Responsibility, Skill, or Procedure

Yes

No

Responds in a timely manner to referrals to admit/assess patient

In conjunction with patient, physician and home care team develops the OT plan of care based on patient needs and appropriate interventions.

Patient’s functional status

Muscle function

Endurance

Visual coordination

Written and verbal communication skills

Self-care ability

Work capacity

Hazards

Barriers to independent living

In-home safety checklist

Activities of daily living based on the plan of care

Use of various types of adaptive equipment to improve function

Use of prosthetic and/or orthotic devices

In-home safety factors and techniques

Occupational Therapy Assessment

OASIS Documentation

Progress Notes (as needed)

Discharge/Transfer Record

Plan of Care development and changes (HCFA 485)

Observations & Clinical Changes

Obtaining verbal orders

Finding resources for assistive, prosthetic or orthotic devices/supplies

Fabricates splints for patients as needed

Access to other resources through referral to other team members or community programs relative to patient’s needs

Nurse

Physical Therapist

Speech-Language Pathologist

Medical Social Worker

Home Health Aide

Other: (identify) :

Performs COTA Supervisory Visits every 30 days

Performs teaching to client/family/home health aide

Maintains client confidentiality/HIPAA

Conducts self in a professional manner

Reports to Supervisor as needed and appropriate

Maintains Infection Control Guidelines for hand washing, etc

Participates in interdisciplinary/case/team conferences as needed