Information

  • Student Name

  • Placement

  • Site

  • Site Supervisor

  • Conducted on

  • Prepared by

Details

  • Student reminders

  • Student orientation completed

  • Student OH&S induction completed. Aware of responsibilities related to Evacuation procedures, Accident reporting, Chain of command & Communicating issues whilst on placement.

  • Red Flags?

  • Additional details where any issue(s) has been identified.

  • Main Roles & Responsibilities?

  • Main roles and responsibilities - Additional Information

  • Hours Completed to Date

Criteria

  • Professional Behaviour - the student is appropriate with respect to agreed expectations of their dress, attitude and behaviour. Punctual for shifts and in contact in a timely manner where unforeseen circumstances ( eg ill health or an emergency ) prevent them from attending placement. Compliant with work place administration requirements, OH &S policies and respects the rights of others in the work place.

  • Client Interaction/ Rapport - The student displays self confidence. Is empathetic (where appropriate), asks open ended questions and creates positive, safe interactions with individuals. The student complies with client confidentiality and shows respect for all individuals at the facility.

  • Collaborative Practice - Consistently establishes effective working relationships and evaluates collaborative capabilities. Demonstrates good understanding of team processes and engages actively with team members and contributes to outcomes. Can resolve conflicts with little support. Understands scope of practice and can refer to for alternate/ additional services appropriately.

  • Self Management Skills- the student demonstrates skills which allow them to be, where appropriate, autonomous in their role (eg leadership, industriousness, preparedness, wellness to complete extra research, forward thinking) follows through on agreed acts. That is, the student does not have to be micro-managed while on site.

  • Communication Skills - Requires little support to communicate in a manner that is clear, comprehensive and culturally appropriate. Student is appropriate in terms of posture, volume tone and energy with respect to the context of your facility. The student displays a flexible communication approach and where appropriate uses correct technical language. Both oral and written communication ( where applicable) is exchanged appropriately with in the work team and to relevant external parties. Able to influence and develop authority in both one-on-one and group situations.

  • Problem solving and Decision Making - Ability to critically analyse, anticipate problems and apply practical solutions. Where appropriate the student has demonstrated independent thought and action, or where they have the ability to input to decision making, solutions are offered prior to direction from supervisors and the student is able to follow-through on decisions.

  • Awareness of Limitations - Student recognises professional weaknesses and actively engages in self-directed learning, seeks timely feedback and appropriate support. The student is willing to take responsibility for actions when challenged and act on constructive criticism and improve future performance. Where required seeks opportunities to debrief following stressful situations.

  • Time Management - the student displays an appropriate level of organisation skill, the ability to prioritise tasks within the context of the facility, including the ability to use down time and manage time constraints out of their control appropriately. Able to appropriately manage time within both one-on-one and group opportunities.

  • Technical Skills - The student displays safe, effective and accurate use if exercise training, testing equipment and client interventions. Student can clearly explain procedures, uses demonstration where necessary and had an understanding of contraindications for procedures. Student uses professional reasoning with regards to any interventions and actively obtains/ responds to client feedback. Please rate the students technical skill proficiency as exhibited and developed with in the context of the facility.

  • Knowledge - The student is able to apply current knowledge across the client population. Where required shows the ability to use resources and undertake additional research. Interventions offered or developed by the student are innovative and effective; practices are evidence based. Accurate and meaningful advice is offered to clients and the student actively develops further understanding of the anatomical and physiological based of interventions within the context of the placement.

Overall Strength(s) of the student:

Overall Foci for the student:

Student Comments/Rebuttal/Feedback

Confirmation details are correct.

  • Supervisor signature

  • Student signature

  • UQ signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.