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Renee Fam Santa Ana College OTA Program Level I Fieldwork: Student Performance Evaluation Never | sation] Onan poy r1|[2lts NA DOES THE STUDENT DEMONSTRATE [TIME MANAGEMENT BY: [Coordinating schedules will olhers/Accepting changes 1h scheduling [Arriving punctually to worl/meetings. Staying the entire session’ not clock watching” Being timely with documentation / paperwork / projects PROFESSIONAL BEHAVIOR BY: Maintaining the confidentiality ofthe patienVclient |Compiying with site rules and regulations including safely recautions [Being aware of own skill lovel and impact on safety [Being courteous and welLmannered toward pationts and staff Following the chain of command [Abiding by instructors decisions with a pleasant attitude [Maintaining attention to task JAcknowledging feedback without becoming defensive and |moditying performance: |Asking questions at an appropriate time. Volunteering for additional responsibilty APPROPRIATE DRESS AND HYGIENE BY: [Following facility guidelines [THE INTEGRATION OF ACADEMICS BY: lasking pertinent questions. |Formulating general therapeutic goals and objectives with lassistance Score: a|2]a|a [wa [APPROPRIATE COMMUNICATION SKILLS BY: [Using language that is appropriate to recipient /using professional terminology appropriately lUsing discretion in sharing personal information with staff and patients [Using non-verbal communicalion appropriately (cluding but 7 lnot limited to eye contact, personal space, touch) ORGANIZATION BY: [Being prepared with required program and site documentation Using free time productively Following through with assignments Maintaining equipment, materials and the worksite/classroom [Contacting instructorfieldwork educator using established methods, ‘SUB TOTALS| TOTAL {0 Denise was ah absiyt= ple rov= ro Wd wth. Shz always haa A smile onho- face f eppvess

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