Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Professional Licensing › Board of Occupational Therapists › Board of Occupational Therapists - General Rules › Part 3 - OCCUPATIONAL THERAPISTS › Section R. 338.1229 - Delegation of limited assessments, tasks or interventions to an occupational therapy assistant; supervision of an occupational therapy assistant; requirements

Current through Vol. 24-12, July 15, 2024
Rule 29.
(1) An
					 occupational therapist who delegates the performance of limited assessments,
					 tasks, or interventions to an occupational therapy assistant as allowed under
					 section
					 16215 of the code, MCL
					 333.16215, shall supervise the
					 occupational therapy assistant consistent with section
					 16109(2) of
					 the code, MCL
					 333.16109, and satisfy the
					 requirements of this rule. As used in this rule, "limited assessment" means
					 those parts of an evaluation that an occupational therapy assistant is
					 qualified by education and training to perform while under the supervision of
					 an occupational therapist.
(2)
					 Before an occupational therapist delegates limited assessments, tasks, or
					 interventions to an occupational therapy assistant, the occupational therapist
					 shall evaluate the qualifications of the occupational therapy assistant,
					 including verification of the occupational therapy assistant's training,
					 education, and licensure.
(3) An
					 occupational therapist who delegates limited assessments, tasks, or
					 interventions to an occupational therapy assistant shall determine and provide
					 the appropriate level of supervision required for the occupational therapy
					 assistant's performance of the delegated limited assessment, task, or
					 intervention. The appropriate level of supervision must be determined based on
					 the occupational therapy assistant's education, training, and experience. The
					 level of supervision must be either general supervision or direct
					 supervision.
(4) An occupational
					 therapist who delegates limited assessments, tasks, or interventions under this
					 rule shall also comply with all of the following:
(a) Initiate and direct the evaluation of the
					 patient or client before delegating limited assessments.
(b) Complete the evaluation of the patient or
					 client before delegating tasks or interventions to be performed by an
					 occupational therapy assistant.
(c)
					 Supervise an occupational therapy assistant to whom limited assessments, tasks,
					 or interventions are delegated.
(d)
					 Provide predetermined procedures and protocols for limited assessments, tasks,
					 or interventions that are delegated.
(e) Monitor an occupational therapy
					 assistant's practice of assigned limited assessments, tasks, or
					 interventions.
(f) Maintain a
					 record of the names of the occupational therapy assistants to whom limited
					 assessments, tasks, or interventions have been delegated pursuant to section
					 16215 of the code, MCL
					 333.16215.
(g) Meet using live, synchronous contact at
					 least once per month with the occupational therapy assistant to whom limited
					 assessments, tasks, or interventions have been delegated to accomplish all of
					 the following:
(i) Evaluate the occupational
					 therapy assistant's performance.
(ii) Review the patient or client.
(iii) Educate the occupational therapy
					 assistant on the limited assessments, tasks, or interventions that have been
					 delegated to facilitate professional growth and development.
(h) The occupational therapist
					 shall maintain documentation of the meeting, which must be signed by both the
					 occupational therapist and occupational therapist assistant. Compliance with
					 this subdivision must not be used as a substitute for the ongoing supervision
					 required under this subrule and subrule (3) of this rule.