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
lassistanceScore: 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
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wth. Shz always haa A smile onho-
face f eppvess