Current through Register Vol. 43, No. 12, March 20, 2024
(a) For the purposes of this regulation, each
of the following terms shall have the meaning specified in this subsection:
(1) "Full-time" means employed for 30 or more
hours per week.
(2) "Supervision"
means oversight of an occupational therapy assistant by a licensed occupational
therapist that includes initial direction and periodic review of service
delivery and the provision of relevant instruction and training.
(b) Supervision shall be
considered adequate if the occupational therapist and occupational therapy
assistant have on-site contact at least monthly and interim contact occurring
as needed by other means, including telephone, electronic mail, text messaging,
and written communication.
(c) Each
occupational therapist who supervises an occupational therapy assistant shall
meet the following requirements:
(1) Be
licensed in Kansas;
(2) be actively
engaged in the practice of occupational therapy in Kansas;
(3) be responsible for the services and tasks
performed by the occupational therapy assistant under the supervision of the
occupational therapist;
(4) be
responsible for any tasks that the supervised occupational therapy assistant
delegates to an occupational therapy aide, occupational therapy technician, or
occupational therapy paraprofessional;
(5) delegate only those services for which
the occupational therapist has reasonable knowledge that the occupational
therapy assistant has the knowledge, experience, training, and skill to
perform;
(6) document in the
patient's chart any direction or review of occupational therapy services
provided under supervision by the occupational therapy assistant; and
(7) report to the board any knowledge that
the occupational therapy assistant has committed any act specified in
K.S.A.
65-5410, and amendments thereto. The
occupational therapist shall report this information to the board within 10
days of receiving notice of the information.
(d) An occupational therapist shall not
supervise more than the combined equivalent of four full-time occupational
therapy assistants. This combination shall not exceed a total of eight
occupational therapy assistants.
(e) Each occupational therapist's decision to
delegate components of occupational therapy services under this regulation to
an occupational therapy assistant shall be based on that occupational
therapist's education, expertise, and professional judgment.
(f) An occupational therapy assistant shall
not initiate therapy for any patient or client before the supervising
occupational therapist's evaluation of the patient or client.
(g) An occupational therapy assistant shall
not perform any of the following services for a patient or client:
(1) Performing and documenting an initial
evaluation;
(2) developing or
modifying the treatment plan; or
(3) developing a plan of discharge from
treatment.
(h) Any
occupational therapy assistant, under supervision, may perform the following
services for a patient or client:
(1)
Collecting initial patient data through screening and interviewing;
(2) assessing initial activities of daily
living by administering standardized assessments;
(3) performing a chart review;
(4) implementing and coordinating
occupational therapy interventions;
(5) providing direct services that follow a
documented routine and accepted protocol;
(6) grading and adapting activities, media,
or the environment according to the needs of the patient or client;
(7) contributing to the reassessment process;
and
(8) contributing to the
discontinuation of intervention, as directed by the occupational therapist, by
implementing a discharge plan and providing necessary client discharge
resources.
(i) Failure
by any occupational therapist or occupational therapy assistant to meet the
applicable requirements of this regulation shall constitute evidence of
unprofessional conduct.
