Occupational Therapist

Summary

This position is shared between the Spinal Cord Injury Unit and Outpatient General Rehabilitation to ensure the timely provision of effective and efficient Occupational Therapy services for patients referred. Located in the RECL at the MEDVAMC, and is administratively and clinically responsible to the Spinal Cord Injury Supervisory Therapist, the Supervisory Rehabilitation Therapist, the Rehabilitation Director, and the Rehabilitation and Extended Care Line Executive.

Duties

• Following referral/consult from a physician or other approved provider, reviews the medical record and independently evaluates each patient to determine functional deficits and the best method to accomplish rehabilitation goals. Evaluations include medical history, results and interpretation of appropriate functional tests and measurements such as: activities of daily living, IADL's, range of motion, muscle strength, sensory deficits, coordination, pain, cognitive, visual perceptual, etc. Utilizes standard and non-standard methods in the evaluation and interpretation of a wide variety of physical and cognitive functional levels. Tests are frequently complex and may need to be adapted because of multiple physical disabilities or medical conditions. Utilizes standard outcomes measurement in assessing patients and other in/outpatients as indicated. Patient Treatment: Provides group and individual treatments that are occupation based; promotes the Veterans' strengths and abilities while adapting for limitations; and develops skills that are within the individual's potential. After initial evaluation of patient, formulates progressive treatment plans and goals, and is responsible for implementation, modification, and documentation of the treatments. Independently formulates, selects, and provides plans of care for direct occupational therapy interventions and procedures with varying degrees of complexity based on assessments, the patient goals, and team goals to enhance safety, wellness, and performance in ADL, instrumental IADL, education, work, play, leisure, and social participation. Practice independently and is responsible for comprehensive assessment of functional and occupational roles using standardized and non-standardized evaluation tools. Provide direct occupational therapy interventions and procedures with varying degrees of complexity to enhance safety, wellness, and performance in ADL, instrumental IADL, education, work, play, leisure, and social participation. Applies recognized Occupational therapy treatment procedures correctly, safely, and modifies these techniques in such a manner as not to interfere with any traction devices, surgical drains, catheters, immobilizing appliances, respiratory aides, or monitoring devices. On an on-going basis, in response to the patient's reaction to treatment, independently adapts and modifies treatment programs, to better meet short-term and long-term goals. Recognizes adverse reaction to treatment, significantly altered physical or mental status of patients, and reports to appropriate medical authority. Documents initial findings, treatment goals, equipment recommendations, treatment provided, patient progress, patient/family education, and discharge summaryin patient's medical record in accordance with MEDVAMC, RCL policies and CARF and TJC standards. Develops appropriate home program for patient, as needed, prior to discharge. As indicated, instructs family or care provider in ways to assist patient to carry out the program. Demonstrate a full professional understanding of the theories of treatment in occupational therapy and their proper application using activity analysis, behavioral intervention, frame of reference, and therapeutic procedures. Follows appropriate guidelines and safety measures in completing home visits, community outings, and associated travel. May be given assignments in any area where advanced specialized knowledge is not required on a recurring basis due to the patient population served and the complexity of the facility and/or treatment area. Refer patients for community resources as needed. Collaborates and communicates orally and in writing with all internal and external stakeholders. Participates in team conferences, rounds, discharge planning meetings, specialty clinics, and other assigned medical meetings. Consults with physicians, other therapists and medical personnel, the patient, and as indicated the family and/or caregiver, to maximize benefi…

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: Citizenship: Be a citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with 38 U.S.C. § 7407(a)). Education and/or Experience: The individual must meet at least one of the following requirements below: Bachelor's degree in occupational therapy and two (2) years of experience as an occupational therapist; NOTE: The baccalaureate degree must be from an approved program prior to the AOTA January 1, 2005 decision that the Accreditation Council for Occupational Therapy Education (ACOTE) would only accredit master or doctoral degree programs in occupational therapy. or Bachelor's degree in occupational therapy and two (2) full years of graduate education in a related field; NOTE: The baccalaureate degree must be from an approved program prior to the AOTA January 1, 2005 decision that ACOTE would only accredit master or doctoral degree programs in occupational therapy. or Master's Degree or higher in occupational therapy. Individuals must be a graduate of a degree program in occupational therapy approved by the ACOTE or predecessor organizations. This is inclusive of an internship (supervised fieldwork experience required by the educational institution). ACOTE is the only accreditation agency recognized by the United States Department of Education and the Council for Higher Education Accreditation. Degree programs may be verified by contacting the American Occupational Therapy Association website or at their office address: American Occupational Therapy Association, P.O. Box 31220, Bethesda, MD 20824-1220. Certification: Candidates must possess a current NBCOT certification as an OT. State Licensure: Candidates must possess a full, current, and unrestricted state license, to practice occupational therapy in a state, territory or Commonwealth of the United States (i.e., Puerto Rico), or in the District of Columbia. Exceptions for the Graduate Occupational Therapist OT graduates from an approved occupational therapy program [who otherwise meet the minimum qualification requirements,] but who do not possess NBCOT certification and/or state licensure, may be [appointed, pending certification and/or licensure,] as a graduate OT [on a full-time temporary appointment] not-to- exceed two years under the authority of 38 U.S.C. § 7405(c)(2). Graduate OTs may only be appointed at the GS-9 grade level and may not be promoted/converted to the GS-11 level until licensure and/or certification is obtained. For grades levels at or above the developmental GS-11 grade level, the OT must be certified and licensed. A graduate OT may provide care only under the direct supervision of a licensed] OT who meets all state regulatory requirements. Temporary graduate OT appointments may not be extended beyond two years, or converted to a new temporary appointment. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: Occupational Therapist, GS-9 Education, Experience, or Licensure: None beyond the basic requirements. Occupational Therapist, GS-11 Education, Experience, or Licensure: Completion of one year of experience equivalent to at least the GS-9 grade level and directly related to the position being filled;] or Three years of progressively higher level graduate education leading to a degree in occupational therapy or a directly related field; or Doctorate in occupational therapy Demonstrated Knowledge, Skills, and Abilities (KSAs): In addition to the experience or education above, the candidate must demonstrate all of the following KSAs: Knowledge of occupational therapy practice. Ability to…

Education

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.