CONSENSUS STATEMENTS Clause Samples

CONSENSUS STATEMENTS. SUPERVISION OF EMPLOYEES UNDER MULTIPLE CONTRACTS CONTAGIOUS DISEASES CONVERSION FROM DAYS TO HOURS Home School Behavior Specialist Resource Coordinator Salary Schedule C-2 Cleaner Salary Schedule

CONSENSUS STATEMENTS. An attempt to determine the etiology of the dementing illness while identifying co-morbidities that can impact cognition should be made by a physician prior to referral for a driving evaluation.

CONSENSUS STATEMENTS. ‌ Using the three levels of evidence, statements achieved consensus at all three levels. Appendix H has the specific voting statistics. The following statements reached consensus for Level 1: Evidence is strong and allows for an evidence-based consensus statement. • A decision about continued, restricted, or cessation of driving should never be made on the results of one tool in isolation, as there is not enough evidence on any one tool to make a decision. • Measurement tools that are developed specifically for a diagnostic group should be interpreted carefully when used with other diagnostic groups unless there is sufficient evidence supporting the use of the tool with this other group. • Measurement tools that are developed based upon specific outcomes (i.e., crash versus driving performance) should be interpreted carefully when used to assess other outcomes. • Measurement tools must be administered according to the protocol in order to use the norms and/or evidence. The following statements reached consensus for Level 2: Evidence is suggestive and allows for a consensus statement. • If the client is determined unfit to drive, the occupational therapist should provide intervention or an appropriate referral for intervention and planning to address transportation options and community mobility. • Some screening tools appear to hold more promise than others. Therapists should use evidence-based tools in making decisions. Although there was not enough conclusive evidence for the next statements, the expert panel reached consensus for these recommendations, Level 3: Based on expert clinical judgment and theory. • The ethical application of research knowledge depends on the critical appraisal of the research, its replication, and adequate synthesis. • Occupational Therapists need to apply a framework to identify the criteria required to select the tools best suited to their needs and practices. • In the hands of a general practice occupational therapist, screening/assessment tools serve as criteria for referral and action. In the hands of the driver rehabilitation specialist, the same tools can contribute to a decision for fitness to drive. • Occupational therapy generalist should consider the multi-factorial nature of someone’s condition and potential for improvement. • If the client is determined fit to drive the occupational therapists need to address future community mobility issues including enhancing safe driving as well as transitioning to non-driver s...

CONSENSUS STATEMENTS. ‌ The statements in this area that achieved consensus as Agreed were: • Due to driving simulator adaptation, unfamiliarity and anxiety with technology, and a lack of standardization and validation of outcome metrics, driving simulators should not be the sole determinant of fitness to drive for older adults. • Occupational therapists using driving simulation need to seek and obtain the appropriate education and training to use this tool effectively, appropriately, and with the knowledge to minimize simulation sickness. • Carefully designed and tested driving simulation activities may offer controlled and repeatable driving conditions for intervention that are unavailable or limited in open- roadway conditions, allowing clients/patients to practice the abilities and skills that will be required for driving during the rehabilitation process understanding that the evidence to support this claim is still emerging. • Simulators may be valuable as part of a more comprehensive assessment. • Driving simulators can be used as a tool to determine impaired visual, cognitive, and motor abilities underlying the task of driving when used by an occupational therapist knowledgeable and skilled in its use.

CONSENSUS STATEMENTS. ‌ One consensus statement was revised and approved at the 3rd level of evidence: Driving rehabilitation is a multi-tiered complex practice area that requires advanced knowledge, skills and experience. A second statement related to education was developed and achieved consensus for Agreement through Qualtrics on April 10, 2012: Scientific evidence should be prominent in the education and professional development of driving rehabilitation specialists while individuals with higher levels of scholarship expertise should generate evidence that is useful to practitioners for integration for practice.