California Code of Regulations
Title 16 - Professional and Vocational Regulations
Division 39 - Board of Occupational Therapy
Article 9 - Supervision Standards
Section 4182 - Treatments Performed by Occupational Therapy Assistants

Universal Citation: 16 CA Code of Regs 4182

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) The supervising occupational therapist shall determine the occupational therapy treatments the occupational therapy assistant may perform. In making this determination, the supervising occupational therapist shall consider the following:

(1) the clinical complexity of the patient/client;

(2) skill level of the occupational therapy assistant in the treatment technique; and

(3) whether continual reassessment of the patient/client status is needed during treatment. This rule shall not preclude the occupational therapy assistant from responding to acute changes in the client's condition that warrant immediate action. The occupational therapy assistant shall inform the supervising occupational therapist immediately of the acute changes in the patient's/client's condition and the action taken.

(b) The supervising occupational therapist shall assume responsibility for the following activities regardless of the setting in which the services are provided:

(1) Interpretation of referrals or prescriptions for occupational therapy services.

(2) Interpretation and analysis for evaluation purposes.
(A) The occupational therapy assistant may contribute to the evaluation process by gathering data, administering standardized tests and reporting observations. The occupational therapy assistant may not evaluate independently or initiate treatment before the supervising occupational therapist performs an assessment/evaluation.

(3) Development, interpretation, implementation, and modifications of the treatment plan and the discharge plan.
(A) The supervising occupational therapist shall be responsible for delegating the appropriate interventions to the occupational therapy assistant.

(B) The occupational therapy assistant may contribute to the preparation, implementation and documentation of the treatment and discharge summary.

1. New section filed 10-26-2004; operative 11-25-2004 (Register 2004, No. 44).

Note: Authority cited: Sections 2570.13 and 2570.20, Business and Professions Code. Reference: Sections 2570.2, 2570.3 and 2570.13, Business and Professions Code.

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