AOTAB2-~ Fieldwork Performance Evaluation For The Occupational Therapy Student oO “= < See cate tang Tee OD Toe Vawerstry, Nevada, Cia ome ay ae ~\, < > FIELDWORK SETH \\) Ye \ 4 \ Deel fonun HEC mute ER OF PERSONS CONTRIBUTING TOTHS REPORT WX en e TDRSS (TRETORPORON SREB Los Vegas — NV. ‘cH >< Sa Pawo oroenorrucawan(e-Ss/ouror 1 294 ar enter bi SIGNATURE OF RATER W2(F APPLICABLE) DATES OF PLACEMENT ‘SGNATURE OF NER WT PRINT NAMEICREDENTALSPOSTION NOMBER OF HOURS COMPLETED ~~ PRINT NAME;GREDENTIALSPOSITION AQ FNAL SCORE Pass: No Pass: ‘SUMMARY COMMENTS: (ADORESSES STUDENTS CLINICAL COMPETENCE) {A0TA gars parison phocpy he Flock Prsranc Evan the creak Teacy Stet tang pups ony Ting proses encompass sige FHPE Joos in stent cabal and ving manus ica Beldork ss orang sessions bx pactiones ont propre and scorng oe one, ane ‘or ssers a compte a sana deg advo tang. Person tue the fos mus be Siti i copngh@ actorFieldwork Performance Evaluation For The Occupational Therapy Student ‘Ths eaten isa evn oh 1987 Ameacan Oecapabon Therapy Associ, Ine Fedark Erausten Farm fr the Ooogaionl Tread was posed by a commie ofthe Carmsscn on sucaton PURPOSE The primary purpose of te Ftvon Penance Evan fhe Cczupaon Therapy Suse so measiee eye conpaenc of ‘he oceratonal aay student. The eatin desk to een fate he comptes ser ent reopen sent and is ot sro terete ea abe entry le comptes Forth rca ner competacy ree oth Standart Pcie ‘er Ocipaona They The evans espe a measure te por tonal ney process ard was ot desorad to ‘ruption thay tsk in Slaten Th a Aecretaten Coc fr Oxupail erapy tne no Ss long Fens cel Se cnn upset meng bac salons intended ts rode suet wth an acer assessment ise competence ore ee pea ce, Both he stident ant Selec sdf should recaae that yon occurs verre, The miter and inal evaluation scores wl refetcevelopmentof student competency and growth node fective use this eaaton to assets student competence, ste- soeckc objectives eed to be devlped, Uae the ean 28 & framework to asi ercumng tat al ey peromance areas are ‘eect ine ste-spacte cece, seg th evalaton a riterm and tee suggestd thal he st ent complete a st-aluaon of heher own pefomarc. During the miter review process the stent and lawon edctr shoul eo ‘eorataly devon a plan, wich woul erate the stud to achieve ‘ey ee competance by be end ofthe fléwek experience Tis plan should cade spect cbjctves and ening acest be used bythe soot ard Sevan educator in erie o aco the dered comteee ‘The Findwonk Eaueator must contact the Academic Fieldwork Coordinator when () 2 sent exits ursatstctory behavior n a ‘xbstaral rurber of ass or @) sent’ potent foracievng enteve compete by he end of the aaten en quest, DIRECTIONS FOR RATING STUDENT PERFORMANCE * Thee oe 2 perorrarce + Every tam muse sea oui atog scala (ee bao). poe to using tis Sn pte op ofeach pace. scion that best ation forte student to pas he fidwore 8H he raings ar bekw 9, conthue to conte the etormance vation to prove feedback tothe sient on Fests pefomance, *Reooré meena nal ratings en the Petxmance Rang Surmary Sheet. * Compare over mem and tal core tothe scale belo, OVERALL MIDTERM SCORE Sailor Percrmance 0 and stove UnsaistatoryPeromancy 89 andblow OVERALL FINAL SCORE Pass 12 pins and above No Pass 12 pints an below RATING SCALE FOR STUDENT PERFORMANCE. 41 —Etends Stand: Parbmane hgh sh a sala, ‘Tess ry ven ang woud epeesnt hop of a he student jou rave sgn, $— Meets Sandanis:Parerrc is corset wn anette ‘Re raion gen a mm ar 9 wg eg 2—Needeinrovenet: Petras progestin bt sins "xprvarert tents, The a ele rt of como min, amare ory be rab "— Unter: Fefermanc Blow standards ond requis ledge fy ery ie practen Ths ange gn wn ae ' concern about pertomance[RATING SCALE FOR STUDENT PERFORMANCE 4 tncaeds Santa: Ferraree igh sb and et “ “Th eg rare gen ard woud pena tp 8% fa he sade you hve peri, Mees Standard: Perrarce cone th entry Pena eno pr due 3 ne ogo 2 a "prone rae pate Ths sale of comes mite, eats 2 ay aaa 1 —Unaattctry:Parermanc is below standard args acon ars peer a 1 concer abou peromance FUNDAMENTALS OF PRACTICE: 0977.5). AX ers is area must be score at 2 #80 above onthe fal ‘evaluation i order 0 p35 lr, 1. Adhere to ethics: Adheres consent othe American Cecupatonal Therapy Assoraon Code of Eis ard tes palsies ag precedes ncsng when elear, those “\ 0 human sujet research, Maem 1 Fra) Aaa ity main: Ks cnt regulations Artcpates potently rN steps to prevent acien =a yo and others ug a ee “Be mare aware of Precaarers when tt - KNW Specific MeFIC Us dy , ~iregrote my awareneed OF labs, Or, ordtns dined beter chnncest JUMP GS Ty aka pts. SHAM GE Held (6, ARO tn regard to ste Veatd aches. ‘eat and confide acts the vues and bls of the ‘oneupatonal erapy poesson cies, aes, seat oh os coleagues, serie provi, and te pub. ‘an? m1 2 Cleat, contisenty, and accurately articulates the value of occ ‘atlon 35 arated and dered outcome of serps vce : ta cnboraue.¢ feann, bt ot nity “ined pt neue ye set CLea Quay Fea (Sat carte 4 Anpwed WO COMMU UTA (IWS LAM Ceqarctng tv gods, Lawchorge plans”[RATNG SCALE FOR STUDENT PERFORMANCE ‘pn erin ret or {bent St Pores hg i wt “Ths rating i rary given and would represent the lop 5% of ws the tem 7 ad S Secetinsnee tore fs 1k 8 $n Burd Recess nye cb = eeeae ft 16. Estabahes an accurate and appropriate pan bse onthe “ Daa coum evaluation results, through integrating muitiple factors such as = sepeuaing tn Shon res oad once oman 9. eee reenrerant umm 1 G34 te att re rat 1 2 3 @® ‘tn ori vn nat 7 aaa ei of tn ses a | coranipaes Manage nen star ect nena ts ogra pt | Saaeedyeeme oa teen 4 4. 4 m4 oO Skulls (Rom, ener) get OU infer gedctiun /m i seal rar ‘ VO) INQ LVN SLUMS * Senuolpemmance meas nomen rer WEA AUN Me To mam 1 2 Qos Cover Rverytneng (eqpivec du i) eae) 14x seston, 12. Obtains sutcent and necessary information from evant resources such 25 lee, tame, Sica ches, sevice riers, and rears pro and dureg re evauton process. Maem 12 ‘ mc ret — 13. Administers assessments in a uniorm manner to ensure ndings ~ Seva ard ela. 18, Aricultes a cla and aga! rns nenenon Midterm 1 3 4 Process. waem 1 (2 2 4 m 1 FO mm 1 Oe: 19, Utiizes evidence rom pblshed research ad relevant resources to mai informed intention decisrs, maom 1 (228 Choe expan et tr an ater det wom 1 Qa 4 a es 21 Sata xp crs eng ei fever wan 1 @ a 4 Fra 1 2 ) 4 23. implements intervention plans that ae occupation based wae 1 @) 9 4 mt 1 2 @ 4 24, Motes ask approsch, occupations, and the enronment 1 maxinize cont perlrmanee. iO re mw it Os 25. Updates, motes, or trminaes the intervention a pon care meta gc a a 1 Doeenatendee ‘ eri a ra Frat - eee een a - more Luca! ~ Ure Mure Of pts Interests Lotcupartuny sFinal Benin LING the Clunts OCCUPY OH HHEE Vennns Ayuad doe 1 Leagel SRLUYC ALBUS 1 Us OL to Cpply VOL eG AK WaLtiey PAK GLL ae 27. Demonstrates through practice or lscussion the ality to ‘sagn acpropsat rescore othe oospatona terpy fetta ceasong try ae wm i (@) 8 4 fr 1 2 @ 6 28, Demnstrates through prctice or lscusion the abit to actively colborae wi ie czipational meray assist waem 1 @) 3 4 fa 2k Qt £23. Demonstrates understanding of he costs and funding eed te acepatona aay sanices hy te Metorn 4 Fal wo. scams ishing poms, = eae s ee vee cone aie) ‘ 1 2 Re) 4 Conners on stot nd esr mre vine : product? - OTF PULD-7Get Linde’ s(orA) perspective Foal PRICY Foruning Luror /or”) & Ciettrag, VY PeNspective, | FEA Moe cere ela Care plans Wt Acorn MENUS Yo aNoyre Ayoals Ore Hemg Nut wv THWAY Warr. 5[RATING SCALE FOR STUDENT PERFORMANCE «Exceeds Standart: Porzanc i hy sled ant stint Trig ren we ptae op a Be sudan ou oo ‘erage hn atm gg Needs improvement: armani progresing but st rode ‘provement eyo pace Te elite ring of lem, ance ago 2 yt eto at 1 —Unsatitacto:Petomsree below stand and ceques Sensor wtp Tras nn te 22. Clearly and etectvly communicates verbally and nonverbal Iy wit certs, ames, Sqn others caleagus, service provers, andthe pute. Motern 12 } Fa 1 2. a enor requrements. Matern 1 4 Arte commancaton nS a o punctuation, Fal £25, Uses language aproprige tb he pen ol the ibomatin, Inlasing ut nogena typing genes and regulatory agen wen 1 2 G4 fat 2G) Commas on sng a are fr imprremet wien \ncveose GlooreV Ar USS Ae mace, CONSE wy Communtcaton porter F€Cur MUUNNOeS, DIS. a pr FOOMKULD becme Ndvcce Anapprned (0 @ daily kav. {Collaborates with supervisors io macnze he leaning cexpenerce. Maem 1 (@) 3 4 Final 1 ¥ 6) 4 237. Takes responsibilty for ataning professional competence ty s2cing out learn oppruntes ad itractons wt super sors) and cers wan 1 @ oa 4 m + 2 @ 4 38, Responds constructively to feedback. 1 2 @ 4 41, Deionstrates postive interpersonal sk inchitng bt not im edo cooperaton, fey tact, and empty. =p on: 2, Demonstrates respect for diversity factors of cnersinctuding ‘ut ot ited osoco cual, socoeconame, situa, and peu wet Os Fal 1 203 G ee ee “prmeke enore (decd of things | dua tp Larrr Quid dwn Uarnneg) “lymphomas ~oapatic iuapy - speacin 4x +a { Nelpecd uacle WLU, Gudn raring by Sehing, w LHQr UNO, “QAPOAVONLED WHA Ve {wep of ti Sy’PERFORMANCE RATING SUMMARY SHEET Petormance tes Meter Rabags Fra Rage 1 Acheres es 2 Adhere io satety equatons 3. Usesjugment in salty 4 Aricuates values and betes 5 Araltes vaue of ocopation 6 Commicates role of cccupatonal rapist 7. Colabortes wih clens os orc 8 Arteulates lear atonal or evaluation 8. Seles relearn mead 10Deternines ecspatonal pele 11, Assesses cen and conv factors 12 Obtains suficent and necessary information 12, Adin assessments 14, Aaustsinodes assessment procedaes 15 lores aan resus 18. Esatisnesacaate plan 17 Documents sult of evauton Gy Nas alan 18, Aricates clear ratoal fr itererion Vv 3 19. Utiizes evidence to make informed decisions j 20, Chooses occupations at motte and chal 21, Selects réevant occupations 22 nporens hence ieerons 133. Produces lear documeniaten 34 Whiten communication see 35. Uses lng.age appropri fo eebent \WEPRORESSIONAL BEHAMORS 972.5% ayaa RPE TTA, Se CRS ‘36. Colaborates wih supervisor 537 Takesresponsbly for professional competence {8 Responds cosrucve teedback ; q 22. Communicales verbal and nonverbal Seta 39, Demonstrates consistent wor behaviors 40. Demonstatestme management 41, Demonstrates posite interpersonal sits 42. Demonstrates rospect fr diversity TOTAL SCORE = 1a __ FINAL: Satetacion Petormance 90 and above Pass. 122 points and above No Pass 12 points and below | i i