Supervision Information

148.6418 Temporary licensure.

Subd. 4. Supervision required. An applicant who has
graduated from an accredited occupational therapy program, as
required by section 148.6408, subdivision 1, or 148.6410,
subdivision 1, and who has not passed the examination required
by section 148.6408, subdivision 2, or 148.6410, subdivision 2,
must practice under the supervision of a licensed occupational
therapist. The supervising therapist must, at a minimum,
supervise the person working under temporary licensure in the
performance of the initial evaluation, determination of the
appropriate treatment plan, and periodic review and modification
of the treatment plan. The supervising therapist must observe
the person working under temporary licensure in order to assure
service competency in carrying out evaluation, treatment
planning, and treatment implementation. The frequency of
face-to-face collaboration between the person working under
temporary licensure and the supervising therapist must be based
on the condition of each patient or client, the complexity of
treatment and evaluation procedures, and the proficiencies of
the person practicing under temporary licensure. The
occupational therapist or occupational therapy assistant working
under temporary licensure must provide verification of
supervision on the application form provided by the commissioner.

148.6432 Supervision of occupational therapy assistants.

Subdivision 1. Applicability. If the professional
standards identified in section 148.6430 permit an occupational
therapist to delegate an evaluation, reevaluation, or treatment
procedure, the occupational therapist must provide supervision
consistent with this section. Supervision of occupational
therapy assistants using physical agent modalities is governed
by section 148.6440, subdivision 6.

Subd. 2. Evaluations. The occupational therapist
shall determine the frequency of evaluations and reevaluations
for each client. The occupational therapy assistant shall
inform the occupational therapist of the need for more frequent
reevaluation if indicated by the client's condition or response
to treatment. Before delegating a portion of a client's
evaluation pursuant to section 148.6430, the occupational
therapist shall ensure the service competency of the
occupational therapy assistant in performing the evaluation
procedure and shall provide supervision consistent with the
condition of the patient or client and the complexity of the
evaluation procedure.

Subd. 3. Treatment. (a) The occupational therapist
shall determine the frequency and manner of supervision of an
occupational therapy assistant performing treatment procedures
delegated pursuant to section 148.6430, based on the condition
of the patient or client, the complexity of the treatment
procedure, and the proficiencies of the occupational therapy
assistant.

(b) Face-to-face collaboration between the occupational
therapist and the occupational therapy assistant shall occur, at
a minimum, every two weeks, during which time the occupational
therapist is responsible for:

(1) planning and documenting an initial treatment plan and
discharge from treatment;

(2) reviewing treatment goals, therapy programs, and client
progress;

(3) supervising changes in the treatment plan;

(4) conducting or observing treatment procedures for
selected clients and documenting appropriateness of treatment
procedures. Clients shall be selected based on the occupational
therapy services provided to the client and the role of the
occupational therapist and the occupational therapy assistant in
those services; and

(5) ensuring the service competency of the occupational
therapy assistant in performing delegated treatment procedures.

(c) Face-to-face collaboration must occur more frequently
than every two weeks if necessary to meet the requirements of
paragraph (a) or (b).

(d) The occupational therapist shall document compliance
with this subdivision in the client's file or chart.

Subd. 4. Exception. The supervision requirements of
this section do not apply to an occupational therapy assistant
who:

(1) works in an activities program; and

(2) does not perform occupational therapy services.

The occupational therapy assistant must meet all other
applicable requirements of sections 148.6401to 148.6450.

HIST: 2000 c 361 s 16

UpdatedMonday, 22-Nov-2010 15:03:03 CST