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Evaluation

Student: Amanda Floen

Clinical Staff: Michelle Jahn
Site: Lake Huron Medical Center - Marysville
Evaluation Name: PTH 634 Summer 2022 - Class of 2024

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1. Professional Practice – Safety

Self Mid-Term — Amanda Floen I help clear obstacles out of the way so that we have a clear path for working on gait with the patient. I check where
cords and tubes are to make sure nothing is stuck or will be pulled when moving the patient. I also ensure that the
patient has a gait belt and appropriate footwear before moving along with helping determine if any assistive device
needed. I check with the patient to make sure they are doing ok and not dizzy or experiencing any symptoms or
needing a break.

Self Final — Amanda Floen I have improved on checking for wires and tubes and moving the gait belt around it, along with preparing the IV pole
for moving. I also believe I have improved at screening the room for what is needed for what I want to do with the
patient. I also believe I have been evaluating a patients mobility ability accurately when determining what type of
gait training we will do (side steps, around the room, down the hall..). I have also asked for assistance with
gathering equipment or ensuring patient safety. I have also become more aware of where patient IV lines are and
ensuring they are not under the gait belt.

CI Mid-Term — Michelle Jahn Amanda is completing donning of gait belts on various patients, completing guarding on patients with gait training
with occasional cues and asking questions as needed to ensure she keeps patients and herself safe.

CI Final — Michelle Jahn Amanda is focused on providing a safe experience for her patients as well as herself. She is able to understand the
nuances of applying a gait belt and has worked to improve her skill with it. She continues to need
supervision/assist for moderately complex patients and appropriately for max assist patients.

B AB I AI E BE

Self +4
Safety
CI +1

2. Professional Practice – Professional Behavior

Self Mid-Term — Amanda Floen I arrive 15-20 minutes early everyday and begin getting ready for the day printing evaluations for the day and
reviewing charts. I am always dressed in appropriate scrubs, and shoes and wear a mask and googles when seeing
patients. I am willing to help other therapist if asked or needed. I believe my CI and I communicate well with
feedback and needs, and I take my CI's feedback appropriately and try to correct any confusions or mistakes made.

Self Final — Amanda Floen I have arrived at least 15 minutes early everyday of my clinical experience. I also believe I am caring and show
empathy to my patients while still staying focused on what we are in their room to achieve. I have also been able to
interact with patient's family during my last couple weeks along with nursing staff. I also believe I have continued to
accept feedback from my CI and other therapist in the clinic and have tried implementing their feedback with other
patients. I also continue to verify if what I choose to be appropriate.

CI Mid-Term — Michelle Jahn Amanda is well prepared every day for patient interactions and is always very punctual and dependable. She has
been able to accept feedback without defensiveness and maintains patients privacy well.

CI Final — Michelle Jahn Amanda has been professional throughout her clinical, always arriving well prepared, punctual and wearing our
scrub color as to be a part of the team. She has accepted feedback well without defensiveness.

B AB I AI E BE

Professional Self +3
Behavior CI 0

3. Professional Practice – Accountability

Self Mid-Term — Amanda Floen I believe I take patient needs before my own. I do have to remember to look at patient's expressions. I am still
working on my skills and making sure I have proper form and positioning so I forget to make eye contact with the
patient during testing. I make sure that I log out of EPIC before leaving my area so that patient information is not
accessible to others. When assisting a patient moving in bed or walking, I ensure that their modesty is being
upheld.

Self Final — Amanda Floen I believe I have improved in reading my patients during the evaluation process and adjusting accordingly. I also
believe I follow OSHA and HIPPA policies when working with patient's or documenting on patients. I have also had
the opportunity to see some patient's who come from numerous backgrounds that I may not see in other settings.
For example individuals who are homeless or dealing with a substance abuse problem or maybe cognitively
impaired. I also continue to ensure patient modesty when transferring patients. I also try to incorporate feedback
provided to see if I made a mistake or should try something different the next time a similar situation arrises.

CI Mid-Term — Michelle Jahn Amanda is able to recognize the need for patient care to come before her own self interests and is able to stay late
at times to complete documentation. She understands the need for patient modesty and needs occasional assist
for moving gown around patient's back. She follows all policies and procedures of our hospital including infection
control policies of handwashing.

CI Final — Michelle Jahn Amanda has shown accountability in her ability to flex from my supervision to others as needed, and checking in to
make sure that other teammates do not need additional assist before she leaves. She has worked to improve
covering patient's back with our gowns and continues to follow all of our policies and procedures.

B AB I AI E BE

Self +4
Accountability
CI +1

4. Professional Practice – Communication

Self Mid-Term — Amanda Floen I believe I work well with other professionals in the field. I also believe I communicate effectively with them. I also
enjoy receiving feedback from other professionals at my site because I believe it will only enhance my learning. I
am also working on using technical terminology with colleagues and simplistic terms with patients.

Self Final — Amanda Floen I believe I have improved at observing nonverbal behavior of my patients. I also believe I have improved
communicating with other therapist at my site along with patient families and nursing staff. I also continue to listen
to family members on what they believe the next step for the patient should be. I also believe I have improved in
evaluating my communication with a patient and being able to modify or describe in an alternate way. For example
a patient I saw who does not speak English as a primary language, I was able to demonstrate what I wanted them
to do and they were able to complete the task.

CI Mid-Term — Michelle Jahn Amanda seeks to complete communication with myself and other teammates and as her clinical continues she will
work towards communicating with nursing, aides and case managers/social workers. She has been able to
respond to nonverbal communication appropriately without guidance.

CI Final — Michelle Jahn Amanda's communication has been professional and timely. She needs assist to initiate communication in difficult
situations and to decide who to communicate what to after evaluations. She has started completing more
communication to nursing and family members with min guidance. She did work with a patient who English was a
second language and she was able to adjust her communication. She worked towards simplifying her commands
for neuro patients and others who are easily overwhelmed by multi-step commands.

B AB I AI E BE

Self +4
Communication
CI +1

5. Professional Practice – Cultural Competence

Self Mid-Term — Amanda Floen I do not believe I have encountered any special circumstance of cultural or religious beliefs to follow. I do treat
every patient the same when providing treatment and conducting an evaluation. I base my next steps on the
information provided by the patient and the results of my evaluation.

Self Final — Amanda Floen I believe I have worked well with individuals of different race along with a wide range of ages. I believe I try to be
compassionate with all patients and take their needs into account during treatment. I also believe i have provided
empathy when working with patient's who were previous independent, and live alone who are realizing that they
need assistance.

CI Mid-Term — Michelle Jahn Amanda has been able to provide services to patients who are in their 30s to patients in their 90s without noted
bias and she has adapted to patients who have their own special needs. She is consistent in demonstrating caring
to patients.

CI Final — Michelle Jahn As stated in midterm, Amanda has been able to adjust and adapt her delivery of physical therapy to multiple
different patients with noted age, gender, cognitive and emotional differences. She has demonstrated empathy
throughout.

B AB I AI E BE

Cultural Self +3
Competence CI +1

6. Professional Practice – Professional Development

Self Mid-Term — Amanda Floen I believe if I am uncertain of a situation that I do seek assistance, clarification or ask for a refresher. I also reflect at
the end of the week with my CI on how the week went and my goals for the week. Following this encounter I create
new goals for the following week. During chart review I have also looked up brief descriptions of diagnoses that I
am unfamiliar with. I will be completing an inservice before the end of this clinical rotation.

Self Final — Amanda Floen I continue to write goals and meet with my CI weekly and ask for assistance or clarification if needed. I believe I
also take responsibility for the decisions made when working with a patient. I have also discussed with other
therapist that I have worked with how I did for the day to continue to receive feedback and grow. I also completed
and inservice about the 6-clicks functional assessment to the rehabilitation department at my hospital.

CI Mid-Term — Michelle Jahn Amanda has been making goals on a weekly basis to identify her strength and limitations and work towards
improvements every week. She will be completing an in-service in the future for our department regarding the tool,
6-clicks.

CI Final — Michelle Jahn Through the identification of goals every week Amanda has worked towards identifying her strengths and
limitations. She has sought out other learning opportunities with guidance and has been able to see outpatient
neuro treatments, modified barium swallows, team meetings on IPR and co-treatment/co-evals with occupational
therapy as well as shadowing an occupational therapist for the day.

B AB I AI E BE

Professional Self +3
Development CI +1

7. Patient Management – Clinical Reasoning

Self Mid-Term — Amanda Floen I have been able to modify how a patient performs interventions including gait training and therapeutic exercise. I
have been able to teach a patient how to properly walk with an assistive devices and modify their gait as they
practice using it. I have also helped patients with therapeutic exercises including LE ROM exercises. I also believe I
take into account every aspect of the person, their home, and their prior level of function when treating a patient. I
also find out what their goal or plan is upon discharge and take that into account when creating my
recommendation.

Self Final — Amanda Floen I have been able to make more clinical designs in the last three weeks of my clinical. I have been able to determine
a plan of action for my patient to successfully evaluate them. I also believe overall I have made appraioate
judgement on a plan of action for my patient and have been able to adjust accordingly. I have also improved in the
last three weeks on reading my patients body language during the evaluation and knowing when to not perform
special test/ MMT on a patient with precautions and other injuries the patient may have that would affect my
testing.

CI Mid-Term — Michelle Jahn As Amanda progresses in her clinical, I anticipate her clinical reasoning and decision making to become more
verbalized and evidence based. She is understanding the overall purpose of acute care physical therapy and
starting to formulate discharge recommendations based on overall picture of patient.

CI Final — Michelle Jahn Amanda is working towards developing her clinical reasoning and seeking disconfirming evidence as well as
confirming evidence. She is formulating discharge recommendations and asking for confirmation of her choices.
She understands that strength and ability is only one of the many facets needed to be considered for overall
planning. She is working towards deciding on a plan of action in the room and is making improved decisions vs. at
midterm.

B AB I AI E BE

Clinical Self +3
Reasoning CI +1

8. Patient Management – Screening

Self Mid-Term — Amanda Floen I believe I have been making appropriate decisions as to where the best place for a patient to go after discharge
from the hospital should be. I make sure every morning I begin reviewing charts for the day to prepare for seeing
the patients. This is my first experience in an acute care setting and I am still working on knowing when to test
certain muscles or groups for patient comfort. For example a patient who has has a cholecystectomy testing hip
flexion will not be the most comfortable for them so we could test that at a later time. I do believe I have been
interpreting ROM and MMT appropriately overall.

Self Final — Amanda Floen I have continued to arrive early to start chart reviews for the day. I have also had the opportunity to interact with
patient families and gather patient information from them and learn what their concerns maybe. I have also
improved on knowing when to do particular MMT and have adjusted my plan of testing based on what the patients
action to my request is, instead of continue to try the same task over and over. I also believe I have been
interpreting MMT grades appropriately.

CI Mid-Term — Michelle Jahn Many of our patient interactions in acute care is a screen to determine if there are needs for further services
including occupational therapy or speech therapy. Amanda is learning the art of determining if an evaluation should
still be performed if a patient states, "I'm fine, I don't need therapy."

CI Final — Michelle Jahn Amanda has improved in her ability to screen patients for need for occupational or speech therapy as well as
thoughts on if patient's need further continued acute care PT or not. She will continue to work towards gathering
evidence to decide if further testing is needed on different areas of the body with continued experience in other
clinicals.

B AB I AI E BE

Self +3
Screening
CI +1

9. Patient Management – Examination

Self Mid-Term — Amanda Floen I review each patient's chart prior to seeing the patient, and I ask clarifying questions if necessary. I have been able
to adapt to range of motion and manual muscle testing in alternate positions. I believe I have improved from the
beginning of this clinical experience to now in gathering patient subjective information and chart reviews.

Self Final — Amanda Floen I believe during my chart reviews I have been able to pull out the important information that is beneficial to the
case. I also believe my subjective gathering from the patient has also improved in the last 3 weeks. I think I have
become more direct with my questions along with ensuring I know not only their home layout but if there is anyone
at home that could assist if needed after discharge. I also assisted in coordination testing for a post CVA patient
and have been able to lead more gait assessments.

CI Mid-Term — Michelle Jahn Amanda is beginning this week completing start to finish evaluations and treatments with less and less input from
me during the examination. She is starting to decide if MMT is contraindicated based on pain during ROM and
quality of movements, as well as deciding on distance of gait assessment/training based on patient response. She
has also completed joint ROM assessments with goniometer. In obtaining ROM measurements with a case study
patient, she organized so that she could group measurements into positioning for the patient to avoid multiple
position changes.

CI Final — Michelle Jahn Amanda has been able to complete low complexity examinations with only slight cues at times, and moderate
complexity with direct supervision and cues less than 25% of the time. During ICU or highly complex examinations
she is increased in her participation and ability to anticipate the line/lead management.

B AB I AI E BE

Self +3
Examination
CI +2

10. Patient Management – Evaluation

Self Mid-Term — Amanda Floen I believe I have done a good job at taking into account patient's previous history for making a decision. For example
if a patient has had multiple admissions in a year or falls in the last month that maybe further therapy before
returning home is needed or a long term facility. I believe I have also made good decisions for discharge based on
patient's strength and support system upon leaving the hospital.

Self Final — Amanda Floen I believe I do a good job at determining what a patient's prior function was, and I have improved at determining
what their plan is when discharged and if they have assistance if needed. This all allows me to create the most
suitable discharge plan for the patient.

CI Mid-Term — Michelle Jahn Amanda is beginning to complete judgements based on the data from the examination and reach clinical
decisions. Acute care judgements and decision making often need to be completed very quickly and immediately
communicated to nursing, discharge planners and other disciplines regarding current mobility levels and discharge
recommendations. As she continues with her clinical and completes more assessments, I anticipate her to be
more and more efficient in her decision making.

CI Final — Michelle Jahn Amanda has been able to complete the evaluation of data from low to moderately complex patients with less
cueing and assist and continues to need some assist to decide on plan of care and decision making with highly
complex patients. she is improved from midterm and continues to become more efficient in her decision making.

B AB I AI E BE

Self +2
Evaluation
CI +2

11. Patient Management – Diagnosis and Prognosis

Self Mid-Term — Amanda Floen I believe I have appropriately been determining the prognosis of patients based on their past medical history and
current functional status and assistance they will be able to receive at home. I have been able to determine
impairments from patient diagnosis that may contribute to their prognosis.

Self Final — Amanda Floen I believe I continue to determine the most appropriate prognosis for my patient based off medical history, prior
admissions, level of function and support system. I also believe I have been able to incorporate working with other
diagnoses the patient has into determining the best plan for them.

CI Mid-Term — Michelle Jahn Often in acute care there are multiple diagnoses that are present and during a physical therapy interaction the
primary physical therapy diagnosis must be determined that most impacts the patient's performance or that is
most amendable to intervention. With assist and guidance, Amanda is encountering the full conglomeration that
encompasses the possible reasons why a patient is struggling with mobility and what their rehab potential
currently is.

CI Final — Michelle Jahn Amanda is learning how prognosis for patients in acute care can vary greatly from day to day and how physical
therapy intervention is able to impact patients at times and at other times, patients may need several days before
they benefit.

B AB I AI E BE

Diagnosis and Self +2

Prognosis CI +2

12. Patient Management – Plan of Care

Self Mid-Term — Amanda Floen I believe I have been able to create appropriate goals for my patients and determine the appropriate frequency for
most of my patients. I have taken the patients and families plans for discharge into consideration when
determining the plan for my patients. I believe I need more experience with acute care interventions still because, I
have not provided much interventions yet and I am beginning to see what interventions in acute care look like
compared to other setting. I believe I am understanding how to make recommendation for my patient's care.

Self Final — Amanda Floen I believe I have been able to follow surgical protocols provided to patient's while evaluating and treating. I also
believe I have improved discussing discharge plan with patient and family when present. I also believe I have been
able to adjust my plan of care for a patient based on progression and regression. I believe I have also improved at
looking for equipment needed for gait training for patient's in advance, rather than right when I am ready for it. I
continue to create appropraite goals and frequencies for my patients as well.

CI Mid-Term — Michelle Jahn Amanda is establishing a frequency for patient based on our typical protocols with minimal cues. She is deciding
on goals for patients with supervision guidance and only occasional correction.

CI Final — Michelle Jahn Amanda has been able to choose some interventions for patients based on her knowledge of their condition and
possible scenarios that may arise. Her goal writing for patients has been consistent without need for correction.
She has been able to decide on frequency of intervention with minimal cues.

B AB I AI E BE

Self +4
Plan of Care
CI +2

13. Patient Management – Procedural Interventions

Self Mid-Term — Amanda Floen I have been able to complete circulation promotion exercises and therapeutic exercises with patients. I have also
been able to work on gait and gait training with patients and I have provided some soft tissue mobilizations .
Frequency of interventions has been appropriately decide provided given patient pain levels and tolerance to the
exercise.

Self Final — Amanda Floen I have been able to do a little soft tissue work on patients and have been able to continue to provide exercises for
them to do. Sometimes I have a delay in deciding what exercise to do next but I think I am trying to think of what
the patient can safely do at this level and with wires and cords to consider. But in the last couple week I was able to
see/ perform a few more treatment sessions then the first half. I believe I have also improved on adjusting
exercises based on patient's response to the exercise.

CI Mid-Term — Michelle Jahn Amanda has been able to instruct in exercises, complete transfer and gait training as well as a few instances of
stair training. She also completed ace wrapping of legs with hands on guidance. She has been able to provide
rationale for exercise choice and with cues understands reasons not to complete exercises for certain patients as
well.

CI Final — Michelle Jahn Amanda continues to be able to instruct in exercises, complete transfer and gait training as well as stair training
with assist and cues. She has improved from midterm and now feels confident to review exercises with minimally
complex patients.

B AB I AI E BE

Procedural Self +2
Interventions CI +1

14. Patient Management – Educational Interventions

Self Mid-Term — Amanda Floen I have been able to identify when someone is not cognitively aware of what is going on at the moment. In these
cases I have noticed that demonstration followed by having the patient do is best. I have also showed visuals of
some exercises while the patients complete the exercises so that they have a reference to look at when needed.
When family have been present I have seen how to include them in the patient planning and taking their needs into
consideration when making recommendations. I have also educated patients on how to properly us an AD to
ensure their safety during recovery.

Self Final — Amanda Floen I have had the opportunity to discuss patient progress with present family members and be able to understand
their concerns or wants for the patient post discharge. I have also been able to explain patients mobility levels with
other therapist who are seeing the patient or nursing staff. I also believe I have been able to explain to patients the
benefits to using certain assistive devices over others.

CI Mid-Term — Michelle Jahn Amanda has been able to educate patients regarding exercises. She will be completing an in-service in the future
for our group. She will be working towards education with family members in the room towards the end of her
clinical.

CI Final — Michelle Jahn Amanda was able to present an in-service regarding 6-clicks and presented using both an in-person and virtual
platform. She has worked towards more education of families and patient's as well.

B AB I AI E BE

Educational Self +3
Interventions CI +2

15. Patient Management – Documentation

Self Mid-Term — Amanda Floen I believe my documentation has improved over the course of three weeks. I believe I am completing my notes more
quickly and with less assistance. I believe I am including all relevant information to the case to allow all healthcare
providers the information needed to make a proper recommendation upon discharge for the patient. I believe
overall I am using terminology appropriate for the case but occasionally still use general terms.

Self Final — Amanda Floen I believe that I am completing my notes quicker than at the midterm and receiving minimal assistance and
requiring minimal changes to my notes. I also believe that I am completing my notes in a timely manner that keeps
our schedule for the day on track. I also believe I have been deterring appropriate frequencies for my patients and
appropriate discharge plans. I also believe that I am incorporating more details about patient interactions when the
information would be beneficial for the next person seeing the patient. I also believe I have improved in using
professional terminology in my writing but know I can still improve on this because sometimes I am not sure if
something makes sense so I avoid using it.

CI Mid-Term — Michelle Jahn Amanda has been able to complete documentation in our EMR system for both evaluations and treatments as well
as complete our informal patient information sheet to assist in coworker communication. She is selecting relevant
information and working on her phrasing to keep physical therapy wording and skilled words consistently. She has
improved throughout these first few weeks and with continued practice I'm sure there will continued improvement.

CI Final — Michelle Jahn Amanda has been completed between 4-5 notes a day for our caseload, around 50-60% of our caseload for the day
with minimal correction and re-phrasing. She has improved in her use of physical therapy terminology and
understanding of co-treatments as well.

B AB I AI E BE

Self +2
Documentation
CI +2

16. Patient Management – Outcomes Assessment

Self Mid-Term — Amanda Floen I was able to complete a Tinetti functional outcome measure with corresponding answers to the therapist. I was
also able to help interpret a LEFS for another patient. I have also had the opportunity to talk with patients on their
success and treatment in just a couple of days. I have also made decisions about what treatments to do with a
patient based on their tolerance level to previous exercises.

Self Final — Amanda Floen I have continued to make decisions about treatments based on patient tolerance from previous treatment. I also
learned about the 6-clicks functional assessment form and presented an in-service on it. I was also introduced to
the MOCA and some of the components involved. For our orthopedic patients I am able to see if they have met
their goals from the initial POC because the goals set for these patients are short. For example being able to climb
a certain number of stairs. Patient who have stairs at home must practice stairs before going home.

CI Mid-Term — Michelle Jahn in acute care we use outcome measures only occasionally, such as 5 times sit to stand. However, we do use FIM
frequently. Amanda is using outcome measures effectively in moments we need.

CI Final — Michelle Jahn Amanda has been able to use outcome measures in the moments we need them with cues for timing of use of
outcome measures.

B AB I AI E BE

Outcomes Self +2
Assessment CI +1

17. Patient Management – Financial Resources

Self Mid-Term — Amanda Floen I have recommended and observed recommendations of assistive equipment to patients. I have educated patients
on why a front wheeled walker is safer for them than a 4-wheel walker. I have all my notes completed before I leave
so billing is done in an appropriate time. I also use risk management procedure for mine and my patients safety
including using gloves with all patients and extra PPE when dealing with infection control. I have also attended 2 in-
services and learned about new equipment to better assist patients. In acute care I help with scheduling by creating
a frequency that the patient's should bee seen while in the hospital which creates the schedule for the PTA's and
PTs.

Self Final — Amanda Floen I have continued to have the opportunity to recommend assistive equipment to patients and have instructed the
patient on proper use. I continue to use proper PPE in patient rooms and I believe I have become more efficient at
writing my notes so that billing and precertification can be completed. I also attended a team meeting that
discussed patient's in Inpatient Rehab.

CI Mid-Term — Michelle Jahn Amanda has been filling out our billing sheets and entering charges into the EMR system as well. She often is
flexible in moving from therapist to therapist as needed and assists other therapists as well.

CI Final — Michelle Jahn Amanda has been continuing to fill out our billing sheets and entering charges into our EMR system without any
errors. She has been cognizant of the use of her time and making sure patients receive as much intervention as
they need.

B AB I AI E BE

Financial Self +3
Resources CI +2

18. Patient Management – Direction and Supervision of Personnel

Self Mid-Term — Amanda Floen I have communicated information about patients to other physical therapy assistants and occupational therapist
and have assisted in treatment of some patients with them. I have not communicated very much with the other
hospital staff about patients at this time.

Self Final — Amanda Floen I have been able to communicate with other therapist about patients that I have seen that they may not have yet but
will be. I have also been able to inform PTAs of orthopedic patients that will have to be seen again in the same day
so that they can plan their afternoon accordingly. I have also been able to view PTA notes with my CI.

CI Mid-Term — Michelle Jahn Amanda has been observing co-signs and often communicates with our 2 PTAs throughout the day as well. As her
clinical progresses, Amanda will direct nursing aides in mobility techniques.

CI Final — Michelle Jahn Amanda has been able to observe co-signs and communicating with both PTAs and she has started
communicating with nursing aides as well.

B AB I AI E BE

Super vision of Self +3

Personnel CI +1

19. Summative Comments / Caseload / Days Absent

Areas of Strength

Self Mid-Term — Amanda Floen I believe my interaction with patients is one of my strengths. I believe I build trust with my patients quickly so they
don't have any concerns. I also believe I can learn quickly and make changes appropriately. I am also considerate
and empathetic towards my patients.

Self Final — Amanda Floen I believe I am empathetic towards my patients and can build trust with them quickly. I also believe I take feedback
and try to incorporate it with my next patient. I believe I also interact with other professionals in the medical field
appropriately and can inform them of patient progress.

CI Mid-Term — Michelle Jahn Amanda is able to do professional behaviors well and she is able to demonstrate her caring behavior throughout to
patients. She was able to learn our EMR system quickly and has been pleasant and cooperative with our co-
workers as well.

CI Final — Michelle Jahn Amanda is pleasant, cooperative and flexible. She learned our EMR system quickly and was able to complete daily
tasks of printing orders, checking room numbers and organizing patients well!

Areas for Further Development

Self Mid-Term — Amanda Floen I need to continue to work on knowing how to jump in when co-treating along with learning how to redirect a patient
to keep efficiency in the evaluation while listening to what they want to tell us. I also need to continue learning
about what deficits feel like and how to modify accordingly.

Self Final — Amanda Floen I want to continue to development my interaction skills with patient and being able to keep them focused during the
evaluation. I believe this has improved since the midterm. I also will continue to improve coming up with
interventions on the fly that will be appropriate for my patients.

CI Mid-Term — Michelle Jahn Amanda will continue to work on verbal communication with patients and family members in the room, as well as
redirecting patient when they stray off topic. She will continue to work on assisting patients who need max pa and
bed mobility assist. Her written documentation will work towards non-general terms and using skilled verbiage.

CI Final — Michelle Jahn continue to gather confirming and disconfirming evidence to support your decision making and be vocal to next CIs
regarding how your decision making process is working. Making weekly goals and following up on them is a great
skill to use in all aspects of life as well!

Caseload/Other Comments
1) What is the full caseload at your clinical site for a new graduate?
2) Considering the rating anchors, what percent of a new graduate caseload is the student capable of
managing at this time?
Self Mid-Term — Amanda Floen The case load at my site is on average 6 patients a day. I am unable to hold a case load by myself, however, I have
been able to take an average of 3 patients a day completing evaluations or treatments with assistance from my CI.

Self Final — Amanda Floen The caseload at my clinic the last 3 weeks has been 6-8 patients. I have been able to complete around 5 patient
notes a day and have been conducting greater portions of the evaluation process.

CI Mid-Term — Michelle Jahn 1) 6 patients 2) currently Amanda and myself see all patients together and she is becoming more and more active
in the entire evaluation.

CI Final — Michelle Jahn A full caseload ranges from 6-8 patients a patient and Amanda is managing about 50% of a caseload with direct
supervision and guidance throughout.

Recommendations

Self Mid-Term — Amanda Floen I recommend continuing to assess patients deficits in range of motion when I can. I would also recommend
continuing to come early to prepare for the day to allow optimal time for chart reviews. I would recommend
continuing to take feedback provided and apply it to my next patients.

Self Final — Amanda Floen I recommend continuing to improve my evaluation and examination skills in the future. I also recommend
continuing to be open to learning about different therapy settings and continue to be open to feedback from those
in the profession.

CI Mid-Term — Michelle Jahn Continue to accept feedback just as you have throughout to improve and have patience with yourself that it will
continue to improve as you travel through all your clinicals.

CI Final — Michelle Jahn Continue to remain open to all the nuances of physical therapy and what that means in different situations. Learn
and apply your knowledge to help solidify those neuropathways of new knowledge. :)

Mid-Term Days Absent Student: 0 days

CI: 0 days

Final Days Absent Student: 0 days

CI: 0 days

Reason for Absence

Self Mid-Term — Amanda Floen I have not missed a day of my clinical experience.

Self Final — Amanda Floen N/A

CI Mid-Term — Michelle Jahn N/A

CI Final — Michelle Jahn NA

Evaluation Sign Off Dates/ Times

Self Mid-Term
[CI] Michelle Jahn - 06/10/22 04:47 PM
[Student] Amanda Floen - 06/10/22 04:44 PM

Self Final
[CI] Michelle Jahn - 06/27/22 06:02 PM
[Student] Amanda Floen - 06/24/22 04:07 PM

CI Mid-Term
[Student] Amanda Floen - 06/10/22 04:46 PM
[CI] Michelle Jahn - 06/10/22 04:46 PM
[CI] Michelle Jahn - 06/10/22 04:44 PM

CI Final
[Student] Amanda Floen - 06/27/22 06:55 PM
[CI] Michelle Jahn - 06/27/22 06:01 PM
[CI] Michelle Jahn - 06/27/22 06:01 PM

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APTA Clinical Performance Instruments for PT vers. 2.42. All times are set as Eastern Standard Time (EST).