Iowa Administrative Code › Agency 645 - Professional Licensure Division › Physical and Occupational Therapists › Chapter 206 - Continuing Education for Physical Therapists and Physical Therapist Assistants › Rule 645-206.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For purposes of these rules, the following definitions shall
				  apply:
"Active license"
means a license that is
				  current and has not expired.
"Board"
means the board of physical and
				  occupational therapy.
"Department"
means the department of health
				  and human services.
"Endorsement"
means the issuance of an Iowa
				  license to practice occupational therapy to an applicant who is currently
				  licensed in another state who has the same or similar qualifications to those
				  required in Iowa.
"Grace period"
means the 30-day period
				  following expiration of a license when the license is still considered to be
				  active. In order to renew a license during the grace period, a licensee is
				  required to pay a late fee.
"Inactive license"
means a license that has
				  expired because it was not renewed by the end of the grace period. The category
				  of "inactive license" may include licenses formerly known as lapsed, inactive,
				  delinquent, closed, or retired.
"Licensee"
means any person licensed to
				  practice as an occupational therapist or occupational therapy assistant in the
				  state of Iowa.
"License expiration date"
means the
				  fifteenth day of the birth month every two years after initial
				  licensure.
"Licensure by endorsement"
means the
				  issuance of an Iowa license to practice occupational therapy to an applicant
				  who is or has been licensed in another state.
"Licensure examination"
means the
				  examination administered by the National Board for Certification in
				  Occupational Therapy.
"Mandatory training"
means training on
				  identifying and reporting child abuse or dependent adult abuse as required in
				  Iowa Code sections 232.69 and
				  235B.16.
"NBCOT"
means the National Board for
				  Certification in Occupational Therapy.
"Occupational therapist"
means a person
				  licensed under this chapter to practice occupational therapy.
"Occupational therapy assistant"
means a
				  person licensed under this chapter to assist in the practice of occupational
				  therapy.
"Occupational therapy practice"
means the
				  therapeutic use of occupations, including everyday life activities with
				  individuals, groups, populations, or organizations, to support participation,
				  performance, and function in roles and situations in home, school, workplace,
				  community, and other settings. Occupational therapy services are provided for
				  habilitation, rehabilitation, and the promotion of health and wellness to those
				  who have or are at risk for developing an illness, injury, disease, disorder,
				  condition, impairment, disability, activity limitation, or participation
				  restriction. Occupational therapy addresses the physical, cognitive,
				  psychosocial, sensory-perceptual, and other aspects of performance in a variety
				  of contexts and environments to support engagement in occupations that affect
				  physical and mental health, well-being, and quality of life. The practice of
				  occupational therapy includes:
1.
				Evaluation of factors affecting activities of daily living (ADL), instrumental
				activities of daily living (IADL), rest and sleep, education, work, play,
				leisure, and social participation, including:
* Client factors, including body functions (such as
				  neuromusculoskeletal, sensory-perceptual, visual, mental, cognitive, and pain
				  factors) and body structures (such as cardiovascular, digestive, nervous,
				  integumentary, genitourinary systems, and structures related to movement) and
				  values, beliefs, and spirituality.
* Habits, routines, roles, rituals, and behavior
				  patterns.
* Physical and social environments; cultural, personal,
				  temporal and virtual contexts; and activity demands that affect
				  performance.
* Performance skills, including motor and praxis,
				  sensory-perceptual, emotional regulation, cognitive, communication and social
				  skills.
2. Methods or
				approaches selected to direct the process of interventions, including:
* Establishment of a skill or ability that has not yet
				  developed or remediation or restoration of a skill or ability that is impaired
				  or is in decline.
* Compensation, modification, or adaptation of activity or
				  environment to enhance performance or to prevent injuries, disorders, or other
				  conditions.
* Retention and enhancement of skills or abilities without
				  which performance in everyday life activities would decline.
* Promotion of health and wellness, including the use of
				  self-management strategies, to enable or enhance performance in everyday life
				  activities.
* Prevention of barriers to performance and participation,
				  including injury and disability prevention.
3. Interventions and procedures to promote or
				enhance safety and performance in ADL, IADL, rest and sleep, education, work,
				play, leisure, and social participation, including:
* Therapeutic use of occupations, exercises, and
				  activities.
* Training in self-care, self-management, health management
				  and maintenance, home management, community/work reintegration, and school
				  activities and work performance.
* Development, remediation, or compensation of
				  neuromusculoskeletal, sensory-perceptual, visual, mental, and cognitive
				  functions, pain tolerance and management, and behavioral skills.
* Therapeutic use of self, including one's personality,
				  insights, perceptions, and judgments, as part of the therapeutic
				  process.
* Education and training of individuals, including family
				  members, caregivers, groups, populations, and others.
* Care coordination, case management, and transition
				  services.
* Consultative services to groups, programs, organizations,
				  or communities.
* Modification of environments (home, work, school, or
				  community) and adaptation of processes, including the application of ergonomic
				  principles.
* Assessment, design, fabrication, application, fitting, and
				  training in seating and positioning, assistive technology, adaptive devices,
				  and orthotic devices, and training in the use of prosthetic devices.
* Assessment, recommendation, and training in techniques to
				  enhance functional mobility, including management of wheelchairs and other
				  mobility devices.
* Low vision rehabilitation.
* Driver rehabilitation and community mobility.
* Management of feeding, eating, and swallowing to enable
				  eating and feeding performance.
* Application of physical agent modalities and use of a range
				  of specific therapeutic procedures (such as wound care management,
				  interventions to enhance sensory-perceptual and cognitive processing, and
				  manual therapy) to enhance performance skills.
* Facilitating the occupational performance of groups,
				  populations, or organizations through the modification of environments and the
				  adaptation of processes.
"Occupational therapy screening"
means a
				  brief process that is directed by an occupational therapist in order for the
				  occupational therapist to render a decision as to whether the individual
				  warrants further, in-depth evaluation and that includes:
1. Assessment of the medical and social
				history of an individual;
2.
				Observations related by that individual's caregivers; or
3. Observations or nonstandardized tests, or
				both, administered to an individual by the occupational therapist or an
				occupational therapy assistant under the direction of the occupational
				therapist.
Nothing in this definition shall be construed to prohibit
				  licensed occupational therapists and occupational therapy assistants who work
				  in preschools or school settings from providing short-term interventions to
				  children prior to an evaluation, not to exceed 16 sessions per concern per
				  school year, in accordance with state and federal educational
				  policy.
"On site"
means:
1. To be continuously on site and present in
				the department or facility where the assistive personnel are performing
				services;
2. To be immediately
				available to assist the person being supervised in the services being
				performed; and
3. To provide
				continued direction of appropriate aspects of each treatment session in which a
				component of treatment is delegated to assistive personnel.
"OT"
means occupational therapist.
"OTA"
means occupational therapy
				  assistant.
"Reactivate"
or
"reactivation"
means the process as outlined in rule
				  645-206.8 (17A,147,272C) by
				  which an inactive license is restored to active status.
"Reciprocal license"
means the issuance of
				  an Iowa license to practice occupational therapy to an applicant who is
				  currently licensed in another state that has a mutual agreement with the Iowa
				  board of physical and occupational therapy to license persons who have the same
				  or similar qualifications to those required in Iowa.
"Reinstatement"
means the process as
				  outlined in rule 645-11.31 (272C). Once the
				  license is reinstated, the licensee may apply for active
				  status.