Texas documentation requires for PAM use?

• A. Proof of training
• B. License
• C. Certification
• D. Written consent

Answer: (A)

In Texas, using physical agent modalities hinges on demonstrating adequate training. The requirement is proof of training before you can apply PAMs because these devices involve specific operating procedures, safety measures, and parameters that must be understood to avoid harm. Documented training shows you can select the appropriate modality, set correct settings, monitor the patient's response, and recognize adverse effects, providing a clear standard of competency and legal accountability.

A general license allows practice, but it doesn’t prove PAM-specific competency. Certification isn’t required by state regulation for PAM use, and written consent, while important for informed patient decisions, isn’t the regulatory basis for permitting PAM application.