LEC
0
LAB
15
CR
5
COURSE DESCRIPTION:
OTH 2840L Supervised Clinical Practice I (5) (A.S.) Forty days per term – four and a half days per week.
Prerequisites: satisfactory completion of OTH 2261C, OTH 2420C, OTH 2300C and OTH 2802L.
Corequisite: OTH 2933C. Supervised Clinical Practice I is a full-time supervised fieldwork experience designed to bridge the student from classroom to fieldwork in preparation for entry-level practice as an occupational therapy assistant. The student will participate in an in-depth experience in delivering occupational therapy services to clients, focusing on the application of purposeful and meaningful occupation. The fieldwork experience is scheduled to be in one practice area of occupational therapy
(physical disabilities, psychosocial dysfunction, or pediatrics) and is designed to promote problem solving abilities and clinical reasoning appropriate to the occupational therapy assistant role, to transmit the values and beliefs that enable ethical practice, and to develop professionalism and competence in career responsibilities.
RELATIONSHIP TO THE CURRICULUM DESIGN:
Supervised Clinical Practice I is designed to integrate all academic and clinical knowledge in the practical application of occupational therapy theory and intervention techniques in a variety of settings.
Fieldwork placements will be determined with input from the student related to their interests and the availability of fieldwork sites. Students will have the opportunity to utilize their knowledge base and previously learned skills within the fieldwork setting to deliver occupational therapy services. Upon satisfactory completion of each fieldwork, the student will be able to demonstrate the competence of an entry-level occupational therapy assistant.
PREREQUISITES:
COREQUISITES:
Satisfactory completion of OTH 2261C, OTH 2420C,
OTH 2300C and OTH 2802L
OTH 2933C
REVISIONS: 2/99, 10/99, 11/00, 11/01, 7/03, 6/06, 6/07, 11/07, 10/08,
8/09, 12/09, 12/10, 6/13
STUDENT LEARNING OUTCOMES:
Upon satisfactory completion of this course, the student will be able to:
1.0 Use information from evaluation processes for intervention planning.
1.1 Select information from data sources that are relevant to the needs of the client.
1.2 Use interview techniques to gather data from the client, family and other professional resources.
1.3 Use observation skills to gather data about the client.

1.4 Develop an occupational profile, including participation in activities that are meaningful and necessary for the client to carry out roles in home, work and the community environments.
1.5 Discuss the use of appropriate standardized and non-standardized techniques utilized in the assessment process within the clinical setting.
1.6 Administer correctly assigned evaluation procedures to obtain information relevant to the client’s performance.
1.7 Discuss the information obtained from the evaluation as related to theories, frames of reference and evidence to understand the clinical reasoning utilized in developing the treatment plan.
1.8 Understand the need for data collection and statistics when utilizing standardized assessments.
1.9 Relate the analysis of the occupational performance to the need for occupational therapy intervention
2.0 Develop an intervention program based on therapeutic goals.
2.1 Analyze therapeutic activities commonly used in the fieldwork environment in terms of performance areas of occupation, performance skills, performance patterns, context, activity demands and client factors.
2.2 Utilize activity analysis to analyze the components of the activity and determine the direct or indirect consequences of the activity.
2.3 Select appropriate activities related to the client’s functional abilities, limitations and personal need to enhance safety, wellness, and performance in activities of daily living, instrumental activities of daily living, education, work, play, leisure, and social participation..
2.4 Grade and adapt the environment and activities to the client’s functional level to maximize independent living skills.
2.5 Select the type of occupational therapy intervention most appropriate to the client’s needs, considering therapeutic use of self and therapeutic use of occupations and activities including occupation-based interventions, purposeful activity and preparatory methods.
2.6 Discuss post discharge needs and plans
3.0 Implement intervention programs that reflect the identified goals of the clients.
3.1 Provide therapeutic use of occupation and activities for assigned clients under the supervision of an occupational therapist or occupational therapy assistant.
3.2 Utilizing the teaching-learning process instruct the client in the performance of intervention activities.
3.3 Report the need for intervention change to the fieldwork educator/clinical supervisor.
3.4 Report progress accurately in both written and oral formats.
3.5 Fabricate adaptive/assistive devices when appropriate to the client’s needs.
3.6 Fabricate splints when appropriate to the clients needs.
3.7 Maintain accurate written records distinguishing between subjective and objective data, meeting requirements of the fieldwork facility.
3.8 When appropriate, involves the family and significant others in the client’s intervention process/program.
3.9 Reevaluate the treatment program and how it is carried out with the client relative to achieving targeted outcomes.
4.0 Plan for termination of intervention and post-discharge needs of the client.
4.1
Discuss need for adaptive/assistive equipment, compensatory techniques and assistive technology.

4.2
Explore community resources available to the client.
4.3
Collaborate with client, family and team members when considering postdischarge needs.
5.0 Establish a therapeutic relationship with clients.
5.1
Considers the client’s needs and cultural background when establishing a therapeutic relationship.
5.2
Respond in a therapeutic manner to specific manifestations of client behavior.
5.3
Act responsibly in accordance with the legal and ethical guidelines and standards of practice for occupational therapists.
5.4
Understand the social, emotional, spiritual, temporal, virtual and cultural factors which influence adults with disabilities.
6.0 Demonstrate effective communication skills when dealing with staff, clients potential employers, regulatory boards, policy makers and the general public..
6.1
Orient the client and family to the purpose of occupational therapy related to the disability within this clinical environment.
6.2
Communicate with the fieldwork educator to facilitate implementation of treatment goals.
6.3
Communicate and collaborate with other personnel and family to facilitate carryover of therapy in all environments of the client.
6.4
Document occupational therapy services to ensure accountability and to meet the standards for reimbursement of services.
6.5
Communicate the unique nature of occupational therapy in a variety of service delivery settings.
6.6
Document the unique nature of occupational therapy for the reimbursement of services and promotion of the profession.
7.0
Demonstrates professional behaviors in the fieldwork setting.
7.1
Fulfills all duties and responsibilities identified by the fieldwork educators and academic fieldwork coordinators within the designated time.
7.2
Budgets time for the assigned intervention program.
7.3
Budgets time for preparation, clean-up and review.
7.4
Maintains equipment, supplies and the intervention area.
7.5
Modifies behavior in response to supervisory feedback.
7.6
Takes advantage of opportunities to learn new techniques or refine those already known.
7.7
Respects the client’s rights to confidentiality, privacy, and choice.
7.8
Handles personal and professional problems so that they do not interfere with the performance of expected duties.
7.9
Adheres to the policies and procedures of the facility.
7.10
Comply with the professional standards identified by the fieldwork facility, the college and the Principles of Occupational Therapy Ethics.
8.0
Explain the role and function of occupational therapy in relation to the fieldwork environment and other available services.
8.1
Explain the role and function of the occupational therapist and occupational therapy assistant in the evaluation/assessment, reassessment, intervention and termination of treatment within the assigned fieldwork setting.
8.2
Explain the role and function of other disciplines in the assigned fieldwork setting.
8.3
Understand the need for and use of service competencies within the fieldwork setting.
8.4
Identify client’s rights and provider responsibilities within the fieldwork setting.

8.5
Demonstrate collaborative intervention-planning recognizing the barriers for collaboration as well as strategies for improving collaboration.
9.0
Observes all safety factors in implementing client assessments and interventions.
TOPICAL OUTLINE
1. Evaluation
9.1
Observes all policies and procedures of the fieldwork site
9.2
Utilizes good body mechanics when lifting and handling clients and equipment.
9.3
Adheres to standard precautions at all times within the therapeutic environment.
A. Data collection
B. Data usage
C. evaluation/assessment administration
1.
Occupational profile
2.
Standardized and non-standardized procedures
3.
Service competency
4.
Analysis of occupational performance
D. Link evaluation to theories, frames of references and clinical reasoning.
2. Intervention/program planning and implementation
A. Program development
B. Therapeutic relationship
C. Collaborative treatment planning
D. Implementation of therapeutic activities
E. Involvement with family and significant others in the client’s treatment program
F. Reassessment and termination of treatment
3. Termination of Treatment and Post-discharge needs of the client
A.
Community resources
B.
Adaptive/Assistive Equipment
C.
Collaboration with client, family and team
4. Communication
A. Orientation of the client to occupational therapy
B. Supervisory relationship
C. Communication and collaboration with other professional staff
D. Written records and reports
5. Roles and Responsiblities of Occupational Therapy Personnel
A.
Roles of the occupational therapist and occupational therapy assistant in the clinical environment.
B.
Service Competency
C.
Working with other professionals
D.
Collaborative intervention planning
6. Professional Behaviors
A. Time management
B. Equipment maintenance
C. Behavior modification
D. Patient confidentiality

E. Performance of job responsibilities
F. Adherence to policies and procedures of the clinical facility
G. Principles of Occupational Therapy Ethics
7. Safety
A.
Body mechanics
B.
Standard precautions
C.
Faciltiy policies and procedures
TEACHING/LEARNING EXPERIENCES
Fieldwork experience supervised by an occupational therapist and/or occupational therapy assistant.
Treatment planning for assigned clients
Assignments – written and oral
 Documentation – SOAP notes/observations
 activity analysis
 treatment planning
 case study
 Inservice presentation when required by setting
Participation in continuing education programs when available
Discussion – small groups
Inquiry/questioning
Demonstration
Participation in assessment and treatment activities with clients
EVALUATION METHODS
Fieldwork Evaluation*
Assignments
70%
30%
*The student must pass the fieldwork component with a minimum grade of 70 in order to pass the course, regardless of the average of the other components.
Initially developed - 1/6/98 – Revised based on ACOTE 2011 OTA Standards
Date of Original Submission: 10/1/97
Date of Last Review: 2/99, 10/99, 11/00, 11/01, 7/03, 6/06, 6/07, 11/07, 10/08, 8/09, 12/09,
12/10, 6/13
Date of Last Revision: 11/19/07, 9/30/13