OT 4.02(2)(m)(m) Assessment, recommendation, and training in techniques to enhance functional mobility, including management of wheelchair and other mobility devices. OT 4.02(2)(p)(p) Management of feeding, eating, and swallowing to enable eating and feeding performance. OT 4.02(2)(q)(q) Facilitating the occupational performance of groups, populations, or organizations through the modification of environments and adaptation processes. OT 4.02(2)(r)(r) Use of a range of specific therapeutic procedures, including wound care management; techniques to enhance sensory, perceptual, and cognitive processing; and pain management, lymphedema management, and manual therapy techniques, to enhance performance skills. OT 4.02 HistoryHistory: CR 02-026: cr. Register December 2002 No. 564, eff. 1-1-03; CR 13-109: am. (2) (intro.), (a), (b), cr. (2) (j) to (r) Register September 2014 No. 705 eff. 10-1-14; CR 15-053: am. (2) (f) Register August 2016 No. 728, eff. 9-1-16. OT 4.03OT 4.03 Standards of practice. Occupational therapists and occupational therapy assistants shall adhere to the minimum standards of practice of occupational therapy that have become established in the profession, including but not limited to the following areas: OT 4.03(1)(a)(a) An occupational therapist, alone or in collaboration with an occupational therapy assistant, when practicing either independently or as a member of a treatment team, shall identify individuals who present deficits or declines in performance of their occupations including occupational performance skills and performance patterns. OT 4.03(1)(b)(b) Screening methods shall take into consideration the occupational performance contexts relevant to the individual. OT 4.03(1)(c)(c) Screening methods may include interviews, observations, testing and records review to determine the need for further evaluation and intervention. OT 4.03(1)(d)(d) The occupational therapist or occupational therapy assistant shall transmit screening results and recommendations to all appropriate persons. OT 4.03(2)(2) Referrals. Referrals may be accepted from advanced practice nurses, chiropractors, dentists, optometrists, physical therapists, physicians, physician assistants, podiatrists, psychologists, or other health care professionals. OT 4.03(3)(a)(a) The occupational therapist directs the evaluation process. An occupational therapist alone or in collaboration with the occupational therapy assistant shall prepare an occupational therapy evaluation for each individual referred for occupational therapy services. The occupational therapist interprets the information gathered in the evaluation process. OT 4.03(3)(b)(b) The evaluation shall consider the individual’s medical, vocational, social, educational, family status, and personal and family goals, and shall include an assessment of how performance skills, and performance patterns and their contexts and environments influence the individual’s functional abilities and deficits in the performance of their occupations. OT 4.03(3)(c)(c) Evaluation methods may include observation, interviews, records review, and the use of structured or standardized evaluative tools or techniques. OT 4.03(3)(d)(d) When standardized evaluation tools are used, the tests shall have normative data for the individual’s characteristics. If normative data are not available, the results shall be expressed in a descriptive report. Collected evaluation data shall be analyzed and summarized to indicate the individual’s current status. OT 4.03(3)(e)(e) Evaluation results shall be documented in the individual’s record and shall indicate the specific evaluation tools and methods used. OT 4.03(3)(f)(f) Evaluation results shall be communicated to the referring health care professional, if any, and to the appropriate persons in the facility and community. OT 4.03(3)(g)(g) If the results of the evaluation indicate areas that require intervention by other health care professionals, the individual shall be appropriately referred or an appropriate consultation shall be requested. OT 4.03(3)(h)(h) Initial evaluation shall be completed and results documented within the time frames established by the applicable facility, community, regulatory, or funding body. OT 4.03(4)(a)(a) The occupational therapist is responsible for the development of the occupational therapy intervention plan. The occupational therapist develops the plan collaboratively with the client, and may include the occupational therapy assistant and team working with the client, including the physician — as indicated. OT 4.03(4)(b)(b) The program shall be stated in measurable and reasonable terms appropriate to the individual’s needs, functional goals and prognosis and shall identify short and long term goals. OT 4.03(4)(c)(c) The program shall be consistent with current principles and concepts of occupational therapy theory and practice. OT 4.03(4)(d)(d) In developing the program, the occupational therapist alone or in collaboration with the occupational therapy assistant shall also collaborate, as appropriate, with the individual, family, other health care professionals and community resources; shall select the media, methods, environment, and personnel needed to accomplish the goals; and shall determine the frequency and duration of occupational therapy interventions provided. OT 4.03(4)(e)(e) The program shall be prepared and documented within the time frames established by the applicable facility, community, regulatory, or funding body.