Site Specific FWPE Objectives for Inpatient Pediatrics

Date of Completion / Evaluator’s Initials
I. FUNDAMENTALS OF PRACTICE:
1. Adheres to ethics: Adheres consistently to the American Occupational
Therapy Association Code of Ethics and site’s policies and procedures
including when relevant, those related to human subject research.
All items in this area must be scored at a 3 or above on the final evaluation in order to
pass fieldwork.
Reviews and adheres to all standards contained in the AOTA Code of Ethics
Reviews and adheres to all designated policies and procedures related to ethical standards
Completes CCHMC HIPAA training

Adheres to all HIPAA guidelines including appropriate transport of information, sharing of patient data, etc.

Demonstrates use of computerized patient information system and all other patient information according to established guidelines

Maintains appropriate relationships with patients, families, co-workers and supervisors

Demonstrates respect toward the patient, family and medical staff

2. Adheres to safety regulations: Adheres consistently to safety regulation.
Anticipates potentially hazardous situations and takes steps to prevent
accidents.
Reviews and adheres to departmental dress code and presents a professional appearance
Reviews and adheres to all applicable CCHMC Policies and Procedures
Completes CCHMC safety training

Adheres to all infection control policies as designated by CCHMC, including use of standard precautions and isolation procedures

Completes infection control training

When applicable, demonstrates appropriate handling and use of sharps

Follows guidelines for appropriate transportation of patients

Uses safe transfer techniques, including use of gait belt and other assistive devices, as appropriate

Demonstrate ability to place limits on undesirable patient behavior

Adheres to guidelines for safe use and storage of chemicals, scissors and all other potentially harmful materials

Completes all required CCHMC practice competencies

Maintains work area, equipment and supplies in a manner conducive to efficiency and safety

Only uses equipment that has been approved by CCHMC. Does not use equipment that has been tagged for repair or is found not to be in correct working order

3. Uses judgment in safety: Uses sound judgment in regard to safety of self and
others during all fieldwork-related activities.

Checks with supervisor when student has questions regarding medical conditions, handling of equipment, appropriate procedures, etc.

Uses safe transfer techniques, including appropriate use of equipment and requests assistance when necessary to insure patient safety

Treats patients only in designated areas with appropriate access to further assistance if needed

Follows guidelines for cleaning and storage of toys, equipment, treatment surfaces, etc.

Follows guidelines for clean-up of spills

Completes restraint training and safely manages the restrained patient

Adheres to guidelines for safe management of al lines and equipment, including but not limited to, c-lines, PICCs, NGs/NJs/NDs, g-tubes, urinary catheters, ETTs/NTTs, tracheotomies, and EVDs

Demonstrates appropriate handling of patients who are restricted by surgical incisions, shunts, etc.

When applicable, checks the patient’s chart prior to each treatment

When applicable, checks with patient’s nurse prior to initiating treatment

Seeks physician’s order to resume services when a significant change in medical status or a decline in medical status has occurred

Uses modalities that are within level of ability and experience

II. BASIC TENANTS:

Clearly and confidently articulates the values and beliefs of the

occupational therapy profession to clients, families, significant others,
colleagues, service providers, and the public.

Demonstrates ability to define the role of occupational therapy within the pediatric population to patients, families, colleagues, and other service providers in a way that meets the learning needs of the specific audience

Able to articulate the difference between occupational and physical therapy within the treatment setting

Clearly, confidently, and accurately articulates the value of occupation

as a method and desired outcome of occupational therapy to clients,
families, significant others, colleagues, service providers, and the public.

Demonstrates the ability to define the value and function of the use of occupation as a treatment method.

Incorporates use of occupation into treatment that is representative of patient and family values, beliefs and needs

Educates patient and/or family on use of occupational as a means by which to gain functional outcomes and establish a lifestyle

Selects treatment activities that demonstrate an understanding of occupational therapy theory

Demonstrates ability to apply the appropriate theoretical frame of reference to the selection of treatment activities

Able to identify the treatment approach utilized during a therapy session

Able to site or locate literature to support the use of occupation as a treatment technique

Clearly, confidently, and accurately communicates the roles of the occupational therapist and occupational therapy assistant to clients,

families, significant others, colleagues, service providers, and the public.

Verbally and/or in practice is able to define the role of the OT and OTA within this setting

Defines the role of the OT and OTA in terms consistent with learner’s level of understanding

Recognizes limits within practice roles and seeks further assistance or expertise of another services, when appropriate

Collaborates with client, family, and significant others throughout the

occupational therapy process.

Seeks input from patients and caregivers as to goals and desire outcomes

Regularly seeks input from patient and caregivers regarding the therapeutic progress, questions, and satisfaction with services

Able to utilize input from patient and family and utilize the caregivers themselves to maximize outcomes and response to treatment

Maintains an appropriate level of communication with all members of the care team

III. EVALUATION AND SCREENING:
8. Articulates a clear and logical rationale for the evaluation process.

Able to identify patient problem areas relevant to an O.T. assessment as identified by chart review, initial interview or other supplemental information

Explains assessment procedures and purposes in language the patient and family can understand

9. Selects a relevant screening and assessment method while considering such factors as client’s priorities, context(s), theories, and evidence-based practice.

Identifies appropriate standardized assessment to be utilized

Demonstrates ability to prioritize that information which is most important/necessary in planning for the assessment procedure

Selects relevant areas to assess

Selects correct methods to assess the relevant areas

Researches information on evaluation procedure as necessary

Identifies/adheres to precautions or limitations applicable to the patient and diagnosis in selecting the assessment procedure

Able to articulate reasoning for selection of assessment procedures/methods

10. Determines client’s occupational profile and performance through appropriate assessment methods.

Identifies patient’s profile base on accurate analysis of activity

Prepares assessment environment to facilitate data gathering

11. Assesses client factors and context(s) that support or hinder occupational performance.

Selects appropriate assessment tools to best create occupational profile

When appropriate, assesses patient in multiple settings or is able to infer how a change in environment may impact a patient’s occupational performance

12. Obtains sufficient and necessary information from relevant resources such as client, families, significant others, service providers, and records prior to and during the evaluation process.

Gathers necessary information before assessing the patient

Utilizes a variety of appropriate resources to gain initial patient information

Reports to supervising therapist a thorough and accurate summary of the patient’s diagnosis and presenting medical, social, and physical problems. Asks appropriate questions of the supervisor.

Reviews references for additional information regarding the medical diagnosis

Able to assess reliability of information source

13. Administers assessments in a uniform manner to ensure findings are valid and reliable.

Follows established guidelines when administering standardized evaluations

Appreciates the need for accuracy in the administration and interpretation of standardized evaluations

14. Adjusts/modifies the assessment procedures based on client’s needs, behaviors, and culture.

Prioritizes sequence of evaluation procedure to be administered

Seeks the assistance of an interpreter, when appropriate, to facilitate evaluation and treatment process according to hospital guidelines

Adapts assessment method when usual procedures are not practical

Able to make “immediate” adaptations within the course of the evaluation when indicated and provide rationale for adaptations

15. Interprets evaluation results to determine client’s occupational performance strengths and challenges.

Accurately scores standardized assessments

Interprets assessment data correctly

Able to communicate results of assessment verbally to patient, family and other team members

Refers to standardized norms, developmental sequences, or other established norms to make appropriate assessment interpretations

Accurately identifies patient’s level of functional performance based on data gathered from the assessment

Able to develop patient problem list from data gathered during assessment

Identifies areas for assessment by other disciplines and makes appropriate referrals

Recognizes need for additional or supplemental information

16. Establishes an accurate and appropriate plan based on the evaluation results, through integrating multiple factors such as client’s priorities, context(s), theories, and evidence-based practice.

Able to prioritize patient problem areas

Establishes plan based on practice guidelines, research, and established norms

Establishes relevant and attainable long term goals which reflect the patient’s level of function, priorities, probable length of hospitalization/treatment, family, cultural and socioeconomic factors

Establishes relevant and attainable short term goals which reflect the assessment data

Collaborates with patient and/or family when establishing goals and treatment plan

Collaborates with other practitioners to establish overall goals

Completes written treatment plan based on hospital and/or division requirements

17. Documents the results of the evaluation process that demonstrates objective measurement of client’s occupational performance.

Reports assessment and reassessment findings in concise, accurate and complete manner both written and orally

Reports assessment data utilizing all professional, medical and uniform terminology correctly

Reports data in appropriate format and language and according to pre-established guidelines

Completes written reports in accordance with division policy

IV. INTERVENTION:
18. Articulates a clear and logical rationale for the intervention process.

Assists patient and/or family in recognizing the purpose and objectives of treatments in such a manner that the patient and/or family actively collaborate in the treatment planning and process

Prepares the patient for treatment to insure best possible performance and compliance

19. Utilizes evidence from published research and relevant resources to make informed intervention decisions.

Demonstrates enthusiasm and interest toward ongoing learning and growth

When applicable, refers to reference material to assure research-based practice

Demonstrates interest in areas other than OT, relevant to patient’s care and important in maximizing patient outcomes

Views assigned and/or recommended videos

20. Chooses occupations that motivate and challenge clients.

When appropriate, provides patient with choices for treatment activities, processes, etc.

Able to grade activities in such a way as to best facilitate success, learning, and patient cooperation

Utilizes variety in presentation of treatment activities

21. Selects relevant occupations to facilitate clients meeting established goals.

Able to verbalize treatment plan and rationale for selected treatment activities to supervisor, team members, patient and family

Able to maintain established treatment plan within treatment activities

Able to identify need for home programming

Able to select appropriate home program activities that reflect patient’s and family’s needs, interests and time constraints, and educational needs

22. Implements intervention plans that are client-centered.

Selected treatment activities reflect the client’s interest and treatment priorities

Demonstrates genuine interest in having patient involved in treatment process, including selection of therapeutic activities relevant to established goals

Demonstrates creative use of media, toys, activities, and self

23. Implements intervention plans that are occupation-based.

Selects functional activities that accurately reflect a patient’s age, developmental level, interests, abilities, priorities, etc.

Able to modify occupation to fit patient’s skill level

Incorporates prevention related activities into treatment

24. Modifies task, approach, occupations, and the environment to maximize client performance.

Identifies change in patient behavior and/or performance

Uses praise or other reinforcers to elicit desired behavior

Demonstrates ability to distinguish when patient is non-compliant due to physical fatigue or inability vs. behavioral noncompliance

Able to establish and enforce limits on behavior

Assists patient in identifying appropriate and inappropriate behavior

When possible, schedules treatment according to the times patient is most alert, is not involved in medical procedures, or in accordance with their feeding schedule

Recognizes and demonstrates the ability to modify environmental factors that may affect treatment including light, temperature, noise, other people present, patient positioning, time of day, etc.

Appropriately discriminates/differentiates the need for repetition versus the need for variety in treatment activities

Accepts input and incorporates suggestions for treatment modification from patient, caregivers and supervisor

Discuss and exchange information with other disciplines working with the patient to coordinate treatment efforts

Able to place limits on undesirable patient behavior

25. Updates, modifies, or terminates the intervention plan based upon careful monitoring of the client’s status.

Independently identifies need for reassessment

Regularly reassesses the patient’s progress formally and/or informally

Reviews progress with patient and family at regular intervals

When applicable, selects appropriate reassessment tools to measure change

Utilizes assessment data to review patient changes

Able to express need for treatment modification, termination, reassessment, etc. in both oral and written format

Transitions patient to other services or different setting when needed

Coordinates discharge planning with other disciplines to insure continuity of care

Terminates treatment when patient has received maximum benefit form services

26. Documents client’s response to services in a manner that demonstrates the efficacy of interventions.

Demonstrates responsibility to keep supervising therapist and other team members informed of patient status, plan, and response to treatment

Treatment documentation is accurate and thorough

Selects relevant material, results, and/or observations to emphasize in reporting

Utilizes theoretical knowledge in written and verbal documentation of the treatment

Follows division guidelines for note writing/documentation on treatment

V. MANAGEMENT OF OCCUPATIONAL THERAPY SERVICES:
27. Demonstrates through practice or discussion the ability to assign appropriate responsibilities to the occupational therapy assistant and occupational therapy aide.

Follows hospital and division guidelines on assignment of responsibility to assistants and aides

28. Demonstrates through practice or discussion the ability to actively collaborate with the occupational therapy assistant.

Incorporates information gleaned from OTA to help determine patient’s progress as well as need for reassessment and treatment modification

29. Demonstrates understanding of the costs and funding related to occupational therapy services at this site.

Appreciates need to maintain daily treatment record accurately

Completes all paperwork to fulfill insurance reimbursement requirements for services, equipment, etc.

Completes billing for services and equipment accurately

Completes billing in required time frame

Able to assist patient in seeking alternative funding sources when appropriate

Notifies appropriate personnel if supplies are low and need to be reordered

Follows appropriate procedures for requesting supplies and equipment

30. Accomplishes organizational goals by establishing priorities, developing strategies, and meeting deadlines.

Meets division’s goals of access, productivity and service

31. Produces the volume of work required in the expected time frame.

Meets supervisor-established productivity requirements

Realistically plans treatment in order to accomplish planned tasks in the established time frame

Attends all required meetings, team conferences, rounds, etc.

VI. COMMUNICATION:
32. Clearly and effectively communicates verbally and nonverbally with clients, families, significant others, colleagues, service providers, and the public.

Speaks in a confident manner and listens to others intently and with active interest

Communicates objectives of treatment in such a way that insures patient/family collaboration and motivation

Incorporates suggestions for modification of written and verbal communication into daily notes and verbal interactions

Demonstrates ability to report at required team conferences, rounds, etc.

Able to provide thorough and accurate treatment coverage information to other OTs or OTAs in written and verbal format

Selects relevant information and reports in a professional manner

Attends to verbal and non-verbal cues of patient and/or family and shows sensitivity to these cues when discussing the treatment plan and objectives

Explains the treatment plan, goals and activities at the patient’s level of understanding

33. Produces clear and accurate documentation according to site requirements.
34. All written communication is legible, using proper spelling, punctuation, and grammar
35. Uses language appropriate to the recipient of the information, including but not limited to funding agencies and regulatory agencies.

Able to communicate role of occupational therapy into conversation

Demonstrates ability to provide patient/family education in such a way as to insure understanding and compliance with program, use of equipment, etc.