COTA supervision

Question 1

General supervision

Answer 1

Supervision ensures the safe and effective delivery of occupational therapy services and fosters professional competence and development. Cooperative process based on mutual understanding between the supervisors and supervisee.

Question 2

Supervision of OT

Answer 2

Are autonomous practitioners responsible for all aspects of delivery service

Question 3

Supervision of OTA

Answer 3

Deliver services under the supervision of occupational therapists

Question 4

General principles

Answer 4

1. Collaborative supervision plan 2. Recognize need for peer supervision or mentoring 3. Frequency, methods, and content of supervision vary 4. More frequent supervision for complex causes 5. Various types and methods of supervision 6. Documentation of supervision plan and contacts

Question 5

Roles & Responsibilities of OTs

Answer 5

Direct the evaluation process, assessments/ techniques/ interventions

Question 6

Roles & Responsibilities for OTAs

Answer 6

Contribute by implementing delegated assessments

Question 7

Supervision of OT aides

Answer 7

Provide supportive services & don’t deliver skilled OT services. Perform delegated tasks under the supervision of OTs/ OTAs.

Question 8

Direct or continuous

Answer 8

Supervising therapist is observing at all times. Students require direct supervision. Aides require direct supervision.

Question 9

Close supervision

Answer 9

Direct observation and contact daily at work site on a regular basis

Question 10

Routine supervision

Answer 10

Face to face contact at least every 2 weeks at the work site. May also include telecommunication supervision

Question 11

General supervision

Answer 11

Initial direction and F2F contact with the supervising therapist at least once a month, and interim supervision as needed

Question 12

Examples of indirect

Answer 12

Phone and virtual interactions, Telehealth, written correspondence, and other forms of secure electronic exchanges

Question 13

Considers of delegation

Answer 13

Complexity of the client’s needs, knowledge skill and competence of the OTA, nature & complexity of the intervention, needs & requirements of the setting, boundaries of jurisdictional regulations, payment source requirements

Question 14

OT process evaluation

Answer 14

OT directs the process, OTA contributes to the evaluation by implementing delegated assessments, OT initiates and directs the evaluation, interprets the data and develops the intervention plan

Question 15

OT directs the process

Answer 15

Determining the need, defining the problems, determining the client’s goals and priorities, establishing intervention priorities, determining specific assessments, determining assessments that can be delegated to the OTA

Question 16

OT process intervention plan

Answer 16

OT is responsible for the development of the overall plan; OT and OTA collaborate with the client to develop the plan, OTA is responsible for understanding evaluation results and providing input based on client needs and priorities

Question 17

OT process intervention implantation- OT responsibilities

Answer 17

OT has overall responsibility for intervention implementation; OT provides appropriate supervision

Question 18

OT process intervention implementation- OTA responsibilities

Answer 18

Responsible for understanding & supporting the client’s occupational therapy goals; OTA in collaboration with the OT selects, implements and makes modifications to the interventions consistent with competence levels, client goals and requirements of the practice setting

Question 19

OT process intervention review

Answer 19

OT is responsible for determining the need to continue, modify or discontinue OT services; OTA contributes with this process through information exchange about the client’s responses

Question 20

OT process outcomes-OTs

Answer 20

OT is responsible for selection, measurement and interpretation of outcomes

Question 21

OT process outcomes- OTAs

Answer 21

OTA is responsible for being knowledgeable about the client’s targeted occupational therapy outcomes and for providing information related to the outcomes; May implement outcome measurements and provide needed resources for transition or discharge

Question 22

Supervision of Aides/ Techs

Answer 22

OT oversees the development, documentation, and implementation of a plan to supervise and routinely assess the Aide/ Tech; OTA can contribute; OTA can serve as the direct supervisor of the aide; non- client related tasks include clerical activities and preparation of the work area or equipment

Question 23

Client related tasks

Answer 23

Outcome anticipated for the task is predictable; client’s condition & environment are stable and won’t require judgement, interpretations or adaptations; client has demonstrated previous performance ability in executing the task; the task routine & process have been clearly established

Question 24

Supervisor must ensure that the aide/ tech

Answer 24

is trained and demonstrates a service competency; instructed on how specifically to carry out the task with the specific client; knows the precautions, signs & symptoms specific for the client & when to seek assistance; not used to perform billable functions that are prohibited by the payment source

Question 25

Documentation of supervision

Answer 25

Frequency & methods of supervision; content of supervision; names & credentials of all persons participating in the supervisory process

Question 26

Indiana COTA supervision

Answer 26

IC 25-23.5-1-6; means a person who provides occupational therapy services under the supervision of an occupational therapist

Question 27

Indiana COTA supervision regulation

Answer 27

844 IACA 10-5-5; may contribute to screening & evaluation process; contribute to development & implementation of the intervention plan, monitoring & documentation of progress; discontinuation or discharge from care or transitioning to another level of care

Question 28

OTA may not ____________

Answer 28

IND develop the intervention plan, initiate treatment or discharge a client

Question 29

Indiana COTA supervision- documentation

Answer 29

OT must countersign within 7 calendar days all documentation written by OTA

Question 30

OTA supervision in clinical settings

Answer 30

State & facility regulations may provide information on: (1) minimum time or frequency requirements for supervising OTAs (2) minimum acceptable modes of communication