| Question: What does it mean when an OT cosigns the notes of another OT practitioner (OT, OTA, OT aide or OT student)? |
Answer: Co signature is the outward sign that a supervisory relationship exists between the person writing the documentation and the person cosigning. It signifies that the supervising practitioner has provided enough direct observation and direction to the subordinate to establish that:
- they are competent in providing the service(s) being delegated and
- that the service provided is accurately depicted in the documentation.
The supervising therapist is putting his or her name and reputation on the line; they are legally responsible for the service provided if they cosign for it.
Obviously, the amount of supervision required will vary based on several factors about the subordinate practitioner, including:
- Their level educational preparation and knowledge
- Their experience, both general and with the specific population or procedure being used
- The complexity of the modalities/activities being delegated
- Specific supervision requirements of the payment source.
In general, it is preferred that new graduates receive direct or intensive supervision by an experienced OT for at least one year after completing their educational preparation. If a setting does not provide this type of support, the novice practitioner should seek out a mentor to provide necessary guidance during this period |
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