At Always Best Care, our focus is providing our patients with personalized and quality skilled care in the comfort of their own home. Our dedicated professional staff of nurses, therapists, social workers, and home health aides work in unison with the patients, families, and physicians to ensure positive outcomes. Our passion for helping the patients to maintain a safe and independent lifestyle, and to achieve their maximum functional independence is our top priority.
POSITION SUMMARY: The occupational therapist (OTR) is a registered/licensed professional who directs, supervises, evaluates and provides occupational therapy services to patients requiring part-time, intermittent visits and assesses their therapeutic needs. The therapist works as a member of an interdisciplinary rehabilitation team serving as care managers with responsibilities for assessing, implementing, coordinating and evaluating patient care whenever occupational therapy is the only qualifying service.
* CLINICAL SKILLS
* Performs a comprehensive evaluation of patients by assessing level of function with activities of daily living.
* Develops the plan of care cooperatively with the physician, patient/family and other team members with revisions made based on patient condition; discusses the Plan with the physician seeking verbal orders and sending for confirmation of the orders.
* Implements the therapeutic actions of the treatment plan of care as prescribed by the physician to restore function to patients with physical disabilities, to relieve pain, and to address associated psychological dysfunction in order to regain maximum independence in independent living/daily living skills.
* Instructs patients, families, and other health care team members in the care of patients regarding occupational therapy goals.
* Plans with the patient/family and other team members for the patient's discharge from service.
* Delegates therapeutic actions to certified occupational therapy assistant (COTA) considering professional practice standards, the practice setting and factors such as the patient's condition, patient acuity, and competency of the specific COTA in deciding whether to delegate care.
* Supervises the treatment program implemented by the occupational therapy assistant (COTA/L) confers every two (2) weeks with the COTA/L and records these conferences on the progress note; re-evaluates patients visited by the COTA/L as necessary. Makes, at least, a monthly combined visit with the COTA directly supervising therapy skills. (See OT Service Policy for additional clarification.)
* Serves as primary provider with coordination responsibilities when occupational therapy service qualifies the patient for skilled care with responsibility for appropriate follow-up comprehensive/transfer/discharge assessments including OASIS data set requirements, following training and competency evaluation.
* Adheres to medical orders for treatment and visit frequency and authorized visits for managed care clients securing verbal medical orders within practice area and completes documentation for requesting physician authentication of orders.
* Assists the patient in the selection, instruction and troubleshooting of safe equipment, supplies and services.
* Works together with other members of the interdisciplinary team to provide coordinated care to patients including participation in care conferences and weekend and evening rotations as needed.
* Obtains pre-authorization for home visits for Managed Care patients as needed.
* Completes the initial assessment, reassessment as required and/or clinically appropriate and occupational therapy visits and related recording on the visit and submits documentation according to the agency timeliness requirements.
* Documentation includes skilled care provided, objective measures, patient response, progress to goals and ongoing eligibility determination.
* Completes the discharge/transfer assessment including the OASIS data set, if appropriate, and/or summary and submits them to the office within 48 hours after event.
* Prepares patient record for recertification, including the OASIS/comprehensive assessment, as necessary, conferring with the clinical supervisor and completing a care coordination conference summary. If the OTR is the only discipline visiting, the reassessment visit must be made within five (5) days of the end of the episode.
* Completes the Day Sheet/Slip record appropriately.
* Makes the initial visit within seventy-two (72) hours of referral unless physician order, care needs or patient request dictate otherwise.
* Reports to the case manager a summary of the patient's condition including:
* Problems concerning the patients and how these may be resolved.
* Changes in patient needs and how these can be met.
* The need for involvement of other members of the health team such as nursing, HHA, physical therapist, speech/language pathologist, and social services.
* Communicates with health team members to achieve interdisciplinary, coordinated care.
* Calls the supervising nurse with any immediate patient clinical needs.
* Alerts supervisor or designee to concerns/changes related to the patient's rehabilitation goals.
* Submits weekly patient visiting schedule to office or use real time electronic schedule.
* Maintains confidentiality of patient information complying with HIPAA regulations.
* PROFESSIONAL STANDARDS
* Adheres to all policies set forth in the Occupational Therapy Practice Act and relevant professional practice standards to maintain safe clinical practice.
* Maintains a professional standard of conduct, projecting a positive image of the agency at all times.
* Complies with infection control and safety policies and procedures.
* Adheres to all policies and practices of the agency to maintain established Standards for Care.
* PROFESSIONAL DEVELOPMENT
* Attends mandatory in-service sessions.
* Maintains PDU requirements set by the NBCOT.
* Participates in additional staff meetings, care conferences, educational sessions and the Performance Improvement Program, as appropriate.
* Continually strives to improve care by broadening and deepening knowledge through formal education, attendance at workshops, conferences, active participation in professional and related organizations and individual study and reading.
* PERFORMS ADDITIONAL DUTIES AS ASSIGNED
* Graduate of an occupational therapy education program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) of the American Occupational Therapy Association, Inc.
* Certified/registered in Occupational Therapy having successfully completed the entry-level certification exam for OTs developed and administered by the National Board for Certification in Occupational Therapy (NBCOT).
* Registered and licensed as an occupational therapist in the Commonwealth of Pennsylvania.
* One-year clinical experience in physical disabilities as a registered occupational therapist required. Home care experience preferred.
* Holds a current CPR card.
* When required to travel from one assignment to another on the same day, a reliable, independent means of transportation is required. Drivers must have a valid driver's license and car insurance limits adhering to the limits established in the personnel policies.
* Obtains and retains a clear criminal history report, Childline, FBI, OIG, Medicheck, EPLS and any additional required regulatory clearances.
EXPOSURE CONTROL CATEGORY: Moderate Exposure
Offer Hepatitis B vaccine and provide cautionary information on all potential communicable diseases.
PHYSICAL ACTIVITIES REQUIRED TO CARRY OUT POSITION
Lifting: Regularly lifts and moves patients, equipment, patient supplies. Frequently lifts up to 40 pounds. Occasionally lifts and moves patients unassisted up to 50 pounds.
Carrying: Carries medical supplies, and other items, weighing up to twenty (20) pounds.
Pushing/Pulling: Pushing and pulling is required when administering patient therapy and care.
Climbing: Ability to use stairs, curbs, and walkways in order to access patient home.
Bending: Required when administering patient care.
Reaching/Turning/Twisting: May be required when administering care.
Repetitive Motions: Hands - Required for certain aspects of patient care: simple grasping, fine manipulation.
Feet ? Ability to walk and stand for various duties.
Speaking: Ability to clearly speak English to communicate and to assess and educate patients. Must also be able to verbally communicate with physicians and other professionals involved in patient care.
Hearing: Ability to hear in order to perform physical assessments, including the use of a stethoscope (may be amplified). Must also be able to detect critical information regarding patient condition, and to communicate with physicians and other professionals involved with patient care. Reasonable accommodation considered.
Seeing: Ability to see to administer patient care and perform physical assessment of patients.
Visual acuity - Required within normal limits for monitoring equipment and reading medical data.
Depth perception - Required for fine tasks.
MACHINES, TOOLS, EQUIPMENT AND WORK AIDES
Various medical equipment, supplies, medications, charts, computer terminals, and other aides, are used by the nurse in performance of duties.