COTA and OT relationship Questions and Answers

COTA and OT relationship Questions and Answers A COTA® in an acute rehabilitation facility has been working with a client for four consecutive sessions. The COTA® learns that the client has two cats at home for which the client is the sole caregiver. Which option BEST describes the COTA®'s role in making pet care a goal? A. The COTA® can write this IADL goal into the next progress note and alert the OTR® to the change in the plan of care. B. The COTA® cannot add a goal once the evaluation has been completed. C. The COTA® can discuss this possible IADL goal with the OTR® to determine its appropriateness and how to address it as an intervention. D. The COTA® can write this IADL goal into the daily treatment note and update the OTR® on the addition. The right answer is C Ultimately, the OTR® is responsible for creating the intervention plan, but the OTR® and COTA® partner with the client to develop this plan. After the evaluation is completed, new information may arise, such as learning that a client is responsible for pet care at home. The COTA® has valuable client-centered information that can help to adjust the intervention plan in a meaningful way. Wrong Answers: A, D: The COTA® must first collaborate with the OTR®; moreover, goals must be added to progress notes or recertification notes, not to daily treatment notes. B: The notion that a COTA® cannot add a goal once the evaluation has been completed is not accurate because new information about clients often emerges once rapport is developed. Initiating treatment of a client as a COTA A COTA® is not permitted to initiate treatment of a client; the OTR® must do the initial assessment of the client. Describe the ethical principle: Justice The principle of justice refers to the fair, equitable, and appropriate treatment of persons and access to occupational engagement for clients. A client with hip osteoarthritis has been referred for an occupational therapy assessment and treatment. What can the OTR® have a COTA® contribute to the assessment and treatment process? A. Identify whether the client will need occupational therapy. B. Decide which evaluations should be completed. C. Select and implement therapeutic activities. D. Interpret from the outcome whether client is able to engage in occupations. The right answer is C COTA®s can select and implement therapeutic activities that meet client goals. OTR®s are responsible for all aspects of occupational service. They decide whether a client is appropriate for services and what should be evaluated, and they interpret the results of outcomes to determine whether clients are progressing. COTA®s may assist with these activities. An OTR®; has gone out on a date with a client that the OTR is still treating. A colleague of the OTR finds out about the date and wants to report the incident as a breach of ethics. What ethical principle will the OTR be reported as violating? A. Beneficence B. Autonomy C. Justice D. Nonmaleficence D. The principle of nonmaleficence requires that occupational therapy professionals refrain from behavior that could cause harm. The well-being of the client could be jeopardized by a personal relationship with the OTR, which by its nature cannot be therapeutic. The example in the question is about professional boundaries and the objective recommendations or actions by the OTR that could be influenced by a dual relationship. Dual relationships with clients are inappropriate and unethical, whether they are romantic in nature or simply involve taking on a family member as a client. A newly certified OTR® wants to provide occupational therapy coverage on an "as-needed basis" at a medical center burn unit. What should the OTR® expect the facility to provide in order to promote continuity of care for these services based on best practice standards? A. Funds to attend professional development classes to learn about evidence-based burn care B. Availability of burn-care protocols currently used for patients with thermal injuries C. Options for establishing service competence for completing clinically based processes and procedures on the unit D. Written communication from the primary therapist in advance of the coverage date outlining patient care routines The right answer is C Service competency will support that the newly certified OTR® and existing practitioners in the burn unit are performing functions similarly and achieving the same outcome. A: Continuity of care is not ensured with practitioners attending professional development classes because practitioners will implement practice in their own way. Services competency ensures teaching, training, and evaluation of practitioner on the basis of skills delivery. B: Providing burn-care protocols does not ensure continuity of care because practitioners may interpret the protocols in their own way. Service competency ensures teaching, training, and evaluation of a practitioner. D: Written routines or protocols may provide guidance for the new OTR® in typical practice approaches in the unit, but they will not ensure continuity of care. According to the Standards of Practice for Occupational Therapy, which task can the COTA® can complete in the evaluation process? A. Respond to the initial referral request. B. Interpret and document the evaluation results. C. Perform delegated assessments using current tools. D. Make recommendations to other professionals. The right answer is C COTA®s are able to perform assessments delegated by the OTR®. According to the Standards of Practice for Occupational Therapy, which of the following tasks is within the standards of practice for a COTA®? CorrectA. Contributes to intervention plan modification. B. Documents evaluation results. C. Determines when services should be discontinued. D. Revises intervention plan. The COTA® is able to contribute to modification of the plan, can document intervention, and can select and implement intervention. In which practice setting is the Outcome and Assessment Information Set (OASIS) completed to help identify the payer for services? A. Home health B. Skilled nursing facility C. Psychiatric hospital D. Outpatient The right answer is A OASIS is a form that helps provide information about reimbursement of services in a home health setting.