Occupational Therapy Assistant Roles and Responsibilities Overview

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Explore the key concepts and duties of Occupational Therapy Assistants (OTAs) in delivering OT services under supervision. Learn about the collaborative relationship between OTAs and Occupational Therapists (OTRs), including roles, responsibilities, and key definitions essential for providing quality client-centered care.


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  1. Domain 1 Overview By: CJ Okafor, COTA/L

  2. What does Domain 1 Consist of? Collaborating And Gathering Information 28% of the Exam Relationship between OTR and COTA

  3. What do they want you to know?? (Task 1) Recognize the influence of development, body functions, body structures, values, beliefs, and spirituality on a client s occupational performance. (Task 2) Acquire information by using available resources about a client s functional skills, roles, culture, and performance context (Task 3) Assist OTR in planning intervention and monitoring progress (Task 4) Collaborate with the client and other professionals and staff using a culturally sensitive, client-centered approach and therapeutic use of self to provide quality services guided by evidence. (Task 5) Monitor the intervention plan and progress toward goals in collaboration with the OTR

  4. Key Definitions Occupational Profile-Used to gain understanding of typical level of performance, participation in occupations, and client identified priorities. Getting to know your client Performance factors-Habits, routines, rituals MOHO-Client-centered FOR. Volition, habituation, and performance PEOP-Importance of considering the person, the environment, and the occupation and how they relate to performance Service Competency-the ability of the OTA to obtain the same or equivalent results as the supervising OTR The OT process-*discuss with group

  5. OTA VS OTR Roles OTA Delivers OT service with supervision Collects data, administer parts of eval, report observations Selects, implements and makes modifications to interventions in accordance to clients goals and level of function.

  6. OTA VS OTR Roles OTR Responsible for initial contact with patient Responsible for all aspects of OT service delivery Supervises COTA and Aides

  7. Test Questions A new COTA is working home health and sees seven patients a week. Her supervisor meets with her once a month to discuss her caseload. What type of supervision is this? A: Routine B: General C: Minimal D: Close

  8. Test Questions Which task is within the scope of work for an OTA? A: Developing long-term goals with a client B: Administering and explaining results of a standardized test C: Instructing patient on adaptive strategies for self-care D: Creating discharge plan

  9. Questions? Which of the following clinical task can an entry-level OTA complete? A: Discontinue treatment B: Establish STG s C: Administer specific parts of an assessment D: Select an assessment

  10. Test Questions What would be the next step in the OT process after an OT has received a referral , completed a medical chart review, and performed a screening? A: Discharge planning B: Select evaluation based on patients needs C:Establish LTG s D: Read social workers notes

  11. Questions? What would be the next step in the OT process after an OT has received a referral , completed a medical chart review, and performed a screening? A: Discharge planning B: Select evaluation based on patients needs C:Establish LTG s D: Read social workers notes

  12. Test Questions Which of the following is exemplified by participating in Halloween, wearing costumes, and handing out candy to kids? A: Cultural Context B: Temporal Context C: Virtual Context D: Personal Context

  13. Test Questions? An OT is working in an acute setting and is assessing whether a patient will be safe to go home in preparation for discharge. The OT provides modification recommendations for the patient's home. What frame of reference is the OT using. A: Biomechanical B: MOHO C: PEOP D: Cognitive behavioral

  14. The End THANK YOU!

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