Onboarding plan

Occupational Therapy Aide Onboarding Plan (30-60-90 Days)

A practical, printable plan to take a new occupational therapy aide from first day to full productivity.

Updated By the Career Education Institute Curriculum Team
Occupational Therapy Aide onboarding at a glance

Week one covers orientation, safety and shadowing. Days 1–30 build vocabulary and supervised practice on core procedures; days 31–60 move to independent work with competency sign-offs; days 61–90 focus on full productivity, cross-training and a credential plan.

Before day one

  • Confirm start date, schedule, pay and supervisor in writing
  • Verify required credentials: CPR, Safe patient handling (as applicable)
  • Prepare equipment and access: therapy equipment; wheelchairs; cleaning supplies; scheduling software
  • Assign a buddy or preceptor
  • Enroll the new hire in Occupational Therapy Aide training so foundations are covered before or during week one

Week one: orient and protect

  • Workplace tour, emergency procedures and incident reporting
  • Use safe patient handling
  • Follow infection control
  • Lock brakes
  • Report hazards
  • Shadow an experienced occupational therapy aide through a full shift
  • Training modules 1–3: role foundations, a day on the job and essential vocabulary (15 terms)

Days 1–30: learn

Goal: perform core tasks safely under supervision.

  • Supervised practice: prepare a therapy station
  • Supervised practice: clean equipment
  • Supervised practice: transport a patient to therapy
  • Training modules 4–7: duties, step-by-step tasks, tools and safety
  • 30-day check-in: confidence, questions and early wins

Days 31–60: contribute

Goal: handle a regular workload independently.

  • Prepare treatment areas: independently
  • Clean and organize equipment: independently
  • Transport patients: independently
  • Schedule appointments: independently
  • Competency sign-offs completed (see checklist below)
  • Training final knowledge check and certificate of completion
  • 60-day check-in

Days 61–90: own

Goal: full productivity and a growth plan.

  • Meet productivity and quality targets for the role
  • Begin cross-training on a secondary task
  • Agree on a credential goal (for example, CPR)
  • Discuss the career path: OT Aide → Rehab Technician → OTA
  • 90-day review

Competency checklist

Skill or taskTrainedObservedSigned off
Prepare a Therapy Station
Clean Equipment
Transport a Patient to Therapy
Equipment setup
Patient transport
Infection control
Scheduling

How to measure onboarding success

  • Days until the new hire works without a preceptor
  • Competency sign-offs completed on time
  • Documentation or charting error rate
  • 90-day retention

How Occupational Therapy Aide training maps to this plan

  1. Introduction to the Occupational Therapy Aide Role
  2. A Day on the Job
  3. Essential Occupational Therapy Aide Vocabulary
  4. Core Duties and Responsibilities
  5. Common Tasks, Step by Step
  6. Tools, Equipment and Technology
  7. Safety, Compliance and Professional Standards
  8. Skills Employers Look For
  9. Launching Your Occupational Therapy Aide Career
  10. Final Knowledge Check
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