SIM CENTER COMPETENCY – OCTH 731/742 TREATMENT SESSION (30 POINTS)

NAME: ____________________

You will have 15 minutes scheduled prior to assessment for clarification/questions, limit of 40 minutes to do your assessment, and then 5-10 minutes debriefing after the
completion of your evaluation. OT profile and evaluation SOAP note are due Friday by MIDNIGHT (scored separately). Each step listed in the rubric will be checked. Feel free to
take this rubric form in with you as a check. MINIMUM of 1 transfer and 1 ADL.

  Exemplary (28-30) Accomplished Developing Beginning NOTES

(26-27) (24-25) (<23)
Being Skillful  Shows mastery of Displays proficiency in the Is hesitant or ineffective in Is unable to select and/or  
30%  necessary OT skills   use of most OT skills; could using OT skills  perform OT skills 
9 points  improve speed or accuracy  7.5 pts  6.9 pts 
8.1 pts 
Focused Focuses observation Regularly observes and Attempts to monitor a Confused by the clinical  
Observation 15%  appropriately; regularly monitors a variety of data, variety of subjective and situation and the amount and
observes and monitors a including both subjective objective data but is kind of data; observation is
wide variety of objective and objective; most useful overwhelmed by the array of not organized and important
and subjective data to information is noticed; may data; focuses on the most data are missed, and/or
uncover any useful miss the most subtle signs  obvious data, missing some assessment errors are made. 
information   4 pts  important information  3.4 pts 
4.5 pts  3.7 pts 
Information Assertively seeks Actively seeks subjective Makes limited efforts to Is ineffective in seeking  
seeking 5%  information to plan information about the seek additional information information; relies mostly on
intervention; carefully patient’s situation from the from the patient and family; objective data; has difficulty
collects useful subjective patient and family to often seems not to know interacting with the patient
data from observing and support planning what information to seek and family and fails to collect
interacting with the interventions; occasionally and/or pursues unrelated important subjective date 
patient and family   does not pursue important information  1.1 pts 
1.5 pts  leads  1.2 pts 
1.3 pts 
Calm confident Assumes responsibility; Generally displays Is tentative in the leader Except in simple and routine  
manner 5%  delegates team leadership and confidence role; reassures patients and situations, is stressed and
assignments; assesses and is able to control or families in routine and disorganized, lacks control,
patients and reassures calm most situations; may relatively simple situations, makes patients and families
them and their families   show stress in particularly but becomes stressed and anxious or less able to
1.5 pts  difficult or complex disorganized easily  cooperate 
situations  1.2 pts  1.1 pts 
1.3 pts 
Clear Communicates Generally communicates Shows some communication Has difficulty communicating;  
 SIM CENTER COMPETENCY – OCTH 731/742 TREATMENT SESSION (30 POINTS)
NAME: ____________________
communication effectively; explains well; explains carefully to ability (e.g., giving explanations are confusing;
20%  interventions; calms and patients; gives clear directions); communication directions are unclear or
reassures patients and directions to team; could with patients, families, and contradictory; patients and
families; directs and be more effective in team members is only partly families are made confused
involves team members, establishing rapport  successful; displays caring or anxious and are not
explaining and giving 5.4 pts  but not competence  reassured 
directions; checks for 5 pts  4.6 pts 
understanding  
6 pts 
Well planned Interventions are Develops interventions on Develops interventions on Focuses on developing a  
intervention 25%  tailored for the individual the basis of relevant the basis of the most single intervention,
patient; monitors patient patient data; monitors obvious data; monitors addressing a likely solution,
progress closely and is progress regularly but does progress but is unable to but it may be vague,
able to adjust treatment not expect to have to make adjustments as confusing and/or incomplete;
as indicated by patient change treatments  indicated by the patient’s some monitoring may occur 
response  6.7 pts  response  5.7 pts 
7.5 pts  6.2 pts 

Checklist:  
  complete  incomplete 
Hand hygiene    -1 
Transfers (at -5
least 1)
ADL (at least 1 -5
complete)