Md. Code Regs. 10.46.01.05

Current through Register Vol. 51, No. 18, September 6, 2024

Section 10.46.01.05 - Documentation Requirements for Supervision

A. Occupational Therapy Assistant. Documentation for supervision of an occupational therapy assistant shall include, but is not limited to:

(1) Reports or summaries documenting compliance with periodic supervision that are written and signed with credentials by the occupational therapy assistant and cosigned by the supervising occupational therapist;

(2) Documentation for planned discharges from the occupational therapy treatment program that are written and signed with credentials by the occupational therapy assistant and cosigned by the supervising occupational therapist; and

(3) Documentation of demonstrated competency in the use of specific procedures, activities, modalities, and techniques.

B. Temporary License to Practice Occupational Therapy. Documentation for supervision of an occupational therapist with a temporary license shall include, but is not limited to:

(1) Evaluations cosigned by the supervising occupational therapist;

(2) Reports or summaries documenting compliance with on-site supervision that are written and signed with credentials by the temporary occupational therapist and cosigned by the supervising occupational therapist;

(3) Cosigned revised treatment programs designed in response to changes in a client's status; and

(4) Documentation for planned discharges from the occupational therapy treatment program that are written and signed with credentials by the temporary occupational therapist and cosigned by the supervising occupational therapist.

C. Temporary License to Practice Limited Occupational Therapy. Documentation for supervision of an occupational therapy assistant with a temporary license shall include:

(1) All client records cosigned by the supervisor;

(2) Reports or summaries documenting compliance with on-site supervision that are written and signed with credentials by the temporary occupational therapy assistant and cosigned by the supervising occupational therapist or occupational therapy assistant; and

(3) Documentation for planned discharges from the occupational therapy treatment program that are written and signed with credentials by the temporary occupational therapy assistant and cosigned by the supervising occupational therapist.

D. Aides. The supervising occupational therapist or occupational therapy assistant shall:

(1) Be responsible for the safe and competent performance of tasks assigned to the aide; and

(2) Document evidence of unsafe or incompetent performance.

E. Occupational Therapy and Occupational Therapy Assistant Students Level I and Level II Fieldwork. Documentation for supervision of a Level I or Level II fieldwork occupational therapy or occupational therapy assistant student shall include:

(1) All client records cosigned by the supervisor;

(2) Reports or summaries documenting compliance with on-site supervision that are written and signed by the Level I or Level II fieldwork occupational therapy or occupational therapy assistant student and cosigned by the supervising occupational therapist or occupational therapy assistant; and

(3) Documentation for planned discharges from the occupational therapy treatment program that are written and signed with credentials by the Level I or Level II fieldwork occupational therapy or occupational therapy assistant student and cosigned by the supervising occupational therapist.

F. Signature and Cosignature. Acceptable methods of authentication include a written signature or electronic signature that includes the signer's credentials.

Md. Code Regs. 10.46.01.05

Regulation .05 adopted as an emergency provision effective October 1, 2000 (27:21 Md. R. 1973); emergency status extended at 28:7 Md. R. 687; emergency status extended at 28:9 Md. R. 884; adopted permanently effective April 30, 2001 (28:8 Md. R. 761)