California Code of Regulations
Title 22 - Social Security
Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies
Chapter 1 - General Acute Care Hospitals
Article 6 - Supplemental Services
Section 70517 - Occupational Therapy Service General Requirements

(a) Written policies and procedures shall be developed and maintained by the person responsible for the service in consultation with other appropriate health professionals and administration. Policies shall be approved by the governing body. Procedures shall be approved by the administration and medical staff where such is appropriate.

(b) The responsibility and the accountability of the occupational therapy service to the medical staff and administration shall be defined.

(c) Occupational therapy shall be given only on the signed order of a person lawfully authorized to give such an order.

(d) Patients shall be evaluated by the occupational therapist and a treatment program shall be established to include the modalities, the frequency and duration of treatments. This program and any modifications shall be approved in writing by the referring physician.

(e) Signed notes shall be entered into the record each time occupational therapy service has been performed.

(f) Progress notes shall be written and signed at least weekly by the occupational therapist and summarized upon completion of the treatment program.

(g) Occupational therapy staff shall be involved in orientation and in-service training of hospital employees.

(h) There shall be staff representation at the multidisciplinary conferences in order to plan and review patient treatment.

(i) Procedures shall be established for outpatient treatment, home visits and referrals to appropriate community agencies.

(j) Periodically, an appropriate committee of the medical staff shall evaluate the services provided and make appropriate recommendations to the executive committee of the medical staff and administration.