Nev. Admin. Code § 640A.265 - Delegation of duties to occupational therapy assistants and unlicensed persons; limitations
1. A treating
occupational therapist shall provide direction to and supervise any program of
intervention which is delegated to an occupational therapy assistant or
provisional licensee and shall ensure that the occupational therapy assistant
or provisional licensee does not function autonomously.
2. Only an occupational therapist may:
(a) Interpret the record of a patient who is
referred to the occupational therapist by a provider of health care;
(b) Interpret the evaluation of a patient and
identify any problem of the patient;
(c) Develop a plan of care for a patient
based upon the initial evaluation of the patient, which includes the goal of
the treatment of the patient;
(d)
Determine the appropriate portion of the program of intervention and evaluation
to be delegated to an occupational therapy assistant;
(e) Delegate the treatment to be administered
by the occupational therapy assistant;
(f) Instruct the occupational therapy
assistant regarding:
(1) The specific program
of intervention of a patient;
(2)
Any precaution to be taken to protect a patient;
(3) Any special problem of a
patient;
(4) Any procedure which
should not be administered to a patient; and
(5) Any other information required to treat a
patient;
(g) Review the
program of intervention of a patient in a timely manner;
(h) Record the goal of treatment of a
patient; and
(i) Revise the plan of
care when indicated.
3. A
treating occupational therapist may delegate to an occupational therapist who
holds a provisional license any of the activities identified in subsection
2.
4. An occupational therapy
assistant shall not:
(a) Write formal
evaluations of the progress of a patient to another health care professional.
For the purposes of this paragraph, daily chart notes in the records of a
patient do not constitute a formal evaluation of the progress of the
patient.
(b) Participate in any
meeting with a patient or a health care professional, including, without
limitation, a meeting in an educational setting, at which:
(1) The occupational therapy assistant is the
sole licensee; and
(2) The program
of intervention of a patient may be modified.
(c) Make clinical decisions regarding the
provision of occupational therapy services to a patient that conflict with or
overrule the decisions of an occupational therapist.
5. An occupational therapy assistant or
provisional licensee shall notify the treating occupational therapist of record
for a patient and document in the records of the patient any change in the:
(a) General condition of the patient;
and
(b) Condition of a patient that
is not within the planned progress or treatment goals of the patient.
6. A treating occupational
therapist of record for a patient shall continuously follow the progress of the
patient.
7. Except as otherwise
provided in NAC
640A.267,
a licensee shall not knowingly delegate to a person who is less qualified than
the licensee any program of intervention which requires the skill, common
knowledge and judgment of the licensee.
8. As used in this section, "health care
professional" has the meaning ascribed to it in
NRS
629.076, as amended by section 15 of Senate
Bill No. 217, chapter 289, Statutes of Nevada 2021, at page 1595.
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.