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External Job Description :
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This position is accountable to evaluate and treat all patients referred for Physical Therapy services, to assist in their return to optimal functional abilities, and to prevent additional disability. This includes communication with physicians and other health care personnel to assist in providing quality patient care. This position serves the following patient age categories: adolescent, adult and geriatrics.
RESPONSIBILITIES AND DUTIES: I. Therapy Process
1. Independently interprets MD referral, chart history, and precautions for all patients. . 2. Independently and accurately selects and performs age appropriate evaluation and treatment techniques for routine patient situations. Accommodates to patient’s level of functioning. May require assistance for more complex situations/special techniques.
3. Independently sets functional and measurable goals that are related to objective findings. Develops treatment plan that is appropriate for discharge situation, and is designed to maximize function within reasonable length of stay, considering support system and financial resources. Sets appropriate time frame and reasonable projected outcomes.
4. Autonomously modifies treatment plans in response to changes in patient status, environment, and discharge plan. Problem solves through routine patient treatment situations. Consistently seeks assistance with more complex situations.
5. Independently recognizes need for and initiates discharge from therapy services and independently recommends and initiates referral to additional services. Consistently makes appropriate discharge arrangements (including contacting physician or appropriate individuals, recommending follow-up, issuing home program, arranging for equipment, recommending community resources, etc.).
6. Consistently involves patient/family in all aspects of patient evaluation, treatment, discharge planning and home exercise program.
7. If applicable, independently leads groups (including pre-op class).
8. Provides effective and thorough patient/family/caregiver education throughout the patient’s therapy program (admission to discharge). Uses situation and age-appropriate educational tools such as written home programs, videotapes, etc. Ensure patient/family/caregiver learning through follow-up discussion and return demonstration.
9. Maintains productivity for each team/venue at standard. If productivity does not meet target, initiates and follows through on problem solving with supervisor to increase productivity. This standard may not be appropriate for staff in a floating tract. A standard will be defined by your reporting supervisor.
9. 90% - 100% of clinical documentation meets department/venue and QA/JCAHO/CARF/state requirements according to departmental policies and procedures.
10. Implements interventions in a manner to maintain patient dignity, privacy, and safety.
11. Demonstrates clinical proficiency in assigned area.
12. Charges appropriately for treatment provided, time spent with patient, and in accordance with insurance/reimbursement requirements.
13. Able and willing to float to other venues of care following a brief orientation.
II. Standards of Care
1. Independently and appropriately delegates duties to support staff (i.e., delegates treatments to free self for evaluations conferences, etc.) according to practice act and department guidelines based on needs of the patient and skill of the provider.
2. Supervises support staff in the performance of patient care activities as appropriate. Instructions and feedback are complete and constructive.
3. Communicates patient care issues with appropriate individuals within and outside the health system as defined by departmental procedures.
4. During conference, reports and problem-solves related to patient problems, discharge plan, status on functional goals, LOS, follow-up/equipment needs.
5. Attends 15 CE hours per year related to clinical practice. For CE reimburses/supported by MCHS, demonstrates evidence of incorporation of information into clinical practice of self or others.
6. Present 1 inservice/year that includes learning objectives and incorporates appropriate learning/ aids, or presents one community education inservice/year, or participates in 1 health fair/screening/year (this can include leading literature review).
7. Completes or collects necessary data (chart audits, follow-up phone calls, PI tools, etc.) to monitor quality and effectiveness of care.
8. Uses results of quality improvement activities to improve practice with patient outcomes and/or customer satisfaction.
9. Seeks constructive feedback regarding his/her own practice (including completing required clinical observations on time) and uses this feedback to make practice changes.
10. Participates in peer review as appropriate. Feedback is complete and constructive.
11. Practices by the Professional Code of Ethics for individual profession. 12. Serves as a resource for other employees by assisting with orientation and training. Demonstrates an ongoing commitment to improve performance and skill of co-workers.
13. Demonstrates knowledge of national standards of practice. Incorporates these into practice and holds self and others accountable for practicing according to these standards. Reviews literature and uses current research findings to improve and promote continual development of knowledge.
III. Personal Accountability
1. Completes work in a manner to enhance patient satisfaction.
2. Completes other paperwork as required by department/venue in a timely manner.
3. Takes responsibility for identified departmental/team/team member needs. Works toward resolution and/or seeks supervisor assistance as appropriate.
4. Completes age-based competencies as part of orientation. Ensures they are completed on an annual basis or per policy.
5. Consistently utilizes non-patient care time by checking with each other’s team members, offering assistance to co-workers, working on projects. Recognizes changes in caseload (future discharges, heavy or light caseload, no-show evaluations, etc.) and communicates changes to supervisor. Proactively offers assistance to others and/or seeks coverage for high caseload (i.e. techs, supervisor).
6. Autonomously organizes/manages/prioritizes case load/schedule as load fluctuates to meet patient/team/program needs. This includes timely completion of daily schedule to allow for team adjustments relating to call-ins, volume fluctuation, etc.
7. Frequently and consistently adjusts schedule according to exempt status to meet department needs. Non-exempt employees are expected to adhere to budgeted hours or to seek approval for hours over budget.
8. Utilizes technical/secretarial staff to free self for professional services by delegating appropriate patient care activities and non-patient care activities.
9. Accepts responsibility for the completion of assigned tasks. Keeps appropriate persons informed if problems will prevent timely completion of tasks.
10. Demonstrates appropriate use of universal precautions and personal protective equipment.
11. Completes mandatory requirements: Completes mandatory education: CPR, Fire/Safety, Blood Borne Pathogens, Safe Medical Devices, TB, Utilities Management Failure, Health and Safety Plan, Falls Prevention and Department-specific. Obtains TB testing per schedule. Maintains current license or listing. Attends required meeting and inservices without prompting.
12. Completes self-evaluation and provides required documentation regarding performance review by department time frame.
IV. Departmental Objectives
1. Actively participates on at least 1 departmental, service or hospital committee/task forces to assist in the achievement of organizational/departmental/program objectives. Must attend majority of meetings and participate in meetings by offering ideas/suggestions, compiling data, etc.
2. Collaborates with co-workers to accomplish department/program objectives.
3. Completes day to day work in a manner to support achievement of department objectives.
V. Perform other duties and responsibilities as assigned.
KNOWLEDGE, SKILLS AND ABILITIES: 1. As employees of Moses Cone Health System, our behaviors must be aligned with our values of Outstanding Services, Caring Spirit, Innovative Climate, Integrity and Financial Viability. Our standards of Behavior reinforce these corporate values and reflect our commitment to Service Excellence. Our Standards of Behavior are: Maintain a professional appearance. Demonstrate a positive attitude to all customers and fellow employees. Maintain a safe, clean and attractive environment. Communicate with compassion and courtesy. Anticipate customer needs. Maintain patient privacy and confidentiality. 2. Ability to lift and position patients in order to provide treatment or assistance. 3. Ability to read, produce written documentation, operate department treatment materials, and communicate effectively. 4. Ability to demonstrate commitment to the Organization’s mission, vision, and values. 5. Ability to evaluate and appropriately respond to verbal and nonverbal communication from patients in diverse stages of development, ie. adolescent, adult and geriatric patients are required and will be assessed during the performance appraisal process. 6. Physical job demands may be subject to possible modifications to reasonably accommodate individuals with disabilities.
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