Or. Admin. Code § 848-040-0125 - Standards For Initiation Of Physical Therapy
(1) Except as provided in subsection (5) of
this section, prior to initiating the first physical therapy treatment, a
physical therapist shall perform an initial evaluation of each patient and
determine a plan of care as provided in OAR 848-040-0135.
(2) In the course of performing an initial
evaluation the physical therapist shall examine the patient, obtain a history,
perform relevant system reviews, assess the patient's functional status, select
and administer specific tests and measurements and formulate clinical judgments
regarding the patient. A physical therapist may incorporate by reference
medical history or system review information about the patient prepared by
another licensed health care provider and available in the physical therapy
treatment record, IEP, IFSP or other designated plan of care.
(3) For purposes of subsection (1) of this
section, a physical therapist shall perform a separate initial evaluation under
the following circumstances:
(a) The patient
is returning to care after being discharged from therapy;
(b) The patient is new to an inpatient or
outpatient facility or home health agency; or
(c) A current patient presents with a new
diagnosis for an unrelated body part.
(4) Only a physical therapist may perform an
initial evaluation. A physical therapist shall not delegate the performance of
an initial evaluation to a physical therapist assistant or to an
aide.
(5) Under circumstances or
situations where a physical therapist is called upon to provide immediate
minimal or basic treatment to a person participating in an athletic activity or
event, the physical therapist shall examine the person by performing tests and
measurements appropriate to the circumstances, assess the person's condition,
formulate clinical judgments, and determine the immediate care to be provided.
Documentation under this subsection shall include, at a minimum, the person's
name, age if available, a brief description of the injury or condition, and
disposition or treatment, including recommendation for additional or
alternative care. Neither a physical therapy plan of care nor a discharge
summary is required in these circumstances.
Notes
Statutory/Other Authority: ORS 688.160
Statutes/Other Implemented: ORS 688.160, 688.010 & 688.210
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