RUTGERS UNIVERSITY OCCUPATIONAL THERAPY PROGRAM

Level II Fieldwork Education: Student Orientation Checklist Form

Student Name:

Fieldwork Educator Name:

Site/Facility:

Fieldwork Session:

Date Completed Placement Orientation

Type, philosophy, and purpose of treatment.

Client census (diagnostic categories, age, total #).

Policies of placement regarding: work hours, absences, holidays, safety precautions,

reporting accidents or emergencies, and fire procedures.

Introduction to key personnel and tour of placement.

Methods of communication with other departments (conference, team meetings, rounds,

etc.)

Location and method for using client charts.

Emergency Protocols & Procedures

Date Completed Department Orientation

Physical layout – location of records, supplies, equipment.

Department organizational structure, lines of authority.

Objectives of services provided by OT.

Method and types of records used.

 Policies and procedures of department

Orientation to equipment and materials used in treatment.

Discussion of type of clients and referral system

Discussion of type of treatment given.

Discussion of type of evaluation/assessment tools and tests used.

Date Completed Orientation to Student Expectations

Review of student learning outcomes

Review of student learning assignments

Review of weekly expectations regarding case load, documentation, and assignment due
dates

Review of resources available to student.

Review of roles and responsibilities of fieldwork educator, student, and Academic

Fieldwork Coordinator.

Review of special events (if applicable): Lectures, In-service training, etc

Review contents of student manual.

Review of student’s orientation and routine weekly schedule

Review of student evaluation proceedings

Date Completed Additional orientation specific to the fieldwork site:

Student Signature:

Fieldwork Educator
Signature: