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WHAT MAKES IT WORK?
MICHELE LUTHER-KRUG COTA/L,SCADCM,CDRS,ROH
AOTA 2013 [email protected]
Teamwork/Collaboration
AOTA Standards of Practice for OT
Levels of Practice and State Practice Guidelines
o Repeated for each new competency
o Not Static- Ongoing Process
o www.aota.org/about/core/36194.aspx
Supervision
Supervision is a process in which two or more people participate in a joint effort to: Promote Establish Maintain Elevate
The supervisor is responsible for: Setting Encouraging EvaluatingWork performed by the supervisee
Quality Supervision
o A mutual undertaking that:
o Fosters growth and development
o Ensures appropriate training and potential
o Encourages creativity and innovation
o Provides guidance, support, encouragement and
respect
o Promoting the goals of the individual and the
facility
Service Competency
Practice within your state’s guidelines:
aota.org/Practitioners/Licensure/StateRegs.aspx
1. Direct –Supervisor: provides daily, direct contact
2. General- Scheduled: contact face – to – face, use
alternate methods as needed
3. Indirect – Available: as needed and reviews service
delivery, treatment plans and treatment outcomes
Stage One/Entry Level
o OT and OTA collaborate in practice area
o OT completes evaluation
o OTA and OT collaborate on results
o OTA completes treatment from plan of care
with direct supervision
o Notes reviewed and co-signed by OT
Stage Two/Intermediate
o OTA contributes to evaluation
o Assigned assessments from OT
o OTA and OT co-treat for periodic re-
assessments
o OTA provides treatments and receives
Indirect supervision from OT
o Notes Co-signed
Stage Three/Advanced
o OTA completes assigned assessments
o (ADL , vision, perceptual)
o OTA reviews results with OT to establish plan
of care
o OTA and OT co–treat or exchange
treatments/Re-assessments
o Notes Co-signed
Stage Four/Competent Practitioner
OTA completes delegated assessments and
treatments
General Supervision provided by OT
Collaborative team
Mutual respect and awareness
Stage Four Continued…
Notes co-signed in accordance with state
and insurance guidelines
All reports reviewed by OT
Practice Examples
Acute Care Out PatientHome CareSpecialty Treatment Areas Driving; Schools ; Hands ; Lymph-edema;
Vision; Home Modifications; Assistive Technology