SECTION 310:667-23-5. Rehabilitation, physical therapy, and occupational therapy departments

(a)   The rehabilitation, physical therapy, and occupational therapy departments, if offered, shall have effective policies and procedures relating to the organization and functions of the service(s) and shall be staffed by qualified therapists.

(b)   Policies and procedures shall include, in addition to the above named items, the following:

(1)   Standards of care.

(2)   Criteria for assuring communication of the patient's therapy and progress to the physician or licensed independent practitioner.

(3)   Assembly and operation of the equipment.

(4)   Each procedure performed by each employee shall be designated in writing by the department head and shall include the amount of supervision required when performing the procedure.

(5)   Cleaning, disinfecting, and sterilizing procedures.

(c)   There may be a rehabilitation department, including both physical and occupational therapy and which may also include other rehabilitation services, such as speech therapy, vocational counseling, and other appropriate services, or there may be separate physical and/or occupational therapy departments.

(d)   The department head shall have the necessary knowledge, experience, and capabilities to properly supervise and administer the department. A rehabilitation department head shall be a physiatrist or other physician or practitioner with pertinent experience. If separate physical or occupational therapy departments are maintained, the department head shall be a qualified and licensed physical or occupational therapist (as appropriate) or a physician or practitioner with pertinent experience.

(e)   Facilities and equipment for physical and occupational therapy shall be adequate to meet the needs of the services and maintained in good condition.

(f)   Physical therapy or occupational therapy shall be given in accordance with the physician's or licensed independent practitioner's orders, and such orders shall be incorporated in the patient's record. These orders shall include:

(1)   Identification of the patient.

(2)   Date.

(3)   Physician's or licensed independent practitioner's name.

(4)   Type, frequency, and duration of treatment.

(5)   Physician or licensed independent practitioner signature.

(g)   Complete records shall be maintained for each patient provided such services and shall be part of the patient's record. Physical therapy records shall include:

(1)   Current written plan of care.

(2)   Statement of treatment objectives.

(3)   Statement of patient's long-term and short-term rehabilitation potential.

(4)   Functional limitations.

(5)   Individual treatments shall be documented.

[Source: Added at 12 Ok Reg 1555, eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff 6-26-95; Amended at 20 Ok Reg 1664, eff 6-12-03]