Touro University Nevada

Occupational Therapy
Evaluator:

Jessica Kersey - Fieldwork Educator

Subject:

Edith Feld - Level II

Activity:

OCCT 660

Site:

Sunrise Hospital & Medical Center

Evaluation Type:

Fieldwork Performance Eval for OT Student - Final

Completion Date:

01/21/2016

Request Date:

01/08/2016

Period:

OCCT 660 - Fall 2015

Dates of Activity:

10/26/2015 To 02/07/2016

Subject Participation Dates:

10/26/2015 To 02/07/2016

Please select the option that best matches your level of agreement with this evaluation.
Comments entered above may be viewed by your program director or advisor and may be a part of a printed report.

AOTA
Fieldwork Performance Evaluation for the Occupational Therapy Student
Touro University Nevada, School of Occupational Therapy

FINAL EVALUATION
Student Name: (Last, First, Middle)

(Question1of39-Mandatory)

Feld, Edith

College or University:

(Question2of39)

Selection

Option

Touro University Nevada, School of Occupational Therapy

Other

Name of Organization/Facility:

(Question3of39-Mandatory)

X Sunrise Hospital & Medical Center

Address (Street or PO Box):

(Question4of39-Mandatory)

3186 S. Maryland Parkway

City, State, Zip:

(Question5of39-Mandatory)

89109

Type of Fieldwork:
Selection

(Question6of39-Mandatory)
Option

1-1 In-Patient Acute

1.2 In Patient Rehab

1.3 SNF/Sub-acute/Acute Long-term Care
1.4 General Rehab Outpatient
1.5 Outpatient Hands
1.6 Pediatric Hospital/Unit
1.7 Pediatric Hospital Outpatient
1.8 In-Patient Psych
2.1 Pediatric Community
2.2 Behavioral Health Community
2.3 Older Adult Community Living
2.4 Older Adult Day Program
2.5 Outpatient/Hand Private Practice
2.6 Adult Day Program for DD
2.7 Home Health
2.8 Pediatric Outpatient Clinic
3.1 Early Intervention
3.2 School
Other (explain below)

If "Other" please explain:

(Question7of39)

Order of Placement: (AtTouroUniversityNevada'sSchoolofOTtherearetwopossibleplacementsatthislevel.Answershouldbe1of2or2of2.)

Selection

Option

IIA (1 of 2)
IIB (2 of 2)

Start Date: (DatesofPlacement)

(Question9of39-Mandatory)

11/01/2015

End Date:

(Question10of39-Mandatory)

01/22/2016

Number of Weeks Completed:

(Question11of39-Mandatory)

12

Pass / No Pass:

(Question12of39)

Selection Option
------

Pass
No Pass

Final Passing Score: 122 points and above

Final Not Passing Score: 121 points and below
Final Score:

(Question13of39)
129

SUMMARY COMMENTS: (Addressesstudent'sclinicalcompetence)

(Question14of39)

Edith is currently performing with an entry-level skill set for the inpatient rehabilitation setting. She excels with her professional behaviors, ability to establish
rapport, timeliness of work, and focus on occupation-based care. She has made significant improvement in her assessment and intervention skills, demonstrating
improved flexibility, ability to modify tasks and prioritize activities. As she progresses to her next fieldwork placement, she will need to continue to work on
responding quickly with intervention ideas, complex clinical reasoning and problem solving skills, and confidence when communicating with varied personalities.

SIGNATURES
Digital Signature of Student:

(Question15of39)

Edith Feld, OTS

I understand that be checking this box I am certifying that I have read this report.
Selection

Option

I confirm I have read this report

FIELDWORK EDUCATOR(S):
Number of Persons Contributing to this Report:

(Question17of39)

Digital Signature of Rater #1:

Jessica Kersey

(Question18of39-Mandatory)

(Question16of39)

(Question8of39)

I understand that by checking this box, I am certifying the authenticity of this evaluation.
Selection

Option

I hereby certify the authenticity of this evaluation

Credentials/Position:

(Question19of39-Mandatory)

(Question20of39)

OTR/L

Digital Signature of Rater #2 (if applicable):

(Question21of39)

I understand that by checking this box, I am certifying the authenticity of this evaluation.
Selection

(Question22of39)

Option
I hereby certify the authenticity of this evaluation

Credentials/Position:

(Question23of39)

RATING SCALE FOR STUDENT PERFORMANCE

4 - Exceeds Standards
3 - Meets Standards

is highly skilled and self-initiated. This rating is rarely given and would represent the top five percent of all the students you have supervised.

Performance is consistent with entry-level practice. This rating is infrequently given at midterm and is a strong rating at final.

2 - Needs improvement Performance is progressing but still needs improvement for entry-level practice. This is a realistic rating of performance at midterm , and some

ratings of two may be reasonable at the final.

1 - Unsatisfactory:
Accepted:

Performance is below standards and requires development for entry-level practice. This rating is given when there is a concern about performance

(Question24of39)

Selection

Option

I have read and understand this information

I. FUNDAMENTALS OF PRACTICE
(Question25of39-Mandatory)
Exceeds Standards Meets Stardands Needs Improvement Unsatisfactory

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

Adheres to ethics: Adheres consistently to the

1. American Occupational Therapy Association Code of Ethics
(4) and site's policies and procedures including, when
relevant, those related to human subject research.

Adheres to safety regulations: Adheres consistently

2. to safety regulations. Anticipates potentially hazardous
situations and takes steps to prevent accidents.
Uses judgment in safety: Uses sound judgment in
3. regard to safety of self and others during all
fieldwork-related activities.

Comments on strengths and areas of improvement:

(Question26of39)

Edith has refined her ethical problem solving skills. She has also demonstrated increased ability to anticipate safety and fall risks. There is room for further
development of these skills with more complex cases.

II. BASIC TENETS

(Question27of39-Mandatory)
Exceeds Standards Meets Standards Needs Improvement Unsatisfactory

Clearly and confidently articulates the values and

1. beliefs of the occupational therapy profession to clients,
families, significant others, colleagues, service providers
and the public.

4.0

>> 3 <

2.0

1.0

2.

Clearly, confidently and accurately articulates the

value of occupation as a method and desired outcome
of occupational therapy to clients, families, significant
others, colleagues, service providers and the public.

communicates the
roles of the occupational therapist and
occupation therapy assistant to clients, families,

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

Clearly, confidently and accurately

3.

significant others, colleagues, service providers and the

public.
4.

Collaborates with client, family and significant others

throughout the occupational therapy process.

Comments on strengths and areas for improvement:

(Question28of39)

Edith has improved her ability to accurately communicate the role and value of Occupational Therapy. She will need to continue to work on increasing her
confidence and clarity with this skill.

III. EVALUATION AND SCREENINGS

(Question29of39-Mandatory)
Exceeds Standards Meets Standards Needs Improvement Unsatisfactory

1.

2.

Articulates a clear and logical rationale for the

evaluation process.

Selects relevant screening and assessment

methods while considering such factors as client's

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

priorities, context(s), theories and evidence-based practice.

3.
4.

Determines client's occupational profile and

performance through appropriate assessment methods.

Assesses Client Factors and contexts(s) that

support or hinder occupational performance.

Obtains sufficient and necessary information

5.

6.
7.
8.

from relevant resources such as client, families, significant

others, service providers and records prior to and during the
evaluation process.

Administers assessments in a uniform manner to

ensure findings are valid and reliable.

Adjusts/modifies the assessment procedures

based on client's needs, behaviors and culture.

Interprets evaluation results to determine client's

occupational performance strengths and challenges.

Establishes an accurate and appropriate plan

9.

based on the evaluation results, through integrating multiple

factors such as client's priorities, context(s), theories and
evidence-based practice.

Documents the results of the evaluation process

10. that demonstrates objective measurement of client's
occupational performance.

Comments on strengths and areas for improvement:

(Question30of39)

Edith has more consistently identified appropriate assessment tools and has the ability to administer them correctly. She has also improved her ability to determine
which impairments have the greatest impact on function and to establish appropriate goals.

IV. INTERVENTION
(Question31of39-Mandatory)
Exceeds Standards Meets Standards Needs Improvement Unsatisfactory

1.
2.
3.

Articulates a clear and logical rationale for the

intervention process.

Utilizes evidence from published research and relevant

resources to make informed intervention decisions.

Chooses occupations that motivate and challenge

clients.

Selects relevant occupations to facilitate clients

4.
meeting established goals.

4.0

>> 3 <

2.0

1.0

4.0

3.0

2.0

1.0

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

Implements intervention plans that are

5.
client-centered.

>> 4 <

3.0

2.0

1.0

Implements intervention plans that are

6.
occupation-based.

>> 4 <

3.0

2.0

1.0

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

Modifies task approach, occupations and the

7.
environment to maximize client performance.
Updates, modifies or terminates the
8. intervention plan based upon careful monitoring of the
client's status.

Documents client's response to services in a

9.
manner that demonstrates the efficacy of interventions.

Comments on strengths and areas for improvement:

(Question32of39)

Edith continues to choose client-centered and occupation-based interventions. She has improved in her ability to modify interventions based on patient
performance, but needs to continue to work on quickly identifying alternative strategies and interventions when activities do not achieve the desired result or when
activities finish quickly.

V. MANAGEMENT OF OCCUPATIONAL THERAPY SERVICES:

(Question33of39-Mandatory)
Exceeds Standards Meets Standards Needs Improvement Unsatisfactory

Demonstrates through practice or discussion

1. the ability to assign appropriate responsibilities to the

4.0

>> 3 <

2.0

1.0

Demonstrates through practice or discussion

the ability to actively collaborate with the

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

occupational therapy assistant and occupational therapy

aide.

2.

occupational therapy assistant.

3.

Demonstrates understanding of the costs and

funding related to occupational therapy services at this
site.

Accomplishes organizational goals by

4. establishing priorities, developing strategies and meeting
deadlines.
5.

Produces the volume of work required in the

expected time frame.

Comments on strengths and areas for improvement:

(Question34of39)

Edith has demonstrated the ability to clearly communicate with assistants, but will need to continue to work on identifying when communication is indicated. Edith
understands reimbursement constraints and is sensitive to the need to manage limited time and resources.

VI. Communication:
(Question35of39-Mandatory)

Exceeds Standards Meets Standards Needs Improvement Unsatisfactory

Clearly and effectively communicates verbally
1. and nonverbally with clients, families, significant others,

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

colleagues, service providers and the public.

2.
3.

Produces clear an accurate documentation

according to site requirements.

All written communication is legible, using proper

spelling, punctuation and grammar.

Uses language appropriate to the recipient of

4. the information, including but not limited to funding agencies
and regulatory agencies.

Comments on strengths and areas for improvement:

(Question36of39)

Edith has demonstrated strong documentation skills, with appropriate language and details. She has demonstrated increased clarity of verbal communication with
patients and family, but needs to continue to work on her confidence and assertiveness with verbal communication.

VII. PROFESSIONAL BEHAVIORS:

(Question37of39-Mandatory)
Exceeds Standards Meets Standards Needs Improvement Unsatisfactory

1.

2.

Collaborates with supervisor(s) to maximize the

learning experience.

Takes responsibility for attaining professional

competence by seeking out learning opportunities and

>> 4 <

3.0

2.0

1.0

>> 4 <

3.0

2.0

1.0

>> 4 <

3.0

2.0

1.0

>> 4 <

3.0

2.0

1.0

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

4.0

>> 3 <

2.0

1.0

interactions with supervisor(s) and others.

3.

Responds constructively to feedback.

Demonstrates consistent work behaviors

4. including initiative, preparedness, dependability and

worksite maintenance.
5.

Demonstrates effective time management.

Demonstrates positive interpersonal skills

6. including but not limited to cooperation, flexibility, tact and

empathy.

Demonstrates respect for diversity factors of

7. others including but not limited to socio-cultural,
socio-economic, spiritual and lifestyle choices.

Comments on strengths and areas of improvement:

(Question38of39)

Edith continues to excel in her professionalism and work behaviors. She completes all tasks thoroughly and timely. She has good time management skills and is
efficient with her work.

REFERENCES
1. American Occupational Therapy Association, (1998), Standards of practice for occupational therapy, AmericanJournalofOccupationalTherapy,52, 866-869.
2. Accreditation Council for Occupational Therapy Education, (1999). Standards for an accredited educational program for the occupational therapist.AmericanJournalofOccupational
Therapy,53, 575-582.
3. National Board for Certification in Occupational Therapy, (1997). NationalStudyofOccupationalTherapyPractice,ExecutiveSummary.
4. American Occupational Therapy Association. (2000). Occupational therapy code of ethics (2000). AmericanJournalofOccupationalTherapy,54, 614-616.
5. American Occupational Therapy Association (2002). Occupational therapy practice framework: Domain and process. AmericanJournalofOccupationalTherapy,56, 606-639.
GLOSSARY
Client Factors: Those factors that reside within the client and that may affect performance in areas of occupation. Client factors include body functions and body structures
Body functions (a client factor, including physical, cognitive, psychosocial aspects)the physiological function of body systems (including psychological functions) (WHO, 2001, p. 10)
Body structuresanatomical parts of the body such as organs, limbs and their components [that support body function] (WHO, 2001, p. 10)
(Occupational therapy practice framework: Domain and process. AmericanJournalofOccupationalTherapy,56, 606-639.) (5)

Code of Ethics: Refer to

http://www.aota.org/~/media/Corporate/Files/AboutOT/Ethics/Code%20and%20Ethics%20Standards%202010.ashx
Collaborate: To work together with a mutual sharing of thoughts and ideas. (ACOTE Glossary)
Competency: Adequate skills and abilities to practice as an entry-level occupational therapist or occupation therapy assistant.

Context: Refers to a variety of interrelated conditions within and surrounding the client that influence performance. Contexts include cultural, physical, social, personal, spiritual, temporal and
virtual. (Occupational therapy practice framework: Domain and process.AmericanJournalofOccupationalTherapy,56, 606-639.) (5)

Efficacy: Having the desired influence or outcome (from Neistadt and Crepeau, Eds. Willard&SpackmansOccupationalTherapy, 9 th edition, 1998).
Entry-level Practice : Refer to:

http://www.aota.org/~/media/Corporate/Files/Practice/OTAs/ScopeandStandards/Standards%20of%20Practice%20for%20Occupational%20Therapy%20FINAL.ashx
Evidenced-based Practice: Conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence-based [health
care] means integrating individual clinical expertise with the best available external clinical evidence from systematic research.
Occupation: Groups of activities and tasks of everyday life, named organized and given value and meaning by individuals and a culture; occupation is everything people do to occupy
themselves, including looking after themselves (self-care), enjoying life (leisure), and contributing to the social and economic fabric of their communities (productivity); the domain of concern and
the therapeutic medium of occupational therapy. (Townsend, editor, 1997, EnablingOccupation:AnOccupationalTherapyPerspective, p. 181)
Occupational Performance: The result of a dynamic, interwoven relationship between persons, environment and occupation over a persons lifespan; the ability to choose, organize, and
satisfactorily perform meaningful occupations that are culturally defined and age appropriate for looking after oneself, enjoying life, and contributing to the social and economic fabric of a
community. (Townsend, editor, 1997, Enabling Occupation: An Occupational Therapy Perspective, p.181)
Occupational Profile: A profile that describes the clients occupational history, patterns of daily living, interests, values and needs. (Occupational therapy practice framework: Domain and
process, AmericanJournalofOccupationalTherapy,56, 606-639.) (5)
Spiritual: (a context)The fundamental orientation of a persons life; that which inspires and motivates that individual. (Occupational therapy practice framework: Domain and process.
AmericanJournalofOccupationalTherapy,56, 606-639.) (5)
Theory: An organized way of thinking about given phenomena. In occupational therapy the phenomenon of concern is occupational endeavor. Theory attempts to (1) define and explain the
relationships between concepts or ideas related to the phenomenon of interest, (2) explain how these relationships can predict behavior or events, and (3) suggest ways that the phenomenon
can be changed or controlled. Occupational therapy theory is concerned with four major concepts related to occupational endeavor: person, environment, health, and occupation. (Neistadt and
Crepeau, Eds. Willard&SpackmansOccupationalTherapy, 9 th edition, 1998, p. 521)
Accepted:

(Question39of39)

Selection

Option

I have read and understand this information