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New Jersey Occupational Therapy Supervision and Delegation

Supervision Definitions

"Supervision" means the responsible and direct involvement of a licensed occupational therapist with an occupational therapy assistant, a temporary licensed occupational therapist, a temporary licensed occupational therapy assistant or an occupational therapy student fulfilling the required fieldwork component of his or her educational training, for the development of an occupational therapy treatment plan and the periodic review of the implementation of that plan. Such supervision shall be close, routine or general, consistent with the following:

    • "Close supervision" means daily, face-to-face contact with and frequent observation of the performance of the individual at the location where he or she is rendering services;
    •  "Routine supervision" means face-to-face contact with and observation of the performance of the individual at least once a week at the location where he or she is rendering services; and
    • "General supervision" means face-to-face contact with and observation of the performance of the individual at least once every two weeks at the location where he or she is rendering services.

Responsibilities when Delegating

In delegating selected occupational therapy services, the licensed occupational therapist shall be responsible for exercising that degree of judgment and knowledge reasonably expected to assure that a proper delegation has been made. A licensed occupational therapist shall not delegate the performance of an occupational therapy service to persons who have not been adequately prepared by verified training and education. No task may be delegated which is within the scope of practice of the occupational therapist and requires:

    • The substantial knowledge and skill derived from completion of an occupational therapy education program and the specialized skill, judgment and knowledge of a licensed occupational therapist; and
    •  An understanding of occupational therapy principles necessary to recognize and manage complications which may result in harm to the health and safety of the client.

Responsibilities when Supervising

The licensed occupational therapist shall be responsible for the proper supervision of persons to whom delegation of occupational therapy services is made. Such supervision shall be close, routine or general supervision. The degree of supervision exercised over such persons shall be determined by the licensed occupational therapist consistent with the supervision requirements and based on an evaluation of:

    • The condition of the client;
    • The education, skill and training of the person to whom delegation is being made; and
    • The nature of the tasks and the activities being delegated.

Citations

N.J.A.S. § 45:9-37.53

N.J.A.C. § 13:44K-5.3



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