Total Intervention

PRACTICAL SKILLS CHECKLIST OT/PT = 2400 min / 40.00 hrs

(20.10%)

Full credit and aknowledgement of this Tool to Pat Lee, Centennial College 0 120 1140 60 480 60 180

wheelchair mobility actvites

Environment / Equipment
Group Exercises / Actvity

Positoning/restoratve
Preparaton of Client /
Number

Date Clients' Codes Settings Systems Age Group

(for confidentiality)

1:1 Exercises

Educaton
Transfers

yoga
1 2014-01-01 JP Long Term Care Cardio-Respiratory Elderly (>80 yo)
1 2017-09-11 Client 1 Rehabilitaton Mult-System paediatric (Newborn - 18 yo)

3 2017-09-13 Client 1 rehabilitaton mult-System paediatric (Newborn - 18 yo)

4 client 2 rehabilitaton mult-System paediatric (Newborn - 18 yo)
5 client 3 rehabilitaton Mult-System paediatric (Newborn - 18 yo)
6 client 4 rehabilitaton mult-System paediatric (Newborn - 18 yo)

9 2017-09-18 Client 1 rehabilitaton mult-System paediatric (Newborn - 18 yo)

10 client 2 rehabilitaton mult-System paediatric (Newborn - 18 yo)
11 client 3 rehabilitaton mult-System paediatric (Newborn - 18 yo)
12 client 4 rehabilitaton Musculoskeletal paediatric (Newborn - 18 yo)
13 Client 5 rehabilitaton mult-System paediatric (Newborn - 18 yo)

15 2017-09-20 Client 1 rehabilitaton mult-System paediatric (Newborn - 18 yo)

16 client 2 rehabilitaton mult-System paediatric (Newborn - 18 yo)
 Total Intervention

PRACTICAL SKILLS CHECKLIST OT/PT = 2400 min / 40.00 hrs

(20.10%)

Full credit and aknowledgement of this Tool to Pat Lee, Centennial College 0 120 1140 60 480 60 180

wheelchair mobility actvites

Environment / Equipment
Group Exercises / Actvity

Positoning/restoratve
Preparaton of Client /
Number

Date Clients' Codes Settings Systems Age Group

(for confidentiality)

1:1 Exercises

Educaton
Transfers

yoga
17 client 3 rehabilitaton mult-System paediatric (Newborn - 18 yo)
18 client 4 rehabilitaton mult-System paediatric (Newborn - 18 yo)
19 client 5 rehabilitaton mult-System paediatric (Newborn - 18 yo)

21 2017-09-25 Client 1 rehabilitaton mult-System paediatric (Newborn - 18 yo)

22 client 2 rehabilitaton mult-System paediatric (Newborn - 18 yo)
23 client 3 rehabilitaton Musculoskeletal paediatric (Newborn - 18 yo)
24 client 4 rehabilitaton mult-System paediatric (Newborn - 18 yo)
25 client 5 rehabilitaton mult-System paediatric (Newborn - 18 yo)

27 2017-09-27 Client 1 rehabilitaton mult-System paediatric (Newborn - 18 yo)

28 Group 1 rehabilitaton mult-System paediatric (Newborn - 18 yo) 60
29 Client 2 rehabilitaton Musculoskeletal paediatric (Newborn - 18 yo)

31 2017-10-02 group 1 rehabilitaton mult-System paediatric (Newborn - 18 yo) 60

32 group 2 rehabilitaton mult-System paediatric (Newborn - 18 yo) 60
 Total Intervention

PRACTICAL SKILLS CHECKLIST OT/PT = 2400 min / 40.00 hrs

(20.10%)

Full credit and aknowledgement of this Tool to Pat Lee, Centennial College 0 120 1140 60 480 60 180

wheelchair mobility actvites

Environment / Equipment
Group Exercises / Actvity

Positoning/restoratve
Preparaton of Client /
Number

Date Clients' Codes Settings Systems Age Group

(for confidentiality)

1:1 Exercises

Educaton
Transfers

yoga
33 client 1 rehabilitaton mult-System paediatric (Newborn - 18 yo)
34 client 2 rehabilitaton mult-System paediatric (Newborn - 18 yo)
35 group 3 60
36 2017-10-04 Group 1 rehabilitaton Mult-System paediatric (Newborn - 18 yo)
37 Group 2 rehabilitaton mult-System paediatric (Newborn - 18 yo)
38 Group 3 rehabilitaton mult-System paediatric (Newborn - 18 yo) 60
39 Group 4 rehabilitaton mult-System paediatric (Newborn - 18 yo) 60

41 2017-10-11 Group 1 rehabilitaton mult-System paediatric (Newborn - 18 yo)

42 Group 2 rehabilitaton mult-System paediatric (Newborn - 18 yo)
43 Group 3 rehabilitaton mult-System paediatric (Newborn - 18 yo) 60
44 Group 4 rehabilitaton mult-System paediatric (Newborn - 18 yo)

46 2017-10-16 group 1 rehabilitaton mult-System paediatric (Newborn - 18 yo) 60

60
48 2017-10-18 group 1 rehabilitaton mult-System paediatric (Newborn - 18 yo)
 Total Intervention

PRACTICAL SKILLS CHECKLIST OT/PT = 2400 min / 40.00 hrs

(20.10%)

Full credit and aknowledgement of this Tool to Pat Lee, Centennial College 0 120 1140 60 480 60 180

wheelchair mobility actvites

Environment / Equipment
Group Exercises / Actvity

Positoning/restoratve
Preparaton of Client /
Number

Date Clients' Codes Settings Systems Age Group

(for confidentiality)

1:1 Exercises

Educaton
Transfers

yoga
49 group 2 rehabilitaton mult-System paediatric (Newborn - 18 yo)
50 group 3 rehabilitaton mult-System paediatric (Newborn - 18 yo) 60
51 group 4 rehabilitaton mult-System paediatric (Newborn - 18 yo)

2017-10-23
2017-10-25
55 2017-10-30 group 1 rehabilitaton mult-System paediatric (Newborn - 18 yo) 60
56 group 2 rehabilitaton mult-System paediatric (Newborn - 18 yo) 60
57 group 3 rehabilitaton mult-System paediatric (Newborn - 18 yo) 60
58 Client 1 rehabilitaton mult-System paediatric (Newborn - 18 yo)
59 2017-10-31 group 1 rehabilitaton mult-System paediatric (Newborn - 18 yo) 60 60
60 2017-11-01 group 1 rehabilitaton mult-System paediatric (Newborn - 18 yo)
61 group 2 rehabilitaton mult-System paediatric (Newborn - 18 yo)
62 Client 1 rehabilitaton mult-System paediatric (Newborn - 18 yo) 60
63 group 3 rehabilitaton mult-System paediatric (Newborn - 18 yo) 60
64 group 4 rehabilitaton mult-System paediatric (Newborn - 18 yo)
 Total Intervention

PRACTICAL SKILLS CHECKLIST OT/PT = 2400 min / 40.00 hrs

(20.10%)

Full credit and aknowledgement of this Tool to Pat Lee, Centennial College 0 120 1140 60 480 60 180

wheelchair mobility actvites

Environment / Equipment
Group Exercises / Actvity

Positoning/restoratve
Preparaton of Client /
Number

Date Clients' Codes Settings Systems Age Group

(for confidentiality)

1:1 Exercises

Educaton
Transfers

yoga
66 2017-11-06 group 1 rehabilitaton mult-System paediatric (Newborn - 18 yo) 60
 Total Intervention Time = 11,940 min / 199.00 hrs (100.00%)

PRACTICAL SKILLS CHECKLIST

OT/PT = 2400 min / 40.00 hrs
PT = 1050 min / 17.50 hrs OT = 2370 min / 39.50 hrs Misc = 6120 min / 102.00 hrs
(20.10%) (8.79%) (19.85%) (51.26%)

Full credit and aknowledgement of this Tool to Pat Lee,360 135College0

Centennial 810 105 40 180 0 1840 250 60 330 1350 570 1140

Actvity Analysis and Actvity Specifc

ipads,scanners, butons etc.

Measurement / Assembly;

pre printng, writng skills,

Laundry/ Equipment Prep

Equipment Maintenance/
Meetngs and In-Services
gross motor actvites

W/C Mobility and Skills

ADL or IADL Training

Indirect Patent Care/

Ambulaton/ Strair
Number

Balance Actvites

Fine motor Interventon

Professional Lunch
Date Clients' Codes

Devices Training-
W/C Seatng and

spelling, reading
(for confidentiality)

Documentaton
Modalites

Interventon
Climbing
Castng

Training
1 2014-01-01 JP
1 2017-09-11 Client 1 30 30
240 60
3 2017-09-13 Client 1 60
4 client 2 30 30
5 client 3 60
6 client 4 10 40 10
60 60
9 2017-09-18 Client 1 60
10 client 2 15 15 30
11 client 3 60
12 client 4 60
13 Client 5 30 30

15 2017-09-20 Client 1 60
16 client 2 60
 Total Intervention Time = 11,940 min / 199.00 hrs (100.00%)

PRACTICAL SKILLS CHECKLIST

OT/PT = 2400 min / 40.00 hrs
PT = 1050 min / 17.50 hrs OT = 2370 min / 39.50 hrs Misc = 6120 min / 102.00 hrs
(20.10%) (8.79%) (19.85%) (51.26%)

Full credit and aknowledgement of this Tool to Pat Lee,360 135College0

Centennial 810 105 40 180 0 1840 250 60 330 1350 570 1140

Actvity Analysis and Actvity Specifc

ipads,scanners, butons etc.

Measurement / Assembly;

pre printng, writng skills,

Laundry/ Equipment Prep

Equipment Maintenance/
Meetngs and In-Services
gross motor actvites

W/C Mobility and Skills

ADL or IADL Training

Indirect Patent Care/

Ambulaton/ Strair
Number

Balance Actvites

Fine motor Interventon

Professional Lunch
Date Clients' Codes

Devices Training-
W/C Seatng and

spelling, reading
(for confidentiality)

Documentaton
Modalites

Interventon
Climbing
Castng

Training
17 client 3 30 30
18 client 4 30 30
19 client 5 60
60
21 2017-09-25 Client 1 60
22 client 2 15 15 30
23 client 3 60
24 client 4 60
25 client 5 15 15 30
60 60
27 2017-09-27 Client 1 15 15 30
28 Group 1 60 60
29 Client 2 60 60 60

31 2017-10-02 group 1
32 group 2
 Total Intervention Time = 11,940 min / 199.00 hrs (100.00%)

PRACTICAL SKILLS CHECKLIST

OT/PT = 2400 min / 40.00 hrs
PT = 1050 min / 17.50 hrs OT = 2370 min / 39.50 hrs Misc = 6120 min / 102.00 hrs
(20.10%) (8.79%) (19.85%) (51.26%)

Full credit and aknowledgement of this Tool to Pat Lee,360 135College0

Centennial 810 105 40 180 0 1840 250 60 330 1350 570 1140

Actvity Analysis and Actvity Specifc

ipads,scanners, butons etc.

Measurement / Assembly;

pre printng, writng skills,

Laundry/ Equipment Prep

Equipment Maintenance/
Meetngs and In-Services
gross motor actvites

W/C Mobility and Skills

ADL or IADL Training

Indirect Patent Care/

Ambulaton/ Strair
Number

Balance Actvites

Fine motor Interventon

Professional Lunch
Date Clients' Codes

Devices Training-
W/C Seatng and

spelling, reading
(for confidentiality)

Documentaton
Modalites

Interventon
Climbing
Castng

Training
33 client 1 30 30
34 client 2 60
35 group 3 60 60
36 2017-10-04 Group 1 60
37 Group 2 60
38 Group 3
39 Group 4
30 90 60
41 2017-10-11 Group 1 60
42 Group 2 60
43 Group 3
44 Group 4 60
120 60
46 2017-10-16 group 1
120 60
48 2017-10-18 group 1 60
 Total Intervention Time = 11,940 min / 199.00 hrs (100.00%)

PRACTICAL SKILLS CHECKLIST

OT/PT = 2400 min / 40.00 hrs
PT = 1050 min / 17.50 hrs OT = 2370 min / 39.50 hrs Misc = 6120 min / 102.00 hrs
(20.10%) (8.79%) (19.85%) (51.26%)

Full credit and aknowledgement of this Tool to Pat Lee,360 135College0

Centennial 810 105 40 180 0 1840 250 60 330 1350 570 1140

Actvity Analysis and Actvity Specifc

ipads,scanners, butons etc.

Measurement / Assembly;

pre printng, writng skills,

Laundry/ Equipment Prep

Equipment Maintenance/
Meetngs and In-Services
gross motor actvites

W/C Mobility and Skills

ADL or IADL Training

Indirect Patent Care/

Ambulaton/ Strair
Number

Balance Actvites

Fine motor Interventon

Professional Lunch
Date Clients' Codes

Devices Training-
W/C Seatng and

spelling, reading
(for confidentiality)

Documentaton
Modalites

Interventon
Climbing
Castng

Training
49 group 2 60
50 group 3
51 group 4 60
60 60
2017-10-23
2017-10-25
55 2017-10-30 group 1
56 group 2
57 group 3
58 Client 1 30 30 60 60
59 2017-10-31 group 1 120
60 2017-11-01 group 1 60
61 group 2 60
62 Client 1
63 group 3
64 group 4 60
66
Number

Date

2017-11-06
(20.10%)

group 1
OT/PT = 2400 min / 40.00 hrs

Clients' Codes
(for confidentiality)

Castng
Full credit and aknowledgement of this Tool to Pat Lee,360

Ambulaton/ Strair
Centennial
PRACTICAL SKILLS

Climbing
PT = 1050

135College0

Modalites
(8.79%)

gross motor actvites

810

Balance Actvites
105
min / 17.50 hrs
CHECKLIST
40

ADL or IADL Training

W/C Seatng and
Measurement / Assembly;
180

W/C Mobility and Skills

Training
Actvity Analysis and Actvity Specifc
0

Interventon

Fine motor Interventon

(19.85%)
Total Intervention Time = 11,940 min / 199.00 hrs (100.00%)

1840

Devices Training-
250

ipads,scanners, butons etc.

OT = 2370 min / 39.50 hrs

pre printng, writng skills,

60

spelling, reading

Meetngs and In-Services

330

Documentaton
60
1350

Indirect Patent Care/

Equipment Maintenance/
570

Laundry/ Equipment Prep

(51.26%)

Professional Lunch
60
1140
Misc = 6120 min / 102.00 hrs
rs (100.00%)

PRACTICAL SKILLS CHECKLIST

11940
Misc = 6120 min / 102.00 hrs
(51.26%)

Full credit and aknowledgement of this Tool to Pat Lee,2730

Centennial College

Total Minutes Per Client

Planning/Preparing for
Number

Date Clients' Codes

(for confidentiality)

Session

1 2014-01-01 JP
1 2017-09-11 Client 1 60
120 420
3 2017-09-13 Client 1 30 90
4 client 2 30 90
5 client 3 30 90
6 client 4 30 90
120
9 2017-09-18 Client 1 45 105
10 client 2 45 105
11 client 3 30 90
12 client 4 30 90
13 Client 5 30 90

15 2017-09-20 Client 1 60
16 client 2 60
rs (100.00%)

PRACTICAL SKILLS CHECKLIST

11940
Misc = 6120 min / 102.00 hrs
(51.26%)

Full credit and aknowledgement of this Tool to Pat Lee,2730

Centennial College

Total Minutes Per Client

Planning/Preparing for
Number

Date Clients' Codes

(for confidentiality)

Session

17 client 3 60
18 client 4 60
19 client 5 60
60 120
21 2017-09-25 Client 1 60
22 client 2 60
23 client 3 60
24 client 4 60
25 client 5 60
60 180
27 2017-09-27 Client 1 60
28 Group 1 180
29 Client 2 60 240

31 2017-10-02 group 1 60
32 group 2 60
rs (100.00%)

PRACTICAL SKILLS CHECKLIST

11940
Misc = 6120 min / 102.00 hrs
(51.26%)

Full credit and aknowledgement of this Tool to Pat Lee,2730

Centennial College

Total Minutes Per Client

Planning/Preparing for
Number

Date Clients' Codes

(for confidentiality)

Session

33 client 1 60
34 client 2 60
35 group 3 60 240
36 2017-10-04 Group 1 60
37 Group 2 60
38 Group 3 60
39 Group 4 60
60 240
41 2017-10-11 Group 1 60
42 Group 2 60
43 Group 3 60
44 Group 4 60
60 240
46 2017-10-16 group 1 60
180 420
48 2017-10-18 group 1 60
rs (100.00%)

PRACTICAL SKILLS CHECKLIST

11940
Misc = 6120 min / 102.00 hrs
(51.26%)

Full credit and aknowledgement of this Tool to Pat Lee,2730

Centennial College

Total Minutes Per Client

Planning/Preparing for
Number

Date Clients' Codes

(for confidentiality)

Session

49 group 2 60
50 group 3 60
51 group 4 60
120 240
2017-10-23
2017-10-25
55 2017-10-30 group 1 60
56 group 2 60
57 group 3 60
58 Client 1 120 300
59 2017-10-31 group 1 240
60 2017-11-01 group 1 60
61 group 2 60
62 Client 1 60
63 group 3 60
64 group 4 60
rs (100.00%)

PRACTICAL SKILLS CHECKLIST

11940
Misc = 6120 min / 102.00 hrs
(51.26%)

Full credit and aknowledgement of this Tool to Pat Lee,2730

Centennial College

Total Minutes Per Client

Planning/Preparing for
Number

Date Clients' Codes

(for confidentiality)

Session

60 180
66 2017-11-06 group 1 60