Idaho Admin. Code r. 24.06.01.011 - SUPERVISION
An occupational therapist shall supervise and be responsible for the patient care given by occupational therapy assistants, limited permit holders, aides, and students. An occupational therapist's or occupational therapy assistant's failure to provide appropriate supervision in accordance with these rules is grounds for discipline. (3-28-23)
01.
Occupational Therapy
Assistants. Occupational therapy assistants must be supervised by an
occupational therapist. General Supervision must be provided at a minimum.
(3-28-23)
02.
Limited Permit
Holders. Limited permit holders must be supervised by an occupational
therapist or occupational therapy assistant. Direct supervision must be
provided at a minimum. The occupational therapist is responsible for the
overall use and actions of the limited permit holder. (3-28-23)
03.
Occupational Therapy Aides.
Occupational therapy aides do not provide skilled occupational therapy
services. An aide must be trained by an occupational therapist or an
occupational therapy assistant to perform specifically delegated tasks. The
occupational therapist is responsible for the overall use and actions of the
aide. The occupational therapist must oversee the development, documentation,
and implementation of a plan to supervise and routinely assess the ability of
the occupational therapy aide to carry out non-client related and
client-related tasks . The occupational therapy assistant may contribute to the
development and documentation of this plan. (3-28-23)
a. The following factors must be present when
an occupational therapist or occupational therapy assistant assigns a selected
client-related task to the aide: (3-28-23)
i.
The outcome of the assigned task is predictable; (3-28-23)
ii. The situation of the client and the
environment is stable and will not require that judgment, interpretations, or
adaptations be made by the aide; (3-28-23)
iii. The client has demonstrated some
previous performance ability in executing the task; and (3-28-23)
iv. The task routine and process have been
clearly established. (3-28-23)
b. Before assigning client-related and
non-client related tasks to an aide, the occupational therapist or occupational
therapy assistant must ensure that the aide is able to competently perform the
task. (3-28-23)
c. The occupational
therapist or occupational therapy assistant must train the aide to perform
client-related and non-client related tasks at least once per month.
(3-28-23)
d. An aide must perform
client-related tasks under the direct line-of-sight supervision of an
occupational therapist or occupational therapy assistant. (3-28-23)
e. Occupational therapists and occupational
therapy assistants must document all training and supervision of an aide.
(3-28-23)
04.
Students. Students must be under the direct on-site supervision of
an occupational therapist or occupational therapy assistant who is
appropriately supervised by an occupational therapist. The occupational
therapist is responsible for the overall use and actions of the student.
(3-28-23)
05.
Supervision
Requirements. Supervision is the direction and review of service
delivery, treatment plans, and treatment outcomes. Unless otherwise specified
in this rule, General Supervision is the minimum level of supervision that must
be provided. Methods of supervision may include, but are not limited to, Direct
Line-of-Sight Supervision, Direct Supervision , Routine Supervision, or General
Supervision, as needed to ensure the safe and effective delivery of
occupational therapy. (3-28-23)
a. An
occupational therapist and an occupational therapy assistant must ensure the
delivery of services by the individual being supervised is appropriate for
client care and safety and must evaluate: (3-28-23)
i. The complexity of client needs;
(3-28-23)
ii. The number and
diversity of clients; (3-28-23)
iii. The skills of the occupational therapist
assistant, aide, or limited permit holder; (3-28-23)
iv. The type of practice setting;
(3-28-23)
v. The requirements of
the practice setting; and (3-28-23)
vi. Other regulatory requirements applicable
to the practice setting or delivery of services. (3-28-23)
b. Supervision must be documented in a manner
appropriate to the supervised position and the setting. The documentation must
be kept as required by Section
013 of these rules.
(3-28-23)
c. Supervision must
include consultation at appropriate intervals regarding evaluation ,
intervention, progress, reevaluation and discharge planning for each patient.
Consultation must be documented and signed by the supervisor and supervisee.
(3-28-23)
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.