sz2p2017 Typhon Group: EAS! - Evaluation & Suvey Instrument
Responses About You - Details - "Level II Fieldwork Evaluation - Mid-term"
Sam
Be" Be! a
Evaluation by: Fieldwork Educators (Schlegel, Sheelagh)
Evaluation of: Students (Struthers, Sarah)
Evaluation Period: 2/17/2017
2/20/2017 10:15:15 AM ET
IMPORTANT: Please mark whether this is the Midterm or Final evaluation of your student. Additionally, please keep whether
this is a Midterm or Final evaluation in mind as you complete the rest of this evaluation,
NOTE: At the end of this evaluation, you will be asked to provide a total score for your student. It will be helpful to keep track
of the points you give your student on a spare piece of paper or on a calculator as you fill-out the evaluation.
+ No response
Please complete the following:
Name of Student (Last, First, Middle) - Sarah Struthers
College or University of Student - Sacred Heart University
Name of Organization/Facilty - Archstone Care Center
‘Address - No response
City - No response
State- No response
Zip- No response
‘Type of Fieldwork - Level
Order of Placement (Options: 1,2, 3, 4) out of (Options: 1, 2,3, 4)-1
Dates of Placement - 1/2/17 -3/24/17
Number of Hours Completed - No response
Number of Persons Contributing to this Report -1
Name of Rater #1 - Jesusa Victoria Biscante-Barba
Name of Rater #2 (if applicable) - No response
| FUNDAMENTALS OF PRACTICE:
Altemsin tis area must be sored ata or above onthe fina evauton oder to pass eldwok
RATING SCALE FOR STUDENT PERFORMANCE
4 ~ Exceeds Standards: Performance is highly skilled and self-nitiated. This rating is rarely given and would represent the
top 5% of all the students you have supervised.
3 ~ Meets Standards: 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 stil needs improvement for entry-level practice. This is a real
rating of performance at midterm, and some ratings of 2 may be reasonable at the final
1 - Unsatisfactory: Performance is below standards and requires development for entry-level practice. This rating is given
when there is a concern about performance.
hitps:wwrtyphongroup.nelievallanalyza/studentdotls.asp?r=08faclty=@2838survey=38888 16sz2p2017 Typhon Group: EAS! - Evaluation & Suvey Instrument
+ Adheres to ethics: Adheres consistently to the American Occupational Therapy Association Code of
Ethics and site's policies and procedures including, when relevant, those related to human subject
research, -3 [3 pts
+ Adheres to safety regulations: Adheres consistently to safety regulations. Anticipates potentially
hazardous situations and takes steps to prevent accidents. -2 [2 pis}
+ Uses judgement in safety: Uses sound judgement in regard to safety of self and others during all
fieldwork-related activities.-2 [2 pts
sible 4), POINTS: 7,
MEAN: 2.93 (out of p CORE: 58.3%
Comments on strengths nd areas for improvement in FUNDAMENTALS OF PRACTICE
+ Sarah could still improve on body mechanics, use of gait belts to improve her and patients safety. Work
‘on improving her techniques with safe transfers and mobility.
U Basle TENETS:
RATING SCALE FOR STUDENT PERFORMANCE
4 ~ Exceeds Standards: Performance is highly skilled and self-nitiated. This rating is rarely given and would represent the
top 5% of all the students you have supervised.
3 ~ Meets Standards: 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 stil needs improvement for entry-level practice. This is a realistic
rating of performance at midterm, and some ratings of 2 may be reasonable at the final
1 - Unsatisfactory: Performance is below standards and requires development for entry-level practice. This rating is given
when there is a concern about performance.
+ Clearly and confidently articulates the values and beliefs of the occupational therapy profession to
clients, families, significant others, colleagues, service providers, and the public. -3 [3 pts]
+ 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
ublic.-3 [3 pts
+ Clearly, confidently, and accurately communicates the roles of the occupational therapist and
‘occupational therapy assistant to clients, families, significant others, colleagues, service providers, and
the public.-2. [2 91
+ Collaborates with client, family, and significant others throughout the occupational therapy process. -
3 [pis]
MEAN: 2.75 (out of possible 4), POINTS: 11, % SCORE: 68.8%
Comments on strengths and areas fr improvement in BASIC TENENTS:
+ surah has very good conunieaton lil ands inpoving wel th er by o communicate
established roles. | want her to use/start using EBP. standardized tests and other sources to continue
challenging and developing her treatment plans and activities,
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IIL EVALUATION AND SCREENING :
RATING SCALE FOR STUDENT PERFORMANCE
4 ~ Exceeds Standards: Performance is highly skilled and self-initiated. This rating is rarely given and would represent the
top 5% of all the students you have supervised,
3 - Meets Standards: 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 2 may be reasonable at the final
1 ~ Unsatisfactory: Performance is below standards and requires development for entry-level practice. This rating is given
when there is a concern about performance,
+ Articulates a clear and logical rationale for the evaluation process. -2_ [2 pts)
+ Selects relevant screening and assessment methods while considering such factors as client's
priorities, context(s), theories, and evidence-based practice. -2 [2 ts]
+ Determines client's occupational profile and performance through appropriate assessment methods. -
3 [pts]
+ Assesses client factors and context(s) that support or hinder occupational performance. -3.[2 pts]
+ Obtains sufficient and necessary information from relevant resources such as client, families, significant
others, service providers, and records prior to and during the evaluation process. -2 [2 pts]
+ Administers assessments in a uniform manner to ensure findings are valid and reliable. - 2. [2 pts
+ Adjusts/modifies the assessment procedures based on client's needs, behaviors, and culture, -3. [9 pts]
+ Interprets evaluation results to determine client's occupational performance strengths and challenges. -
2 [2pts]
+ Establishes an accurate and appropriate plan based on the evaluation results, through integrating
multiple factors such as client's priorities, context(s), theories, and evidence-based practice. -3 [3 pts]
+ Documents the results of the evaluation process that demonstrates objective measurement of client's,
occupational performance.-2 [2 pts]
MEAN: 2.
(out of possible 4), POINTS: 24
(CORE: 60.0%
Comments on strengths and ares
for improvement in EVALUATION AND SCREENING:
+ Sarah is continuing to develop with her ability to do her assessments in a more uniform way. Her PN's
and D/C summaries are progressing each week. Daily documentation is clear and skilled
IV. INTERVENTION:
RATING SCALE FOR STUDENT PERFORMANCE
4 ~ Exceeds Standards: Performance is highly skilled and self-initiated. This rating is rarely given and would represent the
top 5% of all the students you have supervised.
3 ~ Meets Standards: 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 real
rating of performance at midterm, and some ratings of 2 may be reasonable at the final
1 - Unsatisfactory: Performance is below standards and requires development for entry-level practice. This rating is given
when there is a concern about performance.
+ Articulates a clear and logical rationale for the evaluation process. -2_ [2 pts}
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+ Utilizes evidence from published research and relevant resources to make informed intervention
decisions.-2 [2 ots
Chooses occupations that motivate and challenge clients. -3 [3 pts)
‘Selects relevant occupations to facilitate clients meeting established goals. -2_ (2 ts]
Implements intervention plans that are client centered.-2 [2 ps
Implements intervention plans that are occupation-based. -3.[3 pts
Modifies task approach, occupations, and the environment to maximize client performance.- 2. [2 ts
Updates, modifies, or terminates the intervention plan based upon careful monitoring ofthe client's
status.-2_[2 ts
+ Documents clients response to services in a manner that demonstrates the efficacy of interventions. -
3 Bptsl
MEAN: 2.33 (out of possible 4), POIN
‘Comments on strengths and areas for improvement in INTERVENTION:
+ Her biggest strength is she's comfortable with this setting and good rapport with patients. Good at using
therapeutic use of self effectively. | want her to continue working on grading activities, varying activities
and using different techniques to improve clinical skills,
\V. MANAGEMENT OF OCCUPATIONAL THERAPY SERVICES:
RATING SCALE FOR STUDENT PERFORMANCE
4 ~ Exceeds Standards: Performance is highly skilled and self-nitiated. This rating is rarely given and would represent the
top 5% of all the students you have supervised,
3 ~ Meets Standards: 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 2 may be reasonable at the final
1 - Unsatisfactory: Performance is below standards and requires development for entry-level practice. This rating is given
when there is a concern about performance.
+ Demonstrates through practice or discussion the ability to assign appropriate responsibilities to the to
the occupational therapy assistant and occupational therapy aide. -3_ [3 pts]
+ Demonstrates through practice or discussion the ability to actively collaborate with the occupational
therapy assistant. -3 [3 pts)
+ Demonstrates understan
site.-2 [2 ts)
+ Accomplishes organi:
deadiines.-2 [2 pts]
+ Produces the volume of work required in the expected time frame.-2 [2 pts]
19 of the costs and funding related to occupational therapy services at this,
tional goals by establishing priorities, developing strategies, and meeting
MEAN; 2.40 (out of possible 4), POINTS: 12, % SC
DRE: 60.0%
‘Comments on strengths and areas for improvement in MANAGEMENT OF OCCUPATIONAL THERAPY SERVICES:
+ Sarah is improving at communicating with assistants and other staff re patients goals and interventions.
She's improving with establishing priorities, developing strategies, and meeting deadlines. | want her to
improve on time management as required/expected time.
hntps:fwwrtyphongroup.neievalanalyzalstudentdotals.asp?r=08aclty=@2838survey=38888 46sz2p2017 Typhon Group: EAS! - Evaluation & Suvey Instrument
VI. COMMUNICATION
RATING SCALE FOR STUDENT PERFORMANCE
4 ~ Exceeds Standards: Performance is highly skilled and self-nitiated. This rating is rarely given and would represent the
top 5% of all the students you have supervised.
3 ~ Meets Standards: 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 stil needs improvement for entry-level practice. This is a real
rating of performance at midterm, and some ratings of 2 may be reasonable at the final
1 - Unsatisfactory: Performance is below standards and requires development for entry-level practice. This rating is given
when there is a concern about performance.
+ Cleatty and effectively communicates verbally and nonverbally with clients, families, significant others,
colleagues, service providers, and the public. -3 (2 pts]
+ Produces clear and accurate documentation according to site requirements. -3 [2 pts]
+ All written communication is legible, using proper spelling, punctuation, and grammar. -2_[2 pts)
+ Uses language appropriate to the recipient of the information, including but not limited to funding
agencies and regulatory agencies. -2_ [2 pts)
MEAN: 2.5
(out of possible 4), POIN
‘Comments on strengths and areas for improvements in COMMUNICATION:
+ Sarah is good at communicating with her peers and staff, and family members. Improving at using
appropriate language on her documentation.
VII. PROFESSIONAL BEHAVIORS:
RATING SCALE FOR STUDENT PERFORMANCE
4 ~ Exceeds Standards: Performance is highly skilled and self-initiated. This rating is rarely given and would represent the
top 5% of all the students you have supervised,
3 ~ Meets Standards: 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 stil needs improvement for entry-level practice. This is a realistic
rating of performance at midterm, and some ratings of 2 may be reasonable at the final
1 - Unsati
when th
actory: Performance is below standards and requires development for entry-level practice. This rating is given
‘a concern about performance.
+ Collaborates with supervisor(s) to maximize the learning experience. -3 (3 pts]
+ Takes responsibility for attaining professional competence by seeking out learning opportunities and
interactions with supervisor(s) and others.-3_ (3 pts]
+ Responds constructively to feedback. -3 [3 pts
+ Demonstrates consistent work behaviors including initiative, preparedness, dependability, and work site
maintenance. -2 2 pts}
+ Demonstrates effective time management. - 2. [2 pts
+ Demonstrates positive interpersonal skills including but not limited to cooperation, flexibility, tact, and
empathy.-3 [2 pts]
hntps:wwrtyphongroup.nelievalianalyzalstudentdotals.asp7r=08aclty=@2838survey=38888 516sz2p2017 Typhon Group: EAS! - Evaluation & Suvey Instrument
+ Demonstrates respect for diversity factors of others including but not limited to socio-cultural,
socioeconomic, spiritual, and lifestyle choices. -3 [3 pts]
MEAN: 2.71 (out of possible 4), POINTS: 19, % SCORE: 67.9%
‘Comments on strengths and areas for improvement in PROFESSIONAL BEHAVIORS:
+ Sarah is continuing to improve collaborating with supervisor/other staff. Received lot of compliments for
her positive interpersonal skills. | want ehr to continue improving with prepardness, dependability, and
effective time management
Please add up your student's total number of points (for MIDTERM and FINAL) and provide a pass or no pass rating (for
FINAL ONLY) based on the following scoring guidelines:
OVERALL MIDTERM SCORE
Satisfactory Performance.......90 and above
Unsatisfactory Performance.....89 and below
‘OVERALL FINAL SCORE
Pass. 122 points and above
No Pass. 121 points and below
+ Total Score -104
+ Pass or No Pass - Pass
‘SUMMARY COMMENTS:
(ADDRESS STUDENT'S OVERALL CLINICAL COMPETENCE)
+ No response
Electronic Signature Status of Reviewer:
+ Signature Validated
+ No additional comments
Total points for all rating scale questions: 104
Mean percentage score forall rating scale questions: 62.3%
(Each main question equally weighted)
Responses as of 4/22/2017 3:25:54 PM ET
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