Total Intervention Tim

PRACTICAL SKILLS CHECKLIST OT/PT = 8970 min / 149.50 hrs

(74.75%)

Full credit and aknowledgement of this Tool to Pat Lee, Centennial College 0 1260 1350 680 2060 1760 0 1860

Environment / Equipment
Group Exercises / Actvity

Preparaton of Client /
Number

Date Clients' Codes Settings Systems Age Group

Communicatng
(for confidentality)

Reportng and
1:1 Exercises

assignment
Positoning
Educaton
Transfers
1 2017-09-11 orrientaton Long Term Care Neurological Older Adult (>65 yo)
2 2017-09-13 day 2 Long Term Care Neurological Older Adult (>65 yo) 30 90 90 90 90
3 2017-09-18 day 3 Long Term Care Neurological Older Adult (>65 yo) 30 90 90 90 90
4 2017-09-20 day 4 Long Term Care Neurological Older Adult (>65 yo) 30 90 90 90 90
5 2017-09-25 day5 Long Term Care Neurological Older Adult (>65 yo) 60 60 90 60 90
6 2017-09-27 day 6 Long Term Care Neurological Older Adult (>65 yo) 60 60 90 60 90
7 2017-10-02 day 7 Long Term Care Neurological Older Adult (>65 yo) 60 60 10 90 60 90
8 2017-10-04 day 8 Long Term Care Neurological Older Adult (>65 yo) 60 60 20 90 60 90
9 2017-10-11 day 9 Long Term Care Neurological Older Adult (>65 yo) 60 60 90 60 90
10 2017-10-16 day 10 Long Term Care Neurological Older Adult (>65 yo) 60 60 20 90 90 60
11 2017-10-18 day 11 Long Term Care Neurological Older Adult (>65 yo) 60 60 10 90 60 90
12 2017-10-23 day 12 Long Term Care Neurological Older Adult (>65 yo) 60 60 20 60 90 60
13 2017-10-25 day 13 Long Term Care Neurological Older Adult (>65 yo) 60 60 10 90 90 90
14 2017-10-30 day 14 Long Term Care Neurological Older Adult (>65 yo) 60 60 20 100 90 60
15 2017-11-01 day 15 Long Term Care Neurological Older Adult (>65 yo) 60 60 20 60 90 90
16 2017-11-06 day 16 Long Term Care Neurological Older Adult (>65 yo) 60 60 30 60 60 90
17 2017-11-08 day 17 Long Term Care Neurological Older Adult (>65 yo) 60 60 20 100 90 60
18 2017-11-13 day 18 Long Term Care Neurological Older Adult (>65 yo) 60 60 30 60 90 90
 Total Intervention Tim

PRACTICAL SKILLS CHECKLIST OT/PT = 8970 min / 149.50 hrs

(74.75%)

Full credit and aknowledgement of this Tool to Pat Lee, Centennial College 0 1260 1350 680 2060 1760 0 1860

Environment / Equipment
Group Exercises / Actvity

Preparaton of Client /
Number

Date Clients' Codes Settings Systems Age Group

Communicatng
(for confidentality)

Reportng and
1:1 Exercises

assignment
Positoning
Educaton
Transfers
19 2017-11-15 day 19 Long Term Care Neurological Older Adult (>65 yo) 60 60 20 90 90
20 2017-11-20 day20 Long Term Care Neurological Older Adult (>65 yo) 60 60 30 90 60 60
21 2017-11-22 day 21 Long Term Care Neurological Older Adult (>65 yo) 60 60 30 90 60 60
22 2017-11-27 day 22 Long Term Care Neurological Older Adult (>65 yo) 60 60 30 90 100
23 2017-11-29 day23 Long Term Care Neurological Older Adult (>65 yo) 60 60 30 90 100 60
24 2017-12-04 day 24 Long Term Care Neurological Older Adult (>65 yo) 60 60 30 90 60 90
25 2017-12-06 day 25 Long Term Care Neurological Older Adult (>65 yo) 60 60 30 90 60 90
 Total Intervention Tim

PRACTICAL SKILLS CHECKLIST OT/PT = 8970 min / 149.50 hrs

(74.75%)

Full credit and aknowledgement of this Tool to Pat Lee, Centennial College 0 1260 1350 680 2060 1760 0 1860

Environment / Equipment
Group Exercises / Actvity

Preparaton of Client /
Number

Date Clients' Codes Settings Systems Age Group

Communicatng
(for confidentality)

Reportng and
1:1 Exercises

assignment
Positoning
Educaton
Transfers
 Total Intervention Tim

PRACTICAL SKILLS CHECKLIST OT/PT = 8970 min / 149.50 hrs

(74.75%)

Full credit and aknowledgement of this Tool to Pat Lee, Centennial College 0 1260 1350 680 2060 1760 0 1860

Environment / Equipment
Group Exercises / Actvity

Preparaton of Client /
Number

Date Clients' Codes Settings Systems Age Group

Communicatng
(for confidentality)

Reportng and
1:1 Exercises

assignment
Positoning
Educaton
Transfers
 Total Intervention Time = 12,000 min / 200.00 hrs (100.00%)

PRACTICAL SKILLS
PT = 0CHECKLIST
min / 0 hr OT = 780 min / 13.00 hrs Misc = 2250 min / 37.50 hrs
(6.50%) (18.75%)

0 0 College0
Full credit and aknowledgement of this Tool to Pat Lee, Centennial 0 0 30 0 600 0 150 100 960 0 740 450

Other Interventon (specify

Other Interventon (specify

routne interventons here)

routne interventons here)

Actvity Analysis and Actvity Specific

Other Interventon (specify

routne interventons here)
Measurement / Assembly;

Laundry/ Equipment Prep

Equipment Maintenance/
Meetngs and In-Services
W/C Mobility and Skills
ADL or IADL Training

Indirect Patent Care/

Ambulaton/ Strair
Number

taunton mills event

Fine motor Interventon
Date Clients' Codes

W/C Seatng and

(for confidentality)

Documentaton

orrientaton
Modalites

Interventon
Climbing

Training

lunch
1 2017-09-11 orrientaton 30 450
2 2017-09-13 day 2 20 40 30
3 2017-09-18 day 3 20 40 30
4 2017-09-20 day 4 20 40 30
5 2017-09-25 day5 90 30
6 2017-09-27 day 6 30 60 30
7 2017-10-02 day 7 30 10 40 30
8 2017-10-04 day 8 30 40 30
9 2017-10-11 day 9 30 60 30
10 2017-10-16 day 10 30 40 30
11 2017-10-18 day 11 30 10 40 30
12 2017-10-23 day 12 30 30 20 20 30
13 2017-10-25 day 13 30 20 30
14 2017-10-30 day 14 30 30 30
15 2017-11-01 day 15 30 40 30
16 2017-11-06 day 16 30 60 30
17 2017-11-08 day 17 30 30 30
18 2017-11-13 day 18 30 30 30
25
24
23
22
21
20
19
Number

Date

2017-12-06
2017-12-04
2017-11-29
2017-11-27
2017-11-22
2017-11-20
2017-11-15

day23
day20

day 25
day 24
day 22
day 21
day 19
Clients' Codes
(for confidentality)

Ambulaton/ Strair
0

Climbing
PRACTICAL SKILLS
Full credit and aknowledgement of this Tool to Pat Lee, Centennial

Modalites

Other Interventon (specify

0 College0

routne interventons here)

min / 0 hr

Other Interventon (specify

0

routne interventons here)

0

ADL or IADL Training

PT = 0CHECKLIST

W/C Seatng and

Measurement / Assembly;
30

W/C Mobility and Skills

Training
Actvity Analysis and Actvity Specific
0

Interventon
(6.50%)

Fine motor Interventon

30
30
30
30
30
30
30
600
Total Intervention Time = 12,000 min / 200.00 hrs (100.00%)

Other Interventon (specify

0
OT = 780 min / 13.00 hrs

routne interventons here)

taunton mills event

60
90
150

Meetngs and In-Services

100

Documentaton
30
30
20
20
60
60
20
960

Indirect Patent Care/

0

Equipment Maintenance/
Laundry/ Equipment Prep
(18.75%)

lunch
30
30
30
30
30
30
20
740
Misc = 2250 min / 37.50 hrs

orrientaton
450
 Number

Date Clients' Codes

(for confidentality)

Ambulaton/ Strair
0

Climbing
PRACTICAL SKILLS
Full credit and aknowledgement of this Tool to Pat Lee, Centennial

Modalites

Other Interventon (specify

0 College0

routne interventons here)

min / 0 hr

Other Interventon (specify

0

routne interventons here)

0

ADL or IADL Training

PT = 0CHECKLIST

W/C Seatng and

Measurement / Assembly;
30

W/C Mobility and Skills

Training
Actvity Analysis and Actvity Specific
0

Interventon
(6.50%)

Fine motor Interventon

600
Total Intervention Time = 12,000 min / 200.00 hrs (100.00%)

Other Interventon (specify

0
OT = 780 min / 13.00 hrs

routne interventons here)

taunton mills event

150

Meetngs and In-Services

100

Documentaton
960

Indirect Patent Care/

0

Equipment Maintenance/
Laundry/ Equipment Prep
(18.75%)

lunch
740
Misc = 2250 min / 37.50 hrs

orrientaton
450
 Number

Date Clients' Codes

(for confidentality)

Ambulaton/ Strair
0

Climbing
PRACTICAL SKILLS
Full credit and aknowledgement of this Tool to Pat Lee, Centennial

Modalites

Other Interventon (specify

0 College0

routne interventons here)

min / 0 hr

Other Interventon (specify

0

routne interventons here)

0

ADL or IADL Training

PT = 0CHECKLIST

W/C Seatng and

Measurement / Assembly;
30

W/C Mobility and Skills

Training
Actvity Analysis and Actvity Specific
0

Interventon
(6.50%)

Fine motor Interventon

600
Total Intervention Time = 12,000 min / 200.00 hrs (100.00%)

Other Interventon (specify

0
OT = 780 min / 13.00 hrs

routne interventons here)

taunton mills event

150

Meetngs and In-Services

100

Documentaton
960

Indirect Patent Care/

0

Equipment Maintenance/
Laundry/ Equipment Prep
(18.75%)

lunch
740
Misc = 2250 min / 37.50 hrs

orrientaton
450
 PRACTICAL SKILLS CHECKLIST

12000
Full credit and aknowledgement of this Tool to Pat Lee, Centennial College

Total Minutes Per Client

Number

Date Clients' Codes

(for confidentality)

1 2017-09-11 orrientaton 480

2 2017-09-13 day 2 480
3 2017-09-18 day 3 480
4 2017-09-20 day 4 480
5 2017-09-25 day5 480
6 2017-09-27 day 6 480
7 2017-10-02 day 7 480
8 2017-10-04 day 8 480
9 2017-10-11 day 9 480
10 2017-10-16 day 10 480
11 2017-10-18 day 11 480
12 2017-10-23 day 12 480
13 2017-10-25 day 13 480
14 2017-10-30 day 14 480
15 2017-11-01 day 15 480
16 2017-11-06 day 16 480
17 2017-11-08 day 17 480
18 2017-11-13 day 18 480
 PRACTICAL SKILLS CHECKLIST

12000
Full credit and aknowledgement of this Tool to Pat Lee, Centennial College

Total Minutes Per Client

Number

Date Clients' Codes

(for confidentality)

19 2017-11-15 day 19 480

20 2017-11-20 day20 480
21 2017-11-22 day 21 480
22 2017-11-27 day 22 480
23 2017-11-29 day23 480
24 2017-12-04 day 24 480
25 2017-12-06 day 25 480
 PRACTICAL SKILLS CHECKLIST

12000
Full credit and aknowledgement of this Tool to Pat Lee, Centennial College

Total Minutes Per Client

Number

Date Clients' Codes

(for confidentality)
 PRACTICAL SKILLS CHECKLIST

12000
Full credit and aknowledgement of this Tool to Pat Lee, Centennial College

Total Minutes Per Client

Number

Date Clients' Codes

(for confidentality)