Sec. 10.46.01.03. Standards of Practice

A. Occupational Therapist.

(1) An occupational therapist shall exercise sound judgment and provide adequate care in the performance of duties as provided in nationally recognized standards of practice.

(2) An occupational therapist shall document client information as follows:

(a) Evaluation;

(b) Treatment program;

(c) Progress reports;

(d) Reevaluations; and

(e) Discharge summaries, verbal orders, and clarification orders in accordance with facility policies and procedures.

(3) An occupational therapist shall immediately discontinue any treatment procedure that appears harmful to the client.

B. Occupational Therapy Assistant.

(1) An occupational therapy assistant shall exercise sound judgment and provide adequate care in the performance of duties as provided in nationally recognized standards of practice.

(2) An occupational therapy assistant shall document client information as follows:

(a) Progress reports;

(b) Reevaluations; and

(c) Discharge summaries, verbal orders, and clarification orders in accordance with facility policies and procedures.

(3) An occupational therapy assistant may begin a treatment program after the occupational therapist has:

(a) Evaluated the client;

(b) Established an initial treatment program; and

(c) Engaged in verbal, written, or electronic communication with the occupational therapy assistant.

(4) An occupational therapy assistant may not analyze or interpret evaluation data.

(5) An occupational therapy assistant may assist and participate in the screening, evaluation, reevaluation, and discharge planning process by:

(a) Collecting data, such as records;

(b) General observation;

(c) Conducting a general interview;

(d) Using assessment tools; or

(e) All of §B(5)(a)-(d) of this regulation.

(6) An occupational therapy assistant shall communicate to the occupational therapist verbally, in writing, or electronically, the information gathered.

(7) An occupational therapy assistant shall track and report changes in the client's status that might warrant the need for reevaluation.

(8) An occupational therapy assistant shall immediately discontinue any treatment procedure that appears harmful to the client and shall notify the supervising occupational therapist.