OTA 118 Documentation
This course provides an introduction to documentation for the occupational therapy assistant. It examines purposes of documentation, guidelines for documentation, and a variety of documentation types and styles. Students will develop knowledge and skills for reading and writing SOAP notes and narrative notes. Students will incorporate prior knowledge from technical writing and medical terminology courses.
Offered
Offered Winter only
Notes
Career Technical Education (CTE) Course
Outcomes
Upon successful completion of this course, students will be able to:
Demonstrate an understanding of general purpose of documentation, including those related to quality of care, financial reimbursement, and legal proceedings. Demonstrate an understanding of general guidelines for documentation, including those related to accuracy, clarity, and timelines. Compare and control select types and styles of documentation commonly seen in occupational therapy practice settings. Use a SOAP note format to write a daily weekly note for a client in an inpatient or outpatient setting. Use a narrative note format to write an observation note for a client in a school or community based setting.