Transfer of roles, responsibilities, competencies among health disciplines

AAROT Guidelines for the Assignment/Delegation of Occupational Therapy Services to Support Personnel

In an effort to deliver quality, accessible, cost effective, and efficient services within a timely manner, support personnel continue to be employed throughout the province to assist occupational therapists to utilize their professional skills effectively and efficiently to meet the needs of the public. This document builds on previous work by the Canadian Association of Occupational Therapists (CAOT), but expands and clarifies with a more regulatory perspective. http://www.acot.ca/files/Support_Personnel_Guideline_
June_22.05_ACOT_VERSION_Final_Document.pdf

Group Health Centre, Sault Ste. Marie, Ontario

Established since 1972 as a Health Service Organization (HSO), this group employs a diverse range of health professionals from nurse practitioners to kinesiologists. Medical directives have been developed from physicians for other health professionals to maximize scopes of practice (especially nurse managed programs). For example diabetes has two medical directives: one of ordering of lab work (attached) and the other on the adjustment of insulin.

GHC Lab MEDICAL DIRECTIVE Diabetes.pdf

Mid-Main Community Health Centre (site visit)

This is a non-profit community health centre located in central Vancouver. Several documents are highlighted: a form that clarifies the job descriptions and relationships within the community, the transferring of function from one discipline to another; the pharmacist's prescriptive authority; and Warfarin monitoring physician authorization form that allows the pharmacists to manage a patient's therapy.

Clarifying Job Descriptions and Rela.pdf
Transfer of Function.pdf
Pharmacist Prescriptive Authority.pdf
Warfin Authorization Form.pdf