Description
Inspire health. Serve with compassion. Be the difference.
Job Summary
Plans and implements specific treatment programs for individual patients according to principles and practices of physical therapy. Collaborates with an interdisciplinary team in the development of the patient's individualized plan of care. Provides direction and supervision to Physical Therapy Assistants, Physical Therapy students, and Certified Nursing Assistants in the area of patient care. Provides program and staff development support.An advanced level of clinical and interpersonal skills are required.
Accountabilities
Assessment:
- Performs appropriate initial physical therapy assessments and reassessments within the
time frames required by the Agency.
- Incorporates appropriate objective tests and measures to facilitate outcome
measurement.
- Uses Agency assessments and screening tools as a part of the assessment process
ex) high risk for rehospitatlization tool, falls assessment tool, nutritional screening,
screening for abuse and neglect, Oxygen safety, spiritual assessment…
- Recognizes the need for referrals to other Home Health disciplines as appropriate and
contacts the patient's physician with recommendations to maximize patient outcomes.
- Demonstrates advanced knowledge of diagnoses / conditions seen in physical therapy.
- Identifies actual or potential problems that would impact the PT treatment plan as well as
the overall patient plan of care (such as cognitive deficits, family situations, etc.)
- Documents assessment findings, including OASIS assessment responses, accurately and
in the timeframes established by CMS and Agency policy using only Agency approved
terminology and abbreviations.Planning:
- In collaboration with the patient's physician, establishes the plan of care for the individual
patient based on the results of the patient assessment.
- Reviews available documents from the referral source that may assist in the development
of the patient plan of care ie: acute care discharge summary, rehabilitation notes.
- Sets realistic goals and expected functional outcomes.
- Designs/redesigns the treatment plan as appropriate for the patient's age, educational
level and cultural background
- Designs a plan of intervention that is coordinated and integrated with other services the
patient is receiving.
- Actively encourages the patient and caregivers to participate in development of the plan of
care.
- Establishes specific treatment goals based on the results of the evaluations. Long-term
and short-term goals are appropriate, achievable and measurable within a specified time
frame.
- Documents the plan of care timely according to Agency policies.
- Plans for the discharge of the patient taking into consideration other disciplines, goal
achievement and patient outcomes.
- Based upon reassessment findings and the patient's response to treatment and goal
achievement, redefines problems and modifies goals and treatments as indicated by the
interdisciplinary treatment plan
- Provides the patient and caregiver with information regarding follow-up services which
may include a referral to other community resources.Intervention:
- Provides treatment according to the established frequency and duration.
- Demonstrates awareness and use of proper safety measures regarding the patients,
others in the home and self.
- Demonstrates good working knowledge of various Physical Therapy techniques with
flexibility and creativity in the implementation of these therapy techniques
- Interacts as appropriate with others involved in the patient's care to incorporate an
interdisciplinary treatment approach for coordinated quality care.
- Provides developmentally appropriate education and training to patients, families and
caregivers regarding diagnoses, progress and long-term functional outcomes.
- Documents interventions in a timely manner using only Agency approved terminology and
abbreviations.Evaluation:
- Evaluates the plan of care for effectivenss and determines progress toward expected
outcomes throughout the patient's episode of care.
- Consults with team members and leadership for complex situations and when problems
are unresolved. Arranges for a conference with team members, leadership, patients, and
caregivers as appropriate.
- Discharges the patient when appropriate. Prepares the patient throughout the episode for
discharge. Obtains written notice of discharge in accordance with the Medicare Conditions
of Participation.
- Evaluates individual practice through comparison of the individual therapist's patient
outcomes (caseload) with state and national benchmark data for patient outcomes.Supervision:
- Performs supervision for physical therapy assistants in accordance with the SC Physical
Therapy Practice Act.
- Supervises the development of Physical Therapy students to enhance the learning
experience for the student.
- Exercises sound judgement when delegating tasks to Physical Therapy Assistants and
Physical Therapy students.
- Performs supervisory visits for Certified Nursing Assistants in accordance with Medicare
Conditions of Participation.
- Provides feedback to assistants and students in a
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