Principle 1. Beneficence
This principle states that OTs shall...
provide services in a fair and equitable manner, fees should be fair, advocate for clients, promote public health
Principle 2 Nonmaleficence
This principle states that OTs shall
-avoid imposing or inflicting harm, not exploit, avoid relationships that interfere with professional judgment, refrain from influences that may compromise provision of service, exercise professional judgment and analyze directives, identify personal problems, bring concerns of colleagues to the attention of the appropriate authority if/when attempts to address concerns are unsuccessful
Principle 3 autonomy confidentiality
Principle states that: collaborate with patients, fully disclose outcomes of treatment, informed consent, right to refuse, protection of confidential forms
Principle 4 Duty
Principle states that: hold appropriate national and state credentials, document competence in practice, participate in professional development, keep up with emerging evidence, duties assigned should match credentials, supervise appropriately, refer/consult when needed
Principle 5 Procedural Justice
Principle states that OTs shall comply with laws and assoc policies guiding the profession of OT. Stay informed of laws/revisions, encourage students to adhere to the code, record and report in a timely manner
Principle 6 Veracity
Principle states that OTs shall represent their credentials accurately, disclose conflicts of interest, basically provide accurate information
Principle 7 Fidelity
Principle states that OTs shall treat colleagues and others with respect, fairness, integrity. Protect confidential information about staff. Discourage breaches of the code. use conflict resolution to resolve disputes. Familiarize themselves with established policies and procedures for handling concerns about this code, including procedures created by AOTA, licensing and regulatory bodies
when an OT knows the correct action to take, but there is a barrier preventing that action, e.g. policy prevents admission of clients with substance abuse, but the OT knows this program would be beneficial for those patients
Deciding between 2 exclusive morally correct ways to solve a problem. Choosing one action cancels out the other.
minimum reporting standards for client abuse
These standards require reporting to immediate supervisor. Practitioners are obligated to report any observed or suspected incidents of patient abuse or neglect, it just depends who to tell, and the penalty for not telling
Does AOTA have direct authority over practitioners who are not members?
No, however their code of ethics is usually the guide that regulatory bodies use to determine if malpractice has occurred.
Does NBCOT have direct authority over practitioners who are not certified by NBCOT?
Who is in charge of protecting the public from potential harm?
state regulatory boards (SRBs)
Often, who adopts the AOTAs code of ethics?
State regulatory boards
Who has authority by law to discipline members if the public is determined to be at risk?
state regulatory boards
public disclosure of an agency's disapproval of a practitioner's conduct
practitioner must meet certain conditions to retain licensure/membership, such as attend counseling, education, etc.
Private notice given to practitioner of the agency's disapproval of the ot's conduct
Disciplinary action by one agency can lead to...
investigation into a professional's conduct by other practice jurisdictions
failure to do what other reasonable practitioners would have done under similar circumstances, vice versa. End result is harm.
Institution is liable when...
individual was harmed as a result of envirionmental problem or if employee is incompetent or not properly licensed.
Are all OTs OTRs?
Are all OTAs COTAs?
no. must be licensed by NBCOT
OT Aides (are/are not) considered practitioners?
OTAs with service competency can...
use a specified intervention in a safe, effective and reliable manner. However they continue to work under an OT's supervision
OTAs primary role is...and cannot I'ly perform...
treatment implementation....cannot I'ly perform evaluation
OT aides can perform...and can be directed by...
non-skilled tasks, routine maintenance, clerical axs, prep of clinic area, specified/supervised aspects of a treatment session (Contact guard of a patient during transfer training)...Can be directed by OT or OTA
OTAs must be supervised by OT for...
any and all aspects of the service delivery process
Continuous supervision is required for OTAs during....tasks which means..
patient- related tasks...OTA or OT must be within auditory and/or visual contact
Close supervision means
daily, direct contact
Routine supervision means
direct contact at least every 2 weeks, with other supervision via telephone, etc.
General supervision means
at least monthly direct contact, available as needed for other methods
Minimal supervision means
as needed basis, may be less than monthly
Entry level OT supervision.
Supervision not required, but close supervision recommended by int or adv. OT. Able to supervise OTAs, Level I fieldwork students
Intermediate level OT supervision
Routine/general supervision recommended. Can supervise Level I and II fieldwork students.
Entry-level OTA supervision
close supervision by all levels of OT, can supervise aides, techs, volunteers
Intermediate level OTA
Can supervise Level I OT students, All OTA fieldwork students
Supervision of Level I and II students
Level I students supervised by entry-level OTs. Level II must be supervised by OT or OTA with one year experience, for respective practitioner - OT-OTS, and OTA-OTAS
Experience requirement for administrator
3-5 years experience with graduate degree or continuing education
One or more members of ONE discipline, other disciplines not involved. "at risk" due to potential narrow perspective
Conduct evals and tx independent of one another. Primary alleigance is to his/her discipline. Limited communication between, which fosters competition at times.
Collaborate for decision making, members directed toward a common goal. Greater understanding of each discipline's perspective
Blended approach, with blurred discipline lines. Efficient, cost-effective, shared decision-making. ongoing supervision, education, and training in order to ensure competency
Most common and most effective type of teams
Inter- and trans-disciplinary teams
"Gatekeeper of services in managed health care systems
Physician, refers to other services
Certified by American Board of Physical Medicine and Rehabilitation. Specializes in physical medicine and rehab, leads the rehab team.
physician who specializes in mental health, leads the rehab team for patients with psychiatric disorders, orders transfers to Long-term settings, determines need for involuntary treatment
professional with PhD in psychology. Evals intelligence/IQ, personality, neuropsych, provides therapy, bx mods
Physician Assistant is..
professional who performs routine diagnostic, therapeutic, preventative services, must work under direction of physician
liaision between patient and physician. grad of accredited nursing program. Dispenses meds. Supervises LPNs and CNAs
Certified Orthotist (CO)
Can be a variety of disciplines. (ot,pt, etc.) evals, designs, and fits orthoses
Optometrists can refer to...
Vocational rehabilitation counselor...if certified
Certified Rehab Counselor (CRC). evaluates employability, provides counseling, refers to job placement
provides counseling, educates on accessing funding, programs, advocates
Substance abuse counselor
May be multiple professional backgrounds CAC= certified alcohol counselor CADC- certified alcohol and drug counselor