NBCOT: Domain 4

Name three strategies an OT can use to manage a heavy caseload effectively.

1. Prioritizing clients based on medical stability and functional needs

2. Delegating tasks appropriately to OTAs or rehab aides

3. Using time management tools, documentation efficiency, and team collaboration

What tasks can an OTA perform independently?

Implement OT interventions within established plan of care, provide skilled services, and document client progress.

What can a rehab aide do in OT services?

Assist with preparation, set-up, cleaning, and non-skilled tasks (e.g., helping move equipment, handing supplies).

What does OT supervision consist of for a FWI Student?

Direct supervision and observation; students cannot provide independent skilled services.

What does OT supervision consist of for a FWII Student?

Close or indirect supervision depending on competency; students deliver skilled OT interventions under OT oversight.

True/False: An OTA can independently provide skilled ADL training to a new inpatient client.

False (Evals must be completed by an OT)

A client presents with a condition you are unfamiliar with. What is the best course of action?

OT should consult with colleagues, seek training, review evidence-based resources, or refer appropriately before providing intervention.

An OT notices a colleague is using outdated interventions that may harm clients. What should the OT do?

Follow ethical and legal obligations: address concerns privately or via supervisor, consult the OT Code of Ethics, and report if client safety is at risk.

OT Values

- Altruism

- Dignity

- Equality

- Freedom

- Justice

- Truth

- Prudence

OT Ethics

- Beneficence

- Nonmaleficence

- Autonomy

- Justice

- Veracity

- Fidelity