Professional Documents
Culture Documents
Clinical Placement III Clinical Assessment Form PDF
Clinical Placement III Clinical Assessment Form PDF
Hospital: ………………… Discipline: 1st Core/ 2nd Core/ 1st Sub-core /2nd Sub-core…….……..
Mark according to the criteria for assessment above, put a tick (√ ) on the appropriate column for each learning outcome
PART I – Professionalism
Learning outcome Very Poor Fair Good Excellent
By the end of this placement the student will able to: Poor
0 1 2 3 4
1 Demonstrate adequate preparation for placement
- show evidence of pre-placement reading and on going placement preparation
- has basic knowledge of skills encountered on placement
- seeks to address learning needs and limitations
2 Demonstrate appropriate professional behaviours and attitudes
- demonstrates professional behaviour and demeanour
- dress professionally according to local policy
- demonstrates punctuality
- completes full attendance of clinical placement
- demonstrates initiative and willingness to learn
- demonstrate an appropriate professional response to feedback
- prepare for and modify practice according to feedback
- demonstrates accountability for patients
- maintains patient confidentiality
TOTAL:
PART II - Communication
Learning outcome Very Poor Fair Good Excellent
By the end of this placement the student will able to: Poor
0 1 2 3 4
PTCP 64112 Clinical Placement 3, Y4 S1
1
1 Communicate effectively with the patient and /or family/carer
- demonstrate an appropriate level of confidence in approaching patients and establishes a
rapport with patients and /or family/carer
- aware of and demonstrate appropriate verbal and non-verbal skills
- explain the basic aspects of management and care to patient and /or family/carer
- obtain consent from the patient to perform assessment and management
- usage of language and terms which are simple and clear for the patient
listening skills in interactions with patients and /or family/carer
respect the rights, dignity and individuality of the patient and /or family/carer
2 Communication with physiotherapists and other health care
professionals
- demonstrates courtesy and politeness towards all professionals
- demonstrates teamwork with other students and health care professionals
- communicates with physiotherapists and other health care professionals with regards to
patient management
- communicates effectively to clinical supervisors with regards to learning needs and
outcomes.
- presenting case to clinicians/lecturers in systematic, concise and informative manner
TOTAL:
PART III - Patient Assessment
Learning outcome Very Poor Fair Good Excellent
By the end of this placement the student will able to: Poor
0 1 2 3 4
1 Demonstrate appropriate background knowledge to select
appropriate assessment techniques
- able to explain patient’s diagnosis, medical assessment and management
- able to explain necessary assessments, precautions and contraindications
- rationalise for the selection of the assessment techniques
- discuss reliability and validity of assessment procedures
2 Perform a subjective examination
- select relevant information from available sources prior to initiation of assessment
- integrate this information into the subsequent assessment
- execute a logical, systematic and comprehensive interview to identify the patients’
problems
- effective questioning methods used to obtain clarity of the situation
- generate pertinent information for holistic approach in patient management
- exhibit some flexibility in enquiry in response to patient cues
3 Perform an objective examination safely
- explain purpose and format of objective assessment to patient
- obtain consent from the patient to perform assessment and management
- maintain a safe environment - identify and clear hazards in environment
- monitor patient response to assessment and modifies / discontinues assessment where
patient safety is at risk
- minimal movement of patient into different positions for assessment
4 Perform an objective examination effectively
- perform objective assessment techniques effectively, accurately and safely for the most
accurate results
- demonstrates good and effective handling skills
- position self optimally when executing the subjective and objective examination
- position patients for their comfort and dignity during assessment
- able to modify handling and assessment techniques according to the condition of the
patients
- minimise physical and psychological stress during assessment
- using appropriate touch during assessment
5 Demonstrates understanding of relationship between assessments
- able to select subjective and objective assessment based on medical notes.
- Able to rationalise and relate choice of objective assessments to subjective assessment
6 Demonstrate efficiency in the performance of the assessment
- complete assessment in appropriate time (approximately 20-30 min)
TOTAL:
PART IV – ANALYSIS
Learning outcome Very Poor Fair Good Excellent
By the end of this placement the student will able to: Poor
0 1 2 3 4
1 Interpret basic assessment findings
- identify impairments, activity limitations, participation limitations- able to use ICF Model to
7 Patient Education
- teach aspects of management and care to patients/carers in an effective manner
- provide instructions in manner to ensure compliance (repeat demonstration, written
instructions, etc)
PTCP 64112 Clinical Placement 3, Y4 S1
3
- clear instructions to patients with regards to dosage
8 Treatment Efficiency
- manage his/her treatment time efficiently, carrying out treatment tasks within a reasonable
time period
- set appropriate priorities in planning treatment
TOTAL:
PART V - Documentation
Learning outcome Very Poor Fair Good Excellent
By the end of this placement the student will able to: Poor
0 1 2 3 4
1 Comprehensive documentation
- accurate documentation with the use of SOAPIER
- demonstrates clarity in documentation
- use appropriate terminology and abbreviations
Patient Caseload
- Evidence of documentation of caseload seen during placement
TOTAL:
STATEMENT BY STUDENT
I have had the opportunity to discuss progress during my placement and I have read and discussed this
report with my clinical supervisor / Lecturer.