Module 12 online class

Supervision in OT
• “cooperative process in which two or more people participate in a joint effort to establish,
maintain, and or elevate a level of competence and performance”
• Who is the supervisor?
• Manager who supervises OT may or may not be an OT. Could be nurse, speech language,
manager, social worker. Sometimes is an OT. Sometimes is an OTA.
• Different types of supervisors and they sometimes may supervise OT, OTA, aid, or
technician.
• OT may supervise a student. OT or OTA student.
• Who gets supervised in OT?
• May be OT, OTA, aid, student.
• Supervisor: Some official responsibility to direct, guide, and monitor one be supervised
practice being done.

OT
“after initial certification are autonomous practitioners”
• Responsible for all aspects of OT service delivery. evaluation, intervention plan,
implementations and well as reveal and determining outcomes
responsible seeking out supervision and mentoring for developing best practice
approaches
• Accountable for safety and effectiveness
seek supervision and mentoring
• Receive supervision from an OT to deliver OT services under supervision of OTr
partnership with OTr
• Both responsible for collaboratively develop a plan for supervision
some times intervention is developed by OTa

Supervision Levels
• direct immediate area at all times (aka continuous supervision) able to provide as needed right
away
• close-direct, daily contact
individual usually on site but may not be in the specific area at all times
• Routine-face to face 2 week intervals, interim via telecommunication
• General-initial, then monthly, interim as needed
Besides AOTA guidelines, there may be state regulations that guide levels of supervision
between OTs, aids, assistants and students

Supervisory Needs
Supervision: amount of super one requires should be determined by policies and procedures by
state as well as the setting, situation you are looking at in regards to what needs supervision
• complexity
• number and diversity
• skills: experienced with speciality skills or not
• practice setting: acute and fast paced with safety issues or skilled nursing facility where clients
are medically stable etc....
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Documentation
• frequency: dates you meet
• methods and types: what kind/type of supervision is occurring
• content areas: what is being talked about in terms of assessment or intervention done etc
• evidence to support competency
• signatures and credentials: proving meeting occurred
• regulatory requirements, records of progress, evidence for professionally activities
• co-signatures:
• Always good to document meetings, case etc
• State requirements for all of this varies

Supervising OT Aides
most common supervision we will do
tasks support OT and OT assist in delivering OT services can be client related or non client
related tasks
aids do not provide interventions. no ins for. most states law against this.

• Support OT and OTA

• Perform delegated tasks
• Non-client tasks: prep of work are and equipment, clerical, and maintain
(getting, cleaning, preparing, routine repair of equipment, clerical work filing etc, general
maintenance adjusting wheel chairs cleaning closets etc
• Client-related tasks: routine task interacting with clients
in waiting area, do routine task with client, walk them to area, warm client up before
session-can’t bill for this)

OT/OTA Partnership
• “OT & OTA implement a plan to ensure safe and effective service delivery”
• intentionally interrelated
• learning preferences and styles
• communication skills
• give/receive constructive feedback
• assertive and tactful
• resolve conflicts
• provide resources and direction
• Client is who is hurt most if OT and OTA are not communicating

OTA Role and Responsibilities (OT responsible for whole process)

• Contributes to evaluation process
• Collaborates an intervention plan (OT scores)
• Implements interventions; modifies
• Provides information on client response to interventions to OT
• Provides information on client outcomes
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• Provides discharge resources

OT Role and Responsibilities

• Initiating and directing evaluation process, intervention, evaluation information, and
determining goals, establish intervention plan, further assessment, delegate tasks to OTA
• Oversee intervention plan and its implementation
• Determine need for continuing, modifying, or discontinuing service
• Select, measure and interpret outcomes (how to determine if client has met their goals)

Successful Supervision
• Designated and prioritized and supervisory meetings (must commit to)
• Agenda active participation
• Competency, feedback on performance, set goals
• Maintain record of professional development

Todays Objectives:
• Define supervision, types and methods
• collaborative process, working towards maintaing level of competence and performance
• Explain the Guidelines for Supervision document and use in profession
• Differentiate between supervision requirements of OTS (direct supervision initially and may
move to close supervision), new grad (routine check in), aide (close supervision because
following through on things delegated by OT or aid), and OTA by an OT
• Describe the OT-OTA partnership & strategies for successful OT-OTA relationship
• communication, commitment, feedback-being open to and following through on