Standards of practice Flashcards
COTA roles: initiation of treatment
- A COTA is not permitted to initiate assessment of a client. Allowing client to be seen by COTA without OTR assessment is an ethics violation and liability risk.
- A COTA can select and implement therapeutic activities that meet the goals set by OTR
COTA roles: evaluation
- A COTA may contribute to the evaluation process by performing delegated assessments (cannot select assessments) and delivering reports and observations and client capacities to the OTR.
- The OTR can then analyze feedback from COTA and incorporate it into evaluation process.
COTA and evaluation documentation
OTR must document evaluation results and not the COTA.
-However, COTA must be able to understand the evaluation results and be able to offer client-centered input into the evaluation plan
COTA and discharge
COTA does not determine when services should be discontinued, that should ultimately be the OTR.
-COTA may measure outcomes and offer clients discharge resources and is able to contribute information to a discontinuation plan
Domain (OTPF)
Domain describes the occupation areas where OT process is applied.
-includes context, environment, performance skills, and performance patterns (habits, routines, rituals and roles).
Process (OTPF)
Evaluation and intervention to achieve client centered outcomes.
Steps of developing a professional development plan:
- Self-assessment/ reflect on current performance
- Review progress towards previously set goals
- Determine what resources exist to meet goals
- Modify previous goals and set new goals
- Take action to meet goals
- Document completed professional development activities
Parts of Medicare
- Part A: covers stays at hospitals and inpatient rehabilitation facilities
- Part B: Covers outpatient care
- Part C: includes extra benefits not included in A and B
- Part D: prescription drug benefits
SOAP notes
- S: Subjective; gives clients perspective on condition, treatment, or experience (“Client reports that ____”)
- O: Objective; measurable data obtained during treatment session
- A: Assessment; interpretation of subjective and objective data from session (includes 3 P’s- problem, progress and potential)
- P: Plan; frequency and duration of continued treatment
COAST goal
- C: Client
- O: Occupation (e.g. cutting meat); should contain specific and measurable information that relates to problems statement
- A: Assistance level (e.g. independently)
- S: Specific conditions (e.g. using a rocker knife or an inner-lip plate)
- T: Timeline (e.g. one week)
RUMBA goal
Reasonable, Understandable, Measurable, Behavioral, Achievable
Ethics in practice (Beneficence, nonmaleficence and Autonomy)
- Beneficence: “OT personnel shall demonstrate a concern for the well-being and safety of the recipients of their service
- Nonmaleficence: “OT personnel shall intentionally refrain from actions that cause harm.”
- ->Example: a OTR dating a patient or treating a family member would cause the patient-therapist relationship to be compromised and therefore potentially put client in harms way
- Autonomy: “OT personnel shall respect the right of the individual to self-determination.”
Ethics in practice (Social justice, procedural justice, veracity and fidelity)
- Social justice: “OT personnel shall provide services in a fair and equitable manner.”
- Procedural justice: “OT personnel shall comply with institutional rules, laws and AOTA standards applicable to profession.”
- Veracity: “OT personnel shall provide comprehensive, accurate, and objective information when representing the profession.”
- Fidelity: “OT personnel shall treat colleagues and other professionals with respect, fairness, discretion, and integrity.”
Purpose of screening before evaluation
Screening determines whether a client would benefit from an occupational therapy evaluation
TRICARE
TRICARE provides health coverage for the military
