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Practical Examination Score Sheet
     

      

 Instructions:

              You will select one of the possible test scenarios that you will need to perform with an assigned patient.  You will make your selection approximately ____ minutes before your actual testing time.  During that time, you may make notes on a separate piece of paper that you may bring into the test with you.

               Each test will take a total of _____ minutes to complete which includes the completion and submission of your documentation.

 

The tester will be looking for the following:

(from the individual being tested)

1.           preparation of the treatment/assessment area for the patient (before and after the session)

2.           preparation of the clinician, hand-washing before touching a patient, lab coat and name tag

3.           to see how the clinician introduces him/herself to the patient (name & title), (clarity and

              speed)

4.           to see that the dignity of the patient is respected by making eye contact at eye level,

                 draping the patient, allowing the pt. to do as much as he/she can do for him/herself

5.           to see that the pt. is  positioned appropriately for what is being done with them and that

             they are not asked to change positions un-necessarily.

6.           to see that things are explained to the patient in terms that he/she is capable of

              understanding

7.           to see that session measurements are accurate and in agreement with the testers visual

             assessment of the measurements and the session, recording only what is done and planned

8.           to see that the documentation is meaningful and accurate, using correct abbreviations,

             spelling, and documentation format in black ink

9.           Patient Safety:    to see that the treatment has been prioritized for the patient with

              evidence of a physiologically sound and rational plan for the session

10.          Patient Safety:    to see that the demonstration of the selected tasks with the patient is

              done with evidence of skill and safety in the techniques performed

 

The tester will be looking for the following from the “patient” during the test:

  • that the patient does ONLY what he or she is told to do
  • the patient does NOT try to help the clinician
  • that the patient does NOT ask questions of the tester
  • that the patient does NOT prepare or clean up the area
  • that the patient respects the stress of the clinician and do not try to make it more difficult for the clinician to successfully complete the practical

 

Please note:

Patient safety is a critical component for the successful completion of this and all PTA program courses within the PTA curriculum.  Items 9 & 10 on the list are considered to be skills that must have a score of “8” of higher for the learner to pass this practical examination.

 

Scoring

10 entry level performance for a PTA
9 competent for a PTA learner at this level
8 frazzled but safe
7 inappropriate
6 unsafe
5 fraudulent
4 disrespectful to the patient
3 forgotten or incomplete task performance

Categories

1.           preparation of the treatment/assessment area for the patient (before and after the session)
Score:

Comments

 

2.           preparation of the clinician, hand-washing before touching a patient, lab coat and name  tag

Score:

Comments

 

 

3.           to see how the clinician introduces him/herself to the patient (name & title), (clarity and speed)
Score:

Comments

 

4.           to see that the dignity of the patient is respected by making eye contact at eye level, draping the patient, allowing the pt. to do as much as he/she can do for him/herself
Score:

Comments

 

5.           to see that the pt. is positioned appropriately for what is being done with them and that they are not asked to change positions un-necessarily.
Score:

Comments

 

6.           to see that things are explained to the patient in terms that he/she is capable of understanding
Score:

  Comments

 

7.           to see that session measurements are accurate and in agreement with the testers visual assessment of the measurements and the session, recording only what is done and planned

Score:

Comments

 

8.           to see that the documentation is meaningful and accurate, using correct abbreviations, spelling, and documentation format in black ink
Score:

Comments

 

9.           Patient Safety:    to see that the treatment has been prioritized for the patient with evidence of a physiologically sound and rational plan for the session
Score:

Comments

 

10.          Patient Safety:    to see that the demonstration of the selected tasks with the patient is done with evidence of skill and safety in the techniques performed
Score:

Comments

 

  

The following items will be specifically watched by the tester during the test.

  • does the learner/patient do ONLY what he/she is told to do
  • does the learner/patient try to help the clinician
  • does the learner/patient ask questions of the tester
  • does the learner/student prepare or clean up the area
  • does the learner/patient respect the stress of the clinician and do not try to make it more difficult for them to successfully complete the practical

                                         

If any of these behaviors is observed, points will be deducted from the total score for the patient once he or she is the clinician. (5 points per observed infraction)

 

Points to be deducted from the patient’s score once he or she is the clinician:    ______________

Comments/Infractions:

 

 

 

Total Score for the Clinician:___________   Review Date:                            

 

Point Deductions (as a patient):__________Learner Initials:                          

 

Final Numerical Score:                                        Pass  /  Fail

 

 

Tester:                                                                                                     

 

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