Which responsibility must a PT always retain when working with a PTA?

A physical therapist (PT) is responsible for conducting initial evaluations of patients, which is a critical task in this profession. This process involves assessing the patient's condition, determining diagnosis, and establishing a treatment plan that addresses the patient's specific needs. After this initial evaluation, a physical therapist can designate specific interventions and delegate responsibilities to a physical therapist assistant (PTA), but the initial assessment requires the expertise and clinical judgment only a licensed PT holds.

This responsibility is pivotal as it lays the groundwork for all subsequent therapy sessions and ensures that the treatment is tailored to the unique circumstances of each patient. Additionally, the PT is responsible for making decisions based on the evaluation results and for modifying the plan as necessary throughout the course of treatment.

While supervising PTAs, documenting patient interactions, and creating exercise routines are certainly important duties, they can be shared or delegated under the proper supervision of the PT. However, the initial evaluation remains a fundamental responsibility that must always be handled by the PT, as it encompasses a thorough understanding of the patient's overall health status and treatment goals.