NBCOT - OTR Roles / Working With
COTA / Team Roles Questions and
Answers.
What is the relationship between an OTR/L and COTA? -
\COTA must be supervised by an OT in delivery of OT services.
Both collaborate to determine the mutually preferred plan of supervision.
Service competency -
\Process of teaching, training, and evaluating in which the OTR determines that the
COTA performs tasks in the same way that the OTR would and achieves the same
outcomes - safe and effective
OTR and COTA work together to maintain this. Both must identify when supervision is
warranted and match supervision to level of competence.
What are some of the methods to establish service competency? -
\Direct supervision such as observation or cotreatment, return demonstration of
techniques or skills, review of documentation, testing for knowledge and its application
and discussion of cases to ascertain clinical reasoning and judgement.
What job position is a COTA not required to be supervised from an OTR? -
\Assistive technologists or activity program directors since these positions do not require
delivery of OT services.
Direct (methods of supervision) -
\Face to face and includes observation, modeling, co-treatment, discussion, teaching
and instruction.
OTR should sporadically include direct feedback approaches in supervision
Indirect (methods of supervision) -
\occurs by phone or written or typed communication and receiving feedback from others
(clients and their family members, other staff members)
What should be included with documentation of supervision of a COTA? -
\Supervision must meet site specific and state requirements
Include frequency, method and type, content reviewed, evidence that supports
competency and names and credentials of the COTA and OTR
, What are the roles and responsibilities between the OTR and COTA during:
EVALUATION -
\OTR performs evaluation and directs all parts of the eval process
OTR interprets the gathered data and creates an intervention plan
COTA may contribute the eval process by performing assigned assessments and
delivering reports of observations and client capacities to the OTR (they can not
independently evaluate or initiate treatment prior to OTR eval)
OTR analyzes the feedback from the COTA and incorporates that information into the
eval process
What are the roles and responsibilities between the OTR and COTA during:
INTERVENTION PLANNING -
\OTR is responsible for creating the intervention plan but the OTR and COTA partner
with the client to develop this plan
COTA must understand the eval results and be able to offer client centered input into
the intervention plan (can contribute to development of intervention planning)
What are the roles and responsibilities between the OTR and COTA during:
INTERVENTION IMPLEMENTATION -
\OTR is responsible for implementation but may delegate components to the COTA
while offering adequate supervision.
COTA must be knowledge about the client's goals and will choose appropriate
therapeutic activities and interventions and modify them as needed, adhering to client
goals and demands of the practice settings.(can monitor and document client's
response to intervention under supervision)
What are the roles and responsibilities between the OTR and COTA during:
INTERVENTION REVIEW -
\OTR judges a client's need to continue, modify or stop OT services on the basis of
information and documentation from the COTA about the client's feedback and
performance during intervention process
What are the roles and responsibilities between the OTR and COTA during: OUTCOME
EVAL -
\OTR selects, measure and analyzes outcomes as they pertain to a client's occupational
engagement
COTA must understand the client's specific outcomes and then document and provide
information related to progress
COTA may measure outcomes and offer clients discharge resources
COTA / Team Roles Questions and
Answers.
What is the relationship between an OTR/L and COTA? -
\COTA must be supervised by an OT in delivery of OT services.
Both collaborate to determine the mutually preferred plan of supervision.
Service competency -
\Process of teaching, training, and evaluating in which the OTR determines that the
COTA performs tasks in the same way that the OTR would and achieves the same
outcomes - safe and effective
OTR and COTA work together to maintain this. Both must identify when supervision is
warranted and match supervision to level of competence.
What are some of the methods to establish service competency? -
\Direct supervision such as observation or cotreatment, return demonstration of
techniques or skills, review of documentation, testing for knowledge and its application
and discussion of cases to ascertain clinical reasoning and judgement.
What job position is a COTA not required to be supervised from an OTR? -
\Assistive technologists or activity program directors since these positions do not require
delivery of OT services.
Direct (methods of supervision) -
\Face to face and includes observation, modeling, co-treatment, discussion, teaching
and instruction.
OTR should sporadically include direct feedback approaches in supervision
Indirect (methods of supervision) -
\occurs by phone or written or typed communication and receiving feedback from others
(clients and their family members, other staff members)
What should be included with documentation of supervision of a COTA? -
\Supervision must meet site specific and state requirements
Include frequency, method and type, content reviewed, evidence that supports
competency and names and credentials of the COTA and OTR
, What are the roles and responsibilities between the OTR and COTA during:
EVALUATION -
\OTR performs evaluation and directs all parts of the eval process
OTR interprets the gathered data and creates an intervention plan
COTA may contribute the eval process by performing assigned assessments and
delivering reports of observations and client capacities to the OTR (they can not
independently evaluate or initiate treatment prior to OTR eval)
OTR analyzes the feedback from the COTA and incorporates that information into the
eval process
What are the roles and responsibilities between the OTR and COTA during:
INTERVENTION PLANNING -
\OTR is responsible for creating the intervention plan but the OTR and COTA partner
with the client to develop this plan
COTA must understand the eval results and be able to offer client centered input into
the intervention plan (can contribute to development of intervention planning)
What are the roles and responsibilities between the OTR and COTA during:
INTERVENTION IMPLEMENTATION -
\OTR is responsible for implementation but may delegate components to the COTA
while offering adequate supervision.
COTA must be knowledge about the client's goals and will choose appropriate
therapeutic activities and interventions and modify them as needed, adhering to client
goals and demands of the practice settings.(can monitor and document client's
response to intervention under supervision)
What are the roles and responsibilities between the OTR and COTA during:
INTERVENTION REVIEW -
\OTR judges a client's need to continue, modify or stop OT services on the basis of
information and documentation from the COTA about the client's feedback and
performance during intervention process
What are the roles and responsibilities between the OTR and COTA during: OUTCOME
EVAL -
\OTR selects, measure and analyzes outcomes as they pertain to a client's occupational
engagement
COTA must understand the client's specific outcomes and then document and provide
information related to progress
COTA may measure outcomes and offer clients discharge resources
