<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.46.01.03" title_num="10" subtitle_num="46" chapter_num="01" heading="Standards of Practice.">
  <paragraph num="A.">
    <text>Occupational Therapist.</text>
    <paragraph num="(1)">
      <text>An occupational therapist shall exercise sound judgment and provide adequate care in the performance of duties as provided in nationally recognized standards of practice.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An occupational therapist shall document client information as follows:</text>
      <paragraph num="(a)">
        <text>Evaluation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Treatment program;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Progress reports;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Reevaluations; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Discharge summaries, verbal orders, and clarification orders in accordance with facility policies and procedures.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>An occupational therapist shall immediately discontinue any treatment procedure that appears harmful to the client.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Occupational Therapy Assistant.</text>
    <paragraph num="(1)">
      <text>An occupational therapy assistant shall exercise sound judgment and provide adequate care in the performance of duties as provided in nationally recognized standards of practice.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An occupational therapy assistant shall document client information as follows:</text>
      <paragraph num="(a)">
        <text>Progress reports;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Reevaluations; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Discharge summaries, verbal orders, and clarification orders in accordance with facility policies and procedures.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>An occupational therapy assistant may begin a treatment program after the occupational therapist has:</text>
      <paragraph num="(a)">
        <text>Evaluated the client;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Established an initial treatment program; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Engaged in verbal, written, or electronic communication with the occupational therapy assistant.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>An occupational therapy assistant may not analyze or interpret evaluation data.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>An occupational therapy assistant may assist and participate in the screening, evaluation, reevaluation, and discharge planning process by:</text>
      <paragraph num="(a)">
        <text>Collecting data, such as records;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>General observation;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Conducting a general interview;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Using assessment tools; or</text>
      </paragraph>
      <paragraph num="(e)">
        <text>All of §B(5)(a)—(d) of this regulation.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>An occupational therapy assistant shall communicate to the occupational therapist verbally, in writing, or electronically, the information gathered.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>An occupational therapy assistant shall track and report changes in the client's status that might warrant the need for reevaluation.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>An occupational therapy assistant shall immediately discontinue any treatment procedure that appears harmful to the client and shall notify the supervising occupational therapist.</text>
    </paragraph>
  </paragraph>
</regulation>