Touro University Nevada

Occupational Therapy
Trainee Performance
Subject: Kerielle Williams
Evaluation Type: Fieldwork Performance Eval for OT Student - Final
Time Period: 12/16/2014 to 03/16/2015
Time Period Type: Request Date
Report Date: 03/16/2015

Question
ID

Question

Zero
Count

Applicable
Answers

2212513

Adheres to ethics: Adheres consistently to the American

Occupational Therapy Association Code of Ethics (4) and site's
policies and procedures including, when relevant, those related
to human subject research.

2212528

Adheres to safety regulations: Adheres consistently to safety

regulations. Anticipates potentially hazardous situations and
takes steps to prevent accidents.

Mean Scale

Std

4.00

1 to 4

0.00

4.00

1 to 4

0.00

4.00

1 to 4

0.00

Uses judgment in safety: Uses sound judgment in regard to

safety of self and others during all fieldwork-related activities.
2212529
Uses judgment in safety : Uses sound judgment in regard to safety of self
and others during all fieldwork-related activities.

2212514

Clearly and confidently articulates the values and beliefs of the

occupational therapy profession to clients, families, significant
others, colleagues, service providers and the public.

4.00

1 to 4

0.00

2212530

Clearly, confidently and accurately articulates the value of

occupation as a method and desired outcome of occupational
therapy to clients, families, significant others, colleagues, service
providers and the public.

4.00

1 to 4

0.00

2212531

Clearly, confidently and accurately communicates the roles of the

occupational therapist and occupation therapy assistant to
clients, families, significant others, colleagues, service providers
and the public.

3.00

1 to 4

0.00

2212532

Collaborates with client, family and significant others throughout

the occupational therapy process.

4.00

1 to 4

0.00

2212517

Articulates a clear and logical rationale for the evaluation process.

3.00

1 to 4

0.00

2212533

Selects relevant screening and assessment methods while

considering such factors as client's priorities, context(s),
theories and evidence-based practice.

3.00

1 to 4

0.00

2212534

Determines client's occupational profile and performance through

appropriate assessment methods.

4.00

1 to 4

0.00

2212535

Assesses Client Factors and contexts(s) that support or hinder

occupational performance.

3.00

1 to 4

0.00

2212536

Obtains sufficient and necessary information from relevant

resources such as client, families, significant others, service
providers and records prior to and during the evaluation process.

3.00

1 to 4

0.00

2212537

Administers assessments in a uniform manner to ensure findings

are valid and reliable.

3.00

1 to 4

0.00

2212538

Adjusts/modifies the assessment procedures based on client's

needs, behaviors and culture.

3.00

1 to 4

0.00

2212539

Interprets evaluation results to determine client's occupational

performance strengths and challenges.

3.00

1 to 4

0.00

2212540

Establishes an accurate and appropriate plan based on the

evaluation results, through integrating multiple factors such as
client's priorities, context(s), theories and evidence-based practice.

3.00

1 to 4

0.00

2212541

Documents the results of the evaluation process that

demonstrates objective measurement of client's occupational
performance.

3.00

1 to 4

0.00

2212519

Articulates a clear and logical rationale for the intervention

process.

4.00

1 to 4

0.00

2212542

Utilizes evidence from published research and relevant resources

to make informed intervention decisions.

3.00

1 to 4

0.00

2212543

Chooses occupations that motivate and challenge clients.

4.00

1 to 4

0.00

2212544

Selects relevant occupations to facilitate clients meeting

established goals.

4.00

1 to 4

0.00

2212545

Implements intervention plans that are client-centered.

4.00

1 to 4

0.00

2212546

Implements intervention plans that are occupation-based.

4.00

1 to 4

0.00

2212547

Modifies task approach, occupations and the environment to

maximize client performance.

4.00

1 to 4

0.00

2212548

Updates, modifies or terminates the intervention plan based upon

careful monitoring of the client's status.

3.00

1 to 4

0.00

2212549

Documents client's response to services in a manner that

demonstrates the efficacy of interventions.

4.00

1 to 4

0.00

2212520

Demonstrates through practice or discussion the ability to assign

appropriate responsibilities to the occupational therapy assistant
and occupational therapy aide.

3.00

1 to 4

0.00

2212551

Demonstrates through practice or discussion the ability to

actively collaborate with the occupational therapy assistant.

3.00

1 to 4

0.00

2212552

Demonstrates understanding of the costs and funding related to

occupational therapy services at this site.

3.00

1 to 4

0.00

2212553

Accomplishes organizational goals by establishing priorities,

developing strategies and meeting deadlines.

4.00

1 to 4

0.00

2212554

Produces the volume of work required in the expected time frame.

4.00

1 to 4

0.00

2213043

Clearly and effectively communicates verbally and nonverbally

with clients, families, significant others, colleagues, service
providers and the public.

4.00

1 to 4

0.00

2213044

Produces clear an accurate documentation according to site

requirements.

4.00

1 to 4

0.00

2213045

All written communication is legible, using proper spelling,

punctuation and grammar.

4.00

1 to 4

0.00

2213046

Uses language appropriate to the recipient of the information,

including but not limited to funding agencies and regulatory
agencies.

4.00

1 to 4

0.00

2212524

Collaborates with supervisor(s) to maximize the learning

experience.

4.00

1 to 4

0.00

2212558

Takes responsibility for attaining professional competence by

seeking out learning opportunities and interactions with
supervisor(s) and others.

4.00

1 to 4

0.00

2212559

Responds constructively to feedback.

4.00

1 to 4

0.00

2212560

Demonstrates consistent work behaviors including initiative,

preparedness, dependability and worksite maintenance.

4.00

1 to 4

0.00

2212561

Demonstrates effective time management.

4.00

1 to 4

0.00

2212562

Demonstrates positive interpersonal skills including but not

limited to cooperation, flexibility, tact and empathy.

4.00

1 to 4

0.00

2212563

Demonstrates respect for diversity factors of others including but

not limited to socio-cultural, socio-economic, spiritual and
lifestyle choices.

4.00

1 to 4

0.00

Question
ID

Question

Option

2212491

2212509

2212495

2212499

College or University:

Type of Fieldwork:

Order of Placement: (At Touro University Nevada's School of OT

there are two possible placements at this level. Answer should
be 1 of 2 or 2 of 2.)

Pass / No Pass:

Touro University Nevada, School of

Occupational Therapy

Other

1-1 In-Patient Acute

1.2 In Patient Rehab

1.3 SNF/Sub-acute/Acute Long-term Care

1.4 General Rehab Outpatient

1.5 Outpatient Hands

1.6 Pediatric Hospital/Unit

1.7 Pediatric Hospital Outpatient

1.8 In-Patient Psych

2.1 Pediatric Community

2.2 Behavioral Health Community

2.3 Older Adult Community Living

2.4 Older Adult Day Program

2.5 Outpatient/Hand Private Practice

2.6 Adult Day Program for DD

2.7 Home Health

2.8 Pediatric Outpatient Clinic

3.1 Early Intervention

3.2 School

Other (explain below)

IIA (1 of 2)

IIB (2 of 2)

------

Pass

No Pass

2212508

I understand that be checking this box I am certifying that I have

read this report.

I confirm I have read this report

2212511

I understand that by checking this box, I am certifying the

authenticity of this evaluation.

I hereby certify the authenticity of this

evaluation

2212512

I understand that by checking this box, I am certifying the

authenticity of this evaluation.

I hereby certify the authenticity of this

evaluation

2212527

Accepted:

I have read and understand this information

2212526

Accepted:

I have read and understand this information

Question
ID

Question

Mean

STD

2213042

Number of Weeks Completed:

12.00

0.00

2218530

Final Score:

153.00

0.00

2212503

Number of Persons Contributing to this Report:

1.00

0.00