Oregon Administrative Rules › Chapter 848 - OREGON BOARD OF PHYSICAL THERAPY › Division 20 - PHYSICAL THERAPIST AIDES › Section 848-020-0060 - Prohibited Treatment-Related Tasks

Current through Register Vol. 63, No. 7, July 1, 2024
A physical therapist or physical therapist assistant shall not
				permit an aide to perform any of the following treatment-related tasks:
(1) Administer iontophoresis. However, an
			 aide who has been trained to do so may assist with iontophoresis by applying
			 the medication to the electrode so long as a physical therapist or physical
			 therapist assistant administers it to the patient.
(2) Administer phonophoresis. However, an
			 aide may operate the sound head if the physical therapist or physical therapist
			 assistant has applied the medication to the patient, determined the treatment
			 protocols and parameters, as provided in the plan of care, and authorizes the
			 aide to provide the treatment.
(3)
			 Administer electrotherapy. However an aide may perform this task if the
			 physical therapist or physical therapist assistant has examined the patient in
			 person on the day of treatment and determined the electrode placements,
			 treatment protocols and parameters, as provided in the plan of care, and
			 authorizes the aide to provide the treatment.
(4) Administer ultrasound. However an aide
			 may perform this task if the physical therapist or physical therapist assistant
			 has examined the patient in person on the day of treatment and determined the
			 treatment protocols and parameters, as provided in the plan of care, and
			 authorizes the aide to provide the treatment.
(5) Administer mechanized or manual traction.
(6) Perform manual stretching with
			 the goal of increasing range of motion, neuro-facilitation or cardiac
			 therapeutic exercise.
(7) Perform
			 soft tissue mobilization or massage (other than effleurage and petrissage).
			 However, an aide who is separately licensed or registered under another Oregon
			 statute to do so may perform these tasks if done under the direction and
			 on-site supervision specified in OAR 848-020-0000(5)(a).
(8) Wound debridement.
(9) Administer tilt table or standing frame.
			 However an aide may perform these tasks if the physical therapist or physical
			 therapist assistant has examined the patient in person on the day of treatment
			 and determined the treatment protocols and parameters, as provided in the plan
			 of care, and authorizes the aide to provide the treatment.
(10) Joint mobilization or manipulation.
(11) Determine or modify a plan of
			 care.
(12) Initiate or administer
			 a physical therapy intervention the first time that intervention is
			 administered or provided to a patient. This prohibition means that a physical
			 therapist or physical therapist assistant must provide or administer the entire
			 specific intervention before delegating that task to an aide.
(13) Independently make entries in a patient
			 record, except for objective information about the treatment provided by the
			 aide. The aide shall sign the record entry as provided in OAR 848-040-0150(2).
			 A physical therapist or physical therapist assistant may also dictate
			 information to an aide for entry into a patient medical record, so long as the
			 physical therapist or physical therapist assistant authenticates such entries.
(14) Instruct a patient or a
			 patient's caregiver in the application of any treatment.
(15) Except as required to respond to an
			 inquiry by the Board or other person authorized to receive the information,
			 answer or discuss any questions regarding a patient's status or treatment with
			 anyone other than the physical therapist or physical therapist
			 assistant.
Stat. Auth.: ORS
				  688.160
Stats. Implemented: ORS
				  688.160 &
				  688.210