Physical Therapist PRN

Pioneer Care and Rehabilitation in Dillon, MT


Type

Part-time, Contractor

Hours

TBD

Salary

TBD

Education

Must possess, as a minimum, a Bachelor%u2019s Degree in Physical Therapy from an accredited college or university.

Experience

Must have, as a minimum, two (2) years of experience in a therapist capacity in a hospital, nursing care facility, or other related medical facility. Must have training in rehabilitative and restorative therapy practices.

Contact Information

Contact: Jocelynn Buell
Phone: 406-683-5105
Fax: 406-683-6322
Email: jocelynn.buell@dillonpioneercare.org
Website: dillonpioneercare.org

Description

Physical Therapist Tasks assigned to this position may involve potential and/or direct exposure

to blood, body fluids, infectious diseases, air contaminants,

and hazardous chemicals.

Purpose of Your Job Position

The primary purpose of your job position is to plan, organize, develop, and direct our facility%u2019s Physical Therapy Services in accordance with current applicable federal, state, and local standards, guidelines and regulations, and as may be directed by the administrator, to assure that the highest degree of quality resident care can be maintained at all times.

Delegation of Authority

As Physical Therapist you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.

Job Functions

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

Miscellaneous Information

Information explaining the Essential Functions, Safety Factors, and the Competency Evaluation columns, as well as the Risk Exposure Category legend is provided in the %u201CJob Position Analysis Information%u201D section located on the last page of this job description. (Note: The number assigned to each individual column corresponds to that same number in the %u201CAnalysis%u201D section.) Risk Exposure Potential to Blood and/or Body Fluids Essential Function (%uF0D6%uF020=NO) Safety Factors Competency Evaluation

Function Requires Repetitive Motion (%uF0D6%uF020= YES) MINIMUM Weight Lifting Requirements Apply to Task (%uF0D6%uF020= YES) Function Requires Prolonged Sitting, Standing, Bending, etc. (%uF0D6%uF020= YES) Performs Function Satisfactorily (%uF0D6%uF020= NO) Needs In-Service Training

(%uF0D6%uF020= YES)

Duties and Responsibilities

Administrative and Surveillance Functions (1) (2) (3) (4) (5) (6) (7)

Plan, develop, organize, implement, evaluate, and direct our facility%u2019s physical therapy, as well as its programs and activities, in accordance with current rules, regulations, and guidelines that govern nursing care facilities. 3

Meet with administration, medical and nursing staff, as well as other related departments in planning therapy services. 3

Represent the facility at and participate in meetings as directed. 3

Develop and maintain physical therapy standards. 3

Assist in standardizing the methods in which physical therapy will be accomplished. 3

Maintain a reference library of written therapy material, laws, standards of practice, etc., necessary for complying with current standards and regulations, and that will provide assistance in maintaining quality resident care. 3

Assist in developing, implementing and coordinating policies and procedures, resident care plans, physical therapy procedure manuals, job descriptions, etc. 3

Duties and Responsibilities (continued)

Risk Exposure to Blood/Body Fluids Essential Function Repetitive Motion Weight Lifting Requirements Prolonged Sitting, Standing, Bending, etc. Performs Function Satisfactorily Needs Training

Administrative and Surveillance Functions (continued)

(1) (2) (3) (4) (5) (6) (7)

Review physical therapy policies, procedures, manuals, job descriptions, etc., at least annually, and participate in making recommended changes. 3

Interpret physical therapy policies and procedures to personnel, residents, family members, etc., as necessary. 3

Participate in discharge planning, development and implementation of resident care plans, resident assessments, etc., as necessary. 3

Assist the Quality Assessment and Assurance Coordinator in developing, implementing, and maintaining an ongoing quality assurance program for physical therapy services. 3

Assist the Quality Assessment & Assurance Committee in developing and implementing appropriate plans of action to correct identified deficiencies. 3

Assume the authority, responsibility and accountability of directing the physical therapy department. 3

Maintain treatment records, resident files, and progress notes as required. 3

Work with the facility%u2019s consultants as necessary and implement recommended changes as required. 3

Assist in arranging transportation to other facilities when necessary. 3

Ensure business office receives charges for physical therapy rendered to residents. 3

Make written and oral reports/recommendations to the administrator, as necessary/required, concerning the operation of the physical therapy department. 3

Maintain an adequate liaison with families and residents. 3

Interview residents, or family members, as necessary. 3

Perform administrative requirements such as completing necessary forms, reports, etc., and submitting to the administrator as required. 3

Others as deemed necessary and appropriate, or as may be directed by the administrator. 3

Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator. 3

Agree not to disclose resident%u2019s protected health information and promptly report suspected or known violations of such disclosure to the Administrator. 3

Report any known or suspected unauthorized attempt to access facility%u2019s information system. 3

Committee Functions

Serve on, participate in, and/or attend various committees of the facility as required. 3

Provide written and/or oral reports of the physical therapy programs and activities as required. 3

Evaluate and implement recommendations from established committees as they may pertain to physical therapy services. 3

Duties and Responsibilities (continued)

Risk Exposure to Blood/Body Fluids Essential Function Repetitive Motion Weight Lifting Requirements Prolonged Sitting, Standing, Bending, etc. Performs Function Satisfactorily Needs Training

Personnel Functions

(1) (2) (3) (4) (5) (6) (7)

Determine the staffing needs of the physical therapy department necessary to meet the needs of the residents. 3

Recommend the number and level of physical therapy personnel to be employed. 3

Assist the administrator and/or the HR director in the recruitment and selection of competent physical therapy personnel. 3

Provide guidance and training for new and/or less experienced personnel. 3

Develop work assignments and schedule duty hours. 3

Develop, maintain, and periodically update the written procedure for ensuring that professional physical personnel have valid and current licenses as required by this state. 3

Review complaints and grievances made or filed by department personnel. 3

Make written and oral reports/recommendations to the administrator concerning the operation of the physical therapy department. 3

Maintain an excellent working relationship with the medical profession and other health related facilities and organizations. 3

Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the department. 3

Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility to assure that services and activities can be properly maintained to meet the needs of the residents. 3

Meet with and solicit advice from other department supervisors concerning physical therapy; assist in identifying and correcting problem areas and/or the improvement of services. 3

Coordinate physical therapy with other departments. 3

Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility%u2019s policies and procedures governing accidents and incidents. 3

Conduct departmental performance evaluations in accordance with established policies and procedures. 3

Report known or suspected incidents of fraud to the Administrator. 3

Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines. 3

Duties and Responsibilities (continued)

Risk Exposure to Blood/Body Fluids Essential Function Repetitive Motion Weight Lifting Requirements Prolonged Sitting, Standing, Bending, etc. Performs Function Satisfactorily Needs Training

Therapy and Consultation Functions

(1) (2) (3) (4) (5) (6) (7)

Review request for physical therapy and physicians%u2019 orders. 3

Interview resident to determine type of treatments needed and schedule therapy as ordered. 2

Evaluate type of therapy most desirable after consulting with physician. 3

Participate in the development and implementation or resident assessments (MDS) and care plans, including quarterly reviews. 3

Brief resident of procedures involved in physical therapy and prepare necessary equipment. 2

Assist in transporting resident to and from physical therapy room/area. 2

Demonstrate to residents and staff personnel, as necessary, the use of medical appliances involved in physical therapy (e.g., wheelchairs, crutches, canes, braces, and prosthetic appliances and devices). 2

Perform physical therapy in resident%u2019s room as necessary. 2

Reassure resident before and during therapy treatment. 3

Prepare resident for treatment by dress/position and administer physical therapy in accordance with established policies and procedures. 2

Determine proper equipment usage, application and body position, and make adjustments as necessary in the administration of physical therapy treatments (e.g., gait training, traction, whirlpool, etc.). 2

Apply agents such as diathermy, ultrasound, infrared, massage, therapeutic exercise, etc., as required. 2

Recommend modifications or changes in the resident%u2019s therapy program based on own evaluation of progress. 3

Ensure that all therapist notes are informative and descriptive of the care provided and of the resident%u2019s response to the care. 3

Make rounds with attending physician/medical director, etc., as necessary. 2

Encourage attending physician(s) to record and sign progress notes, as well as review treatment plans, etc. 3

Staff Development

Develop and participate in programs designed for in-service education, on the job training and orientation classes for newly assigned personnel. (Includes maintaining appropriate recordkeeping requirements of when classes were held, subject matter, attendance, etc.) 3

Develop, implement, and maintain an effective orientation program that orients the new employee to the facility, its policies and procedures, and to his/her job position and duties. 3

Participate and assist in departmental studies and projects as assigned or that may become necessary. 3

Attend and participate in workshops, seminars, etc., to keep abreast of current changes in the health care field, as well as to maintain a professional status. 3

Ensure that therapy personnel attend and participate in annual facility in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.). 3

Duties and Responsibilities (continued)

Risk Exposure to Blood/Body Fluids Essential Function Repetitive Motion Weight Lifting Requirements Prolonged Sitting, Standing, Bending, etc. Performs Function Satisfactorily Needs Training

Safety and Sanitation

(1) (2) (3) (4) (5) (6) (7)

Assist in developing safety standards for the physical therapy department. 3

Ensure that physical therapy personnel, residents, visitors, etc., follow established policies and procedures at all times, including appropriate dress codes. 3

Be alert for resident safety during any/all therapy. 3

Ensure that therapy personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents. 3

Assist the Infection Control Coordinator in the development, implementation, and revision of written aseptic and isolation techniques. 2

Assist in identifying and classifying departmental procedures that involve exposure to blood or body fluids. Update as necessary. 2

Ensure that therapy personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks. 3

Ensure that adequate supplies of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood or body fluids. 3

Ensure that therapy personnel follow established infection control procedures when performing duties. 2

Inspect physical therapy areas and practices for compliance with current applicable regulations at least monthly. 2

Ensure that the therapy area is maintained in a clean and safe manner for resident comfort and convenience by assuring that necessary equipment and supplies are maintained to perform such duties/services. 2

Develop, implement, and maintain a procedure for reporting hazardous conditions or equipment. 3

Report missing/illegible labels or MSDSs to the safety officer or other designated person. 3

Equipment and Supply Functions

Recommend to the administrator the equipment and supply needs of the department. 3

Provide necessary material/equipment for resident to perform required therapy. 3

Develop and implement procedures that ensure physical therapy supplies are used in an efficient manner to avoid waste. 3

Ensure that MSDSs are on file for hazardous chemicals used in the therapy department. 3

Duties and Responsibilities (continued)

Risk Exposure to Blood/Body Fluids Essential Function Repetitive Motion Weight Lifting Requirements Prolonged Sitting, Standing, Bending, etc. Performs Function Satisfactorily Needs Training

Care Plan Functions

(1) (2) (3) (4) (5) (6) (7)

Assist in developing physical therapy plans for individual residents in coordination and conjunction with the resident assessment (MDS). 3

Review the physical therapy requirements of each resident admitted to the facility and assist the attending physician in planning for the resident%u2019s care. 3

Involve the resident/family in planning objectives and goals for the resident. 3

Ensure that physical therapy treatments are indicated on the care plan. 3

Participate in the development and implementation of care plans, including quarterly reviews. 3

Budget and Planning Functions

Prepare and plan the physical therapy budget and submit to the administrator for his/her review, recommendation, and/or approval. 3

Keep abreast of economic conditions/situations, and recommend to the administrator adjustments in physical therapy that ensure the continued ability to provide quality care. 3

Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. 3

Resident Rights

Maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information. 3

Ensure that resident%u2019s rights to fair and equitable treatment, self determination, individuality, privacy, property and civil rights, including the right to wage a complaint, are well established and maintained at all times. 3

Ensure that therapy personnel knock before entering the resident%u2019s room. 3

Ensure that all physical therapy personnel are knowledgeable of the residents%u2019 responsibilities and rights including the right to refuse treatment. 3

Ensure that therapy personnel honor the resident%u2019s refusal of treatment request. Report such requests to the Director of Nursing Services. 3

Abide by the resident%u2019s participation in treatment decision. 3

Inform the resident of consequences of not participating in prescribed therapy and document such action in the resident%u2019s clinical record. 3

Review complaints and grievances made by the resident, families, and/or visitors and make oral/written reports to the administrator indicating what action(s) were taken to resolve the complaint or grievance. 3

Maintain a written record of the resident%u2019s complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint. 3

Allow the resident to participate in the planning and scheduling of his or her treatment. 3

Working Conditions

Works in office areas, therapy rooms, resident rooms, etc.

Moves intermittently during working hours.

Is subject to frequent interruptions.

Is involved with physicians, residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.

Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.

Communicates with the medical staff, nursing personnel, and other department directors.

Works beyond normal working hours and on weekends and holidays when necessary, as well as in other positions as needed.

Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).

Is subject to exercising and massaging residents.

Must be constantly alert for resident safety.

Attends and participates in continuing educational programs as may be required by current regulations.

Is subject to injury from falls, burns from equipment, odors, assaults from hostile residents, etc., throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants.

Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.

Is subject to the handling of and exposure to hazardous chemicals.

Is subject to lifting, carrying and supporting residents.

Maintains a liaison with the residents, their families, other departments, etc., to adequately plan for the resident%u2019s physical therapy needs.

Education

Must possess, as a minimum, a Bachelor%u2019s Degree in Physical Therapy from an accredited college or university.

Experience

Must have, as a minimum, two (2) years experience in a therapist capacity in a hospital, nursing care facility, or other related medical facility.

Must have training in rehabilitative and restorative therapy practices.

Specific Requirements

Must possess a current, unencumbered license to practice as a Physical Therapist in this state.

Must be able to read, write, speak, and understand the English language.

Must demonstrate the knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served.

Must be a supportive team member, contribute to and be an example of team work and team concept.

Must possess the ability to make independent decisions when circumstances warrant such action in a timely fashion.

Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.

Must be knowledgeable of physical therapy procedures.

Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.

Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies, procedures, etc., of the physical therapy service.

Must maintain the care and use of supplies, equipment, etc., and maintain the appearance of therapy areas.

Must have patience, tact, a cheerful disposition and enthusiasm as well as be willing to handle residents on whatever maturity level in which they are currently functioning.

Must be willing to seek out new methods and principles and be willing to incorporate them into existing therapy services.

Must be able to relate information concerning a resident%u2019s condition.

Must not pose a direct threat to the health or safety of other individuals in the workplace.

Physical and Sensory Requirements

(With or Without the Aid of Mechanical Devices)

Must be able to move intermittently throughout the workday.

Must be able to speak and write the English language in an understandable manner.

Must be able to cope with the mental, emotional, and physical stress of the position.

Must be able to see and hear or use prosthetics that will enable these senses to function adequately to assure that the requirements of this position can be fully met.

Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, support agencies, and outside agencies.

Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.

Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility.

Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.

May be necessary to assist in the evacuation of residents during emergency situations.

Must be willing to perform tasks that may involve exposure to the resident%u2019s blood/body fluids.

Acknowledgment

I have read this job description and fully understand that the requirements set forth therein have been determined to be essential to this position (unless otherwise noted in Column 2). I hereby accept the position of Physical Therapist and agree to perform the tasks outlined in this job description in a safe manner and in accordance with the facility's established procedures. I understand that as a result of my employment, I may be exposed to blood, body fluids, infectious diseases, air contaminants (including tobacco smoke), and hazardous chemicals and that the facility will provide to me instructions on how to prevent and control such exposures. I further understand that I may also be exposed to the Hepatitis B Virus and that the facility will make available to me, free of charge, the hepatitis B vaccination. I also understand I may not release/disclose protected health or facility information without proper authorization.

I understand that my employment is at-will, and thereby understand that my employment may be terminated at-will either by the facility or myself, and that such termination can be made with or without notice.

Date: Signature-Physical Therapist:

Date: Signature-Administrator:

Job Position Analysis Information

1 Risk Exposure to Blood/Body Fluids Column:

Numbers entered into this column indicate the risk potential of your exposure to blood or body fluids. Established procedures identify the appropriate personal protective equipment that you should use when performing this task. The following numbers indicate your risk potential:

1 = It is highly likely that while performing functions assigned to this task you will be exposed to blood or body fluids.

2 = This task does not involve contact with blood and/or body fluids but while performing this task it may be necessary for you

to perform a Category 1 task.

3 = This task does not involve any risk of exposure to blood or body fluids.

2 Essential Functions Column:

A %uF0D6 mark in this column indicates that you will not be required to perform this task.

3 Repetitive Motion Column:

A %uF0D6 mark in this column indicates that it will be necessary for you to perform some functions of this task repeatedly. When such tasks are not performed properly, injury can result. Established procedures identify the precautions and/or equipment that should be used.

4 Minimum Weight Lifting Requirement Column:

A %uF0D6 mark in this column indicates that it will be necessary for you to perform functions of this task that require some lifting, moving, pushing, or pulling. When such tasks are not performed properly, injury can result. Established procedures identify the precautions and/or equipment that should be used when performing this task. Minimum weight lifting requirements that you must perform are located in the "Physical and Sensory Requirements" section of this Job Description.

5 Prolonged Sitting, Standing, and Bending Column:

A %uF0D6 mark in this column indicates that some functions of this task require you to sit, stand, or bend for an extended period of time. When such tasks are not performed properly, injury can result. Established procedures identify the precautions and/or equipment that should be used when performing this task.

6 Competency Evaluation Column:

Competency evaluations are required for this position. Your supervisor will notify you when your evaluation is to be conducted. A check %uF0D6 in this column indicates that you did not perform this task satisfactorily and/or in accordance with the facility's policies and procedures.

7 In-Service Training Column:

A %uF0D6 mark in this column indicates that you need additional training to better understand the performance requirements of this task. In-service training classes will be scheduled and your attendance at such classes is mandatory.