Physical Therapist Physical Therapy FT Days 830am-5pm

Job Summary

The Staff Physical Therapist provides Physical Therapy evaluations to patients under the referral of a physician. Plans and implements specific treatment programs for individual patients according to the principles and practices of physical therapy. Collaborates with interdisciplinary treatment team. Provides supervision and direction for the Physical Therapist Assistant (PTA) and Rehab Aide.

The Staff Physical Therapist reports to the Senior Physical Therapist and/or Physical Therapy Manager and/or Director of Rehabilitation. The Staff Physical Therapist supervises Physical Therapist Assistants and Rehab Aides.

Completes chart review prior to patient evaluation. Documents all significant findings. Always interprets and documents any precautions/contraindications.

Evaluates patients. Able to complete most evaluations within one hour to 1 ½ hr. Evaluation is appropriate in detail to the patients diagnosis/problems and history. Evaluations are complete including objective data goals patient goals treatment plans precautions prognosis frequency and duration.

Treatments are consistent with treatment plans and compatible with diagnostic and evaluative findings.

Observes and recognizes patients response to treatment abnormal signs and symptoms; and responds appropriately eg. Adjusts program documents change(s) notifies nurse physician and primary therapist.

Able to problem solve by collaborating and collecting all important information and then selecting the best approach to solve the problem.

Plans patient treatments appropriate to diagnosis problems and patients wants needs and preferences. Treatment plan includes approaches to achieve all significant goals.

Completes all required documentation associated with a new PT order: Evaluation; Clarification of Orders; Plan of Care; Education form; Progress Note; initial PAI/ FIM (Rehab).; G codes

Completes patient treatment programs (appropriate to service area) creatively utilizing a variety of techniques to achieve goals maximize patient interest and participation. Alters treatment program as necessary.

Accurately records procedures provided to patient in the medical record. Entry is timely (same day) and follows standard guidelines.

Records progress notes in narrative SOAP or conference format to document patient progress problems changes patient/family education etc. Completes entries at least 2x/week for inpatients and weekly for outpatients

Progresses patient treatment appropriately. Plans ahead for patient needs prior to discharge eg. Plans home assessment community outing etc. Recommends and completes orthotic assessments a timely basis.

Completes all necessary discharge planning in advance of scheduled discharges: patient/ family education home program development out-patient/ home health referrals equipment ordering etc.

Completes Discharge Summary & Discharge FIMs (Rehab) in a timely manner. Indicates patients progress from admission to discharge and any follow-up recommendations continued treatment or referral information.

Completes Interdisciplinary Plan of Care regarding the patients physical therapy problems goals and plan. Participates in Patient Care Rounds (Acute) or Team Conference (Rehab) and problem solves interdisciplinary issues to assure the patient is achieving the best outcome.

Establishes treatment priorities and deals with the most important areas first.

Communicates as appropriate to physicians nurses other ancillary providers and patients/families to promote efficient and effective patient care and discharge planning.

Prioritizes decisions concerning patient care to ensure safety

( e.g delegation of tasks to support personnel) and to meet both the needs of both individual patient .

Maintains currency in CPR training and demonstrates ability to respond appropriately to emergency medical situations. Knows and follows hospital policy for Code Blue and Rapid response

Takes initiative to address and solve area discipline needs in a timely manner.

Provides in-service education or instruction to peers support staff and/or nursing staff based on identified needs Develops and meets instructional objectives. Instructs in style appropriate to learning style of participants. Checks for understanding.

Accurately performs routine evaluation techniques:

A. MMT / ROM

B. Goniometry

C. Sensory Evaluation

D. Functional Evaluation

E. Postural Evaluation

F. Gait Evaluation

Demonstrates competence in the effective use of therapeutic equipment for exercise: ergometers treadmills stair climbers weights Total Gym etc.

Demonstrates competence in providing performing routine wound care.

Demonstrates competence in the effective use of therapeutic equipment as required in service area:

A. ultrasound

B. electrical stimulation (TENS FES ES)

C. mechanical traction (cervical pelvic)

D. hot/cold pack

E. CPM machine

Demonstrates competence in performing functional mobility training with patients as required in service area. Ensures patient safety. Uses verbal and handling skills to promote optimum performance by patient in:

A. transfer training: bed wheelchair standing sit pivot stand pivot sliding board dependent)

B. bed mobility training

C. wheelchair mobility training (indoors/outdoors)

D. fall recovery / floor transfers

E. car transfer training

Demonstrates competence in monitoring and assessing patients vital signs and response to treatment: BP HR RR.

Performs training with orthotics: AFO. KAFO cervical collars lumbar/thoracic supports etc

Demonstrates competence in total care of the amputee

patient: provides wound care limb shaping exercise functional training prosthetic management and training as required.

Demonstrates competence in the care of the patient with total hip replacement: knows and follows total hip precautions instructs patient and family provides functional training provides gait training.

Demonstrates competence in assessing patients: home environment and making recommendations for modifications equipment needs etc.

Provides supervision to clinical interns as the clinical instructor. Promotes a positive learning environment while maintaining expectations for entry level competency achievement. Completes associated documentation and paperwork as needed. Coaches interns to achieve optimal performance.

Performs duties in an independent manner with little need for direct supervision. Aware of own strengths and limitations and requests assistance appropriately.

Demonstrates competence in physically handling patients in a safe and effective manner while promoting the patients independence. Always utilizes good body mechanics.

Consistently develops a therapeutic relationship with the patients and maintains a proper perspective between personal and professional affairs. Always behaves in a professional manner even in stressful situations.

Accurately records billing for services rendered: matches documentation legible timely (same day).

Regularly provide billed services 75% of productive time.

Completes 100% PAI/FIM data by the due dates:

* Admissions by 3rd day

* Discharge- by day

Consistently coordinates schedule to achieve maximum productivity and efficiency during the assigned shift.

Routinely completes assignments within agreed upon time frames. Able to plan daily work so as to avoid unnecessary overtime.

Volunteers to assist in emergency situation e. weekend illness of therapist extreme staffing urgency etc.

Volunteers to assist in emergency situation e. weekend illness of therapist extreme staffing urgency etc.

Uses good judgment when responding to requests of others for occupational therapy services e.g.: physicians orders nursing requestsetc. Does not provide or hold treaments without MD orders.

Demonstrates competence in physically handling patients in a safe and effective manner while promoting patients independence. Always utilizes good body mechanics. Uses patient handling equipment (e.g. Golvo Sabine Viking XL) as needed.

Perform other duties as assigned

EDUCATION EXPERIENCE TRAINING

Bachelor of Science: Graduate of a School/Program in Physical Therapy approved by the APTA.
California licensure as a Physical Therapist by the Physical Therapy Board of California.
BLS (AHA) certification required
Can work for both acute and rehab settings preferred
Willing to work weekends and Holidays