w U NIVERSIT Y O F UTA II

COLLEGE m H EA LT H Division of Occupation;:il Therapy

FIELDWORK I OBSERVATION OF STUDENT PERFORMANCE

Student's Name: Jessica Brauzer Fieldwork Facility: Neighborhood House Adult Day Services
Supervisor's Name: Sarah Scott, ADS Director, Neighborhood House Dates of FW: 8/27/18-11/23/18
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Professional Behavior Needs Not

The student: Outstanding Adequate Improvement Observed
1. Conforms to institution's dress code. X
2. Is responsible and dependable in attendance and promptness. X
3. Communicates effectively with other professionals/staff. Listens and speaks at X
appropriate times.
4. Contributes toward open communication with supervisor. Gives and receives feedback X
I
appropriately.
5. Establishes and maintains therapeutic relationships with clients and their families. X (Clients
only, family
interaction
not
observed)
6. Demonstrates professional values and ethics. X
7. Maintains the confidentiality of others. X
8. Seeks information and asks relevant questions. X
Uses resources and time effectivelv.
9. Follows throuqh with suqqestions made bv suoervisor. X
10. Seeks challenges and demonstrates enthusiasm for fieldwork experiences. X
11 . Demonstrates independence when appropriate. X
12. Flexible: effectively adjusts to changes; adjusts priorities without difficulty. X
Related to Educational Objectives Needs Not
The student has: Outstanding Adequate Improvement Observed
13. Developed an increased comfort level interacting with persons who have disabilities, X
emotional problems, or osvchiatric disorders.
14. Described the needs of clients served bv the aqency/facilitv. X
15. Demonstrated respect for the values and diversity of persons with disabilities, X
careqivers , staff and volunteers.
16. Demonstrated an attitude of inquiry to enhance creativity and problem solving skills. X
17. Observed staff interactions, assessments and/or treatment sessions with agency/facility X
clients .