Total Intervention Ti

PRACTICAL SKILLS CHECKLIST OT/PT = 3659 min / 60.98 hrs

(38.48%)

Full credit and aknowledgement of this Tool to Pat Lee, Centennial College 1090 1480 40 127 180 265 432 45

Environment / Equipment
Group Exercises / Actvity

Preparaton of Client /

Other Interventon
Number

Date Clients' Codes Settings Systems Age Group

Communicatng
(for confidentiality)

Reportng and
1:1 Exercises

Positoning
Educaton
Transfers
1 2014-01-01 JP Long Term Care Cardio-Respiratory Elderly (>80 yo)
1 2017-01-09 Orientaton
2 2017-01-11 Client #1 Acute Care Mult-System Adult 30 30 10 10 10
3 2017-01-11 Client #2 Acute Care Mult-System Elderly (>80 yo) 30 10 5 10
4 2017-01-11 Client #3 Acute Care Mult-System Elderly (>80 yo) 5 5 5
5 2017-01-11 Client #4 Acute Care Mult-System Elderly (>80 yo) 10 10 5 10
6 2017-01-11 Lunch
7 2017-01-11 Stroke Session
8 2017-01-11 Patent Rounds
9 2017-01-11 Chartng

10 2017-01-16 Rounds 50
11 2017-01-16 Client #1 Acute Care Mult-System Elderly (>80 yo) 25 5 5
12 2017-01-16 Client #2 Acute Care Mult-System Adult 20 30 10 5 10
13 2017-01-16 Client #3 Acute Care Mult-System Elderly (>80 yo) 15
14 2017-01-16 Client #4 Acute Care Mult-System Elderly (>80 yo) 10
 Total Intervention Ti

PRACTICAL SKILLS CHECKLIST OT/PT = 3659 min / 60.98 hrs

(38.48%)

Full credit and aknowledgement of this Tool to Pat Lee, Centennial College 1090 1480 40 127 180 265 432 45

Environment / Equipment
Group Exercises / Actvity

Preparaton of Client /

Other Interventon
Number

Date Clients' Codes Settings Systems Age Group

Communicatng
(for confidentiality)

Reportng and
1:1 Exercises

Positoning
Educaton
Transfers
15 2017-01-16 Lunch
16 2017-01-16 Client #5 Acute Care Mult-System Elderly (>80 yo) 10 7 5
17 2017-01-16 Client #6 Acute Care Mult-System Elderly (>80 yo) 15 5 2
18 2017-01-16 Client #7 Acute Care Mult-System Elderly (>80 yo) 10 10 5 5
19 2017-01-16 Client #8 Acute Care Mult-System Elderly (>80 yo) 10 20 5 5 5 5
20 2017-01-16 Chartng
21 2017-01-16 Client #9 Acute Care Mult-System Elderly (>80 yo) 15
22 2017-01-16 Chartng
23 2017-01-18 Rounds
24 2017-01-18 Client #1 Acute Care Mult-System Elderly (>80 yo)
25 2017-01-18 Client #2 Acute Care Mult-System Elderly (>80 yo) 10 5
26 2017-01-18 Client #3 Acute Care Mult-System Elderly (>80 yo) 15 30 10
27 2017-01-18 Client #4 Acute Care Mult-System Elderly (>80 yo) 20 10
28 2017-01-18 Client #5 Acute Care Mult-System Elderly (>80 yo) 15 5
29 2017-01-18 Client #6 Acute Care Mult-System Elderly (>80 yo) 30
30 2017-01-18 Client #7 Acute Care Mult-System Elderly (>80 yo) 30
 Total Intervention Ti

PRACTICAL SKILLS CHECKLIST OT/PT = 3659 min / 60.98 hrs

(38.48%)

Full credit and aknowledgement of this Tool to Pat Lee, Centennial College 1090 1480 40 127 180 265 432 45

Environment / Equipment
Group Exercises / Actvity

Preparaton of Client /

Other Interventon
Number

Date Clients' Codes Settings Systems Age Group

Communicatng
(for confidentiality)

Reportng and
1:1 Exercises

Positoning
Educaton
Transfers
31 2017-01-18 Client #8 Acute Care Mult-System Elderly (>80 yo) 15 10
32 2017-01-18 Lunch
33 2017-01-18 Chartng
34 2017-01-18 Client #9 Acute Care Mult-System Adult 20 10

35 2017-01-23 Rounds
36 2017-01-23 Client #1 Rehabilitaton Musculoskeletal Elderly (>80 yo) 15 40 5 5
37 2017-01-23 Client #2 Rehabilitaton Musculoskeletal Older Adult (>65 yo) 15 20 10
38 2017-01-23 Client #3 Rehabilitaton Musculoskeletal Elderly (>80 yo) 15 40 10 5
39 2017-01-23 Lunch
40 2017-01-23 Client #4 Rehabilitaton Musculoskeletal Adult 50
41 2017-01-23 Client #5 Rehabilitaton Musculoskeletal Adult 30 10 5
42 2017-01-23 Chartng
43 2017-01-25 Rounds
44 2017-01-25 Client #1 Rehabilitaton Musculoskeletal Older Adult (>65 yo) 10 15
45 2017-01-25 Client #2 Rehabilitaton Musculoskeletal Older Adult (>65 yo) 15 20
 Total Intervention Ti

PRACTICAL SKILLS CHECKLIST OT/PT = 3659 min / 60.98 hrs

(38.48%)

Full credit and aknowledgement of this Tool to Pat Lee, Centennial College 1090 1480 40 127 180 265 432 45

Environment / Equipment
Group Exercises / Actvity

Preparaton of Client /

Other Interventon
Number

Date Clients' Codes Settings Systems Age Group

Communicatng
(for confidentiality)

Reportng and
1:1 Exercises

Positoning
Educaton
Transfers
46 2017-01-25 Client #3 Rehabilitaton Musculoskeletal Older Adult (>65 yo) 10 10 10 10
45 2017-01-25 Client #4 Rehabilitaton Musculoskeletal Elderly (>80 yo) 10 20 10 5
46 2017-01-25 Lunch
47 2017-01-25 Client #5 Rehabilitaton Musculoskeletal Elderly (>80 yo) 20 30 10 5 5
48 2017-01-25 Client #6 Rehabilitaton Musculoskeletal Elderly (>80 yo) 10 5

49 2017-01-30 Rounds
50 2017-01-30 Client #1 Acute Care Mult-System Elderly (>80 yo) 15 10
51 2017-01-30 Client #2 Acute Care Mult-System Adult 15 25 5 10 5
52 2017-01-30 Client #3 Acute Care Mult-System Elderly (>80 yo) 15 10
53 2017-01-30 Client #4 Acute Care Mult-System Older Adult (>65 yo) 10 30
54 2017-01-30 Client #5 Acute Care Mult-System Elderly (>80 yo)
55 2017-01-30 Lunch
56 2017-01-30 Client #6 Acute Care Mult-System Elderly (>80 yo) 15
57 2017-01-30 Client #7 Acute Care Mult-System Older Adult (>65 yo) 15 20 10 5
58 2017-01-30 Chartng
 Total Intervention Ti

PRACTICAL SKILLS CHECKLIST OT/PT = 3659 min / 60.98 hrs

(38.48%)

Full credit and aknowledgement of this Tool to Pat Lee, Centennial College 1090 1480 40 127 180 265 432 45

Environment / Equipment
Group Exercises / Actvity

Preparaton of Client /

Other Interventon
Number

Date Clients' Codes Settings Systems Age Group

Communicatng
(for confidentiality)

Reportng and
1:1 Exercises

Positoning
Educaton
Transfers
59 2017-02-01 Rounds
 Total Intervention Time = 9,510 min / 158.50 hrs (100.00%)

PRACTICAL SKILLS CHECKLIST

PT = 750 min / 12.50 hrs OT = 160 min / 2.67 hrs Misc = 4941 min / 82.35 hrs
(7.89%) (1.68%) (51.96%)

Full credit and aknowledgement of this Tool to Pat Lee,615 70College0

Centennial 65 80 0 50 0 0 30 1770 1085 761 1220 105

Daily Checklist Completon

Measurement / Assembly

W/C Mobility and Skills Training

Meetngs and In-Services

Adaptaton of Assistve devices
Assisted with Splintng and/or
ADL or IADL Training

Cognitve Perceptual
Other Interventon

Indirect Patent Care

Number

Other Interventon
Date Clients' Codes

W/C Seatng and

(for confidentiality)

Documentaton
Stair Climbing

Interventons
Ambulaton

Modalites

Lunch
1 2014-01-01 JP
1 2017-01-09 Orientaton 420 60
2 2017-01-11 Client #1 5
3 2017-01-11 Client #2 5 2
4 2017-01-11 Client #3 10 2
5 2017-01-11 Client #4 5 2
6 2017-01-11 Lunch 60
7 2017-01-11 Stroke Session 60
8 2017-01-11 Patent Rounds 60 10 20
9 2017-01-11 Chartng 45

10 2017-01-16 Rounds
11 2017-01-16 Client #1
12 2017-01-16 Client #2
13 2017-01-16 Client #3
14 2017-01-16 Client #4
 Total Intervention Time = 9,510 min / 158.50 hrs (100.00%)

PRACTICAL SKILLS CHECKLIST

PT = 750 min / 12.50 hrs OT = 160 min / 2.67 hrs Misc = 4941 min / 82.35 hrs
(7.89%) (1.68%) (51.96%)

Full credit and aknowledgement of this Tool to Pat Lee,615 70College0

Centennial 65 80 0 50 0 0 30 1770 1085 761 1220 105

Daily Checklist Completon

Measurement / Assembly

W/C Mobility and Skills Training

Meetngs and In-Services

Adaptaton of Assistve devices
Assisted with Splintng and/or
ADL or IADL Training

Cognitve Perceptual
Other Interventon

Indirect Patent Care

Number

Other Interventon
Date Clients' Codes

W/C Seatng and

(for confidentiality)

Documentaton
Stair Climbing

Interventons
Ambulaton

Modalites

Lunch
15 2017-01-16 Lunch 60 10
16 2017-01-16 Client #5 5
17 2017-01-16 Client #6
18 2017-01-16 Client #7 10
19 2017-01-16 Client #8 10
20 2017-01-16 Chartng 5 45 10
21 2017-01-16 Client #9
22 2017-01-16 Chartng 10
23 2017-01-18 Rounds 90
24 2017-01-18 Client #1 30 5
25 2017-01-18 Client #2 10
26 2017-01-18 Client #3
27 2017-01-18 Client #4
28 2017-01-18 Client #5
29 2017-01-18 Client #6
30 2017-01-18 Client #7
 Total Intervention Time = 9,510 min / 158.50 hrs (100.00%)

PRACTICAL SKILLS CHECKLIST

PT = 750 min / 12.50 hrs OT = 160 min / 2.67 hrs Misc = 4941 min / 82.35 hrs
(7.89%) (1.68%) (51.96%)

Full credit and aknowledgement of this Tool to Pat Lee,615 70College0

Centennial 65 80 0 50 0 0 30 1770 1085 761 1220 105

Daily Checklist Completon

Measurement / Assembly

W/C Mobility and Skills Training

Meetngs and In-Services

Adaptaton of Assistve devices
Assisted with Splintng and/or
ADL or IADL Training

Cognitve Perceptual
Other Interventon

Indirect Patent Care

Number

Other Interventon
Date Clients' Codes

W/C Seatng and

(for confidentiality)

Documentaton
Stair Climbing

Interventons
Ambulaton

Modalites

Lunch
31 2017-01-18 Client #8
32 2017-01-18 Lunch 60
33 2017-01-18 Chartng 60
34 2017-01-18 Client #9

35 2017-01-23 Rounds 30
36 2017-01-23 Client #1 10 20
37 2017-01-23 Client #2
38 2017-01-23 Client #3 10 10
39 2017-01-23 Lunch 60
40 2017-01-23 Client #4 20
41 2017-01-23 Client #5
42 2017-01-23 Chartng 30
43 2017-01-25 Rounds 40
44 2017-01-25 Client #1 25 15
45 2017-01-25 Client #2 20
 Total Intervention Time = 9,510 min / 158.50 hrs (100.00%)

PRACTICAL SKILLS CHECKLIST

PT = 750 min / 12.50 hrs OT = 160 min / 2.67 hrs Misc = 4941 min / 82.35 hrs
(7.89%) (1.68%) (51.96%)

Full credit and aknowledgement of this Tool to Pat Lee,615 70College0

Centennial 65 80 0 50 0 0 30 1770 1085 761 1220 105

Daily Checklist Completon

Measurement / Assembly

W/C Mobility and Skills Training

Meetngs and In-Services

Adaptaton of Assistve devices
Assisted with Splintng and/or
ADL or IADL Training

Cognitve Perceptual
Other Interventon

Indirect Patent Care

Number

Other Interventon
Date Clients' Codes

W/C Seatng and

(for confidentiality)

Documentaton
Stair Climbing

Interventons
Ambulaton

Modalites

Lunch
46 2017-01-25 Client #3 20
45 2017-01-25 Client #4 10 15
46 2017-01-25 Lunch 60
47 2017-01-25 Client #5 20 20
48 2017-01-25 Client #6

49 2017-01-30 Rounds 90
50 2017-01-30 Client #1 15
51 2017-01-30 Client #2
52 2017-01-30 Client #3 20
53 2017-01-30 Client #4
54 2017-01-30 Client #5 20
55 2017-01-30 Lunch 60
56 2017-01-30 Client #6
57 2017-01-30 Client #7 20
58 2017-01-30 Chartng 40
 Total Intervention Time = 9,510 min / 158.50 hrs (100.00%)

PRACTICAL SKILLS CHECKLIST

PT = 750 min / 12.50 hrs OT = 160 min / 2.67 hrs Misc = 4941 min / 82.35 hrs
(7.89%) (1.68%) (51.96%)

Full credit and aknowledgement of this Tool to Pat Lee,615 70College0

Centennial 65 80 0 50 0 0 30 1770 1085 761 1220 105

Daily Checklist Completon

Measurement / Assembly

W/C Mobility and Skills Training

Meetngs and In-Services

Adaptaton of Assistve devices
Assisted with Splintng and/or
ADL or IADL Training

Cognitve Perceptual
Other Interventon

Indirect Patent Care

Number

Other Interventon
Date Clients' Codes

W/C Seatng and

(for confidentiality)

Documentaton
Stair Climbing

Interventons
Ambulaton

Modalites

Lunch
59 2017-02-01 Rounds 75
 PRACTICAL SKILLS CHECKLIST

9510
Full credit and aknowledgement of this Tool to Pat Lee, Centennial College

Total Minutes Per Client

Number

Date Clients' Codes

(for confidentiality)

1 2014-01-01 JP
1 2017-01-09 Orientaton 480
2 2017-01-11 Client #1 95
3 2017-01-11 Client #2 62
4 2017-01-11 Client #3 27
5 2017-01-11 Client #4 42
6 2017-01-11 Lunch 60
7 2017-01-11 Stroke Session 60
8 2017-01-11 Patent Rounds 90
9 2017-01-11 Chartng 45

10 2017-01-16 Rounds 50
11 2017-01-16 Client #1 35
12 2017-01-16 Client #2 75
13 2017-01-16 Client #3 15
14 2017-01-16 Client #4 10
 PRACTICAL SKILLS CHECKLIST

9510
Full credit and aknowledgement of this Tool to Pat Lee, Centennial College

Total Minutes Per Client

Number

Date Clients' Codes

(for confidentiality)

15 2017-01-16 Lunch 70
16 2017-01-16 Client #5 27
17 2017-01-16 Client #6 22
18 2017-01-16 Client #7 40
19 2017-01-16 Client #8 60
20 2017-01-16 Chartng 60
21 2017-01-16 Client #9 15
22 2017-01-16 Chartng 10
23 2017-01-18 Rounds 90
24 2017-01-18 Client #1 35
25 2017-01-18 Client #2 25
26 2017-01-18 Client #3 55
27 2017-01-18 Client #4 30
28 2017-01-18 Client #5 20
29 2017-01-18 Client #6 30
30 2017-01-18 Client #7 30
 PRACTICAL SKILLS CHECKLIST

9510
Full credit and aknowledgement of this Tool to Pat Lee, Centennial College

Total Minutes Per Client

Number

Date Clients' Codes

(for confidentiality)

31 2017-01-18 Client #8 25
32 2017-01-18 Lunch 60
33 2017-01-18 Chartng 60
34 2017-01-18 Client #9 30

35 2017-01-23 Rounds 30
36 2017-01-23 Client #1 95
37 2017-01-23 Client #2 45
38 2017-01-23 Client #3 90
39 2017-01-23 Lunch 60
40 2017-01-23 Client #4 70
41 2017-01-23 Client #5 45
42 2017-01-23 Chartng 30
43 2017-01-25 Rounds 40
44 2017-01-25 Client #1 65
45 2017-01-25 Client #2 55
 PRACTICAL SKILLS CHECKLIST

9510
Full credit and aknowledgement of this Tool to Pat Lee, Centennial College

Total Minutes Per Client

Number

Date Clients' Codes

(for confidentiality)

46 2017-01-25 Client #3 60
45 2017-01-25 Client #4 70
46 2017-01-25 Lunch 60
47 2017-01-25 Client #5 110
48 2017-01-25 Client #6 15

49 2017-01-30 Rounds 90
50 2017-01-30 Client #1 40
51 2017-01-30 Client #2 60
52 2017-01-30 Client #3 45
53 2017-01-30 Client #4 40
54 2017-01-30 Client #5 20
55 2017-01-30 Lunch 60
56 2017-01-30 Client #6 15
57 2017-01-30 Client #7 70
58 2017-01-30 Chartng 40
 PRACTICAL SKILLS CHECKLIST

9510
Full credit and aknowledgement of this Tool to Pat Lee, Centennial College

Total Minutes Per Client

Number

Date Clients' Codes

(for confidentiality)

59 2017-02-01 Rounds 75