Occupational Therapist - PEDS Acute Care

The purpose of this job/position is to function as a member of the Rehabilitation Services patient care team by providing physical therapy evaluation and treatment for our pediatric population. Occupational therapy services are intended to improve functional independence in self-care work/school and play/leisure and may be pivotal to client discharge from the hospital community integration academic/professional success and/or quality of life. These services include but are not limited to: ADL (activities of daily living) training energy conservation strategies splint fabrication and monitoring exercise for improved functional range of motion/strength/endurance sensory integration activities developmental stimulation perceptual/cognitive training assistive technology and provision of appropriate adaptive equipment. The occupational therapist in this position would be expected to serve clients in multiple areas of Doernbecher Childrens Hospital including the orthopedics hematology/oncology NICU PICU and outpatient services.

This position requires skills to both evaluate a patients functional performance and participation in activities of daily living as well as to provide appropriate therapeutic interventions to improve or enhance functional performance and independence. Assessment areas may include but are not limited to patients daily routines of self-care feeding play school-related activities sensory integrative and perceptual-motor processing motoric abilities prevocational skills and community living skills. Parent or caregiver education and training is an integral part of this position. This position requires the ability to use Evidence Based Practice and Practice Based Evidence in achieving functional outcomes.

Therapists evaluate each patient referred establish treatment goals and objectives develop and implement treatment plans. Therapists are expected to supervise therapy interns assist with other educational research activities conducted by the department or the hospital and meet hospital standards regarding documentation and productivity.

PROVIDES A SAFE THERAPEUTIC ENVIRONMENT

• Ensures the safety and welfare of patients and fellow employees
• Utilizes proper posture sound body mechanics and principles for safe patient handling
• Considers the needs of patients employees medical staff volunteers vendors and members of the community in an informative courteous and compassionate manner
• Maintains general good physical and mental health and self-care in order not to jeopardize the health and safety of self and others in the hospital / clinical setting

PROFESSIONALISM

• Maintains current knowledge of professional practice responsibilities and relevant national and state laws and issues which affect their practice
• Models ethically appropriate behavior professional standards compliance and personal integrity
• Identifies and pursues continuing education opportunities; applies and shares new knowledge
• Participates in departmental staff meetings and in-service education programs
• Takes responsibility for special projects and assignments and additional caseload when needed
• Displays mature empathetic and effective professional relationships by exhibiting compassion integrity and concern for others
• Conducts oneself in an ethical and legal manner upholding the AOTA Code of Ethics OHSU federal privacy policies and state statues / OARs specific to discipline
• Adapts to changing and demanding environments

SERVICE

• Demonstrates excellent customer service and communication skills in all interactions with patients and family including both telephone and face-to-face situations
• Uses I CARE for introduction and closing
• Demonstrates active listening skills and supportive professional/behavior at all times to patients families and staff
• Addresses complaints and problems promptly and courteously involving management when indicated
• Communicates with patients/families other health care team members in a time and cost efficient courteous manner

PROVIDES SKILLED REHABILITATION TREATMENT

• Prioritize care needs given medical necessity discharge plan medical stability and appropriateness to participate in rehabilitation
• Performs and documents skilled patient care activities including direct treatment and caregiver/patient/family education
• Monitors and adjusts treatment plan specific to patient progress
• Facilitates routine patient activity plans with nursing and other caregivers
• Updates recommendations to team regarding continuing rehabilitation needs and plan as patients condition and situation warrant
• Directs supports and provides supervision as required for PTAs Aides and volunteers
• Develops and enhances patient care program and patient outcomes in specialty area
• Documents treatment and other patient contacts in patients medical record in compliance with DNV OHSU OARs and third-party payer criteria

CARE COORDINATION

• Collaborates with the patient family and medical team in multi-disciplinary patient rounds ensuring a common level of understanding of the patients rehabilitation needs and providing recommendations for rehabilitation after discharge
• Requests patient /family conferences as appropriate and participates in conferences representing department heightens awareness of and advocates for rehab needs of patient
• Enhances patient safety both during and after hospitalization by assisting the team in problem-solving including but not limited to fall risk reduction prevention of contracture implementation of structured activity for patients with cognitive impairments
• Provides feedback and educates physicians fellows residents and other health care providers about rehabilitation (including but not limited to medical necessity for skilled rehabilitation services and appropriate referrals and expectations for rehabilitation outcome and rehabilitation service intensity at various levels of care)

CLINICAL EDUCATION

• Provides evidenced-based clinical instruction experiences and supervision for occupational therapy students and occupational therapist assistant students typically in a backup role to full time CIs
• Ensure student completion of weekly goals; identifies and facilitates achievement of affiliation objectives
• Provides regular feedback completes evaluation forms on schedule
• Participates in the supervision and training for students from other disciplines

PERFORMANCE IMPROVEMENT AND PROFESSIONAL DEVELOPMENT

• Maintains current knowledge of and complies with hospital and department policies and procedures union contracts etc.
• Ensures baseline skills for patient management in all inpatient areas and maintains proficiency through regular exposure and patient care activity mentoring with other staff and formal or informal peer review
• Participate in ongoing professional development mentoring and competency assessment for self and other staff. Includes but is not limited to: attending educational classes appropriate to a job development communicates additional training needs to direct supervisor attends staff meetings and orients new staff cross-trains for position in assigned or other areas
• Assists in department quality improvement. Independently maintains an organized schedule solves schedule conflicts through peer collaboration and informs supervisor when adequate patient coverage is not available

DEPARTMENT OPERATIONS

• Maintains a clean safe and orderly environment for the patients family and staff. Includes but is not limited to: maintaining supplies equipment and forms notifying appropriate personnel when cleaning and repairing of equipment is needed following infection control policies
• Ensures return of equipment after patient use to designated place (whether unit-owned or department-owned)
• Ensures and supports the delivery of individualized high quality current and evidenced based patient instructional materials; appropriate for patient condition and learning preferences
• Ensures scheduler / manager has ongoing current availability for scheduling.
• Responds in a timely manner to scheduling requests; both for pre-scheduling requests for work opportunity response and same day-notice unscheduled requests.
• Meets or exceeds departmental efficiency expectations

• Graduate of an accredited occupational therapy education program.

• Experience in acute care rehab or pediatrics

• Clinical Skills in evaluation treatment and team collaboration consistent with acute care physical therapist practice

• Oregon Occupational Therapist License at the time of appointment; OR

• Completion of an accredited occupational therapy educational program and be eligible to obtain an Oregon Occupational Therapy license or temporary permit

• Current American Heart Association BLS Certification

• OTD
• Experience in Pediatric Acute Rehab PICU NICU