Verification Of Supervision Page 2

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435:30-1-2. Definitions
The following words and terms, when used in this Chapter, shall have the following meaning, unless the context clearly in-dictates
otherwise:
"Alternate supervisor" means an Oklahoma licensed Occupational Therapist who has signed a Form #5, Verification of Supervision,
agreeing to provide supervision to the Occupational Therapy Assistant or applicant for licensure in the absence of the supervising
Occupational Therapist. The alternate supervisor assumes all duties and responsibilities of the primary supervisor during that absence.
"Consultation" means periodic meetings to review and to provide recommendations and resource information regarding methods of
implementation of the occupational therapy programs.
"Direct supervision" means personal supervision and specific delineation of tasks and responsibilities by an Oklahoma licensed
occupational therapist who has signed a Form #5, Verification of Supervision, agreeing to supervise the Occupational Therapy
Assistant or applicant for licensure. Direct supervision shall include the responsibility for personally reviewing and interpreting the
results of any habilitative or rehabilitative procedures conducted by the supervisee. It is the responsibility of the supervising
occupational therapist to be onsite during treatment to ensure that the supervisee does not perform duties for which he is not trained.
"General supervision" means responsible supervision and control by an Oklahoma licensed occupational therapist who has signed a
Form #5, Verification of Supervision, agreeing to supervise the Occupational Therapy Assistant or applicant for licensure. The
supervising occupational therapist provides both initial direction in developing a plan of treatment and periodic inspection of the
actual implementation of the plan. Such plan of treatment shall not be altered by the supervised individual without prior consultation
with and approval of the supervising occupational therapist. The supervising occupational therapist need not always be
physically present or on the premises when the assistant is performing services; however, except in cases of emergency, supervision
shall require the availability of the supervising occupational therapist for consultation with and direction of the supervised individual.
Supervision is an interactive process, more than a paper review or a co-signature, and requires direct in-person contact.
"In association with" means a formal working relationship in which there is regular consultation.
"Occupational therapist of record" means the occupational therapist who assumes responsibility for the provision and /or
supervision of occupational therapy services for a client, and is held accountable for the coordination, continuation and progression of
the plan of care.
"Primary supervisor" means the Oklahoma licensed Occupational Therapist who has signed a Form #5, Verification of Supervision,
agreeing to provide supervision to the Occupational Therapy Assistant or applicant for licensure. The Primary Supervisor must have
access to the client's plan of care.
435:30-1-16. Responsible supervision
(a) An occupational therapist will not sign the Form #5, Verification of Supervision, to be the direct clinical supervisor for more than a
total of four occupational therapy assistants or applicants for licensure regardless of the type of professional licensure or level of
training.
(b) It shall be the responsibility of the occupational therapist to monitor the number of persons under his/her direct clinical
supervision. It shall be the responsibility of the occupational therapy assistant to inquire of the occupational therapist in regards to the
number of persons being directly supervised.
(c) On a case-by-case basis, an occupational therapist may petition the Committee to receive permission to supervise additional
occupational therapy assistants or applicants.
(d) If responsible supervision is not practiced, both the occupational therapist and occupational therapy assistant are in violation of this
rule.
(e) If the licensed occupational therapist agrees to supervise an occupational therapy assistant, the occupational therapist shall:
(1) determine the frequency and manner of consultations, taking into consideration the treatment settings being used, client
rehabilitation status, and the competency of the occupational therapy assistant being supervised;
(2) maintain a record of all consultations provided;
(3) document in the client treatment record each time the occupational therapist supervising the occupational therapy assistant is
physically present and directly supervises the treatment of a client by the occupational therapy assistant being supervised.
(4) make herself/himself available to the occupational therapy assistant in person or via telecommunication for consultation prior to
implementation of any treatment program revisions; and
(5) review with the occupational therapy assistant in person or via telecommunication the diagnosis of the condition to be treated, the
authorization of the procedure, dismissal of the client, and evaluation of the performance of the treatment given.
(f) The licensed occupational therapy assistant shall:
(1) consult with the supervising occupational therapist in person or via telecommunication prior to any treatment program revision;
and
(2) notify the supervising occupational therapist of any significant changes in the physical, cognitive and/or psychological status of the
client. Contact or attempts to contact the supervising occupational therapist will be documented in the record.
(g) Occupational therapy assistants with more than one employer must have a primary supervisor at each job who has completed a
Form #5, Verification of Supervision.
(h) The evaluating occupational therapist will document transfer of care to the occupational therapist of record.
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