Which level of supervision requires the supervising OT to be onsite for immediate assistance?

Direct supervision is defined as a level of oversight where the supervising occupational therapist (OT) is physically present and available to provide immediate assistance when necessary. This ensures that the supervising therapist can observe the activities being performed and intervene without delay if any issues arise, allowing for a safe and supportive environment for both the client and the practitioner. This level of supervision is essential in situations where patients may require constant monitoring or where complex tasks are being carried out.

In contrast, close supervision involves the supervising OT being available for more frequent interaction but does not require their immediate physical presence. General supervision allows for less direct oversight, where the supervisee may perform tasks independently with periodic check-ins from the supervising OT. Routine supervision may also involve standards of oversight but does not contend with the immediacy required by direct supervision. Therefore, the defining characteristic of direct supervision is the necessity for the supervising OT to be onsite to provide assistance as needed.