If you are not a current, permanent VA employee or Federal employee from another agency, you should apply under CBST-11174614-21-ER. The Physical Therapist focuses primarily on those individuals whose actual or potential impairment is related to the neuromuscular, musculoskeletal, cardiovascular pulmonary, neurological, psychiatric systems, on methods to evaluate the functions of these systems and on the selection and application of appropriate therapeutic procedures. The duties of the physical therapist in Home Health Care Service include but are not limited to: Home Health Care Service (HHCS) includes Home Based Primary Care (HBPC) and the Medical Foster Home (MFH) program. HHCS operates out of the John L. McClellan Memorial Veterans Hospital with the main office in West Little Rock and a satellite office in Hot Springs. The HBPC Physical Therapist (PT) works with an interdisciplinary PACT team for a population of homebound, chronically ill Veterans in the central Arkansas area. This position exists at the CAVHS VAMC and involves regular independent travel to Veterans' homes within an identified HBPC service area. The HBPC PT: Independently evaluates patients using standard and non-standard techniques to identify specific Physical Therapy treatment problems. Independently develop and implement therapeutic rehabilitation programs within the framework of HBPC, in the GEC/R service line. Considers the populations served by the medical center and independently performs tests and measurements of the patient's condition and interprets results of tests and measurements of the patient's condition for use in establishing a diagnosis within the scope of physical therapy, developing the treatment plan, modifying the treatment plan, and evaluating results of treatment. Assesses the goals, living skills, physical abilities, and related needs for each patient referred for in- home assessment and assessment at the facility. Establish short term and long term clinically appropriate patient treatment goals and implement treatment program to meet these goals. Completes safety assessments after falls to include recommendations relevant to the veteran's home environment, health/ disease status, and available resources. Performs a yearly home assessment with each enrolled veteran per HBPC directive. Actively participates in interdisciplinary meetings for patient planning, coordination of care, or discharge planning. Frequently assesses treatment plan directed toward achieving maximum level of functioning within the home, consulting with other clinicians as indicated, and modifying the plan as indicated. Incumbent terminates treatment objectives when met and/or the patient has achieved maximum benefit or has moved to a higher level of need not amenable to HBPC criteria and purpose. Provides direct patient care, orders equipment, provides education to patient and caregiver on equipment and exercises, and refers patient to other disciplines as needed. Completes HISA grant and/or other home modification paperwork when requested efficiently and in a timely manner. Evaluates the need for additional services and use professional judgment to initiate consultation with other professionals to provide such service. Collaborates with the patient, caregiver, and other involved HBPC disciplines as needed. Provides patient care/support that is appropriate to the cognitive, physical and emotional needs of the patient group served. Interacts with people at all age levels ranging from adolescent through geriatric and must be aware of and respond appropriately to the physical, social, and psychological differences among these groups. Evaluates the home for positional changes to promote the patient's safety and independence. Maintains current knowledge in ordering complex and specialized medical equipment, its use and contraindications. Practices safe home care, recognizing the potential risks associated with various home and communities and adjusts visit times to assure personal and client safety. Monitors patient's emergency medical needs; intolerance to treatment; changes in patient's physical/mental status; and takes appropriate action as necessary. Documents and otherwise communicates results of evaluation and treatment in a timely manner Recognizes diversity among patients/staff and demonstrates sensitivity to cultural, age, gender, and people with disability. Independently solves problems not covered by standard procedures, adapts and modifies treatment plans, activities and procedures without supervisory guidance to meet complex and challenging needs of the patients. Assists other physical therapy staff members in modifying and adapting treatment plans Uses appropriate Personal Protective Equipment (PPE's) when providing treatment and/or using equipment for treatment as outlined above. Observes all safety precautions/procedures related to treatment or equipment. Work Schedule: Monday to Friday 8 am to 4:30 pm. Involves regular independent travel to veterans' homes within an identified HBPC service area. Compressed/Flexible: No Telework: Available Virtual: This is not a virtual position. Functional Statement #: PD000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.