Or. Admin. R. 848-020-0060 - Prohibited Treatment-Related Tasks
A physical therapist or physical therapist assistant shall not permit an aide to perform any of the following treatment-related tasks:
(1) Administer iontophoresis. However, an
aide who has been trained to do so may assist with iontophoresis by applying
the medication to the electrode so long as a physical therapist or physical
therapist assistant administers it to the patient.
(2) Administer phonophoresis. However, an
aide may operate the sound head if the physical therapist or physical therapist
assistant has applied the medication to the patient, determined the treatment
protocols and parameters, as provided in the plan of care, and authorizes the
aide to provide the treatment.
(3)
Administer electrotherapy. However an aide may perform this task if the
physical therapist or physical therapist assistant has examined the patient in
person on the day of treatment and determined the electrode placements,
treatment protocols and parameters, as provided in the plan of care, and
authorizes the aide to provide the treatment.
(4) Administer ultrasound. However an aide
may perform this task if the physical therapist or physical therapist assistant
has examined the patient in person on the day of treatment and determined the
treatment protocols and parameters, as provided in the plan of care, and
authorizes the aide to provide the treatment.
(5) Administer mechanized or manual traction.
(6) Perform manual stretching with
the goal of increasing range of motion, neuro-facilitation or cardiac
therapeutic exercise.
(7) Perform
soft tissue mobilization or massage (other than effleurage and petrissage).
However, an aide who is separately licensed or registered under another Oregon
statute to do so may perform these tasks if done under the direction and
on-site supervision specified in OAR 848-020-0000(5)(a).
(8) Wound debridement.
(9) Administer tilt table or standing frame.
However an aide may perform these tasks if the physical therapist or physical
therapist assistant has examined the patient in person on the day of treatment
and determined the treatment protocols and parameters, as provided in the plan
of care, and authorizes the aide to provide the treatment.
(10) Joint mobilization or manipulation.
(11) Determine or modify a plan of
care.
(12) Initiate or administer
a physical therapy intervention the first time that intervention is
administered or provided to a patient. This prohibition means that a physical
therapist or physical therapist assistant must provide or administer the entire
specific intervention before delegating that task to an aide.
(13) Independently make entries in a patient
record, except for objective information about the treatment provided by the
aide. The aide shall sign the record entry as provided in OAR 848-040-0150(2).
A physical therapist or physical therapist assistant may also dictate
information to an aide for entry into a patient medical record, so long as the
physical therapist or physical therapist assistant authenticates such entries.
(14) Instruct a patient or a
patient's caregiver in the application of any treatment.
(15) Except as required to respond to an
inquiry by the Board or other person authorized to receive the information,
answer or discuss any questions regarding a patient's status or treatment with
anyone other than the physical therapist or physical therapist
assistant.
Notes
Stat. Auth.: ORS 688.160
Stats. Implemented: ORS 688.160 & 688.210
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