Patient Care
35%of exam
Legislative Intent + Definitions
25%of exam
Discipline + Unlawful Practice
15%of exam
Advocacy, Licensure + Board
25%of exam
Quick Facts
- Exam
- FL Laws and Rules
- Questions
- 50 total; 40 scored
- Pretest
- 10 unscored items
- Time
- 60 minutes
- Format
- Closed book; Prometric
- Pass score
- Scaled; set by FSBPT
- Score validity
- 2 years
- Fee
- Paid directly to FSBPT
- Blueprint rule
- 64B17-3.002(2)
- Retake form
- DH-MQA 1143
Direct Access Clock
30 days, then get signature
PT vs PTA Tasks
PT only
- Initial evaluation
- Interpret evaluations
- Set goals, plan
- Judge progress
PTA may
- Carry out plan
- Subsequent reassessments
- Document treatment
- Report changes
Decide vs deliver
Supervision Picker
- PTA, hospital inpatient→Readily, physically available(64B17-6.001(4)(b))
- PTA, acute injury phase→Readily, physically available(Same standard)
- PTA, outpatient non-acute→General supervision(Same geographic location)
- Aide or technician→Direct supervision(Immediately available)
- Student, any setting→Direct supervision(64B17-6.001(3)(g))
- Student via telehealth→Synchronous direct supervision(See, hear, speak)
- Temporary permit holder→Statutory direct supervision(Cosign all records)
- PTA for orthopedist→General supervision(486.021(6))
- PTA for podiatrist→Onsite PT supervision(Chapter 461)
- PTA for dentist→Onsite PT supervision(Chapter 466)
Direct Access Rules
- PT-written plan
- Allowed without any referral
- 30-day limit
- Practitioner reviews, signs plan486.021(11)(a)
- Outside PT scope
- Refer or consult immediately
- Out-of-state physician exam
- Signature not required
- Chapter 395 facility
- No PT-developed plan486.021(11)(d)
- APRN plan
- Accepted under 464.012
- Contraindicated plan
- Refuse; notify referrer immediately64B17-6.001(3)(b)
- Diagnosis support
- Give referrer useful information
Never Delegate Five
Evaluate, Interpret, Goals, Plan, Progress
PTA vs Unlicensed Aide
PTA
- Licensed under 486
- General supervision allowed
- Reassesses patients
Unlicensed aide
- No license held
- Direct supervision always
- Documents tasks only
General vs direct supervision
Direct Access Picker
- PT wrote the plan→Treat up to 30 days
- Care past 30 days→Practitioner reviews and signs
- Out-of-state physician exam→No signature needed(486.021(11)(a))
- Condition outside PT scope→Refer or consult(Any day)
- Patient in hospital→No PT-developed plan(Chapter 395)
- Needs spinal manipulation→Refer to chiropractor(Chapter 460)
- Plan seems contraindicated→Refuse; notify referrer
PTA Supervision
- Hospital inpatient
- PT readily, physically available64B17-6.001(4)(b)
- Acute injury phase
- Same physical-availability standard
- Outpatient, non-acute
- Telecommunication, same geographic location64B17-6.001(5)(c)
- Direction method
- Frequent reporting and observation
- PTA cap
- No numeric ratio published
- Ortho, physiatrist, chiropractor
- General supervision; no onsite486.021(6)
- Other MD, DO, DPM, DDS
- Onsite PT supervision required
- Skilled functions
- Never below PTA level64B17-6.001(5)(d)
- PTA duties
- Report changes; refer prognosis
Record Copy Costs
First 25 = $1, then $0.25
Who May Do It
- Initial evaluation→PT only
- Interpreting an evaluation→PT only
- Changing plan of care→PT only
- Subsequent reassessment→PT or PTA
- Patient progress notes→PT or PTA
- Recording tasks performed→Unlicensed personnel allowed
- Dry needling→Qualified PT only
- Specific spinal manipulation→Nobody under 486(486.021(11)(c))
Delegation Limits
- Aide supervision
- Direct supervision, always64B17-6.007(1)
- Initial evaluation
- PT only; never delegated
- Reevaluation, interpretation
- PT only
- Goals, plan of care
- PT only
- Progress against plan
- PT only
- Subsequent reassessment
- PTA skill; not aides64B17-6.007(6)(b)
- Patient progress notes
- Never unlicensed personnel
- Task documentation
- Aides may record tasks
- Aide count
- PT judgment, setting-based64B17-6.007(8)
- Training duty
- Written policies before delegation
Records + Retention
- Required chart contents
- Assessment, plan, notes, discharge64B17-6.001(3)(h)
- Falsified records
- Express unprofessional conduct
- Copy cost, first 25
- $1.00 per page64B17-6.005
- After 25 pages
- $0.25 per page
- X-rays
- Actual cost of duplication
- Payment condition
- Cannot withhold for fees456.057(6)
- Closing practice notice
- 4 ads over 4 weeks64B17-6.0042(2)
- Facade sign
- Posted 30 days prior
- Records available
- 2 years after closing
- After licensee death
- 2 years from death
Titles + Scope Limits
- P.T.
- Licensees only486.135(1)(a)
- D.P.T.
- Doctoral degree plus license486.135(1)(b)
- Doctor title
- Must state PT profession486.081(1)
- P.T.A.
- Licensed assistants only
- Specific spinal manipulation
- Refer to chapter 460486.021(11)(c)
- Acupuncture
- Outside physical therapy scope
- Roentgen rays, radium
- Not physical therapy486.021(11)(b)
- Electromyography
- Board of Medicine criteria
- Topical medications
- Physician prescription required64B17-6.006
Dry Needling
- Practice prerequisite
- 2 years licensed practice486.117(1)(a)
- Course hours
- 50 face-to-face hours
- Supervised sessions
- 25 patient sessions
- Delegation
- Never to PTA or aide
- Consent
- Documented in plan of care
- Adverse incident report
- Board within 15 days64B17-6.008(5)
Supervision Ladder
Direct = here | General = near
Direct vs General Supervision
Direct supervision
- Immediately physically available
- Aides, students, permittees
- No two-way substitute
General supervision
- Two-way communication access
- PTAs only
- Same geographic location
Physically there vs reachable nearby
Statutory Definitions
- License
- Board grants; DOH issues486.021(3)
- Endorsement
- Licensure via 486.081/486.107486.021(4)
- Physical therapist
- Licensed; practices under 486486.021(5)
- PTA
- Licensed; under PT direction486.021(6)
- PT practitioner
- PT or PTA licensed486.021(7)
- Physiotherapy
- Identical to physical therapy486.021(8)
- PT assessment
- Movement-system function determinations486.021(10)
- Dry needling
- Filiform needles; trigger point486.021(12)
- Practitioner of record
- Active 458/459/460/461/466
- Legislative purpose
- Minimum requirements, safe practice486.015
Statute vs Rule Supervision
486.021(9)
- Physical presence required
- Temporary permit holders
- Except in emergency
64B17-6.001(1)(e)
- Immediately physically available
- Aides and students
- Governs delegation
Permittees vs subordinate personnel
Supervision Levels
- Direct supervision (rule)
- Immediately physically available64B17-6.001(1)(e)
- Direct supervision (statute)
- Physical presence; permit holders486.021(9)
- General supervision
- Two-way contact, same location64B17-6.001(1)(f)
- Onsite supervision
- PT present at site486.021(6)
- Direction
- PT authorizes delegated actions
- Unlicensed personnel
- No PT or PTA license
- Acute care
- Rapid medical status change
- Consultation
- Information resolving perceived problem
Assessment vs Diagnosis
PT assessment
- Movement-system function
- Guides physical therapy
- 486.021(10)
Medical diagnosis
- Practitioner of record
- Outside PT scope
- Triggers referral
Function vs disease label
486.125 vs 456.072
486.125(1)
- PT-specific grounds
- Eleven paragraphs
- Scope and competence
456.072(2)
- Penalty menu
- Fines to $10,000
- All health professions
Grounds vs penalties
Complaint Path
- Complaint arrives→Test legal sufficiency
- Legally sufficient→Investigate; notify subject
- Subject notified→20-day written response
- Minor first offense→Notice of noncompliance(Fix in 15 days)
- Probable cause found→Formal complaint filed
- No probable cause→Letter of guidance
- Impairment only alleged→Refer to consultant(456.076(9))
Discipline + Penalties
- Maximum fine
- $10,000 per count456.072(2)(d)
- Fraud fine
- $10,000 mandatory per count
- Penalty menu
- Suspend, revoke, restrict, probation
- Order priority
- Protect public before rehabilitation
- Impairment ground
- Cannot practice safely486.125(1)(a)
- Beyond scope
- Includes specific spinal manipulation486.125(1)(j)
- Fee splitting
- Rebates tied to referrals486.125(1)(f)
- Non-PT treatment
- Treating ailments otherwise486.125(1)(d)
- False report
- Knowingly filing false record
- Other-state discipline
- Independent Florida ground
- Reinstatement
- Board must find compliance
Complaints + Timelines
- Legally sufficient
- Written, signed, ultimate facts456.073(1)
- Subject response
- 20 days, written
- Investigation benchmark
- 6 months to findings
- Probable cause panel
- At least two members
- Panel deadline
- 30 days after report
- Letter of guidance
- Alternative to probable cause
- Notice of noncompliance
- Correct within 15 days
- Probable cause found
- Department files formal complaint
Unlawful Practice
- No active license
- Third-degree felony456.065(2)(d)
- Minimum penalty
- $1,000 fine; 1 year
- Serious bodily injury
- Second-degree felony
- Inactive under 12 months
- First-degree misdemeanor
- Inactive 12 months plus
- Third-degree felony
- Unlicensed citation
- Up to $5,000 per incident
- Title misuse
- First-degree misdemeanor486.151(2)
- Concealing violations
- Prohibited act486.151(1)(f)
- Injunctive relief
- Anyone may seek it486.153
CE Math
24 total, 12 live, 12 self
Inactive vs Delinquent
Inactive
- Chosen at renewal
- Cannot practice
- Reactivate with CE
Delinquent
- Missed the renewal
- Null after cycle
- Reapply as new
Chosen vs lapsed
Renewal + Status Picker
- Practicing this biennium→Active status(24 CE hours)
- Pausing practice→Inactive status(Cannot treat patients)
- Returning after inactivity→Reactivation package(64B17-5.001)
- Missed renewal deadline→Delinquent; apply immediately
- Delinquent past cycle→License null(Reapply as new)
- Want 2 CE hours→Pass jurisprudence exam(Form DH-MQA 1144)
Exam Blueprint
- Patient Care
- 35% (14 items)
- Legislative Intent
- 25% (10 items)
- Discipline, Unlawful Practice
- 15% (6 items)
- Consumer Advocacy
- 12.5% (5 items)
- Licensure, Examination
- 7.5% (3 items)
- Board Powers, Duties
- 5% (2 items)
- Scored items
- 40 of 50
- Who takes it
- Applicants, before license issued
- Not a renewal test
- Optional 2 CE hours
- Source rule
- 64B17-3.002(2)(b)
Mandatory CE Topics
Errors 2, HIV 1, Trafficking 1
Discipline vs Impairment Path
Discipline path
- Probable cause panel
- Formal complaint
- Penalty order
Impairment path
- Consultant referral
- Participant contract
- Not a discipline ground
Punish vs monitor
Continuing Education
- Biennium total
- 24 contact hours486.109(1)
- Contact hour
- 50 clock minutes
- One CEU
- 10 contact hours
- Live minimum
- 12 hours lecture or webinar
- Self-paced cap
- 12 hours per biennium
- Risk management cap
- 5 hours per biennium
- Medical errors
- 2 hours, every renewal64B17-8.002
- HIV/AIDS
- 1 hour by first renewal64B17-8.001
- Human trafficking
- 1-hour approved course64B17-8.003
- Jurisprudence credit
- 2 hours; form DH-MQA 1144
- Record retention
- Keep proof 4 years
- Late-biennium licensees
- Exempt except errors, HIV
Licensure + Status
- Minimum age
- 18 years old486.031(1)(a)
- Education
- Approved PT program graduate
- National exam
- Board-approved NPTE
- Background screening
- Fingerprints under 456.0135
- Temporary permit
- Void 6 months post-graduation486.0715(2)
- Permit supervisor
- One permittee; cosigns records
- Supervisor tenure
- Licensed 6 months minimum
- Active status
- Only status permitting practice456.036(1)
- Delinquent license
- Null after that cycle
- Reactivation CE
- 10 hours per inactive year64B17-5.001
- Reactivation law hours
- 2 hours within 12 months
Consumer Protection
- Investment referral
- Written disclosure before referral456.052(1)
- Alternatives listed
- At least two sources
- Disclosure posting
- Conspicuous public office place
- Kickbacks
- Patient brokering under 817.505456.054
- Self-referral act
- 456.053 investment-interest limits
- Duty to report
- Report known violators456.072(1)(i)
- Sexual misconduct report
- Any practice setting456.063(3)
- HIV partner notice
- Immunity either way456.061
- Impaired practitioner
- Contract; no discipline ground456.076(9)
- Confidentiality
- Written consent before release
Common Traps
Renewal myth
Required for licensure ≠ Not required at renewal
PTA ratio myth
No numeric cap ≠ 2:1 is invented
Aide supervision
Aides need direct ≠ General is PTA-only
Direct access clock
30 days now ≠ 21 days is outdated
Score validity
2 years now ≠ 5 years is outdated
Third-failure remediation
Applies to NPTE ≠ Not laws and rules
Scope vs competence
Legal scope permits ≠ Personal competence may not
Records and payment
Copies owed regardless ≠ Unpaid bill withholds nothing
Spinal technique
Mobilization is PT ≠ Specific manipulation is chiropractic
Inactive vs delinquent
Inactive is chosen ≠ Delinquent is missed
Last Minute
- 1.40 scored, 10 pretest, 60 minutes
- 2.Patient Care is 35%, the heaviest
- 3.Direct access: 30 days, then signature
- 4.Passing score expires after 2 years
- 5.Aides get direct; PTAs get general
- 6.Never delegate evaluation, goals, plan
- 7.PTA may reassess; aides may not
- 8.No PTA ratio in Florida law
- 9.CE: 24 hours, 12 live
- 10.Medical errors: 2 hours every renewal
- 11.Fines reach $10,000 per count
- 12.Complaint response window: 20 days
- 13.Unlicensed practice: third-degree felony
- 14.Copies: $1 first 25 pages
- 15.Only active status permits practice
- 16.Dry needling: 2 years, 50 hours
- 17.Hospital patients: no PT-written plan
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