4755-7-03 Delegation.

(A)Occupational therapy assistant.

The occupational therapy assistant may implement the occupational therapy treatment/intervention plan established by the supervising occupational therapist. The supervising occupational therapist shall consider the following when delegating to the occupational therapy assistant:

(1) The clinical complexity of the client;

(2) The competency of the occupational therapy assistant;

(3)The occupational therapy assistant's level of training in the treatment/intervention technique; and

(4)Whether continual reassessment of the client's status is needed during treatment/intervention.

(5)Notwithstanding paragraphs (A)(1) to (A)(4) of this rule, the occuaptional therapy assistant may respond to acute changes in the client's condition that warrant immediate action.

(B) Student occupational therapist.

The student occupational therapist shall demonstrate appropriate skill and knowledge in duties being delegated. The supervising occupational therapist shall demonstrate knowledge and competency in any procedure or services delegated to a student occupational therapist.

(C) Student occupational therapy assistant.

The student occupational therapy assistant shall demonstrate appropriate skill and knowledge in duties being delegated. The supervising occupational therapist or supervising occupational therapy assistant shall demonstrate knowledge and competency in any procedure or services delegated to a student occupational therapy assistant.

(D) Unlicensed personnel.

(1) Unlicensed personnel may only perform specific tasks which are neither evaluative, task selective, nor recommending in nature. The occupational therapist, occupational therapy assistant, student occupational therapist, or student occupational therapy assistant may delegate such tasks only after ensuring that the unlicensed personnel has been appropriately trained for the performance of the tasks.

(2) The occupational therapist, occupational therapy assistant, student occupational therapist, and student occupational therapy assistant shall not delegate the following to unlicensed personnel:

(a)Performance of occupational therapy evaluative services;

(b) Initiation, planning, adjustment, modification, or performance of occupational therapy services;

(c) Making occupational therapy entries directly in the client's official records; and

(d)Acting on behalf of the occupational therapist, occupational therapy assistant, student occupational therapist, or student occupational therapy assistant in any matter related to occupational therapy treatment that requires decision making.

Replaces: Part of former 4755-7-02, part of former 4755-7-03, part of former 4755-7-09

R.C. 119.032 review dates: 02/04/2014 and 10/31/2015
Promulgated Under: 119.03
Statutory Authority: 4755.06
Rule Amplifies: 4755.04 , 4755.06 , 4755.08 , 4755.11
Prior Effective Dates: 10/17/77, 5/15/91, 4/11/02, 5/1/04, 5/1/06, 5/1/07, 5/1/08, 7/1/10