Author: None

Hospital (Packets)
Student Name:__________________ Staff:___________________ Date:___________

I= Independent P=Physical Prompt V=Verbal Prompt G=Gesture Prompt T= Text Prompt

1. Look in file cabinet to determine packet to be made	I P V G T
2. Get packet materials from third drawer in file cabinet	I P V G T
3. Get rubber bands and paperclips	I P V G T
4. Separate papers for packet into individual piles	I P V G T
5. Count out 10 paper clips	I P V G T
6. Assemble the packet in order	I P V G T
7. Paperclip packet	I P V G T
8. Rubber Band packets in groups of 10	I P V G T
9. Identify when supplies are low and determine which materials are needed.	I P V G T
10. Put all materials away	I P V G T
11. Fill out time card	I P V G T