Upcoming Webinars 

Disclaimer

The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

Menu
Log in


Log in

Washington Occupational Therapy  Wound Care Management

Referral Requirement

A licensed occupational therapist may provide wound care management only:

    • In the course of occupational therapy treatment to return patients to functional performance in their everyday occupations under the referral and direction of a physician or other authorized health care provider listed below in accordance with their scope of practice. The referring provider must evaluate the patient prior to referral to an occupational therapist for wound care; and
    • After filing an affidavit.

Authorized healthcare providers:

    • Physician,
    • Osteopathic physician,
    •  Podiatric physician and surgeon,
    • Naturopath,
    • Chiropractor,
    • Physician assistant,
    • Psychologist,
    • Optometrist, or
    • Advanced registered nurse practitioner licensed to practice in Washington.

Delegation

An occupational therapist may not delegate wound care management, including any form of debridement.

Specialized Training

Debridement is not an entry-level skill and requires specialized training, which must include:

    • Indications and contraindications for the use of debridement;
    • Appropriate selection and use of clean and sterile techniques;
    • Selection of appropriate tools, such as scissors, forceps, or scalpel;
    • Identification of viable and devitalized tissues; and
    • Conditions which require referral back to the referring provider.

Training must be provided through continuing education, mentoring, cotreatment, and observation. Consultation with the referring provider is required if the wound exposes anatomical structures underlying the skin, such as tendon, muscle, or bone, or if there is an obvious worsening of the condition, or signs of infection.

Occupational therapists may perform wound care management upon showing evidence of adequate education and training by submitting an affidavit to the board attesting to their education and training as follows:

    • For occupational therapists performing any part of wound care management, except sharp debridement with a scalpel, a minimum of fifteen (15) hours of mentored training in a clinical setting is required to be documented in the affidavit. Mentored training includes observation, cotreatment, and supervised treatment by a licensed occupational therapist who is authorized to perform wound care management under this section or a health care provider who is authorized to perform wound care management in his or her scope of practice. Fifteen (15) hours mentored training in a clinical setting must include a case mix similar to the occupational therapist's expected practice;
    •  For occupational therapists performing sharp debridement with a scalpel, a minimum of two thousand hours in clinical practice and an additional minimum of fifteen (15) hours of mentored sharp debridement training in the use of a scalpel in a clinical setting is required to be documented in the affidavit. Mentored training includes observation, cotreatment, and supervised treatment by a licensed occupational therapist who is authorized to perform sharp debridement with a scalpel under this section or a health care provider who is authorized to perform wound care management, including sharp debridement with a scalpel, in his or her scope of practice. Both the two thousand hours in clinical practice and the fifteen (15) hours of mentored training in a clinical setting must include a case mix similar to the occupational therapist's expected practice.

Certification as a certified hand therapist by the hand therapy certification commission or as a wound care specialist by the national alliance of wound care or equivalent organization approved by the board is sufficient to meet the education requirements.

Citations

RCW 18.59.170


Powered by Wild Apricot Membership Software