ORANGE COUNTY COMMUNITY COLLEGE

Middletown, New York
OCCUPATIONAL THERAPY ASSISTANT DEPARTMENT

ORIENTATION FORM - LEVEL II

Student___Matthew Field________________________Facility__________Wingate Beacon______________

Dates of Affiliation ___3/6/17________ to _________5/6/17_______

YES NO

1. Tour of facility ................................................ _y_ ___

2. Tour of O.T. Department ................................... _y__ ___

3. Introduction to O.T. staff & relevant others ............ _y__ ___

4. Facility rules & regulations discussed ................... __y_ ___

5. Review of emergency procedures ........................ _y__ ___

6. Introduction to O.T. Department procedures:

such as - System of referrals .................... __y_ ___

Charting, location of & methods ....... __y_ ___

Transportation of patients ............... __y_ ___

Scheduling of patients .................... __y_ ___

7. Review of O.T. treatment approaches .................... _y__ ___

8. Student's immediate supervisor identified .............. _y__ ___

9. Schedule for student conferences with
supervisor reviewed ........................................ __y_ ___

10. Fieldwork objectives & student requirements
discussed ...................................................... y_ ___
y

NAME OF IMMEDIATE SUPERVISOR:Jonathon Baltazar_______________________________________
o