The Physical Therapist is assigned to Home Based Primary Care (HBPC) in the Rehabilitation & Long Term Care Division (RLTC) at VA Portland Health Care System located in Vancouver, Washington. The VA Portland Health Care System (VAPORHCS) is a Complexity Level 1a Facility and provides extensive primary, secondary, tertiary, and quaternary care in outpatient, inpatient, residential, and community settings. The PT will provide in-home services to Veterans with a wide variety of multiple, complex chronic illnesses, and/or profound disabilities. Care is provided in collaboration with other members of an interdisciplinary treatment team. Duties include, but are not limited to the following: Independently exercise creativity in solving problems without direct supervisory guidance to meet the varying needs of the Veteran. Exercise independent professional judgment in planning and executing treatment programs to meet complex and frequent changes in treatment objectives. Treat Veterans referred by care providers using techniques in therapeutic exercises, muscle re-education, gait training, functional training (activities of daily living). Perform various tests such as manual muscle testing, range of motion, and/or balance testing. Communicate Veteran's treatment progress to clinical staff, Veterans, and their families. Evaluate and refer Veterans to Prosthetic Service for all ADL equipment needs (i.e.) wheelchairs, ADL aids). Participate in interdisciplinary staff planning/discussions related to Veteran's care needs. Evaluate Veteran's capabilities for independent living activities. Evaluate Veterans in their home for safety and for needed equipment to assist the Veteran to remain in a home setting. Assist with assessment of the Veteran's functional status, and provides evaluation of the Veteran's home for needed structural modifications to make the home environment safe and accessible. Assist in determining the need for prosthetic equipment; teaching and monitoring the safe use of these devices, and reporting equipment problems to the Prosthetic and Sensory Aids Service. Assist in teaching the caregiver body mechanics to minimize the risk of injury. Develop a treatment plan directed toward achieving maximum level of functioning within the home, consulting with other HBPC disciplines, and developing the plan in collaboration with the Veteran and caregiver. Make follow-up home visits as identified through the initial assessment, when there is a change in the Veteran's condition or status, and after events, such as falls or hospitalizations Attend treatment team meetings and collaborate with all HBPC team members. Document initial assessments, treatment plans, and response to treatment as determined in subsequent Veteran home visits, telephone calls, and case management work, according to HCBS policy and JCAHO standards. Compile statistical data regarding Veteran's visits, number of treatments, use of modalities and procedures for treatment on a daily/monthly basis. Submit supporting documentation for reports as requested (e.g., JCAHO, EPRP). Inspect and test equipment for good operating condition. Justify need for new equipment and requests repairs through the appropriate channels. Initiate the appropriate forms for the Veteran to apply for Home Improvement and Structural Alterations (HISA) funding with written justification. Follow infection control and safety procedures. Abide by VA and HIPPA Veteran confidentiality regulations in documentation, consultation, and release of information. Conduct Veteran education sessions (handouts, one-on-one teaching). Conduct training programs (e.g., proper body mechanics on-the-job) for professional and non-professional personnel. Conduct exercise programs to promote wellness and improve strength, balance, and flexibility. Attend in-service educational programs. Train and consult with community home health agency and medical equipment company staff as indicated re: working within VA rehabilitative medicine and prosthetics program guidelines. Provide HBPC and/or RLTC in-services as indicated. Participate in Veteran surveys to ascertain Veteran's satisfaction of care provided by PT staff. Participate in quality assurance and performance improvement projects. Develop the HBPC treatment plan in collaboration with the Veteran, caregiver, and interdisciplinary team. Work effectively with the HBPC team and other health care providers in coordinating the Veteran's total care. Maintain professional relations and communications with Veterans, caregivers, VA and community health care professionals, and the public. Work Schedule: Monday - Friday, 7:30am to 4pm or 8am to 4:30pm Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.