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Washington Physical Therapy Supervision and Delegation
"Close supervision" means that the supervisor has personally diagnosed the condition to be treated and has personally authorized the procedures to be performed. The supervisor is continuously on-site and physically present in the operatory while the procedures are performed and capable of responding immediately in the event of an emergency.
"Direct supervision" means the supervisor must:
"Indirect supervision" means the supervisor is not on the premises, but has given either written or oral instructions for treatment of the patient and the patient has been examined by the physical therapist at such time as acceptable health care practice requires and consistent with the particular delegated health care task.
Responsibilities when Supervising/Delegating
Physical therapists are responsible for patient care given by assistive personnel under their supervision. A physical therapist may delegate to assistive personnel and supervise selected acts, tasks, or procedures that fall within the scope of physical therapy practice but do not exceed the education or training of the assistive personnel.
Actions that Cannot be Delegated
Regardless of the setting in which physical therapy services are provided, only the licensed physical therapist may perform the following responsibilities:
A physical therapist may not delegate sharp debridement to a physical therapist assistant.
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