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North Carolina Physical Therapy Supervision and Delegation

Supervision Definitions

"On-site supervision" means the supervising licensee is present in the department or facility where services are provided, is immediately available to the person being supervised and maintains continued involvement in aspects of treatment sessions in which students completing clinical requirements or physical therapy aides are involved in components of care.

What are the responsibilities of PTs?

A physical therapist shall determine the patient care plan and the elements of that plan appropriate for delegation.

A physical therapist shall enter and review chart documentation, reexamine and reassess the patient, and revise the patient care plan if necessary, based on the needs of the patient.

A physical therapist shall establish a discharge plan that includes a discharge summary or episode of care for each patient.

A physical therapist's responsibility for patient care management includes first-hand knowledge of the health status of each patient and oversight of all documentation for services rendered to each patient, including awareness of fees and reimbursement structures.

A physical therapist who is supervising a physical therapy aide or student shall be present in the same facility when patient care is provided.

Responsibilities when Supervising/Delegating

The physical therapist shall provide all therapeutic interventions that require the physical therapist’s expertise and may delegate to a physical therapist assistant or physical therapy aide the delivery of service to the patient when it is safe and effective for the patient.

A physical therapist shall determine that those persons acting under his or her supervision possess the competence to perform the delegated activities.

A physical therapist shall be immediately available in person or by telecommunication to a physical therapist assistant supervising a physical therapy aide or student engaging in patient care.

A physical therapist shall clinically supervise only that number of assistive personnel, including physical therapist assistants, physical therapy aides, and students completing clinical requirements, as the physical therapist determines is appropriate for providing safe and effective patient interventions at all times.


21 NCAC 48C .0102

21 NCAC 48A .0105

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