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Oregon PT Reassessment

A physical therapist shall perform a reassessment of a patient as follows:

    • Anytime there are significant changes in the patient’s condition or status that would result in a change in the goals or the plan of care;
    • When a physical therapist has not directly treated the patient within the previous thirty (30) days;
    • At every visit when the interval since a patient’s last visit is thirty (30) days or longer; or
    • At least every sixty (60) school days if the patient is a student who is being treated in an educational setting and a physical therapist has not treated the student within sixty (60) school days, or at every visit if the student is seen less frequently.

In the course of performing the reassessment, a physical therapist shall personally examine the patient, assess the patient's functional status, select specific tests and measurements, formulate clinical judgments regarding the patient, and update the goals or plan of care.

Delegation

Only a physical therapist may perform a reassessment. A physical therapist shall not delegate the performance of a reassessment to a physical therapist assistant or to an aide. However, a physical therapist may delegate to a physical therapist assistant the gathering of data for a reassessment.

Documentation

When a physical therapist is required to perform a reassessment the record of the reassessment shall include at a minimum:

    • Subjective status of patient;
    • Objective data from tests and measurements conducted;
    • Functional status of patient;
    • Interpretation of above data;
    • Any change in the plan of care;
    • Any change in physical therapy goals (including patient goals); and
    • A notation that the record is of a reassessment.

After a physical therapist performs and documents a reassessment, either the physical therapist or a physical therapist assistant may prepare a progress summary of the patient’s physical therapy status based upon the physical therapist’s performance of a reassessment.

Citation

OAR 848-040-0155

OAR 848-040-0160


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