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Oregon PT Patient Discharge

A physical therapist shall discharge a patient from an episode of physical therapy treatment when the therapist determines:

    • The patient has reached all physical therapy goals and additional goals are not identified;
    • The patient will not further benefit from physical therapy, regardless of whether additional visits are ordered or authorized;
    • The patient declines to continue treatment or self-discharges;
    •  Physical therapy is contraindicated; or
    • The referring provider directs or instructs that the patient be discharged from the episode of treatment.

Only a physical therapist may make the decision to discharge a patient from therapy. A physical therapist shall not delegate the decision to discharge a patient to a physical therapist assistant or to an aide.

A physical therapist assistant shall not independently make the decision to discharge a patient from therapy. However, a physical therapist assistant may make recommendations regarding discharge to the supervising physical therapist based on the physical therapist assistant's treatment of the patient.

Documentation

Within thirty (30) days following the patient's last scheduled visit or last contact, the physical therapist or physical therapist assistant shall document a final summary of the patient's physical therapy status upon discharge from the patient’s current episode of treatment.

The discharge summary shall include, but is not limited to:

    • Date and reason for discharge, or self discharge, if known;
    • Degree of goal achievement or reasons for goals not being achieved;
    • Summary of the patient's status at the time of discharge; and
    • Recommendations for follow-up care, if any.

A discharge summary is not required when another licensed medical professional documents a patient’s discharge from an acute inpatient care facility.

Citation

OAR 848-040-0165

OAR 848-040-0170


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