Touro University Nevada

Occupational Therapy
My Performance
Subject: Melody Klatt
Activity: OT OCCT 660
Time Period: 10/26/2015 to 02/07/2016
Time Period Type: Time Frame End
Report Date: 03/06/2016
Expanded View To Trainee Comments To Time Series
Questio
n ID

Question

Zero Applicable
Count Answers

Mea
n

Scal
Std
e

Adheres to ethics: Adheres

consistently to the American
Occupational Therapy Association
2212513 Code of Ethics (4) and site's policies
and procedures including, when
relevant, those related to human
subject research.

3.00 1 to 4

0.0
0

Adheres to safety regulations: Adheres

consistently to safety regulations.
2212528 Anticipates potentially hazardous
situations and takes steps to prevent
accidents.

3.00 1 to 4

0.0
0

3.00 1 to 4

0.0
0

3.00 1 to 4

0.0
0

3.00 1 to 4 0.0
0

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.
Clearly and confidently articulates the
values and beliefs of the occupational
2212514 therapy profession to clients, families,
significant others, colleagues, service
providers and the public.
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.
Clearly, confidently and
accurately communicates the roles of
the occupational therapist and
2212531
occupation therapy assistant to clients,
families, significant others, colleagues,
service providers and the public.

3.00 1 to 4

0.0
0

Collaborates with client, family and

2212532 significant others throughout the
occupational therapy process.

3.00 1 to 4

0.0
0

2.50 1 to 4

0.7
1

Selects relevant screening and

assessment methods while considering
2212533 such factors as client's priorities,
context(s), theories and evidencebased practice.

2.50 1 to 4

0.7
1

Determines client's occupational

2212534 profile and performance through
appropriate assessment methods.

2.50 1 to 4

0.7
1

Assesses Client Factors and

2212535 contexts(s) that support or hinder
occupational performance.

2.50 1 to 4

0.7
1

Obtains sufficient and necessary

information from relevant resources
such as client, families, significant
2212536
others, service providers and records
prior to and during the evaluation
process.

2.50 1 to 4

0.7
1

Administers assessments in a uniform

2212537 manner to ensure findings are valid and
reliable.

2.50 1 to 4

0.7
1

Adjusts/modifies the assessment

2212538 procedures based on client's needs,
behaviors and culture.

2.50 1 to 4

0.7
1

Interprets evaluation results to

2212539 determine client's occupational
performance strengths and challenges.

2.50 1 to 4

0.7
1

2.50 1 to 4 0.7
1

2212517

Articulates a clear and logical

rationale for the evaluation process.

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.
Documents the results of the
evaluation process that demonstrates
2212541
objective measurement of client's
occupational performance.

2.50 1 to 4

0.7
1

Articulates a clear and logical

rationale for the intervention process.

2.50 1 to 4

0.7
1

2.50 1 to 4

0.7
1

2.50 1 to 4

0.7
1

2.50 1 to 4

0.7
1

2212519

Utilizes evidence from published

2212542 research and relevant resources to
make informed intervention decisions.
2212543

Chooses occupations that motivate and

challenge clients.

Selects relevant occupations to

2212544 facilitate clients meeting established
goals.
2212545

Implements intervention plans that are

client-centered.

2.50 1 to 4

0.7
1

2212546

Implements intervention plans that are

occupation-based.

2.50 1 to 4

0.7
1

Modifies task approach, occupations

2212547 and the environment to maximize client
performance.

2.50 1 to 4

0.7
1

Updates, modifies or terminates the

2212548 intervention plan based upon careful
monitoring of the client's status.

2.50 1 to 4

0.7
1

Documents client's response to

2212549 services in a manner that demonstrates
the efficacy of interventions.

2.50 1 to 4

0.7
1

Demonstrates through practice or

discussion the ability to
2212520 assign appropriate responsibilities to
the occupational therapy assistant and
occupational therapy aide.

2.50 1 to 4

0.7
1

Demonstrates through practice or

discussion the ability to actively
2212551
collaborate with the occupational
therapy assistant.

2.50 1 to 4

0.7
1

2.50 1 to 4 0.7
1

2212552 Demonstrates understanding of the

costs and funding related to

occupational therapy services at this

site.
Accomplishes organizational goals by
2212553 establishing priorities, developing
strategies and meeting deadlines.

2.50 1 to 4

0.7
1

Produces the volume of work required

in the expected time frame.

2.50 1 to 4

0.7
1

Clearly and effectively communicates

verbally and nonverbally with clients,
2213043
families, significant others, colleagues,
service providers and the public.

2.50 1 to 4

0.7
1

Produces clear an accurate

2213044 documentation according to site
requirements.

2.50 1 to 4

0.7
1

All written communication is legible,

2213045 using proper spelling, punctuation and
grammar.

2.50 1 to 4

0.7
1

Uses language appropriate to the

recipient of the information, including
2213046
but not limited to funding agencies and
regulatory agencies.

2.50 1 to 4

0.7
1

2.50 1 to 4

0.7
1

Takes responsibility for attaining

professional competence by seeking
2212558 out learning opportunities and
interactions with supervisor(s) and
others.

2.50 1 to 4

0.7
1

2212559 Responds constructively to feedback.

2.50 1 to 4

0.7
1

Demonstrates consistent work

behaviors including initiative,
2212560
preparedness, dependability and
worksite maintenance.

2.50 1 to 4

0.7
1

2.50 1 to 4

0.7
1

2.50 1 to 4

0.7
1

2.50 1 to 4 0.7
1

2212554

2212524

2212561

Collaborates with supervisor(s) to

maximize the learning experience.

Demonstrates effective time

management.

Demonstrates positive interpersonal

skills including but not limited to
2212562
cooperation, flexibility, tact and
empathy.
2212563 Demonstrates respect for
diversity factors of others including but

not limited to socio-cultural, socioeconomic, spiritual and lifestyle

choices.
Questio
n ID

Question

2212491 College or University:

2212509 Type of Fieldwork:

Option

Touro University Nevada, School

of Occupational Therapy

Other

1-1 In-Patient Acute

1.2 In Patient Rehab

1.3 SNF/Sub-acute/Acute Longterm 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)

Order of Placement: (At Touro

University Nevada's School of OT there
2212495 are two possible placements at this
IIA (1 of 2)
level. Answer should be 1 of 2 or 2 of
2.)

IIB (2 of 2)

2212499 Pass / No Pass:

2524363 Pass / No Pass:

------

Pass

No Pass

------

Pass

No Pass

I understand that be checking this box I

2212508 am certifying that I have read this
I confirm I have read this report
report.

I understand that by checking this box,

2212511 I am certifying the authenticity of this
evaluation.

I hereby certify the authenticity of

this evaluation

I understand that by checking this box,

2212512 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

Questio
n ID

ST
D

Mean

2213042 Number of Weeks Completed:

9.50

4.9
5

2218530 Final Score:

126.00

0.0
0

2292933 Final Midterm Score:

91.00

0.0
0

1.00

0.0
0

2212503

Question

Number of Persons Contributing to this

Report: