Occupational Therapy Assistant Program Application Packet

Transcription

1 Occupational Therapy Assistant Program Application Packet Rev

2 Dear Future Clinician, Thank you for taking the first step in changing your life by seeking interest into the Occupational Therapy Assistant program at Mountain View College!! We appreciate your interest and look forward to serving your educational needs into this exciting career! The material included in this packet will describe the admissions process to Mountain View College Occupational Therapy Assistant program and all the forms needed for application to the program. Mountain View College Occupational Therapy Assistant program is 24 months in length and leads to an Associates in Applied Science Degree (A.A.S.O.T.A) and prepares the graduate to take the National Board for Certification in Occupational Therapy (NBCOT) national examination to become a certified occupational therapy assistant (COTA). Graduates also meet the requirements for state licensure. Admission to the OTA Program is a separate procedure from admission to Mountain View College. Applicants must meet all the admission criteria for Mountain View College before submitting an application to the OTA program. The program is highly competitive as we are accepting between students into the program this year. Admission to the OTA Program will be made on the applicant s ranking through a point system. The application process this year will begin July 13 th and end August 4 th (please refer to OTA website for exact dates). Applications will be accepted beginning July 17th and must be delivered by August 4th. If you have questions about the occupational therapy assistant program or the admissions process, please contact Dr. Candice Freeman (Program Director- Occupational Therapy Assistant Program or her at candicefreeman@dcccd.edu. We look forward to working with you. Sincerely, Occupational Therapy Assistant Program Faculty Rev

3 General Information ACCREDITATION The curriculum is designed to meet the standards of the Accreditation Council for Occupational Therapy Education (ACOTE). ACOTE can be contacted at: Accreditation Council for Occupational Therapy Education, c/o Accreditation Department, American Occupational Therapy Association, 4720 Montgomery Lane, Suite 200, Bethesda, MD, , Phone: (301) (AOTA). The website for ACOTE is *Mountain View College is in the process of seeking Candidacy status to begin the OTA program. LOCATION Occupational therapy assistant courses are offered only at Mountain View College. ADMISSION A new class of students are admitted into the Occupational Therapy Assistant Program each fall. The program will accept students the first year. Current dates for admission can be found in this packet. Late applications or inquiries will not be considered for admission. PROGRAM COURSES OTA courses are offered in a set sequence. Once admitted into the program, the student must progress through the curriculum as designed. This means a student cannot jump ahead in the curriculum and take advanced occupational therapy assistant courses. Prerequisite courses need to be completed by the start of the Occupational Therapy Assistant Program. GRADES The OTA program will follow the Nursing/Allied Health Department grading system listed below: 92%-100% = A 84%-91.9% = B 75%-83.9% = C 68%-74.9% = D 67% and below= F Students must earn a 75 or above in all OTA coursework in order to progress in the program. Rev

4 FEES Students will be responsible for cost of textbooks. An estimated cost of books will be available at boot camp (mandatory attendance required). In addition to books, students are responsible for cost associated with travel to and from fieldwork sites as well as attire for fieldwork. Other fees that students may incur are immunizations, drug screens, and background checks. DRESS CODE Student professional dress is expected for all classroom and clinical activities. CLASSROOM: Students are expected to wear navy blue scrubs (undershirts may be worn), closed toe shoes (no heels or boots) and college nametag. CLINICAL: During Level I fieldwork, students will wear polo/collared shirt and khaki pants and or scrubs (dependent on clinical site). Level II fieldwork sites usually specify their dress code and the student may have to purchase different sets of attire for each fieldwork. Nametags from either Mountain View College OTA program or the site specific nametag provided to the student should be worn at all times. *Instructors may request professional dress during presentations in or out of the classroom. Professional dress includes slacks (khaki), collar shirt/polo (tucked in), belt, closed toe shoes (no heels or boots), and name badge. No denim in any form is allowed. *Tattoos should be covered. Jewelry should be simple. Hair is to be neat and pulled back for labs. Students will be asked to wear the designated OTA professional dress for any community activities unless changes were made by a faculty member of the OTA program. CRIMINAL HISTORY BACKGROUND CHECK The student will be required to obtain a background check to meet requirements of the school and fieldwork education. Additional background checks may be required by fieldwork education sites. Costs associated with additional background checks are the responsibility of the student. Most states, including Texas, require licensure to practice. Texas licensure is based on successful completion of the NBCOT examination. A felony conviction may affect a graduate's ability to sit for the NBCOT examination or attain state licensure. Any form of charges or conviction results on a criminal background check may be cause for exclusion from admission to the program. If you have been convicted of a misdemeanor (excluding minor traffic violations) or a felony, it is your responsibility to contact the National Board for Certification in Occupational Therapy, Inc. at , AND the Executive Council Rev

5 for Physical Therapy and Occupational Therapy , to determine your certification and licensure eligibility. It is you responsibility to have letters of verification sent directly to the program director from each of the above entities noting your eligibility in order for your application to be considered. These letters must be received by the program by the application deadline. IMMUNIZATIONS Students will be required to submit required proof of current immunizations. PERSONAL HEALTH INSURANCE Students are required to carry personal health insurance and show proof of insurance prior to enrollment in the OTA program. PROFESSIONAL LIABILITY INSURANCE Students enrolled in the OTA Program are required to have professional liability insurance. Students will pay this fee with their lecture courses. NOTE: The liability insurance that each student will have does not pay for injuries to the student- only for injuries to the patient. The student is completely responsible for personal medical costs incurred while at fieldwork sites. If a patient is injured by the student, the limited liability insurance may or may not cover all legal costs. CURRICULUM REQUIREMENTS The Occupational Therapy Assistant program provides basic knowledge and skills for entry-level entrance into the workforce. Upon satisfactory completion of this curriculum, the student will be awarded an Associate of Applied Science degree and will be eligible to sit for the national certification examination administered by the National Board for Occupational Therapy (NBCOT) to become a certified occupational therapy assistant (COTA). Courses in the OTA program must be taken in sequential order at the advisement of the program director and program faculty. Students may not jump ahead in the curriculum. A grade of C or better is required for satisfactory completion of all courses, including academic core courses. Rev

6 PROPOSED CURRICULUM OCCUPATIONAL THERAPY ASSISTANT AAS 2017 (Fall 2017) *All applicants must have a GED or High School diploma to apply LEC. LAB. EXT. CONT. CR. SEMESTER I HRS. HRS. HRS. HRS. HRS. **Prior to acceptance and enrollment into OTHA 1305 Principles of Occupational Therapy, the student must have completed 10 credit hours (ENGL 1301, PSYC 2301 and BIOL 2401) which would also apply to the Nursing AND degree: PREREQUISITE SEMESTER ENGL 1301 Composition PSYC 2301 General Psychology BIOL 2401 Anatomy and Physiology I Elective Humanities/Fine Arts Total semester hours: SEMESTER I BIOL 2402 Anatomy and Physiology II PSYC 2314 Lifespan Growth and Development OTHA 1305** Principles of Occupational Therapy OTHA 1315 Therapeutic Use of Occupations and Activities I Total semester hours: Rev

7 SEMESTER II OTHA 2301 Pathophysiology in Occupational Therapy OTHA 1319 Therapeutic Interventions I OTHA 2209 Mental Health in Occupational Therapy OTHA 2302 Therapeutic Use of Occupations and Activities II OTHA 1161 Occupational Therapy Assistant Clinical-Adults OTHA 1349 Occupational Performance in Adults Total semester hours: SEMESTER III OTHA 1162 Occupational Therapy Assistant Clinical-Pedi OTHA 1341 Occupational Performance in Pediatrics OTHA 1163 Occupational Therapy Assistant Clinical-Elders OTHA 1253 Occupational Therapy Performance in Elders OTHA 2235 Health Care Mgt in Occupational Therapy OTHA 2331 Physical Function in Occupational Therapy OTHA 2305 Therapeutic Interventions II Total semester hours: SEMESTER IV *OTHA 2266 Practicum for Occupational Therapy Assistant *OTHA 2267 Practicum for Occupational Therapy Assistant* Total semester hours: ================= GRAND TOTAL: Rev

8 Instructions for applying to the OTA Program Admission to Mountain View College: Occupational Therapy Assistant Program Admission Process The following documents need to be on file for Mountain View College prior to application to the OTA program: 1. Apply for admission into Mountain View College at 2. Submit all official transcripts from colleges/universities other than Mountain View College to the Office of Enrollment Services at Mountain View College. *All applicants must have a GED or High School diploma to apply *All pre-requisites have to be completed prior to applying to the OTA program. *Note: Anatomy & Physiology I with lab should be taken within the last five years as it is vital for you to grasp this material to be an OTA. After completion of the application packet, you can bring your packet to the Department of Nursing and Allied Health the H building (Room H-25). During the month of July/August, application packets will be reviewed. Please refer to the Admissions Rubric where points are totaled for ranking. The highest total point applicant sets the bar for ranking. Applicants will be ranked in descending order based on point total. If two or more applicants tie for total points, core GPA will be used as a tiebreaker with the higher GPA ranked higher. A maximum of twenty five applicants will be scheduled for a campus interview and on campus essay in the month of August. Applicants will be notified of acceptance no later than the end of August. At the time of notification, applicants will be given a 48 hour deadline of when they have to notify the program that they accept. Applicants who were placed on the waiting list will be notified in August if there are openings in the program. All documents needed for the admission or included in this packet. Additional forms are available at *Place the above materials and your official transcripts in a 9" x 12" envelope for submission in person. The envelope must be received in the Nursing/Allied Health Rev

9 Office (Office# H-25) at Mountain View College by the deadline found on the application. Rev

10 APPLICATION DEADLINE: August 4, 2017 Please print legibly in blue or black ink. Social Security Number MVC ID # Texas Driver s License# DL Exp. Date Last Name First Name MI Mailing Address City State Zip Code Home Phone Cell Phone * Address *MANDATORY Notifications will be made via . Please ensure address is correct and legible Date of Birth: / / Age: Gender: Male Female Ethnicity: American Indian/Alaskan Native Asian Black/African American Native Hawaiian/Pacific Islander Hispanic White Two or more races Unknown Health Insurance: Yes No Name of Company: Emergency Contact: Name Phone Do you have a High School Diploma or GED? (Circle One) Month/Year Awarded: *All applicants must have a GED or High School diploma to apply Highest Degree Earned: Month/Year: Have you previously accepted or enrolled in another OT or OTA program? Yes No Rev

11 If yes, please list the school(s) under prior education. Can we notify the schools? Yes No Prior Education (list most recent first) GED Program, High School, Colleges Attended 1. Location (City, State, Zip) Graduation Date From/To Hours Earned Date Degree Earned *all applicants must have a GED or High School diploma to apply Employment Record (list most recent or present position) 1. Company Name Date(s) Employed Position & Duties Prerequisite Requirement Table Course name and number ENGL 1301 Composition I PSYC 2301 General Psychology BIOL 2401 A&P I (Lecture/Lab) Semester & Year Final Grade School Where Course was taken Rev

12 Elective Humanities/Fine Arts*(MUST be selected from the AAS Core options for Humanities/Fine Arts) Occupational Therapy Assistant Program Observation Hours: Please fill out the following information AND submit the signed Hours of Observation Form. (8 hours in two different areas/settings) Name of Facility Type of Setting Number of Hours Rev

13 MOUNTAIN VIEW COLLEGE Health Record Date Name: DOB: Last First Middle Month Day Year Address: Street City & State Zip Telephone: Home Work Cell or VM Health Questionnaire: To be filled out by applicant. I certify that I have: 1. Visual acuity, with or without corrective lenses. This includes but is not limited to the ability to complete a patient assessment, read small print, visualize and interpret monitors, and equipment calibrations. Yes No_ If no, Explain: 2. Hearing ability with or without auditory aids to understand the normal speaking voice without viewing the speaker s face. This includes but is not limited to hearing monitor alarms, emergency signals, patient call bells, and stethoscope sounds originating from the patient s blood vessels, heart, lungs, and abdomen. Yes No If no, Explain: Rev

14 3. Physical ability to stand for prolonged periods of time and a reasonable level of strength and endurance. This includes but is not limited to the ability to lift a minimum of 50 pounds, perform cardiopulmonary resuscitation, lift patients, move from room to room, maneuver in small spaces, and complete twelve hour shifts. Yes No If no, Explain: 4. Ability to communicate effectively orally, aurally, and in writing. This includes but is not limited to the ability to speak clearly and understandably to members of the health care team, patients, and families. The student must possess the ability to write legibly and professionally and use effective listening skills. Yes No If no, Explain: Rev

15 5. Manual dexterity, strength, and fine motor skills. This includes but is not limited to the ability to utilize sterile technique, prepare and administer medications, turn and move patients, and perform other nursing procedures/skills. Yes No If no, Explain: 6. Reliable personal transportation and ability to attend all classroom and clinical experiences, both on and off campus. Yes No If no, Explain: 7. A normal level of health and immunity. This includes but is not limited to the ability to tolerate immunizations and to work with a wide variety of potentially contagious patients. Yes No If no, Explain: 8. Ability to function safely and professionally under various stressful conditions. Yes No If no, Explain: Rev

16 9. Eligibility to meet The National Board of Certified Occupational Therapist & The Executive Council of Physical Therapy and Occupational Therapy Examiners Licensure Requirements. This includes but is not limited to passing a criminal background check and drug and alcohol screening. (Please be aware that some criminal history or psychiatric illnesses may preclude an individual from licensure eligibility.) Yes No If no, Explain: Please answer the following questions: Rev

17 1. Are you currently pregnant? If yes, do you have any limitations that would prevent you from being able to complete any of the tasks listed in the previous questions? Yes No If yes, Explain: 2. Do you have any other conditions which might interfere with your ability to practice nursing? Yes No_ If yes, Explain: 3. List any prescription, over-the counter, or other medications or substances you have been using on a regular or frequent basis during the past year (You may continue on a separate sheet of paper. Make sure your name and ID number are at the top of the page). Rev

18 Once accepted to the OTA program, the following must be completed: Tuberculosis Screening: Submit documentation of testing with a physician s or nurse s signature or verification from the Health Facility. Intradermal PPD (Mantoux) within six (6) months, unless previously positive. Date Results Signature Physician or Nurse Chest x-ray- within one (1) year if PPD positive Date Results Physician s Signature _ Updates of tuberculosis screening will be required every 12 months while enrolled in the Mountain View College nursing program. Record of Required Immunizations Rev

19 List dates of immunizations or dates of lab results indicating seropositivity required. Each immunization requires a copy of the original record including the signature of the health professional who administered the immunizations and presentation of copies of all available immunization records. Dates of Completed Series Titer where appropriate Copies of records presented to MVC nursing Comments 1. Measles 2 doses since 12 months of age if born prior to January 1, 1957, or verification of immunity. 2. Mumps 1 dose since 12 months of age if born prior to January 1, 1957, or verification of immunity. 3. Rubella 1 dose since 12 months of age or verification of immunity. Individuals born prior to January 1, 1957, are NOT exempt. 4. TDAP 1 dose within past 10 yrs. 5. Varicella 2 doses are required. (If one dose was received prior to age 13, then only 1 dose is required. ) Confirmation of previous varicella disease signed by a physician, parent, or guardian may be accepted. 6. Hepatitis B vaccine series must be completed before any clinical rotation or positive titer if series previously completed. Rev

20 Initial dose: One (1) month: No student may begin clinical rotations without verification of immunization status. Rev

21 PHYSICAL EXAMINATION: To be completed by physician, nurse practitioner or physician assistant. NAME DATE SEX Last First Middle HEIGHT _ WEIGHT TPR BP HEARING VISION _ GLASSES CONTACT LENS: R _ L _ HISTORY: (Attach separate sheet if needed) Include any significant information regarding pertinent medical and surgical conditions and use of alcohol and/or drugs. GENERAL APPEARANCE Normal Check each item in appropriate column Abnormal Describe every abnormality in detail (attach sheet if necessary) Eyes-ears-nosethroat Mouth, teeth, neck Heart and Vascular Lungs Abdomen and Viscera Back, Vertebrae Extremities Skin Rev

22 Neurologic Laboratory and Diagnostic Data: (May attach copy.) Appropriate lab findings for this student: Name of Test Results _ Health Care Provider Signature Date Physical exam form will not be accepted without health provider signature or verification for each immunization and TB screening Rev

23 Laboratory and Diagnostic Data: May attach copy.) Appropriate lab findings for this student: Name of Test Results I believe this applicant is physically, mentally and emotionally healthy enough to participate in a occupational therapy assistant education program. I am aware that this program includes care of patients who are hospitalized. I also believe that the student has the ability to lift or carry objects that weight up to 50 pounds. _ Health Care Provider Signature _ Date Rev

24 Physical exam form will not be accepted without either the provider signature stamp or on attached letterhead from the provider confirming the validity of the information indicated on the physical examination from. OTA Application for Admission 10

25 Mountain View College Associate Degree OTA Program Checklist for OTA Applicants Date: Name: Id# Phone Number address This tool has been provided for you as a quick checklist to ensure you provide all documentation in the application process. Have you enclosed or submitted in application packet: Completed a Dallas Community College District (DCCCD) application for college admission? Completed the Texas Success Initiative requirements? Submitted 3 recommendation forms in signed and sealed envelopes with my packet. Submitted all observation feedback forms with signatures. (8 hours at two different areas of practice) Completed a GED or High School Diploma? Completed the four OTA prerequisite courses with a cumulative GPA of 2.75 or higher and a C or better in each course? Submitted Official Transcripts from all colleges/universities attended to the Admissions Office by the deadline? (Also in packet) Prepared and dated an OTA Program Application? Signed Hepatitis B Acknowledgement? Texas Drivers License Social Security Card Proof of Medical Insurance Proof of Background check (Group One receipt) Health Record/Documentation of Immunizations Records, Physical Examination, CPR (Health Provider) Other: TB skin Test or Chest X Ray submitted once accepted into the program (Review Admission Time line) Place the above materials and your official transcripts in a 9" x 12" envelope for submission either in person. The envelope must be received in the Nursing/Allied Health Office (Office: H-25) at Mountain View College by the deadline found on the application. I am applying for the OTA Program and have submitted my application to the Nursing/Allied Health Office. I understand that this is not an acceptance into the program; this is the beginning of the application process. I have reviewed my application and to the best of my knowledge have determined that all requirements have been met and submitted in a timely manner. Signature Date OTA Application for Admission 11

26 This application will be used in the accumulation of points for the admission process. Year one students will be subjected to a contingency acceptance pending ACOTE decision to grant Candidacy status. Final decisions on point allocation will be determined by the program director. I hereby certify that the information in this application is true and complete to the best of my knowledge. I understand that any misrepresentation or falsification is cause for denial of admission or expulsion from the college. I understand that the faculty and staff of Mountain View College- Occupational Therapy Assistant Program will read the information contained in this application. Signature of Applicant Date Please submit requested information only. Other documents submitted other than those requested will not be considered. OTA Application for Admission 12

27 Appendices A. Admission Worksheet Rubric B. Occupational Therapy Assistant Observation Feedback Form C. Letter of Recommendation Form (turn in 3 recommendation forms) OTA Application for Admission 13

28 Appendix A Student Name: ID#: Application Semester: Grade Hours Grade Points Term Repeat ENGL 1301 Composition I Y / N PSYC 2301 General Psychology Y / N BIOL 2401 A&P I (Lecture/lab) Y / N Elective Humanities/Fine Arts*(Must be selected from the AAS Core options for Humanities/Fine Arts) Y / N Subtract 1 point for each repeated course due to a D or F. Pts. Subtracted: Total Total GP: Grade Pts. Total: Hrs.: /13 A= 12 pts (16 pts for BIOL) B= 9 pts C=6 pts D= 3 pts F=0 pts Overall GPA: Min required Total Grade Points/Total Hours = GPA: = = = = 10 Observation Hours Max Possible 10 Points; 5 points if completed in only 1 area of practice Completed 8 hours of observation (from at least 2 different areas of practice) Letters of Recommendation 5= = =104 and below Three letters of Recommendation will be added together for total points. Optional Degree (s) or Certificate Program(s): Max Possible Points up to 5 (only credit for 2) Bachelor s Degree = 3 points Associate s Degree = 2 points Certificate Program (Pharmacy Tech, Medical Assisting, Surgical Tech, Vocational Nursing, etc.) = 2 points Related Healthcare Work Experiences: <6 month = month = 4 >12 month = 5 Rehab Tech/CNA/Aide/Worked in an Allied Health Field (PTA, Biologist, etc.) Points Completed Transcript Evaluation Max Possible Points 2 (Max points 45) Pre-interview Point Total Essay Max Possible Points 25 Interview Max Possible Points 30 Total Points Max Possible Points 100 Comments: Note the following: Proof of employment required for points to be given for related healthcare work experience. Please include in application packet. After careful tabulation of the applicant s accumulated points (essay included), experience, and character (interview), the program director will make the final decision for acceptance for all OTA applicants. OTA Application for Admission 14

29 Appendix B Observation/Volunteer Record Occupational Therapy Assistant Program Submit one form for each facility in which observation/volunteer hours were completed. Applicant Name (PRINT): This applicant has observed/volunteered hours under my supervision. Name and Credentials: License # State: Facility Name: Address: Phone Number: ( ) Arrived on Time Superior (5) Good (4) Average (3) Below Average (2) Poor (1) Appropriately Dressed Interaction with Staff Interaction with clients/patients Overall impressions of likely success as an OTA in a setting such as yours: By signing this form, I certify that the above applicant completed the stated hours. Signature and Date: OTA Application for Admission 15

30 Appendix C Letter of Recommendation Occupational Therapy Assistant Program Applicant s Name: In requesting the completion of this evaluation form which will be used in the admission selection process for the occupational therapy assistant program at Mountain View College, I waive my right to access to the document. (Applicant Signature) Name of individual completing form: Phone #: If OT/OTA License #: State: *Note to individual completing form: Recommendations account for 20% in determining admission into the occupational therapy program. Please complete accurately and honestly and return to applicant in a sealed envelope. Thank you for assisting in the admission process of the above applicant. Rating Scale: Superior Above Average Average Below Average Poor Evaluation Area Rating Attitude and Personality: Mannerisms, disposition, ability to work with people, confidence, acceptance of criticism. Reliability and Character: Dependability, integrity, honesty, trustworthiness. Personal Appearance: Cleanliness, grooming. Work Habits and Industry: Conscientiousness, following through, resourcefulness, selfdiscipline, initiative, willingness. Composure: Reaction to stress, poise, self-control, adaptability. Capacity for Independent Thinking: Leadership ability, creative thought, curiosity, demonstrates interest. Judgment and Common Sense: Ability and foresight in everyday decisions, expression of opinion, maturity. Oral Expression: Clarity, coherence, and confidence in conversation. Overall Impression of this applicant: OTA Application for Admission 16

31 CONTACT INFORMATON Occupational Therapy Assistant Program Dr. Candice Freeman OTD, MOT, OTR/L Program Director- Mountain View College Occupational Therapy Assistant Program 4849 W. Illinois Ave. Dallas, TX Office: W-130C Phone: Fax: (call before faxing) Program website: OTA Application for Admission 17