1. Evaluates, plans and administers treatment to patients in accordance with the healthcare provider order, and accepted standards of professional practice.
- Establishes a system to provide timely and accurate rehabilitation assessment.
- Conducts a thorough evaluation according to referral script.
- Utilizes evaluation skills to assist in determining an accurate diagnosis and plan of care.
- Provides evidence-based treatment services to restore, maintain or improve patient functions including gait training, strengthening, etc.
- Develops treatment plan in collaboration with patient, family support systems and members of healthcare team.
- Evaluates patient’s treatment goals for needed changes according to patient condition.
- Performs therapy treatment and modality procedures ethically per APTA and clinic guidelines.
- Re-evaluates patient on a regular basis and adjust treatment accordingly using subjective and objective information.
- Utilizes space and equipment in cooperation with other staff.
- Integrates both manual and non-manual therapy skills in treatment of patients where indicated.
2. Evaluates treatment efficacy and patient progress and makes any necessary adjustments in the care plan to optimize patient care.
- Complete treatment plan to meet regulatory guidelines.
- Incorporates plans for discharge in treatment plan in collaboration with patient and support system.
- Educates family and/or support system to functional needs and equipment/resources to meet these needs.
- Utilizes outcome measurements to objectively assess effectiveness of treatment interventions.
- Evaluates patient’s treatment goals and adjusts plan of care according to patient condition.
3. Performs and maintains documentation.
- Documents accurate and ongoing assessments of patient status in a timely manner that reflect physical therapy interventions, patient responses, patient teaching and status of outcomes at discharge.
- Completes accurate reporting of billing in a timely manner.
4. Communicates effectively.
- Communicates and collaborates effectively with other health team members regarding patient condition, physical therapy plan of care, patient satisfaction needs and recommendations for meeting identified outcomes.
- Promotes and maintains positive inter- and intra- departmental communications.
- Follows approved shift report format when communicating patient information.
- Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately reports condition changes to medical provider.
5. Promotes and ensures patient and staff safety in all aspects of responsibilities.
- Administers medications, treatments and procedures in a timely and safe manner according to physician orders and hospital policy, including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments every shift.
- Utilizes proper body mechanics, transfer/lifting techniques to minimize fall risk to patient and injury to self.
- Uses National Patient Safety Goals (for critical access hospitals) to ensure patient safety.
- Implements infectious disease controls as appropriate including isolation procedures, proper use of hand washing and gloves.
6. Performs other duties as assigned.