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Tennessee PT Supervision and Delegation

Supervision Definitions

"Onsite supervision" means the supervising physical therapist or physical therapist assistant must:

    • Be continuously onsite and present in the department or facility where assistive personnel are performing services;
    • Be immediately available to assist the person being supervised in the services being performed; and
    • Maintain continued involvement in appropriate aspects of each treatment session in which a component of treatment is delegated to assistive personnel.

Tasks Only the PT can Perform

The licensed physical therapist shall perform the initial evaluation of the patient with the development of a written treatment plan, including therapeutic goals, frequency and time period of services.

The licensed physical therapist shall perform and document re-evaluations, assessments, and modifications in the treatment plan at least every thirty (30) days. For patients seen longer than sixty (60) days, the licensed physical therapist shall inspect the actual act of therapy services rendered at least every sixty (60) days.

The discharge evaluation must be performed and the resulting discharge summary must be written by the licensed physical therapist.

General Responsibilities when Supervising/Delegating

Physical therapists are responsible for the patient care given by physical therapist assistants, assistive personnel and students on clinical affiliations under their supervision. The physical therapist may delegate to the physical therapist assistant, assistive personnel and clinical students selected acts, tasks or procedures that fall within the scope of their education or training.


Tenn. Code Ann. ยง 63-13-103

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