Outpatient Staff Physical Therapist - Sam B. Cook Healthplex
Company: Capital Region Medical Center
Location: Jefferson City
Posted on: June 8, 2021
CAPITAL REGION MEDICAL CENTER
Position Purpose: Functions under general supervision to assume
the responsibility and accountability for a designated group of
patients and provides physical therapy evaluations, modalities and
treatments in accordance with Missouri State Practice Act, hospital
and departmental policies and procedures, maintaining the highest
level of quality care. Is also responsible and accountable for
those patients being treated by a Physical Therapist Assistant and
may be assigned to orient new staff and students.
Principal Accountabilities and Essential Duties of the Job:
- Performs physical therapy services to patients
- Evaluation and Treatment Planning
- Selects and performs the appropriate assessment procedures
based on accepted practice standards and according to approved
hospital policies and procedures.
- Evaluations and treatment plans should reflect assessment of
past medical and surgical history, mental status, pain, functional
status (ROM, MMT, ambulation skills, ADLs, balance/coordination)
and critical elements in wound care.
- Consideration should be given to adjust evaluation/treatment
planning based on the age of the patient from neonate to
Establishes and updates a formal plan of care to address
individualized patient needs during hospitalization and upon
- Initiates written plan of care within 24 hours (48 hours for
Home Health) of initial evaluation to include physical,
psychosocial, environmental, educational, and discharge needs as it
relates to therapy.
- Documentation will include key factors (deficits noted,
priority of treatment, plan of care, problem list, goals in
functional terms, time frames for goals to be achieved, rehab
potential, barriers, facilitators, contraindications or
precautions, home environment, educational needs, psychosocial
areas and discharge planning).
- Treatment plans will reflect modified exercises to address the
age related issues for the patient.
Assesses effectiveness of treatment plan.
- Documents patients response to treatment and progress toward
- Treatment notes reflect actual treatment and response including
pain as it affects treatment; progress toward goals is addressed at
least on a weekly basis; and progress is measured related to
functional abilities; treatment time is recorded on each
- When patient fails to make progress toward goals, documentation
addresses reasons and care is modified; when patient is progressing
as expected, re-assessment is performed at least every two weeks;
member of the care team and the patient/family are involved in
- Referring physician is kept informed of patient progress or
failure to make progress through phone calls, sending of notes or
- When a change in care plan occurs based on physician orders, a
reassessment is done prior to initiating new treatment.
- Re-assessments are performed at least:
- IP: every week
- OP: every two weeks
- HH: every 30 days
- Peds: every 30 days
Supervision of ancillary staff.
- Delegates appropriate therapy activities to ancillary therapy
staff members; directs and supervises staff consistent with state
laws and in a safe and effective manner.
- Develops and revises interventions and programs as needed to
achieve positive patient outcomes and to meet the needs of the
patient population served.
Provides physical therapy care:
Utilizes physical agents/modalities in accordance with accepted
standards of care
- Documentation reflects modality given, dosage, frequency,
duration, settings, skin integrity, response to treatment
- Modality settings are within acceptable practice and patient
position addresses comfort and therapeutic benefit
- Demonstrates understanding of indications, precautions and
- Is able to identify and modify treatment settings due to age
related sensory issues.
Performs therapeutic exercise in accordance with accepted
standards of care
- Performs exercises safely, educates the patient as to the
purpose of the exercise activity, provides feedback regarding the
performance of the activity
- Neonate/Pediatrics: Educates the patient/parent to the purpose
of exercise activity, recognizes the limitations of the
pediatric/neonate for range, strength, and endurance. Incorporates
play activities to achieve goals
- Adolescent: considers special needs/interests and provides
education to patient/parent on purpose of exercise program
- Geriatric: Recognizes the limits for range, strength training,
endurance and modifies program to meet activity level and joint
Performs gait training in accordance with accepted standards of
- Instructs patients in transfers with or without assistive
device, correct weight bearing, ambulation on level surfaces,
stairs and uneven surfaces, progresses gait training
- Correctly fits the assistive device to patient height, uses
safe Guarding techniques, educates the patient in safety
techniques, provides the patient with feedback on their
- Documents gait pattern, need for gait training, assistive
device used, weight bearing status, distance ambulated, assistance
required and surface
- Documents intervention performed to produce improvement in gait
or to achieve desired outcome with gait pattern.
- Pediatrics or Geriatrics: recognizes the additional safety
issues when using an assistive device
Performs Neuromuscular Re-Education with accepted standards of
- Instructs patient in biofeedback, balance and kinesthetic
awareness activities to facilitate improved neuromuscular
- Documents interventions performed and reasons for interventions
to achieve desired outcome
- Pediatrics or Geriatrics: recognizes the additional safety
issues and makes appropriate accommodations in patients
Performs Manual Therapy Techniques with accepted standards of
- Demonstrates correct technique with manual therapy
- Demonstrates understanding of when to use manual therapy
techniques to achieve the desired outcome
- Documents Manual therapy interventions performed
- Pediatrics or Geriatrics: recognizes and modifies technique to
address specific age issues for safety
Performs wound care in accordance with accepted standards of
- Areas of wounds are documented that clearly describes wound
(site, size, drainage, tissue), treatment performed, dressings and
medications applied, patient/family education regarding treatment
techniques, safety and infection control issues.
- Follows standard precautions, disposes of sharps appropriately,
assures safety during treatment, positions patient
- Recognizes with pediatric patients modifications to treatment
may need to occur and involve parent/caregiver as needed.
Provides effective instruction to the patient through education
- Provides education in a manner that uses language and
demonstration appropriate to the level of the patient, and includes
family or caregivers when appropriate.
- Confirms level of understanding by patient/family
- Identifies barriers to learning and education needs
- Provides written material to patient
- Documents education needs, assessment, education performed and
level of understanding.
Provides Assessment, Instruction and Training in Wellness and
Prevention to Asymptomatic persons
- Performs body mechanics and postural assessment; provides
education and training to correct findings could be through
exercise, education or work-site modification
- Performs fitness assessment and develops exercise prescription
based on findings.
- Performs training to staff providing patient care in proper
positioning, lifting and moving of patients.
Demonstrates discharge planning
- Initiates discharge planning at initial visit
- Based on initial assessment findings and early response to
treatment develops a plan for post discharge needs (equipment,
further care, home exercise program)
- Involves patient and family in discharge planning, when
- Communicates with next level of care to ensure continuity of
Communicates with patient, family, caregivers, significant
others and members of the healthcare team in order to promote
maximum benefit of care
- Identifies patient/family ability to communicate with the
provider verbally and nonverbally, then makes
adjustments/accommodations for communication
- Seeks alternate forms of communication when necessary
(interpreters, communication boards, etc)
- Communicates with physicians directly when issues related to
change in patients status or plan of care; alerts physician of
patient progress at follow-up visits
- Participates in healthcare team meetings (inpatient rehab
staffing, SNF multidiscipline meeting, Acute Care Multidiscipline
meeting, IEP meetings, Case Conferences, etc) by being prepared to
discuss patients current status, having necessary documentation
completed and being ready to discuss discharge planning.
- Communicates changes in plan of care with team members
- Provides an environment that is conducive to the safety of
patients, visitors, and staff by maintaining knowledge of safety,
assessing the risks for safety, implementing precautions when a
risk is identified and complying with hospital and departmental
policies on fire, safety, evacuation plan, disaster plan, MSDS,
infection control, standard precautions and OSHA guidelines.
- Identifies needs/problems related to real or potential safety
risks to patients, visitors, employees and self based on
interpretation of available information and implements
interventions as related to identify real or potential safety
- Demonstrates understanding and care of the patient in order to
maintain skin integrity, provide appropriate interventions for
prevention of breakdown, and to facilitate healing.
- Demonstrates safe body mechanics during patient care and
- Bends at hips and knees using neutral spine, uses assistance
when necessary, avoids reaching or bending over fulcrum
- Follows standard precautions when appropriate
- Wears appropriate protective gear, follows clean to dirty
protocol, uses good hand washing techniques, disposes of sharps and
linens according to hospital policy.
- Complies with Home Health department policies and procedures
for cleaning Home Health Equipment
- Supports and participates in hazard surveillance process and
assists with safety monitoring and reporting for the
- Complies with policies and procedures that guide and support a
safe working environment.
- For Inpatient staff, complies with policies and procedures that
guide and support the appropriate application of restraints.
- Applies restraints using correct procedures; notifies nursing
staff when issues arise; participates in identifying alternative
restraints, documents application/removal or restraints
- Notifies the necessary personnel when supplies are low or if
needing certain supplies. Ensures that necessary paperwork is
completed if equipment is broken or needs repair.
- Demonstrates Professionalism
- Communicates necessary information to team members.
- Listens objectively
- Portrays a positive image and attitude
- Addresses concerns through established processes at the
- Sets a good example for others
- Accepts other team members issues in considering care of the
patient and discharge planning
- Maintains appropriate licensure and certifications required for
position, completes necessary CEU requirements per state board
certifications and attends all mandatory education by due
- Consistently follows all hospital policies and procedures.
- Consistently follows Home Health Department Policies and
procedures for use of hospital vehicles.
- Attendance meets acceptable standards.
- Appearance meets acceptable standards for neatness,
cleanliness, grooming and suitability of attire, and is in
compliance with dress code of hospital and department.
- After one years experience, provides guidance to physical
therapy students at all levels. Promotes an atmosphere of mutual
respect, interest, knowledge and professional growth.
- Assists with competency assessment of physical therapist
assistants, technicians, aides, and support staff.
- Demonstrates Leadership
- Supports the philosophy, mission, vision and values of the
organization through attitude, work ethic and behavior
- Identifies problems, assesses options, considers alternatives
and make recommendations for preferred solutions.
- Participates in hospital-sponsored activities, committees,
meetings and special events OR professional association
- Provides in-services to staff, other health professionals at
CRMC and participates in community education programs.
- Demonstrates Appropriate and Effective use of resources
Education: Bachelor's degree in physical therapy from an
accredited PT program OR Master's degree in physical therapy from
an accredited PT program
Certification/Licensure: MO licensure (or eligibility)
Experience: 3 months to 1 year
Keywords: Capital Region Medical Center, Jefferson City , Outpatient Staff Physical Therapist - Sam B. Cook Healthplex, Other , Jefferson City, Missouri
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