This assignment is in the Occupational Therapy section of the Physical Medicine and Rehabilitation Service (PM&RS). The duties assigned will include provision of care to the outpatient Veteran population enrolled at the Salisbury HCC in Kernersville. Services involve the provision of high quality, safe rehabilitative treatment to veterans and their caregivers and coordination of care with other pertinent VA services and clinical education/ consultation regarding occupational therapy to staff. TO INLCUDE BUT NOT LIMITED TO THE FOLLOWING: Screening/Evaluation & Re-evaluation- Screening/triaging of OT consults as needed. Accepting and responding to OT consults in compliance with PM&RS and assigned program policies. Evaluating the Veteran's functional, physical, and/ or psycho-social abilities while considering the patient's capacities, the activities, and the environments in which these activities occur. Involving the Veteran and their caregivers in the evaluation process using a patient-centered approach. Delegating specific aspects of the screening, evaluation or re-evaluation process (using specific assessment tools, instruments or observation). Accepting and responding to OT consults in compliance with PM&RS and assigned program policies. Evaluating the Veteran's functional, physical, and/ or psycho-social abilities while considering the patient's capacities, the activities, and the environments in which these activities occur. Following defined protocols when standardized assessments are used. Recommending/entering additional consultations (i.e., to Physical or Recreational Therapy or prosthetic services) when the needs of the Veteran can best be served by the expertise of other professionals or services. Evaluating medical needs for orthotic, prosthetic or other adaptive equipment in accordance with medical center policies and educating the patient & family about safe & correct use. Obtaining clarification for incomplete or unclear orders from the referring provider. The OT may perform home or other off-site environmental assessments when appropriately justified and when training and competency in medical center policies governing home/off-site visits has been completed. Treatment- Reviewing pertinent patient data using the medical record and, as needed, remote data (e.g. VistaWeb, JLV and VHIE). Developing, implementing and communicating the occupational therapy intervention plan based on the evaluation, patient goals, current best evidence and clinical reasoning. Identifying general contraindications to treatment. Scheduling and coordinating treatment with other VA services. Treatment may take place within the home setting or Salisbury VA Medical Center and may be in-person or virtual, while maintaining privacy and confidentiality as appropriate. Providing occupational therapy treatment and caregiver training and education within the appropriate setting as indicated by the plan of care. Functioning autonomously in carrying out patient education, specialized treatments, and applying occupational therapy procedures for which competency has been established and in accordance with laws or regulations and AOTA documents. Modifying the treatment plan, therapeutic activities and interventions based on the changing needs, goals and performance of the patient. Documentation- Accurately documenting OT services in the medical record within the timeframes, formats and standards established by the PM&RS and the Salisbury VA Healthcare System. Entering consults within the PM&RS Service (i.e., to Physical or Recreational Therapy) or to the Prosthetics service for rehabilitation equipment in accordance with competencies, PM&RS and Salisbury VAHCS policies. Reviewing and co-signing notes written by the OTA to whom the OT has delegated patient care. Discharge Planning and Interdisciplinary Coordination- Identifying when patients have attained maximum benefit from occupational therapy services and terminating services as appropriate. Participating in interdisciplinary team meetings and effectively communicating the patient's response to care, occupational therapy recommendations and appropriate follow-up patient needs. Coordinating with outside agencies, Salisbury VAHCS providers and programs, and / or the Primary Care Provider as appropriate when occupational therapy services are discontinued. Supervision- Participating in the clinical education of OT and OTA students including supervision of level I and/or II fieldwork and completion of fieldwork evaluation forms. Supervising individuals who are volunteering in an official capacity through the Volunteer Service. The clinical supervision of the OTA in accordance with licensure guidelines. Evidence of supervision is recorded in the medical record including co-signature of notes and, as needed, written addendums, by the supervising OT. The OT is ultimately responsible for all delegated services. Administrative Responsibilities- Maintaining state licensure. Maintaining NBCOT Certification. Maintaining necessary licensure/certifications for matrixed service. Completing all VAMC mandatory training in a timely manner. Safety- - Monitoring and reporting health and safety hazards. - Demonstrating knowledge of fire and emergency plans for assigned work area(s). - Demonstrating competence in CPR and infection control procedures.
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.