| Controlled act | Rostering required for PT? | Can be delegated to a PTA? | Can be assigned to a PT Student in clinical placement? | Notes |
|---|---|---|---|---|
| Communicating a diagnosis | No | No | Yes, under supervision | • Essential PT competency • Must not be assigned to PTA |
| Spinal manipulation | Yes | No | Yes, with direct supervision | • Must not be assigned to PTA |
| Tracheal suctioning | Yes | Yes, by delegation | Yes, with supervision | • Can be delegated if PT is rostered |
| Treating a wound below the dermis | Yes | Yes, by delegation | Yes, with supervision | • Includes debridement, probing, packing, etc. |
| Internal assessment or rehabilitation of pelvic musculature (beyond labia majora / anal verge) | Yes | No | Yes, with direct supervision | • Must not be assigned to PTA |
| Administering a substance by inhalation (e.g., oxygen, when ordered) | Yes | Yes, by delegation | Yes, with supervision | • PT must be rostered and substance ordered by MD/NP |
| Acupuncture including dry needling (legally restricted activity) | Yes | No | Yes, with direct supervision | • PT authority comes from regulatory exemption • Must not be assigned to PTA |



