PAM Documentation & Record Keeping 4

Question 1

In documenting iontophoresis treatment, which of the following is UNIQUELY important compared to other electrical modalities?

Accepted Answer

Medication name, concentration, polarity, and total charge delivered (mA-min)

Answer

Iontophoresis documentation must include the specific medication, its concentration, the polarity used for delivery, and the total charge (in mA-min) to track drug delivery and ensure safety.

Question 2

A clinician amends an electronic health record to correct a documentation error. The CORRECT procedure is to:

Accepted Answer

Add a dated addendum noting the correction and reason, preserving the original entry

Answer

Correct EHR amendment protocol requires adding a dated addendum with the correction and rationale while preserving the original entry to maintain record integrity.

Question 3

A patient refuses a physical agent modality that was ordered in the plan of care. How should this be documented?

Accepted Answer

Document the refusal, the patient's stated reason, education provided, and any alternative offered

Answer

Documenting the refusal with the patient's reason, education provided, and alternatives offered creates a complete, honest record and protects the clinician legally.

Question 4

Which outcome measure is MOST appropriate to include in documentation when tracking patient progress with TENS for chronic low back pain?

Accepted Answer

Numeric Pain Rating Scale (NPRS) scores across sessions

Answer

The NPRS provides a validated, reproducible numeric measure of pain intensity that can be tracked across sessions to objectively demonstrate treatment effectiveness.

Question 5

For a patient with a pacemaker, documentation prior to applying any electrical physical agent modality should specifically include:

Accepted Answer

Physician clearance, pacemaker type and location, and rationale for treatment decision

Answer

Pacemaker presence is a contraindication for most electrical modalities; documentation must include physician clearance, device details, and the clinical reasoning behind any treatment decision.

(PAM) Physical Agent Modalities Certification Practice Test

(PAM) Physical Agent Modalities Certification Practice Test

PAM Documentation & Record Keeping 4