Coordinator:
Cindy Kief, ND, COTA/L
Phone: 569-1691
Office Hours: TBA
E-mail: cindy.keif@cincinnatistate.edu
Course Description:
Provides the opportunity for direct observation and participation in community Occupational Therapy setting. The ratio of fieldwork educators to students will be 1:1 - 1:2 to enable proper supervision and frequent assessment of progress.
“Level 1 Fieldwork, which initially provides the student with exposure to clinical practice through observation, progresses with increasing expectations of the student to demonstrate skills in the use of selected evaluation or treatment procedures; gather and organize data; and examine reactions to client and patients, self, personnel, and the profession” (Guide to Fieldwork Education, Commission of
Education of the American Occupational Therapy Association, AOTA, Inc., 1994, Pg.3).
Prerequisites:
OTA 4651
Corequisites:
OTA 4613, OTA 4623, OTA 4633
Hours:
Credits: 2
Class meets eight hours in the field and one hour seminar on campus.
Evaluation Method Weight
Client Plan 1
Client Plan 2
Progress Note
Correlation Study
Level 1 Fieldwork Evaluation
Standardized Evaluation
Journal
15%
15%
5%
20%
35%
5%
5%
Student Evaluation of Fieldwork & Record of Experience are due at assigned Seminar dates to avoid points deducted from final grade and to receive a grade for the course.
NAS/OTA/KIEF/4653-SYLLABUS 1108 1

Policies: Please refer to student handbook
Course objectives in terms of student learning: Will be progressive, requiring the student to make a transition from more simple to complex learning experiences.
Upon completion of the course, the student will be able to:
1.
Discuss the orientation process as provided at the clinical site and pertinent information which applies to the clinical fieldwork experience.
2.
Demonstrate skill in data gathering by obtaining pertinent information through: a.
Observation b.
Client interview c.
Chart review d.
Other available resources
3.
Demonstrate communication skills by: a.
Accurately recording observations of therapist/client interaction communicating effectively with clients, families, supervisor, and other health b.
Establishing therapeutic relationships with clients c.
Completing a progress note which relates to a particular client
4.
Monitor and/or assist with the implementation of the OT process under the direction of and/or through collaboration with supervisor for the following: a.
Development of therapeutic goals b.
Development of plan of treatment c.
Planning of individual treatment sessions d.
Implementation of one-to-one or group treatment sessions e.
Progress of treatment
5.
Demonstrate professional characteristics by: a.
Demonstrating reliable work habits b.
Establishing positive working relationships with staff c.
Maintaining a safe environment d.
Giving and receiving feedback e.
Asking appropriate questions f.
Respecting and maintaining patient, facility, and peer confidentiality g.
Conducting self ethically (according to the profession’s and student’s Code of Ethics) and with appropriate courtesy and attitudes in client and staff relationships h.
Evaluating experience in terms of personal and professional growth and development
6.
Perform a standardized assessment at the fieldwork site a.
Standardized assessment on a selected client as directed by the supervisor
NAS/OTA/KIEF/4653-SYLLABUS 1108 2

b.
Provide documentation on a the results of the assessment
7.
Apply physical dysfunction theory to practice a.
Complete a correlation study which compares classical ad clinical information as it relates to the client b.
Discuss applications of ADA law and other legislation as it effects the practice of physical dysfunction c.
Discuss cultural diversity issues as they relate to physical dysfunction OT treatment in reference to the patient and family
8.
Participation in seminar experience to accomplish the following: a.
Therapeutic use of self through role playing b.
Reflective journaling c.
Critical thinking and problem solving around clinical issues d.
Sharing of current trends in clinical practice
9.
Discuss role delineating as demonstrated at the clinical site
* Any student with a disability necessitating accommodations prescribed by the Americans with
Disabilities Act or Section 504 of the Rehabilitation Act must meet with Mr. Dave Cover, Special
Needs Counselor, prior to participating in classroom or laboratory activities. He will be the primary resource to determine what accommodations are necessary to provide the appropriate learning opportunity for the student. Mr. Cover may be contacted at (513) 569-1613.
*Health Excel Services
Health Excel Services is a
“free”
student support services available to all students enrolled in Health and Public Safety Division programs. The purpose of this service is to help students achieve their goals! Caring advisors work with students to help them identify the issues (personal, academic, financial, etc.) that are getting the way of their success, and develop a plan to overcome these obstacles and complete their coursework. Students are encouraged to make an appointment with a
Health Excel Advisor as soon as difficulties arise ……. Don’t Wait Until It’s Too Late !!!!!
* Instructors of this course reserve the right to refer students to Health Excel should the need present.
Grading policy
Instructors for this course have the right to assign a failing grade to the student if there are professional behaviors that are not corrected after consultation with the student. If the Fieldwork Educator gives a passing grade, but the comments and discussions suggest the grade should be failing, a failing grade may be given by the instructor for this course.
NAS/OTA/KIEF/4653-SYLLABUS 1108 3

Specific Assignments:
1.
Midterm/Final Student Evaluation
You will receive a written evaluation at midterm and at the end of the 10 week rotation. The evaluation consists of two parts. (Refer to handout in student handbook for scoring guidelines.)
Please review this form regularly so that you are familiar with the criteria upon which you will be evaluated. You are to sign the completed evaluation after it is reviewed with you. You are to sign the completed evaluation after it is reviewed with you. Your signature designates that the information on the evaluation has been reviewed with you and not necessarily that you agree with it. The completed and signed evaluation will be mailed to Cindy Kief by the facility or may be given to you in a sealed envelope to deliver to Cincinnati State.
2.
Student Evaluation of the Fieldwork Experience
This is an evaluation of your clinical educational experience. You are to have TWO copies completed and ready to discuss at the beginning of your final evaluation session. They are to be signed by you and your clinical supervisor. One copy will be kept by the facility and one will be mailed/delivered to Cincinnati State with your final evaluation. Your evaluation of the fieldwork site will be filed in Lab 267 for use by future students. These feedback forms will be maintained in the fieldwork file cabinet.
3.
Journal
You are to keep an on-going Journal for this clinical experience. The journals are online and questions will need to be answered by assigned due dates.
4.
Progress Note
Complete a progress note on a selected client with the note format utilized at your site. A grading criteria is provided with the assignment. You are to gain an awareness of different types/forms of progress notes being utilized in our community. This information will be shared as a class in seminar. The assignment is designed to assist you in integrating information learned in lettuce and lab with the being practiced at clinical sites.
5. Client Plans
There will be 2 client plans due for this term. They are used to give the student experience
observing and then reporting that information.
6. Standardized Assessment
NAS/OTA/KIEF/4653-SYLLABUS 1108 4

Complete the designated assessment on a selected client following the protocol established for administration. During the psychosocial clinical you will receive an evaluation sheet to assist with the administration of the ACLS. During the physical dysfunction clinical you will receive grading criteria for the assignment. These assignments are designed to assist you in integrating information learned in lecture and lab with that being practiced at clinical sites.
7. Correlation Study
Select one client upon which to complete a Correlation Study and structure the assignment based on the grading criteria provided. This project is designed to help you to study an individual’s classic medical picture as it correlates with the clinical picture.
NOTE: Journals will be turned in electronically. All other assignments will be turned in with the
Fieldwork Educator’s signature.
ROLE OF FIELDWORK EDUCATOR
The role of your supervisor is to provide you with learning experiences and to provide you with feedback regarding your abilities as well as area that you need to strengthen. They will “teach” you information about clients, diagnoses, the O.T. processes, “professionalism”, and the implementation of occupation based interventions.
ROLE OF STUDENTS
As a student, your role is to learn and grow towards becoming an O.T. Assistant. This is often a challenging and difficult process. The areas that are important for you to develop are noted in objectives: gathering data, communication, O.T. process, and professional characteristics use of occupation based interventions. All are equally important. It is your role to ensure that your learning needs are met. You should show initiative, ask questions. If you are having a problem, you should first discuss it with your supervisor. If this does not resolve the problem, you should discuss it with
Cindy Kief or during the psychosocial clinical Cindy Kief or Claudia Miller. Your journals are a very important form of communication. Please use the effectively.
ROLE OF THE ACADEMIC FIELDWORK COORDINATOR
The role of the coordinator is to ensure that the students are receiving an appropriate learning experience. It is also to ensure that the students follow through with assigned procedures. Cindy Kief will call the supervisor after 3 weeks to discuss student progress. I will if asked visit the student and supervisor at the facility at mid-term to discuss progress. I will also keep abreast of fieldwork experiences through occasional classroom contact (seminar, theory and lab). Your supervisors will be sent a very complete student packet prior to your clinicals. You will receive a letter informing you of the packet’s contents. Finally, I will always be available to both students and fieldwork supervisors to discuss matters of importance to either.
INTEGRATION OF FIELDWORK EXPERIENCE WITH OTA CURRICULUM
Meticulous planning has taken place among Cincinnati State faculty to assure that the learning experiences promoted and provided in all of your class work ultimately related to your fieldwork experience. Please be aware of this correction as you engage in fieldwork.
CLINICAL PRACTICE STANDARDS
The Cincinnati State Health and Public Safety Division Handbook should be reviewed carefully. The standards for clinical practice must be strictly adhered to. A violation in one of the standards will result in a meeting between the student and the Clinical Practice Standards Committee.
NAS/OTA/KIEF/4653-SYLLABUS 1108 5

Attendance: (Per Health and Public Safety Division Handbook & OTA Program Handbook)
Attendance during assigned hours is required.
Unavoidable absence must be reported to the coordinator AND to the clinical supervisor at the soonest possible time.
Tardiness: you are required to notify the clinical supervisor as well as the coordinator; any time lost from being tardy must be made up.
FOR MORE SPECIFIC DETAILS REFER TO THE STUDENT HANDBOOK.
Seminar: This course also requires attendance to a 50-minute seminar each week. Adjustments may be made to the in class portion of their class. Parts of seminar may be online.
You are permitted one absence from seminar for personal illness, death in the family, or some other type of extreme circumstance which must be discussed with the coordinator.
After one class session is missed, 5 points will be deducted from your final grade for each absence.
Assignments:
The assignments must be neat, thorough, and concise. They are to be completed on the computers in the OTA Lab or on your own personal computer.
NOTE: THE ASSIGNMENTS ARE NOT TO BE REVISED AFTER SUPERVISOR REVIEW.
Before you hand in an assignment, your fieldwork supervisor must read it, comment on THE
ACCURACY (ONLY) of the data presented in your assignment. It is not their role to GRADE the assignments. AN ASSIGNMENT THAT IS NOT SIGNED AND DATED BY THE FIELDWORK
SUPERVISOR WILL NOT BE ACCEPTED.
It is very important that you plan ahead so that you have enough time to complete the assignment, allow the clinical supervisor to read it and hand it in to Cincinnati State on the due date.
The clinical supervisor is not responsible for reminding you about the assignments. They will provide assistance by answering questions that you ask. It is ultimately your responsibility to determine how and when you will complete the assignment.
All assignments are due at the beginning of the specified due date. Late assignments must be approved by the instructor, prior to due date. Late assignments will be approved in extreme circumstances only
A late assignment that does not have prior approval will be given a “0”. All assignments must be completed in order to receive credit for the course. Grading criteria will be provided prior to the due date.
If an assignment is going to be late, the instructor is to be notified no later than 3 p.m., on the day before the assignment is due. The assignment is expected at the beginning of the next regular class day unless otherwise agreed upon with the instructor. Twenty points will automatically be deducted for late assignments. Assignments not turned in on the agreed upon extended due date will receive a score of “0”.
NAS/OTA/KIEF/4653-SYLLABUS 1108 6

On-going:
NOTE:
Student asks questions
Student fills out daily journal
Student keeps chart of clients observed (Intervention Logs)
Things to plan ahead for:

This fieldwork requires that you interview a family member. Ask your supervisor to help you select a client with family that with whom you can talk.

You will be performing a standardized assessment this term, and doing a correlation study. It will be helpful for you if you begin thinking about this early in the term.
Notice what conditions/diagnoses are particularly interesting to you. Your supervisor may be able to help you select a client with a condition/diagnoses that in which you are interested.

Journals are due every evening upon completion of your clinical day.
Week 1 :

Orientation: Facility
Department
Types of Clientele
Schedule
Emergency Plan
Expectations (assignments, dress code, absences, etc.)
Review HIPPA requirements
Tour

Becomes acquainted with safety/security polices

Meet Team Members

Observe therapist intervention with clients

Supervisor follows normal routine; student observes interventions

Meet team members; observe in client intervention, if possible

Student interact (social level) with all clients observed.
Week 2

Supervisor follows normal routine, student observes interventions

Meet team members; observe client intervention, if possible

Student interact (social level) with all clients observed

Supervisor assigns student one client: observe treatment. At end of day have student verbalize observations. Give student feedback on accuracy/what was missed.
 Student observes supervisor’s interventions

Student becomes familiar with client records
NAS/OTA/KIEF/4653-SYLLABUS 1108 7

These are just suggested topics. The rest of the clinical feel free to engage the student as your facility allows, as the clients’ conditions allow and as the student progresses in skills. You may also consider the following learning experiences.
Additional Learning Experience

Become aware of ADA accommodations present at site

Attend team conferences

Plan and implement group activity

Instruct a client in an activity unfamiliar to client

Perform an initial interview

Plan and implement activity with client that is new to facility

Interview a team member

Explain OT to a client/family

Attend interventions of other disciplines

Splinting/fit sling

Adapt equipment

Transfer client (under supervision)

Instruct client (energy conservation, joint protection, use of adapted equipment)

Plan and implement group activities

What else?
DUE TO CINCINNATI STATE January 29 , 2010. Students may deliver this paperwork to Cindy
Kief in a sealed envelope

Level 1 Fieldwork Evaluation

Student Evaluation of Fieldwork Experience

Intervention Log (initialed and dated by supervisor)
The following calendar can be used to plan time together. There are 2 groups of students, some meet in seminar on Mondays and some meet in seminar on Wednesdays. This can be clarified by asking the student which group they are in.
NAS/OTA/KIEF/4653-SYLLABUS 1108 8

7
8
9
Week
1
2
3
4
5
6
10
Monday
Nov 23
Seminar
Nov 30
Seminar
Dec 7
Seminar
Client plan 1 is due
Dec 14
Seminar
Standardized test due
Dec 21
Seminar
Client plan 2 due
Jan 4
Seminar
Jan 11
Progress notes due
Jan 18
No class
Jan 25
Seminar
Correlation Study
Due
Tuesday
Nov 17
Term begins
Wednesday
Nov 18
Seminar for everyone
12:00
Nov 25
Seminar
Thursday
Thanksgiving no
Clinical
Friday
Dec 2
Seminar
Dec 9
Seminar
Client plan 1 due
Dec 16
Seminar
Standardized test due
Dec 23
Seminar
Client plan 2 due
Jan 6
Seminar
Jan 13
Progress Notes due
Jan 20
Seminar
Correlation Study Due
Jan 27
Seminar
No class Dec
24 th
through
Jan 3
All paperwork due to
Cincinnati
State tomorrow
Last possible day for fieldwork
NAS/OTA/KIEF/4653-SYLLABUS 1108 9