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New Jersey PT Supervision and Delegation

Supervision Definitions

"Direct supervision" means the presence of the supervising physical therapist on site, available to respond to any consequence occurring during any treatment procedure.

"General supervision" means supervision by a physical therapist in which: the physical therapist shall be available at all times by telecommunications but is not required to be on-site for direction and supervision; and the supervising physical therapist assesses on an ongoing basis the ability of the physical therapist assistant to perform the selected interventions as directed.

What are the responsibilities of the PT when providing direct supervision?

When providing direct supervision, a supervising licensed physical therapist shall be in the same building or, where physical therapy is rendered in several contiguous buildings, in one of the contiguous buildings, while the licensed physical therapist assistant is rendering care. The supervising licensed physical therapist shall be constantly available through electronic communications for consultation or for recall to the area where the licensed physical therapist assistant is rendering care.

When providing direct supervision, a supervising licensed physical therapist shall, at least once every 30 days after initial review of a new or revised plan of care with the licensed physical therapist assistant, document in the patient record that he or she has reviewed the patient's progress and plan of care with the assistant, including the dates when those reviews took place. Such documentation may be incorporated into progress notes written by the licensed physical therapist or the licensed physical therapist assistant and need not require separate or additional notes.

What are the responsibilities of the PT when providing general supervision?

When providing general supervision, a licensed physical therapist shall:

Make an on-site visit and participate in the treatment of the patient at least every six patient visits or every 14 days, whichever occurs first. During this on-site visit, the licensed physical therapist shall review the plan of care in order to determine the need for revisions to the plan or for the completion of the episode of care;

In addition to the onsite visits required above, a licensed physical therapist shall make an onsite visit:

    • If the licensed physical therapist assistant requests a reexamination of the patient;
    • If a change in the plan of care is needed;
    • Prior to the planned completion of an episode of care; and
    • When the patient’s medical status has changed;

Be accessible by telecommunications to the licensed physical therapist assistant at all times while the physical therapist assistant is treating patients; and

Meet or communicate with the licensed physical therapist assistant regarding patients, as frequently as the licensed physical therapist determines is necessary based on the needs of the patient and of the licensed physical therapist assistant. Such meeting or communication shall be documented in the patient’s record.

Reference

N.J. Rev. Stat. § 45:9-37.13

N.J.A.C. § 13:39A-7.2

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