repair or replacement, and removes defective equipment
√
Page 7 of 27
3. Scope of Practice Guidelines for Emergency Medical Services
Responsibilities
EMT-B
asi
c
EMT-In
term
ed
iate
EMT-
Ad
van
ced
/Pa
ram
ed
ic
s
Airway/Breathing/Ventilatory Management
Airway-Esophageal-Single Lumen √ √ Airway-Laryngeal Mask √ √
Airway-Esophageal/Tracheal-Multi Lumen √ √
Airway-Nasal √ √ √ Airway-Oral √ √ √ Bag-Valve-Mask (BVM) √ √ √ Chest Decompression-Needle √ Chest tube Monitoring √ CPAP/BiPAP/PEEP √ Cricoid Pressure (Sellick) √ √ √ Cricothyroidotomy - Needle √ Cricothyroidotomy - Surgical √ End tidal CO₂ Monitoring/Capnometry/Capnography √ Gastric Decompression – NG/OG Tube Insertion √ Head-tit/Chin-lift √ √ √ Intubation-Digital √ √ Intubation-Lighted Stylet √ Intubation-Medication Assisted (non-paralytic) √ Intubation-Medication Assisted (Paralytic)(RSI) √ Intubation-Maintenance with (paralytics) √ Intubation-Nasotracheal √ Intubation-Orotracheal √ Intubation-Retrograde √ Extubation √ Jaw-thrust √ √ √ Jaw-thrust-Modified (trauma) √ √ √ Mechanical Infant Resuscitator √ Obstruction-Direct Laryngoscopy √
Page 8 of 27
Responsibilities
EMT-B
asi
c
EMT-In
term
ed
iate
EMT-
Ad
van
ced
/Pa
ram
ed
ics
Obstruction-Manual √ √ √ Oxygen Therapy-Humidifiers √ √ √ Oxygen Therapy-Nasal Cannula √ √ √ Oxygen Therapy-Non-rebreather Mask √ √ √ Oxygen Therapy –Venturi Mask √ Peak Expiratory Flow Testing √ √ √ Pulse Oximetry √ √ √ Suctioning-Tracheobronchial √ Suctioning-Upper Airway √ √ √ Tracheal Tube Maintenance-Includes replacement √ Ventilators-Automated Transport (AVT) √
Cardiovascular/Circulatory Support
Cardiac monitoring- Non Interpretive √ √ √ Cardiac monitoring-3 Lead, Suggestive √ √ Cardiac monitoring-12 Lead, Interpretive √ Cardiopulmonary Resuscitation (CPR) √ √ √ Cardioversion Synchronized/Unsynchronized √ Carotid Sinus Massage √ Defibrillation-Automated/Semi-Automated (AED) √ √ √ Defibrillation-Manual √ √ Hemorrhage control-Direct Pressure √ √ √ Hemorrhage control-Pressure point √ √ √ Hemorrhage control-Tourniquet √ √ √ Mechanical CPR Device √ √ Transcutaneous Pacing √ Thrombolysis # √# Arterial Blood Pressure Indwelling Catheter-Maintenance √ Central Venous Catheter Maintenance/interpretation √
Immobilization
Spinal Immobilization-Cervical Collar √ √ √ Spinal Immobilization-Long Board √ √ √
Page 9 of 27
Responsibilities
EMT-B
asi
c
EMT-In
term
ed
iate
EMT-
Ad
van
ced
/Pa
ram
ed
ic
s
Spinal Immobilization-Manual Stabilization √ √ √ Spinal Immobilization-Seated Patient, etc √ √ √ Splinting-Manual √ √ √ Splinting-Rigid √ √ √ Splinting-Soft √ √ √ Splinting-Traction √ √ √ Splinting-Vacuum √ √ √ Spinal immobilization clearance ## √
Intravenous Cannulation/Fluid Administration/Fluid Maintenance
Blood/Blood By-Products monitoring √ Colloids (Albumin, Dextran)-Initiation √ Crystalloids (D5W,LR,NS)-Initiation/Maintenance √ √ Intraosseous-Initiation √ Peripheral Intravenous Catheter Initiation √ √ External Jugular Intravenous Catheter Initiation √ Use of Indwelling Cather for IV medications √ √
Medication Administration-Route
Aerosolized/Nebulized √ √ √ Buccal √ √ √ Endotracheal Tube (ET) √ Extra-Abdominal Umbilical Vein √ Intradermal √ Intramuscular (IM ) √ √ √ Intranasal (IN) √ Intraosseous √ Intravenous (IV) Piggyback √ Intravenous (IV) Flush/Bolus √ √ Naso/Orogastric √ Oral √ √ √ Rectal √ √ Subcutaneous √ √
Page 10 of 27
Responsibilities
EMT-B
asi
c
EMT-In
term
ed
iate
EMT-
Ad
van
ced
/Pa
ram
ed
ic
s
Sublingual √ √ √ Topical √ √ Use of Mechanical Infusion Pumps √
Miscellaneous
Assisted Delivery √ √ √ Blood Glucose Monitoring √ √ √ Dressing/Bandaging √ √ √ Eye Irrigation noninvasive √ √ √ Use of Incubator √ Urinary Catheterization-Initiation √ Urinary Catheterization-Maintenance √ √ Venous Blood Sampling-Obtaining √
Pharmacology/Medication Administration for Emergency Medical Technician Acetyl Salicylic Acid √ √ √ Adenosine √ Adrenaline ** √ Amiodarone Hydrochloride √ Atenolol √ Atropine Sulphate √ Beta 2 Adrenergic Stimulants √ √ √ Calcium Chloride 10% √ Ceftriaxone √ Clopidogrel √ √ Dexamethasone √ Dextrose 5% Water √ √ Dextrose 50% √ √ Diazepam *** √ Diclofenac Sodium √ Etomidate ## √## Enoxaparin ## √## Fentanyl √
Page 11 of 27
Responsibilities
EMT-B
asi
c
EMT-In
term
ed
iate
EMT-
Ad
van
ced
/Pa
ram
ed
ic
s
Flumazenil √ Furosemide √ Gelofusine √ Glucose Gel/Powder √ √ √ Glyceryl Trinitrate √ Haemaccel √ Haloperidol √ Heparin √ Hydrocortisone √ Hyoscine-N-butylbromide √ Ipratropium Bromide √ √ Ketamine √ Lidocaine HCI (Local Anesthetic) √ Lidocaine HCI (Systemic) √ Lorazepam √ Magnesium Sulphate √ Mannitol √ Medical Oxygen √ √ √ Methoxyflurane √ √ √ Metoclopramide Monohydrochloride √ Midazolam √ Morphine Sulphate √ Naloxone Hydrochloride √ √ Nifedipine ## √## Normal Saline 0.9% √ √ Nitrous Oxide √ √ √
Paracetamol √
ORAL
√ √
Prochlorperazine √ Promethazine √ Ranitidine √ Rocuronium ## √##
Page 12 of 27
Responsibilities
EMT-B
asi
c
EMT-In
term
ed
iate
EMT-
Ad
van
ced
/Pa
ram
ed
ic
s
Ringers Lactate/Hartmans √ √ Sodium Bicarbonate 8.5% √ Suxamethonium Chloride ## √## Tenectaplase √ Tramadol √ Tranexamic Acid √ Voluven 6% √
Abbreviations Used **Cardiac arrest 1:10000 IV; anaphylaxis 1:1000 IM *** Status epilepticus only **** ACS pain refractory to GTN or severe musculoskeletal pain with online medical direction **** In Cardiac Arrest only # In accordance with STEMI Network and Physician oversight / approval ## In accordance with an accepted protocol and physician oversight / approval
Page 13 of 27
4. Scope of Practice Guidelines for Optometry
Responsibilities
Op
tom
etr
ist
Op
hth
alm
ic
Tech
nic
ian
Dis
pe
nsi
ng
Op
ticia
n
Ort
ho
pti
st
Comments
Refractive
Assessment of visual acuity √ √ √
Assessment of refraction: Subjective √ √ Screening level only
for Orthoptist Assessment of refraction: Objective (retinoscopy)
√ √ Screening level only
for Orthoptist
Assessment of refraction: Cycloplegic √ √ Screening level only
for Orthoptist
Prescribing refractive corrections √
Assessment of low vision patients √ √
prescribing and dispensing low vision aids √
Educate patient regarding the use of spectacles, contact lens and low vision devices
√ √
Fitting of specialty contact lenses √ Fitting, adjusting, or adapting of eyewear to the face and eyes
√ √
Grinding of lenses, inspection of surface quality, determination of optical, mechanical, and geometric centers, prisms, lens powers, base curves, cross curves, cylinder location, multifocal lenses, progressive lenses, colors (tints and coatings),neutralization, optical cross, optical lens graph, power drum readings, and transposition
√ √ √ This is a core
competency of dispensing optician
Inspection of a lens, locating of the appropriate meridians of power, centering and marking the lens
√ √ √
Detection and treatment of keratoconus with special contact Lenses
√
Measurement of the parameters of √
Page 14 of 27
contact lenses Measurement of the parameters of spectacles
√ √
Responsibilities
Op
tom
etr
ist
Op
hth
alm
ic
Tech
nic
ian
Dis
pe
nsi
ng
Op
ticia
n
Ort
ho
pti
st
Comments
Perform interpupillary distances and placement measurements of all lenses
√ √ √ This is a core
competency of dispensing optician
Prescribe and dispense contact lenses for the treatment of disorders of refraction
√
Mounting of lenses in frames, evaluation of measurements and sizes (eye, vertical, horizontal, pupillary distances, bridge size, temple style, and length) and use of the boxing system
√ √ √
This is a core competency of
dispensing optician
Select and measure frames for facial contour: eye size, bridge size, temple length, frame shape, and frame style
√ √
This is a core competency of
dispensing optician Use of a vertometer, lensometer, or similar instrument
√ √ √ √
Perform orthokeratology (Ortho-K) √
Sensory/Motility
Assessment of reduced vision (amblyopia) √ √
Treatment of reduced vision (amblyopia) √ √
Optometrist only under supervision of
consultant ophthalmologist
Diagnose and treatment of misalignment of the eyes (strabismus or squint)
√ √ Screening level only
for Optometrists Diagnose and treat of double vision (diplopia)
√
Assessment of motor function including: extra-ocular motor function fusional amplitudes, angles of ocular misalignment vergence capacities, binocular visual acuity
√ √ Screening level only
for Optometrists
Page 15 of 27
Assessment of sensory function including: fusion, stereoscopic visual function diplopia/confusion, retinal correspondence suppression, field of single binocular vision
√ √ Screening level only
for Optometrists
Responsibilities
Op
tom
etr
ist
Op
hth
alm
ic
Tech
nic
ian
Dis
pe
nsi
ng
Op
ticia
n
Ort
ho
pti
st
Comments
Assessment of neurological ocular function: including saccadic and pursuit, OKN and VOR function
√
Treatment of sensory and oculomotor dysfunctions of the eye and vision system
√
Management of binocular vision disorders including: refractive and prismatic corrections, full or partial occlusion, amblyopia therapy, vision therapy
√ √
Optometrist only under supervision of
consultant ophthalmologist
Measurement of ocular alignment and comitancy
√
Assessment and treatment of nystagmus √ √ Screening level only
for Optometrists
Assessment of accommodative function √ √ Hospital/Clinics only
Treatment of accommodative function disorders
√ √ Hospital/Clinics only
Identification of postural adaptations, including anomalous head posture
√ √ Screening level only
for Optometrists
Assessment of ptosis √ √ Hospital/Clinics only
Ophthalmic Investigation
Examination of the eye and ocular adnexa
√ √
Assessment of posterior segment including: vitreous humor, optic nerve head, macula and fovea, retinal vasculature, retinal grounds including, posterior pole, mid-periphery and where clinically indicated and/or possible, peripheral retina, and ora serrata
√ √
Undiluted examination only in
optical shop. Orthoptist only under
supervision of consultant
ophthalmologist
Page 16 of 27
Assessment of the optic nerve head through dilated pupils
√ √
Perform anterior segment examination including: lids, lashes and adnexa, conjunctiva and sclera, tear film, cornea, anterior chamber and angle, iris, crystalline lens
√ √
Hospital/Clinic Only. Orthoptist only under
the supervision of consultant
ophthalmologist
Perform A-Scan(biometry) and B-Scan √ √ Hospital/Clinics only
Perform binocular indirect ophthalmoscopy
√ √ Hospital/Clinics only
Responsibilities
Op
tom
etr
ist
Op
hth
alm
ic
Tech
nic
ian
Dis
pe
nsi
ng
Op
ticia
n
Ort
ho
pti
st
Comments
Perform confocal scanning laser ophthalmoscopy (SLO)
√ √ √ Hospital/Clinics only
Assessment of visual Fields √ √ √ Hospital/Clinics only
Perform direct ophthalmoscopy √ √
Perform ERG, VEP, EOG √ √ Hospital/Clinics only
Perform external photography √ √ √
Perform fundus fluorescein angiography √ Hospital/Clinics only
Perform fundus photography √ √ √
Perform gonioscopy examination √ Hospital/Clinics only
Perform macular pigment optical density (MPOD) measurement
√ √ √ Hospital/Clinics only
Perform monocular indirect ophthalmoscopy
√ √ Hospital/Clinics only
Perform multi-spectral imaging √ √ √ Hospital/Clinics only
Perform optical coherence tomography (OCT)
√ √ √ Hospital/Clinics only
Perform scanning laser polarimetry (GDx) √ √ √ Hospital/Clinics only
Perform ultrasound bio microscopy √ √ √ Hospital/Clinics only
Other
Calibration of the laser and equipment used for cataract surgery and providing assistance to the surgeon during cataract Surgery
√ √ Hospital/Clinics only
Page 17 of 27
Calibration of the refractive surgery equipment and providing assistance to the surgeon during refractive eye Surgery
√ √ Hospital/Clinics only
Pupillary dilation, topical ocular anesthesia, staining ocular tissues
√ √ Hospital/Clinic Only. Under supervision of an Ophthalmologist
Referral of any patient with acute conditions, such as: acute glaucoma, retinal detachment, papilledema, central corneal ulcer, sudden, unexplained vision loss, or vision-threatening trauma
√ √ √
Responsibilities O
pto
metr
ist
Op
hth
alm
ic
Tech
nic
ian
Dis
pe
nsi
ng
Op
ticia
n
Ort
ho
pti
st
Comments
Advise lubricating agents (artificial tears) of varying viscosities (solutions, emulsions, gels, and ointments) and/or osmolarities for patient with dry eye disease
√ √
Page 18 of 27
5. Scope of Practice Guidelines for Physiotherapy
Responsibilities
Phys
ioth
era
pis
t
Phys
ioth
era
py
Tech
nic
ian
Evaluate and assess the patient and provide treatment plan based on physician referral and provide treatment plan based on evidence based practice
√
Evaluate a patients’ progress, reassess and alter treatment programs if required, developing reflective practice
√
Evaluate effects of treatment at various stages and adjusts treatments to achieve maximum benefit
√
Evaluate, fits, and adjusts prosthetic and orthotic devices and recommends modification to orthotist
√
Perform athletic training evaluation and reports progress √
Perform athletic training re-evaluation √
Apply hot packs /cold packs for muscle pain √
Assist Senior Physiotherapists in the rehabilitation of patients using a range of delegated duties, including exercises and gait re-education
√
Assist Senior Physiotherapists whilst moving and handling heavy and immobile ward patients
√
Perform balance enhancement exercises √ Conduct ergonomic assessment and offer training √
Apply electrotherapy and local modalities √
Fitting of orthosis physiotherapy √
Formulate and deliver individual and group physiotherapy treatment program based upon knowledge of the evidence of the treatment options available
√
Formulate prognosis and recommend best course of intervention, developing discharge plans
√
Instruct patient and family in treatment procedures to be continued at home
√ √
Instruct patients, providing direction and guidance on a range of physical therapy and mobility activities, as part of own clinical work or as directed as necessary by the Senior Physiotherapist
√ √
Page 19 of 27
Instruct, motivate, and assist patient to perform various physical activities, exercises, ambulatory functional activities, daily-living activities, and in use of assistant and supportive devices, such as crutches, canes, and prostheses
√ √
Responsibilities
Phys
ioth
era
pis
t
Phys
ioth
era
py
Tech
nic
ian
Monitor stock levels of physiotherapy supplies and equipment on a daily basis, and be responsible for maintaining stock levels, selecting external suppliers and authorizing purchases as necessary, taking into account cost, quality, delivery time and reliability
√ √
Perform high-intensity laser therapy (HILT) for the management of musculoskeletal disorders (MSD)
√
Perform hydrotherapy exercises √
Perform Infrared heat therapy √ √
Perform manual techniques to improve and maintain function √ √
Perform massage techniques and body physiology √ √
Perform muscle stretching exercises √
Perform posture training exercises √
Perform shockwave therapy √
Perform spinal decompression therapy √
Perform traction to relieve pain using traction equipment √
Perform treatments involving application of physical agents, using equipment, such as hydrotherapy tanks and whirlpool baths, moist packs, ultraviolet and infrared lamps, and ultrasound machines
√ √
Perform cryoultrasound therapy √
Physical performance test or measurement (e.g., musculoskeletal, functional capacity), with written report
√
Plan and administer medically prescribed therapy for patients suffering from injuries, or muscle, nerve, joint and bone diseases, to restore function, relieve pain, and prevent disability
√
Plan and conduct lectures and training programs on physical therapy and related topics for medical staff, students, and community groups
√
Plan and develop physical therapy research programs and participate in conducting research
√
Plan and prepare written treatment program based on evaluation of patient √
Page 20 of 27
data
Prescribe gait training and assistive device training √
Prescribe diathermy technique for muscle and joint conditions √
Proprioception and balance exercises √
Record treatment, response, and progress in patient's chart √ √
Responsibilities
Phys
ioth
era
pis
t
Phys
ioth
era
py
Tech
nic
ian
Responsible for maintaining accurate and comprehensive patient treatment records in line with standards of practice.
√ √
Review physician's referral and patient's condition and medical records to determine physical therapy treatment required
√
Self-care/home management training (e.g., activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact by provider
√
Supply appropriate walking aids to patients, and educate and advise patients in the safe use of this equipment
√
Test and measure patient's strength, motor development, sensory perception, functional capacity, and respiratory and circulatory efficiency, and record findings to develop or revise treatment programs
√
Use clinical reasoning skills and manual assessment techniques to provide a physiotherapy diagnosis of their condition
√
Use dynamic activities to improve functional performance √
Use kinesiology tape for musculoskeletal, sports injuries and inflammatory neurology conditions
√
Use paraffin wax bath therapy √ √
Use pulsed electromagnetic field therapy √
Use static balance exercises activities to improve functional performance √
Use ultrasound (US) therapy √ √
Page 21 of 27
6. Scope of Practice Guidelines for Psychology
Responsibilities
Clin
ical Ps
ych
olo
gis
t
Co
un
selin
g P
sych
olo
gis
t
Edu
cati
on
al Ps
ych
olo
gis
t
Ne
uro
psy
ch
olo
gis
t
Psyc
ho
me
tris
t
Ass
ista
nt
Psyc
ho
log
ist
(UA
E N
ati
on
als
)
Accurate administration and scoring of neuropsychological tests
√
Advise on the development of policies, based on various aspects of psychological theory and research
√ √ √ √
Apply evidenced-based psychological interventions √ √ √ √ √ Apply evidenced-based neuropsychological interventions utilizing an awareness of the methods, terminology, and conceptual approaches of clinical medical disciplines allied to neuropsychology, as well as knowledge of common neuropsychological, neurological, neuropsychiatric conditions, and psychological disorders
√
Apply appropriate models of neuro-rehabilitation specific to the client’s needs
√
Apply appropriate use of cultural advisors and linguistic translators to ensure meaningful assessment and effective communication, as well as recognition of cultural factors which influence health and illness and response to treatment
√ √ √ √ √ √
Apply psychological interventions to clients with developmental challenges, and adjustment problems; performing therapeutic counselling interventions
√ √
Assess intellectual, cognitive, personality, and emotional functions in relation to life challenges and developmental problems; assessing developmental processes (e.g. career choice), and adjustment
√ √ √
Page 22 of 27
Assess cognitive, personality, emotional and neuropsychological functions in relation to changes affecting the brain and/or physiological systems contributing to brain functions, drug effects or interactions; the integrity of neurologically relevant functional networks; life challenges and developmental problems; and adjustment to chronic illness or other stressors
√
Responsibilities
Clin
ical Ps
ych
olo
gis
t
Co
un
selin
g P
sych
olo
gis
t
Edu
cati
on
al Ps
ych
olo
gis
t
Ne
uro
psy
ch
olo
gis
t
Psyc
ho
me
tris
t
Ass
ista
nt
Psyc
ho
log
ist
(UA
E N
ati
on
als
)
Assess, diagnose and intervene in clients dealing with life challenges, and developmental problems to optimize psychological well- being
√ √ √
Assess, diagnose and intervene in order to optimize human functioning in the learning and development; assessing cognitive, personality, emotional, and neuropsychological functions of people in relation to the learning and development in which they have been trained
√ √ √
Assess, diagnose and intervene with clients dealing with life challenges, particularly those with developmental and forms of psychological distress and/or psychopathology
√ √ √
Assess symptom and performance validity and (subsequently) to formulate hypotheses, provide feedback, and recommend interventions as required
√ √
Assess based upon carefully considered selection of neuropsychological measures appropriate to the clinical setting and the reasons for referral; tailoring of neuropsychological assessment appropriate to the client and clinical hypotheses
√
Page 23 of 27
Collection of data necessary for a comprehensive assessment through clinical interview, acquisition of collateral history, review of medical, neurological, and psychiatric records, and administration of neuropsychological measures
√
Conduct detailed clinical interview to facilitate planning of assessment protocols which take into account developmental issues, medical history, reasons for referral, as well as individual and cultural diversity
√ √ √ √
Conduct family psychotherapy with the patient present √ √ * Conduct family psychotherapy without the patient present √ √ * Conduct group psychotherapy √ √ *
Responsibilities
Clin
ical Ps
ych
olo
gis
t
Co
un
selin
g P
sych
olo
gis
t
Edu
cati
on
al Ps
ych
olo
gis
t
Ne
uro
psy
ch
olo
gis
t
Psyc
ho
me
tris
t
Ass
ista
nt
Psyc
ho
log
ist
(UA
E N
ati
on
als
)
Conduct multiple-family psychotherapy √ √ * Conduct psychoanalysis √ √ * Critically analyze relevant measures and the underlying neurocognitive theoretical models from which those measures have been developed utilizing knowledge of the fundamental principles underpinning neuroscience, neuropsychology, and neuropsychological rehabilitation and recovery.
√
Develop neuropsychological formulations incorporating all relevant predisposing, precipitating, maintaining, and protective factors relevant to a client’s presentation; such formulations should inform differential diagnosis and subsequent interventions
√
Design, manage, and evaluate programs dealing with psychological, and psychiatric problems
√ √ *
Design, manage, conduct, report on, and supervise psychological research
√ √ √ √ √
Page 24 of 27
Detailed analysis and interpretation of neuropsychological test data within the framework of a neuropsychological formulation
√
Determine consistency between results of assessment with knowledge of brain-behavior relationships
√
Determine the impact of cognitive deficit and diminished insight on the individual’s adjustment and response to rehabilitation
√ √ √
Responsibilities
Clin
ical Ps
ych
olo
gis
t
Co
un
selin
g P
sych
olo
gis
t
Edu
cati
on
al Ps
ych
olo
gis
t
Ne
uro
psy
ch
olo
gis
t
Psyc
ho
me
tris
t
Ass
ista
nt
Psyc
ho
log
ist
(UA
E N
ati
on
als
)
Incorporation of presenting variables (such as cognitive deficit, personality, trauma, and/or substance abuse) into intervention planning; adaptation of therapeutic models of psychological intervention based on clients’ cognitive strengths and limitations
√ √ √ √
Identify and diagnose barriers to teaming and development
√ √ √
Identify and diagnose disorders of adjustments √ √ √ Identify clients requiring more sophisticated or advanced psychological assessment and referring such clients to appropriate and licensed professionals
√ √ √ √
Identify clients requiring more sophisticated or advanced psychological assessments/interventions and referring such clients to appropriate and licensed professionals, under the direct supervision of a licensed Psychologist
√
Identify psychopathology in psychiatric disorders, and psychological conditions
√ √ √
Identify psychopathology, and its impact on developmental processes, and adjustment
√ √ √
Identify, and diagnose psychopathology in relation to the learning and development
√ √ √ √
Page 25 of 27
Measure psychological functions including, not limited to, cognitive, emotional, interest, aptitude, and personality
√ √ √ √ √
Perform assessments and basic psychological intervention under the direct supervision of a licensed Psychologist who will have the role of specifying the needed areas of interventions
√
Perform assessments and contributing to the development of psychological tests and procedures
√ √ √ √ √
Perform assigned tasks commensurate with level of experience under the direct supervision of a licensed Psychologist
√
Responsibilities
Clin
ical Ps
ych
olo
gis
t
Co
un
selin
g P
sych
olo
gis
t
Edu
cati
on
al Ps
ych
olo
gis
t
Ne
uro
psy
ch
olo
gis
t
Psyc
ho
me
tris
t
Ass
ista
nt
Psyc
ho
log
ist
(UA
E N
ati
on
als
)
Perform integration of assessment data from different sources and modalities to develop a working model of the origins and maintenance of current neuropsychological functioning
√
Perform therapeutic interventions in relation to learning and development
√ √ √ √
Provide detailed risk assessment, including formulation of risk and the development of risk mitigation management plans
√ √ √ √
Provide feedback to clients on the results of psychological assessments
√ √ √ √ √
Provide feedback to clients on the results of neuropsychological assessments
√
Provide health and behavior assessment/intervention √ √ √ √ Provide psychological interventions to enhance, promote and facilitate optimal learning and development
√ √ √ √ √
Provide consultation-liaison services as part of multidisciplinary treatment teams for individuals with medical or psychological issues
√ √ √ √
Page 26 of 27
Provide forensic and/or medico-legal assessments √ √ √ √ Refer clients to appropriate professionals for further assessment or intervention
√ √ √ √ √ √
Train and supervise other counselling psychologists in counselling psychology
√ √ *
Train and supervise other psychological practitioners in educational psychology
√ √ √ *
Train and supervise other psychologists in clinical psychology
√
Train and supervise other neuropsychologists √ Train and supervise psychometrician in the process of psychological assessment
√
Use and interpretation of behavioral observations to inform assessment and therapeutic planning
√ √ √ √
Responsibilities
Clin
ical Ps
ych
olo
gis
t
Co
un
selin
g P
sych
olo
gis
t
Edu
cati
on
al Ps
ych
olo
gis
t
Ne
uro
psy
ch
olo
gis
t
Psyc
ho
me
tris
t
Ass
ista
nt
Psyc
ho
log
ist
(UA
E N
ati
on
als
)
Utilize multiple sources of information to formulate an understanding of the effects of mental illness on an individual’s ability to function, to have capacity, and/or to effectively utilize therapeutic interventions
√ √
Utilize up-to-date, evidence-informed, neuro-rehabilitation strategies and techniques to collaboratively facilitate recovery/rehabilitation following brain dysfunction
√
Asterisks (*) have been inserted to identify atypical responsibilities that may be engaged in by some neuropsychologist on the basis of their training as clinical psychologists.
Page 27 of 27
7. Scope of Practice Guidelines for Sport Therapist
Responsibilities
Spo
rt T
hera
pis
t
Apply therapeutic modalities including, but not limited to, heat modalities, cold modalities, energy modalities, and electrical modalities
√
Conduct a subjective evaluation that includes a thorough history of the athlete √ Identify conditions which may limit or compromise participation in physical activities
√
Identify, assess and manage all risks associated with physical activities √ Maintenance and inspection of athletic equipment √ Perform assessment and employing the appropriate management techniques for non-life threatening situations
√
Perform assessment of the players post injuries and accordingly determine the appropriate management plan together with the team physician
√
Perform specific fitness testing in accordance with accepted procedures to assess an injury, illness and/or health related condition and accordingly determine appropriate treatment plans
√
Perform the relevant assessment of the athletes before, during and after sports activities
√
Perform therapeutic interventions including, but not limited to, soft tissue techniques, stretching techniques, manual therapy, joint mobilization and manipulation techniques, aquatic therapy, application of braces and protective equipment, and taping and strapping techniques
√
Plan and implement appropriate sports rehabilitation programs √ Provide appropriate remedial exercise and massage in a sport context √ Provide emergency first aid treatment for athletes in the field √ Provide the basic immediate care of injuries and basic life support in a recreational, training and competitive environment
√
Select and utilize the applicable equipment’s and tools for the management plan √ Utilize sports and exercise principles to optimize performance, preparation and injury prevention programs
√
Work as part of multidisciplinary team to conduct the best management for the athlete
√
