COTAs, aides, and supervision Flashcards
General info on COTAs
- assist in the therapy process
- great for intervention ideas
they can
- select interventions
- do treatments
- write goals
- standardized and non assessments if service competent
- contribute with evaluation
- fabricate and apply resting hand orthoses
they cannot
- complete an OT evaluation (they can contribute but not independently do it)
- interpret results of evaluation
- develop the treatment plan
- modify the treatment plan
- design protocols
supervision
always supervised by the OT, but in different levels depending
can supervise aids, level 1&2 OTA students, level 1 OT students but not level 2
service competent
if the answer does not have this in it, then the correct answer cannot have the COTA/OTA performing the task
OTA vs COTA
is like our OTD, and then COTA is like our OTR/L because certified through NBCOT
OT aides
can be trained by OTA/COTA or OTR to perform specific non skilled tasks
clean, set up materials, transport, contact guard during t/f
Aide supervision
must be supervised by COTA or OTR and must be documented
- intermittent supervision is sufficient for non-patient related tasks (requires periodic discussion, demonstration, contact on at least a monthly basis)
- continuous supervision is required for client-related tasks
non skilled client tasks can only be delegated to an aide after the OT has determined:
- result of the task is clearly established, predictable, and anticipated known
- will not require them to make any interpretations, adaptations, or judgement calls
- situation and environment are stable
- patient has previously demonstrated some capabilities prior
- aide appropriately trained and received specific instructions
- aide knows precautions and pt s/s that could indicate needing assistance
close supervision
daily, direct contact
routine supervision
direct contact at least every 2 weeks with interim supervision occurring by other methods (phone, email)
general supervision
at least monthly direct contact and available as needed by other methods
minimal supervision
provided only on a needed basis and may be less than monthly
guide for supervision of OT personnel
entry-level OT: none required, close supervision by intermediate or expert OT recommended
intermediate-level OT: not required, routine or general rec
advanced level OT: not required, min rec
entry-level OTA: close supervision
intermediate level OTA: routine or general
advanced OTA: general supervision
best task to assign home-based skilled COTAs
in home evaluation of IADL
Newly hired COTA instructed to supervise 2 VOLUNTEERS to assist with transfers
explain to director why the request is inappropriate (volunteers can’t do that)
One pt becomes dependent on cota for the group
have them work with the pt to develop independence in task completion; notifying attending not necessary at this time
PT with more experience
co-treat with them so you can learn
evals COTAs are trained in
trained and qualified to perform ADL evaluations during their entry level education (cog evals, mental status exam, and occupational history interview all require service competence)
