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Pennsylvania Occupational Therapy Aides

What can an aide do?

The following are examples of the lawful use of aides or other unlicensed personnel in the occupational therapy setting:

    • Transporting patients.
    • Preparing or setting up a work area or equipment.
    • Attending to the personal needs of patients/clients during treatment.
    • Assisting patients/clients with nontreatment aspects of occupational therapy services, such as monitoring and cuing patients/clients as they participate in activities.
    • Performing clerical and housekeeping activities.

What is an aide expressly prohibited from doing?

The following are examples of the unlawful use of aides or other unlicensed personnel in the occupational therapy setting:

    • Evaluating patients/clients.
    • Treating patients/clients.
    • Recording occupational therapy progress reports on the chart of a patient/client.

What are the responsibilities of the OT when delegating to an aide?

A licensee may delegate to aides and other unlicensed personnel duties associated with nontreatment aspects of occupational therapy services if the following conditions are met:

    • The licensee who delegates a duty shall accept professional responsibility for the performance of that duty by the aide or other unlicensed person to whom it is delegated. Responsibility for the performance of a duty delegated by an occupational therapy assistant shall lie with both the assistant and with the occupational therapist who supervises that assistant.


49 Pa. Code ยง 42.21

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