Documents prior level of function as well as identifies and documents patient’s current functional limitations that are necessary for self-maintenance, learning, work, and other similar meaningful activities. Consistently utilizes standardized functional outcome tools to identify and track functional levels and progress. Identifies short and long term goals that are measurable, functional and refer to prior level of function and include frequency, duration and certification dates.
Completes all required documentation including initial evaluation, daily progress notes, care plans, re-evaluations, discharge summaries, weekly summaries and reassessments when needed in a timely manner in compliance with department standards. Creates and documents a safe discharge plan that addresses patient's readiness, safety and equipment needs.
Effectively communicates with all members of the interprofessional medical team as well as patients and families utilizing strategies to clearly and accurately disseminate and receive information that considers situational needs and results in intended outcomes.
Quality improvement - Performs routine chart review and provides appropriate staff education in conjunction with findings. Participates in department Performance Improvement Project.
Attends staff meetings, employee forums, and participates in surveys and committees as requested.
Effective participation in clinical site education through in-services and clinical education with PT students as assigned. Contributes to continuing education of other staff members by developing and delivering in-service presentations after attending a CEU based learning opportunity.
Actively participates in community outreach including participation in lectures, classes and in-services. Serves as a resource in community based education.
Experience: One to two years related experience
Licenses & Certifications: Current California State License, Current BLS Certification, professional association membership a plus
Required Skills & Knowledge: Position requires excellent written and verbal communication skills, strong organizational, problem solving, and analytical skills, strong management and interpersonal skills, ability to manage priorities and workflow, flexibility and a willingness to work with constantly changing priorities with enthusiasm. Ability to understand and adhere to established policies, procedures, and protocols, Commitment to excellence and high standards. Good judgment with the ability to make timely and sound decisions, Ability to effectively present information and respond to questions, Able to work collaboratively with multiple health professionals in a busy and complex environment using tact, diplomacy, and discipline, Strong charting/documentation skills, Ability to effectively communicate with a diverse population, Bilingual skills a plus