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North Carolina Occupational Therapy Responsibilities
Responsibilities when Supervising/Delegating
Regardless of the setting in which occupational therapy services are delivered, the occupational therapist and the occupational therapy assistant have the following responsibilities during evaluation, intervention, and outcomes evaluation:
The occupational therapist shall:
The occupational therapist:
The occupational therapy assistant shall implement delegated aspects of intervention in which the occupational therapy assistant has established service competency; and
Occupational therapists or occupational therapy assistants shall not be subject to disciplinary action by the Board for refusing to delegate or refusing to provide the required training for delegation, if the occupational therapist or occupational therapy assistant determines that delegation may compromise client safety.
The occupational therapist shall meet with each client who has been assigned to an occupational therapy assistant to further assess the client, evaluate intervention, and, if necessary, to modify the individual's intervention plan. The occupational therapy assistant may be present at this meeting;
The occupational therapist shall determine the need for continuing or discontinuing services; and
The occupational therapy assistant shall contribute to the process of determining continuing or discontinuing services by providing information about the client's response to intervention to assist with the occupational therapist's decision making.
The occupational therapy practitioner shall document each evaluation, intervention and discharge plan recognizing the unique requirements of specific practice settings, payors, and service delivery models. Documentation shall include the following elements:
21 NCAC 38.0103
21 NCAC 38.0905