Level II Fieldwork

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Level I Fieldwork:
Goal:
1. “Introduce students to the fieldwork experiment, to apply knowledge to practice and to develop
understanding of the needs of the client” (ACOTE Standards)
2. “Enrich didactic coursework through direct observation and participation in selected aspects of the
Occupational Therapy Process” (ACOTE Standard B.10.11)
This clinical experience will provide the student with an opportunity to observe and apply knowledge to
practice in a physical disabilities setting under direct supervision of a licensed occupational therapy practitioner
with a minimum of one year experience.
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Prerequisites completed- mandatory
Professional dress, name tag
Take with you: Level I FW evaluation+ self- addressed envelope (see below) and list of suggested
activities + additional assignments from OTA 161 or 261, if assigned.
Level I FW Evaluation:
Evaluation of student performance: The student is evaluated by the fieldwork educator at the site on the
objectives above using the Level I Fieldwork evaluation. The fieldwork educator is asked to complete the level I FW
evaluation the last day of level I FW, send original to academic fieldwork coordinator and give copy to the student.
Evaluation of fieldwork experience: The student submits an evaluation of the fieldwork experience after the level I
fieldwork on the level I fieldwork evaluation form and submits it to the Academic Fieldwork Coordinator following
week.
Level I FW Grading:
Level I fieldwork is a 1 credit pass /fail course.
Criteria for a Pass grade is:
1. A score of 2 or above in items 6,7,8 on the Level I FW evaluation and minimum of 30 hours participation.
2. Level I site evaluation (to be completed by student after level I FW) submitted to Academic Fieldwork
Coordinator no later than 3 weeks following Level I fieldwork.
Level I FW course learning objectives:
1.
2.
3.
4.
Professional time management and dependability; on time to facility, accomplishes duties in
allotted time frames. Notifies supervisor if late/ill and makes up time.
Come to FWI site prepared, follow facility dress code, exhibit professional hygiene and exhibit
appropriate use of phone and computer as outlined in the facility policy.
Exhibit correct spelling and use of grammar
Verbally interact with the staff and clients in manner appropriate to clinic setting.
OTA student Handbook
Revised 1/2013
5.
6.
7.
8.
9.
a.
b.
c.
10.
11.
12.
13.
14.
15.
Demonstrate appropriate therapeutic interaction- through appropriate eye contact, reflective
affect, limit setting, appropriate use of attention and humor, render assist to all without
bias / prejudice, and demonstrate appreciation for cultural differences and by exhibiting
confidence through leading client interactions verbally and nonverbally.
Demonstrate initiation by seeking out information from a variety of sources such as the
supervisor, medical record, client family, team members.
Demonstrate respect for confidentially
Adhere to facility safety and client precautions
Verbalize a “working familiarity’ with OT practice as demonstrated in the following:
Describe the role of OT to client, family and or staff
Describe the role of the OTA to client, family and /or staff
Describe the OT process and where each observed pt. is in the OT process ( screening,
evaluation, treatment planning, treatment intervention, outcome, d/c planning and d/c)
Demonstrate developing clinical reasoning and observation skill in the context of the OT
process through
a.
Verbalizing or writing a minimum of 3 relevant behaviors/observations for performance
areas and performance components for a minimum of 3 clients
b.
Asking/ offering verbal or written questions/suggestions relevant to the OT process for min
of 4 clients observed.
Demonstrate correct usage and understanding of common medical terminology (and
independently seek reference as needed for such correct application)
Give and receive constructive feedback (verbally and /or written)
Modify performance in response to meaningful feedback
Seek guidance appropriately
Adhere to the Occupational Therapy Code of Ethics and Ethics Standards (2010)- in student
handbook.
OTA student Handbook
Revised 1/2013
Level II Fieldwork:
Goal: The goal of level II fieldwork is to develop competent entry level , generalist occupational therapy
assistants. The program is designed to be integral to the SFCC OTA program’s curriculum design and to
include in-depth experience in delivering occupational therapy services to clients, focusing on the
application of purposeful and meaningful occupation. Study/ preparation outside of clinic hours is
expected and encouraged.
General Level II course learning objectives: The following course learning objectives are established by
the American Occupational Therapy Association and are the items on the student fieldwork
performance evaluation.
Each site may provide the student with site specific objectives (either weekly or by item- see FLOTEC
document in Appendix)) that individualize the objectives below. If not, the site must communicate that
the objectives below are the site’s objectives.
Supervision during level II fieldwork is initially direct and then decreased to less direct supervision as
is appropriate for the setting, the severity of the client’s condition and the ability of the student.
The student will demonstrate that he/ she:
1.
Adheres consistently to the American Occupational Therapy Association Code of Ethics and
site’s policies and procedures.
2.
Adheres consistently to safety regulations. Anticipates potentially hazardous situations & takes
steps to prevent accidents for clients & staff members throughout fieldwork related activities
3.
Uses sound judgment in regard to safety of self & others during all fieldwork related activities
4.
Clearly communicates the values and beliefs of occupational therapy, highlighting the use of
occupation to clients, families, significant others, and service providers
5.
Communicates the roles of the occupational therapist and occupational therapy assistant to
clients, families, significant others, and service providers
6.
Makes informed practice decisions based on published research and relevant informational
resources.
7.
Gathers Data: Under the supervision of and in cooperation with the occupational therapist
and/or occupational therapy assistant, accurately gathers relevant information regarding a client’s
occupations of self-care, productivity, leisure, and the factors that support and hinder occupational
performance.
8.
Establishes service competency in assessment methods, including but not limited to interviews,
observations, assessment tools, and chart reviews within the context of the service delivery setting.
OTA student Handbook
Revised 1/2013
9.
Assists with interpreting assessment in relation to the client’s performance and goals in
collaboration with the occupational therapist.
10.
Reports results accurately in a clear, concise manner that reflects the client’s status and goals.
11.
Develops client-centered and occupation-based goals in collaboration with the occupational
therapist.
12.
In collaboration with the occupational therapist, establishes methods, duration , and frequency
of interventions that are client-centered and occupation-based . Intervention plans reflect context of
setting.
13.
Selects and sequences relevant interventions that promote the client’s ability to engage in
occupations.
14.
Implements occupation-based interventions effectively in collaboration with clients, families,
significant others, and service providers.
15.
Grades activities to motivate and challenge clients in order to facilitate progress.
16.
Effectively interacts with clients to facilitate accomplishment of established goals.
17.
Monitors the client’s status in order to update, change, or terminate the intervention plan in
collaboration with the occupational therapist.
18.
Clearly and effectively communicates verbally and nonverbally with clients, families, significant
others, colleagues, service providers, and the public.
19.
Produces clear and accurate documentation according to site requirements. All writing is legible,
using proper spelling, punctuation, and grammar.
20.
Takes responsibility for attaining professional competence by seeking out learning opportunities
and interactions with supervisor(s) and others
21.
Responds constructively to feedback.
22.
Demonstrates consistent work behaviors including initiative, preparedness, dependability, and
work site maintenance.
23.
Demonstrates effective time management.
24.
Demonstrates positive interpersonal skills including but not limited to cooperation, flexibility,
tact and empathy.
25.
Demonstrates respect for diversity factors of others including but not limited to socio-cultural,
socioeconomic, spiritual and lifestyle choices.
OTA student Handbook
Revised 1/2013
Evaluation:
Evaluation of student performance: Student performance is rated by the fieldwork educator(s) at the
site on the AOTA fieldwork Performance Evaluation at midterm and final. The 25 items on the fieldwork
evaluation are the same as the learning objectives above.
Evaluation of the fieldwork experience:
Grading:
Level II fieldwork is a pass/fail course.
OTA 253 (1st Level II fieldwork) is a variable credit course as it crosses between
Winter and Spring Quarter. The winter quarter portion: overall midterm scored must be
50 or greater to pass the first half of OTA 253. The spring quarter portion: final score of greater
than 69 is required on the fieldwork performance evaluation.
OTA 254 (2nd Level II fieldwork) A final score of
greater than 69 is required on the fieldwork
performance evaluation.
A completed AOTA fieldwork performance evaluation is sent from the site fieldwork educator to the
academic fieldwork coordinator who then grades the student fieldwork experience pass/fail
Additional consideration for grade:
The ratings for the ethics and safety items must be scored 3 or above on the final evaluation.
The overall midterm scored must be 50 or greater to pass the first half of OTA 253. A final score of
greater than 69 is required for a student to pass the FPE.
Pass/Fail is attendance, completing all assignments satisfactorily and on time and demonstrating
satisfactory professional and clinical behaviors.
OTA student Handbook
Revised 1/2013
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