Course Number and Title: OTA 226 Clinical Fieldwork Level I-B
This adult and geriatric fieldwork experience exposes students to individuals served by occupational therapy. Students function as participating observers in the clinical setting with emphasis on continued development of their professional behaviors.
All campus program and policy manuals.
- Demonstrate professional behaviors that include communicating effectively, self-assessing, and maximizing learning opportunities. (CCC 2, 4; PGC 2, 4)
- Apply key terms and concepts associated with the occupational therapy domain and process with the adult and geriatric populations. (CCC 4, 5; PGC 1)
- Identify barriers to intercultural communication, and apply culturally sensitive strategies. (CCC 1, 3; PGC 1, 2, 3, 4)
- Recognize at risk behaviors and potentially dangerous situations, and respond appropriately. (CCC 1, 2; PGC 1, 2)
- Perform successful interactions with the clients and staff in the clinical setting. (CCC 1,3, 4; PGC 2, 3)
- Perform basic occupational therapy techniques, and participate in activities under supervision. (CCC 1, 2, 3, 4, 6; PGC 1, 2, 3, 4)
- Compare and contrast the roles and functions of the registered occupational therapist (OTR), certifies occupational therapy assistant (COTA), and/or other professionals in various practice settings. (CCC 4; PGC 1)
- Interpret information related to the occupational therapy process for a client, using the Occupational Therapy Practice Framework. (CCC1, 2, 4, 6; PGC 1, 2, 3, 4)
See Core Curriculum Competencies and Program Graduate Competencies at the end of the syllabus. CCPOs are linked to every competency they develop.
Upon completion of this course, the student will:
- Demonstrate professional behaviors that include communicating effectively, self-assessing, and maximizing learning opportunities.
- Adhere to facility rules and regulations.
- Adhere to ethical and legal standards of practice, according to American Occupational Therapy Association’s (AOTA) Code of Ethics and Standards of Practice.
- Demonstrate punctuality and preparedness for all fieldwork sessions.
- Demonstrate time management skills.
- Follow supervisory directions and guidelines, and utilize feedback to change behavior.
- Handle stressful situations appropriately and with flexibility.
- Exhibit curiosity and interest in OT and take initiative to maximize learning.
- Adhere to the Health Insurance Portability and Accountability Act (HIPAA) regulations.
- Apply key terms and concepts associated with the occupational therapy domain and process with the adult and geriatric populations.
- Describe the importance of multicultural issues in intervention planning.
- Write treatment objectives, identify methods, and rationale for selection that are reflective of evidence-based practice.
- Describe the purposes and characteristics of quality documentation of occupational therapy services.
- Define key terms and concepts associated with follow-up services, and identify the role of occupational therapy, including home and community based programming with the adult and geriatric population.
- Define purposes, terms, and significant legislation relevant to the Americans with Disabilities Act (ADA) and describe opportunities for occupational therapy practitioners in the implementation of the ADA.
- Determine possible reasonable accommodations that may be needed for performance requirements in educational and clinical settings as applicable to specific case scenarios.
- Recommend to the occupational therapist the need for termination of occupational therapy services when stated outcomes have been achieved or it has been determined that they cannot be achieved.
- Assist with developing a summary of occupational therapy outcomes, recommendations, and referrals.
- Discuss the role of the certified occupational therapy assistant (COTA) to monitor and assess, in collaboration with the client, caregiver, family, and significant others, the effect of occupational therapy intervention to identify when to recommend to the occupational therapist the need for referring clients for additional evaluations, consultation, and continued or modified intervention.
- Discuss principles associated with and provide examples of technology to enhance performance, participation, health and well-being including electronic documentation, distance communication, virtual environments, and telehealth.
- Identify barriers to intercultural communication, and apply culturally sensitive strategies.
- Identify barriers to occupational therapy (OT) treatment, and apply culturally sensitive intervention strategies by considering the impact of cultural, economic, and lifestyle choices.
- Recognize at risk behaviors and potentially dangerous situations, and respond appropriately.
- Adhere to safety precautions.
- Respond when patient/client and/or staff assistance is needed, and volunteer to help.
- Perform successful interactions with the clients and staff in the clinical setting.
- Use effective written, oral, and non-verbal communication with the client, family, significant others, colleagues, other health providers, and the public in a professionally acceptable manner adhering to principles of the teaching- learning process.
- Establish rapport with clients and/or significant others using a client- centered approach.
- Use active listening skills.
- Respond appropriately to patient/client behaviors using therapeutic use of self, including one’s personality, insights, perceptions, and judgments.
- Respond with awareness that occupation impacts client’s quality of life, well-being, and health promotion.
- Perform basic occupational therapy techniques, and participate in activities under supervision.
- Perform basic OT techniques and activities under appropriate supervision while adhering to safety precautions.
- Compare and contrast the roles and functions of the OTR, COTA, and/or other professionals in various practice settings.
- Discuss the importance of professional relationships between OTRs and COTAs.
- Document OT services to insure accountability of service provision and to meet standards for reimbursement of services by effectively communicating the need and rationale for OT services as appropriate to the context in which the service is delivered.
- Collect, organize, and report on data for evaluation of client outcomes under the direction of an administrator, manager, or occupational therapist.
- Recommend to the occupational therapist the need for termination of occupational therapy services when stated outcomes have been achieved, or it has been determined that they cannot be achieved.
- Describe and demonstrate the ability to participate in the documentation of ongoing processes for quality improvement, and implement program changes as needed to ensure quality of services.
- Select and evaluate research articles reflective evidence-based practice for the profession.
- Interpret information related to the occupational therapy process for a client using the Occupational Therapy Practice Framework.
- Describe the benefits of occupational therapy for a client as it relates to the value of occupations to support the client’s participation in contexts.
- Complete and analyze clinical observations, including a description of the activity, with an activity upgrade and downgrade, objectives, results, relationship to outcomes, and subjective reactions to treatment.
- Review client’s chart and gather information, documenting and sharing the client’s occupational profile, analysis of occupational performance, subjective observations, home programs, community programs and/or resources to support performance in the client’s natural environment, and participation in all contexts.
- Express insight and consideration of quality of life, well-being, and occupation of the individual, group, and population to promote physical and mental health and prevention of injury and disease considering the context and environment.
- Discuss ethical and practical considerations that affect the health and welfare needs of those who are experiencing or at risk for social injustice, occupational deprivation, and disparity in the receipt of services.
Students must demonstrate proficiency on all CCPOs at a minimal 75 percent level to successfully complete the course. The grade will be determined using the Delaware Tech grading system:
Students should refer to the Student Handbook for information on the Academic Standing Policy, the Academic Integrity Policy, Student Rights and Responsibilities, and other policies relevant to their academic progress.
Calculated using the following weighted average
Percentage of final grade
2 Fieldwork Evaluations (10% each)
Case Study Treatment Plan
Exploration of Reimbursement Assignment
Case Study Treatment Plan Oral Presentation
- Apply clear and effective communication skills.
- Use critical thinking to solve problems.
- Collaborate to achieve a common goal.
- Demonstrate professional and ethical conduct.
- Use information literacy for effective vocational and/or academic research.
- Apply quantitative reasoning and/or scientific inquiry to solve practical problems.
- Demonstrate knowledge related to the occupational therapy assistant, including patient/client interactions, therapeutic treatments, activity analysis, documentation, safety techniques, and therapeutic equipment.
- Exhibit effective nonverbal, verbal and written communication in patient/client and family interventions and education and in professional relationships.
- Perform competently a full range of occupational therapy skills with patients/clients and various populations as occupational beings.
- Exercise independent judgment and critical thinking in performance of occupational therapy, according to the profession’s standards of practice.
- Demonstrate professional patterns of behavior consistent with the profession's code of ethics.
The College is committed to providing reasonable accommodations for students with disabilities. Students are encouraged to schedule an appointment with the campus Disabilities Support Counselor to request an accommodation needed due to a disability. A listing of campus Disabilities Support Counselors and contact information can be found at the disabilities services web page or visit the campus Advising Center.