My Performance

Subject: Kelsey Puliafico

Activity: OT OCCT 527A
Time Period: 03/06/2015 to 04/03/2015
Time Period Type: Time Frame End
Report Date: 08/26/2015
Expanded View To Trainee Comments To Time Series
Question
Question
ID

Zero Applicable
Mean Scale Std
Count Answers

Organization
Organization
1568346 Consider ability to set priorities, be
dependable, be organized, follow through
with responsibilities

4.00 1 to 4 0.00

Engagement in the Fieldwork

Experience
Engagement in the Fieldwork
Experience
Consider the students apparent level of
1568348
interest, level of active participation while
on site; investment in individuals and
treatment outcomes; seeks ways to
improve self-performance; follows safety
precautions

3.00 1 to 4 0.00

Self-Directed Learning
Self-Directed Learning
Consider ability to take responsibility for
1568350
own learning; demonstrate motivation;
aware of own strengths and areas for
improvement

3.00 1 to 4 0.00

Reasoning/Problem Solving
Reasoning/Problem Solving
Consider ability to use self-reflection,
willingness to ask questions; ability to
1568352 analyze, synthesize and interpret
information; understand the OT process;
demonstrates inquiry skills appropriate to
the students stage of education and
training

4.00 1 to 4 0.00

Written Communication
Written Communication
1568354 Consider grammar, spelling, legibility,
successful completion of written
assignments, documentation skills

3.00 1 to 4 0.00

Initiative
Initiative
1568356 Consider initiative, ability to seek and
acquire information from a variety of
sources

4.00 1 to 4 0.00

Observation Skills
Observation Skills
Consider ability to observe relevant
1568358
behaviors for performance areas and
performance components and to verbalize
perceptions and observations

4.00 1 to 4 0.00

Verbal Communication and

Interpersonal Skills
Verbal Communication and
Interpersonal Skills
Consider ability to interact appropriately
1568360 with individuals (patients/clients/staff/
caregivers) such as eye contact, empathy,
limit setting, respectfulness, use of
authority; degree/quality of verbal
interactions; use of body language and nonverbal communication; exhibits confidence

4.00 1 to 4 0.00

Professional and Personal Boundaries

Professional and Personal Boundaries
Consider ability to recognize/handle
personal/professional frustrations; balance
1568362 personal/professional obligations; handle
responsibilities; work with others
cooperatively, considerately, effectively;
responsiveness to social cues; adheres to
AOTA Code of Ethics

4.00 1 to 4 0.00

Use of Professional Terminology

Use of Professional Terminology
Consider ability to respect confidentiality;
1568364
appropriately apply professional
terminology (Practice Framework) in written
and oral communication

3.00 1 to 4 0.00

Attitude and Professional Appearance

Attitude and Professional Appearance
Consider ability to manage stressors in
1568366
constructive ways; demonstrates flexibility
as required; follows program guidelines for
dress and hygiene

4.00 1 to 4 0.00

Time Management Skills

Time Management Skills
1568368
Consider ability to be prompt, arrive on
time, complete assignments on time

4.00 1 to 4 0.00

Participation in the Supervisory Process

Participation in the Supervisory Process
1568370 Consider ability to give, receive and
respond to feedback; seek guidance when
necessary; follow proper channels
Question
Question
ID
1568255

Type of Fieldwork: (Specialty/Practice

Area)

We have both reviewed the Educator

Evaluation of Student, Student
1568379
Evaluation of Educator, and Student
Evaluation of Facility.

3.00 1 to 4 0.00

Option

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 (see below)

Yes

No

Hide Comments
Fieldwork Educator:
Subject: Kelsey Puliafico, Level I

Brandi Lopez

Date Completed - 1
1.
Subject: Kelsey Puliafico, Level I

3/30/15

Student Learning Objectives - 1

1.
Subject: Kelsey Puliafico, Level I

Administer or participate in one mental

health assessment and complete
associated documentation.

Date Completed - 2
2.
Subject: Kelsey Puliafico, Level I

3/30/15

Student Learning Objectives - 2

2.
Subject: Kelsey Puliafico, Level I

Lead, co-lead or participate in group or

individual treatment session and document
this intervention per facility standards.

Date Completed - 3
3.
Subject: Kelsey Puliafico, Level I

3/30/15

Student Learning Objectives - 3

3.
Subject: Kelsey Puliafico, Level I

In order to increase my confidence in my

abilities to convey the definition of
Occupational Therapy to individuals in the
community and potential future clients, I will
write my 1 minute elevator speech & recite
it to at least 2 individuals at my fieldwork
cite by April 1st, 2015.
End of comment report.