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Required Skills

1. Interprets plans, establishes, and exercises proper treatment programs in accordance with the physician’s referral, periodically, reviewing the patient’s program and response and making recommendations to the physician relative to the need of continuing or discontinuing the physical therapy treatment

1. Assists the physician in evaluating disability, injury, or disease process of individual patients and in evaluating the patient’s level of function

1. Contacts the physician directly for patient reports and care as needed

1. Observes, records, and reports to the physician the patient’s reaction to the therapy program or any changes in the patient’s condition

1. Submits to the physician appropriate written reports to the patient’s progress at the designated intervals using appropriate and designated forms

1. Assists in determining the needs of the patient and in developing the total plan of care

1. Treats patients and their families with respect and dignity

1. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families/care givers

1. The clinician will need to demonstrate the knowledge and skills necessary to provide care appropriate to ages specific to the patient population for the clinician. This could include the following groups:  infants (0-12months), children (1 year – 12 years), adolescents (13 years -18 years), adult (18 years-65 years), older adults (65 years +). 

1. Instructs, teaches and supervises patients regarding occupational therapy procedures as related to the patient’s therapy programs

1. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family and care givers are included in teaching as appropriate

1. May supervise occupational therapist assistants, rehabilitation aides, volunteers, or students in regards to patient care techniques and needs

1. Enhance professional development through participation in continuing education programs and in-service meetings

1. Attend and participates in meetings as required

1. Adheres to all applicable federal, state, local, and company maintained standards of care and ethics and policies concerned with the practice of occupational therapy and among other things, personnel qualifications

1. Meets productivity and utilization expectations as established by the facility

1. Completes timely clinical documentation to include functional goal-setting, progress and therapeutic approach as well as administrative/billing documentation timely and accurately

1. Assists in maintaining department policies, procedures, objectives, quality assurance, safety, environmental, and infection control programs

1. Assist in care and maintenance of department equipment and supplies

1. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

11/18

Required Skills

1. Interprets plans, establishes, and exercises proper treatment program in accordance with the physician’s referral, periodically, reviewing the patient’s program and response and making recommendations to the physician relative to the need of continuing or discontinuing the physical therapy treatment
2. Assists the physician in evaluating disability, injury, or disease process of individual patients and in evaluating the patient’s level of function
3. Contacts the physician directly for patient reports and care as needed
4. Observes, records, and reports to the physician the patient’s reaction to the therapy program or any changes in the patient’s condition
5. Submits to the physician appropriate written reports to the patient’s progress at the designated intervals using appropriate and designated forms
6. Assists in determining the needs of the patient and in developing the total plan of care
7. Treats patients and their families with respect and dignity
8. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families/care givers
9. The clinician will need to demonstrate the knowledge and skills necessary to provide care appropriate to ages specific to the patient population for the clinician. This could include the following groups:  infants (0-12months), children (1 year – 12 years), adolescents (13 years -18 years), adult (18 years-65 years), older adults (65 years +). 
10. Demonstrates the knowledge and skills necessary to provide care appropriate to infants (0-12months), children (1 year – 12 years), adolescents (13 years -18 years), adult (18 years-65 years), older adults (65 years +)
11. Instructs, teaches and supervises patients regarding physical therapy procedures as related to the patient’s therapy programs
12. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family and care givers are included in teaching as appropriate
13. May supervise physical therapist assistants, rehabilitation aides, volunteers, or students in regards to patient care techniques and needs
14. Enhance professional development through participation in continuing education programs and in-service meetings
15. Attend and participates in meetings as required
16. Adheres to all applicable federal, state, local, and company maintained standards of care and ethics and policies concerned with the practice of physical therapy and among other things, personnel qualifications
17. Meets productivity and utilization expectations as established by the facility
18. Completes timely clinical documentation to include functional goal-setting, progress and therapeutic approach as well as administrative/billing documentation timely and accurately
19. Assists in maintaining department policies, procedures, objectives, quality assurance, safety, environmental, and infection control programs
20. Assist in care and maintenance of department equipment and supplies
21. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

1. Interprets plans, establishes, and exercises proper treatment programs in accordance with the physician’s referral, periodically, reviewing the patient’s program and response and making recommendations to the physician relative to the need of continuing or discontinuing the physical therapy treatment

1. Assists the physician in evaluating disability, injury, or disease process of individual patients and in evaluating the patient’s level of function

1. Contacts the physician directly for patient reports and care as needed

1. Observes, records, and reports to the physician the patient’s reaction to the therapy program or any changes in the patient’s condition

1. Submits to the physician appropriate written reports to the patient’s progress at the designated intervals using appropriate and designated forms

1. Assists in determining the needs of the patient and in developing the total plan of care

1. Treats patients and their families with respect and dignity

1. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families/care givers

1. The clinician will need to demonstrate the knowledge and skills necessary to provide care appropriate to ages specific to the patient population for the clinician. This could include the following groups:  infants (0-12months), children (1 year – 12 years), adolescents (13 years -18 years), adult (18 years-65 years), older adults (65 years +). 

1. Instructs, teaches and supervises patients regarding occupational therapy procedures as related to the patient’s therapy programs

1. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family and care givers are included in teaching as appropriate

1. May supervise occupational therapist assistants, rehabilitation aides, volunteers, or students in regards to patient care techniques and needs

1. Enhance professional development through participation in continuing education programs and in-service meetings

1. Attend and participates in meetings as required

1. Adheres to all applicable federal, state, local, and company maintained standards of care and ethics and policies concerned with the practice of occupational therapy and among other things, personnel qualifications

1. Meets productivity and utilization expectations as established by the facility

1. Completes timely clinical documentation to include functional goal-setting, progress and therapeutic approach as well as administrative/billing documentation timely and accurately

1. Assists in maintaining department policies, procedures, objectives, quality assurance, safety, environmental, and infection control programs

1. Assist in care and maintenance of department equipment and supplies

1. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

1. Consistently and thoroughly evaluates patients with differing diagnoses and devises an individualized, comprehensive plan of care based on facts and best practice.
2. Recommends and performs treatment as ordered by referring physician.
3. Educates about disease process, equipment use, and rehabilitation techniques, as appropriate.
4. Actively researches and develops new services and/or continuously suggests improvements to existing.

1. Engages in at least one activity yearly which promotes individualized professional development.
2. Provide aquatic therapy for those patients who it is indicated.
3. Determination for discharge is according to written criteria.
4. Maintain state of art clinical expertise in areas of responsibilities by attending continuing education courses and in-services.
5. Supervises and guides PTA and other personnel as required for patient care.
6. Participates in QA, research and other projects as requested.
7. Represents the hospital service line in hospital and community education programs.
8. Demonstrates support for and participates as requested in accomplishing MHS, departmental and team goals and objectives.
9. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

1. Consistently and thoroughly evaluates patients with differing diagnoses and devises an individualized, comprehensive plan of care based on facts and best practice.
2. Recommends and performs treatment as ordered by referring physician.
3. Educates about disease process, equipment use, and rehabilitation techniques, as appropriate.
4. Actively researches and develops new services and/or continuously suggests improvements to existing.

1. Engages in at least one activity yearly which promotes individualized professional development.
2. Provide aquatic therapy for those patients who it is indicated.
3. Determination for discharge is according to written criteria.
4. Maintain state of art clinical expertise in areas of responsibilities by attending continuing education courses and in-services.
5. Supervises and guides PTA and other personnel as required for patient care.
6. Participates in QA, research and other projects as requested.
7. Represents the hospital service line in hospital and community education programs.
8. Demonstrates support for and participates as requested in accomplishing MHS, departmental and team goals and objectives.
9. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

1. Prepares and tests R.T. equipment for proper and safe operation and periodically checks R.T. equipment in use and on units for proper operation and routine service. Reports malfunctioning equipment to manager.
2. Follows and enforces safety rules, instructions, and procedures of the Respiratory Therapy Department and hospital to contain and minimize the spread of infection.
3. Receives, documents, and executes physician’s orders relating to Respiratory Care Order Set. Interprets and evaluates physician’s orders and charts that pertain to respiratory and identifies possible contraindications to medications, treatments and related hazard with their use.
4. Measures and administers prescribed medications to patients, such as oxygen and aerosolized medications to patients. Administers the following procedures or therapies; Ezpap, chest physical therapy, incentive spirometry, TB skin tests, pulse oximetry and bedside pulmonary function/mechanics, high-flow oxygen therapy.
5. Assesses patient’s condition and response to respiratory therapy by checking patient’s pulse, blood pressure, respiratory frequency, tidal volume, inspiratory pressure, cough, sputum, breath sounds, and other pertinent data that relates to the patient. Must also be alert to adverse reactions of patient during treatment, plus be aware of proper response to emergencies.
6. Recognizes and responds to the signs of cardiopulmonary arrest and/or failure and life threatening arrhythmias seen on EKG’s. As necessary, assists in performing and/or initiating CPR procedures.
7. Modifies therapy in accordance with respiratory care order set in cases of adverse or ineffective patient response and reports changes to shift supervisor.
8. Records procedures, patient responses, and medication administration in accordance with departmental documentation requirements. Relays same information orally or in writing to management and/or other therapist(s) as shift changes occurs.
9. Participates in in-services, continuing education, and other staff development activities to develop and maintain necessary competencies.
10. Maintains the security and confidentiality of all patient records and information.
11. Evaluates and ensures the accuracy of ABG reports and informs the proper physician, nurse, and/or therapist of abnormal results.
12. Performs arterial punctures using approved criteria and maintains competency through annual review. Can also analyze ABG’s via GEM Premier.
13. May perform endotracheal intubations using approved criteria and maintains competency through annual review.
14. Maintains, monitors, and provides respiratory care to patients on continuous mechanical ventilation.
15. Provides respiratory care to ICU (including lung auscultation); recommends or obtains ABG samples, x-rays, O2, and other respiratory care procedures as patient condition warrants. Alerts the appropriate staff of any changes in patient condition.
16. Monitors and cares for patients with artificial airways and endotracheal tubes.
17. Instructs patients, families, and other hospital personnel in the proper use of respiratory therapy equipment and the associates of procedures and techniques used.
18. Provides pulmonary services in the emergency department. Performs patient assessment and treatment according to the emergency department /respiratory care protocol.
19. Makes recommendations for changes and improvements in hospital equipment and procedures to maintain best practice.
20. Participates in departmental or multi-disciplinary teams related to clinical quality, safety education, best practice, patient satisfaction, or process improvements.
21. Collaborates and shares clinical information with the multi-disciplinary health team to achieve evidence based care and outcomes.
22. Serves as a back-up for other areas within the unit or department, especially during times of special needs or staff absences.
23. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

1. Minimum cleaning and maintenance of R.T. equipment.

1. Prepares and tests R.T. equipment for proper and safe operation and periodically checks R.T. equipment in use and on units for proper operation and routine service. Reports malfunctioning equipment to manager.

1. Follows and enforces safety rules, instruction and procedures of the Respiratory Therapy Department and hospital to contain and minimize the spread of infection.

1. Receives, documents, and executes physician’s orders relating to Respiratory Care Order Set. Interprets and evaluates physician’s orders and charts that pertain to respiratory and identifies possible contraindications to medications, treatments, and related hazard with their use.

1. Measures and administers prescribed medications to patients, such as oxygen and aerosolized medications. Administers the following procedures or therapies; EzPAP, chest physical therapy, incentive spirometry, TB skin tests, pulse oximetry, and bedside pulmonary function/mechanics, high flow oxygen therapy.

1. Assesses patient’s condition and response to respiratory therapy by checking patients pulse, blood pressure, respiratory frequency, tidal volume, inspiratory pressure, cough, sputum, breath sounds, and other pertinent data that relates to the patient. Must also be alert to adverse reactions of patient during treatment, plus be aware of proper response to emergencies.

1. Recognizes and responds to the signs of cardiopulmonary arrest and/or failure and life threatening arrhythmias during EKG’s. As necessary, assists in performing and or initiating CPR procedures.

1. Modifies therapy to deal with adverse or ineffective patient response or reports changes to shift supervisor.

1. Records procedures, patient response, and medication administration in compliance with departmental documentation requirements. Relays same information.

1. Participates in in-services, continuing education, and other staff development activities.

1. Keeps confidential all patient information received and follows MMC Guest Relations guidelines.

1. Evaluates ABG reports and checks for accuracy of results and reports abnormal reports to proper therapist, nurse, and/or physician.

1. Performs arterial punctures when certified to perform procedure by Medical Director (otherwise procedure is done only under direct supervision of ABG certified individual). Able to run ABG samples on the GEM Premier 4000.

1. Performs nasal and tracheal suctioning of patients of all ages and obtains tracheal secretions for culture.

1. Performs CPR procedures as part of Stat Code Team.

1. Maintains patients on continuous mechanical ventilators and is responsible for providing these patients with respiratory care (monitors patients every 1-3 hours).

1. Under the supervision of registered therapist, performs the following tasks;

• Is primarily responsible for the respiratory stature of patients in ICU and makes appropriate decisions to insure that these patients are receiving the best in respiratory care; recommends or obtains ABG samples, x-rays, O2, and other respiratory care procedures that one feels is necessary for the patient’s welfare.
• Implements weaning procedures from continuous mechanical ventilations and monitors patients during this procedure.
• Alerts therapist, supervisor, RN, and Physician or Medical Director to any changes in the cardiopulmonary status of patients in the ICU or any other critically ill patient of any age.
• Monitors endotracheal cuffs on patients of all ages with artificial airways; assists in airway care as indicated.
• Assists in clinical instruction of RT students.
• Auscultates lungs of patients in ICU and reports findings to proper RN, therapist, or physician.
• Instructs patients, families, and other MMC personnel in the proper care of RT procedures and techniques.
• May assist physician in performing bronchoscopy, certified by medical director. Maintains all supplies, monitors patients, obtains cultures and cytology samples and sterilizes equipment.  Participates in conscious sedation procedures and patient monitoring.

1. Perform skin testing (certified by Medical Director)

1. Provides pulmonary services in the Emergency Department. Performs patients assessments and treatment according to the Emergency Department/Respiratory Care protocol.

1. Participates in departmental or multidisciplinary teams related to clinical quality, safety, education, best practices, or process improvements.

1. Follows MMC & Pulmonary Medicine infection control policies.

1. Performs other related duties as assigned.

1. Performs all duties under supervision of Registered Therapist or shift supervisor.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

1. Serve as a role model in the delivery of O.T. treatment.

1. Provides high quality patient care in service areas/clinics as assigned.

1. Facilitates effective team work and participates in the clinical development and supervision of assistants.

1. Pursues self education and maintains skills attending continuing education programs, department in-services, reviewing literature and research in order to stay abreast of clinical developments in the field.

1. Demonstrates support for and participates as requested in accomplishing MHS, departmental and team goals and objectives.

1. Complies with Agency policies, procedures and protocols; professional standards; JCAHO; and Medicare Conditions of Participation.

1. Complies with Agency standards of productivity for the department.

1. Participates in continuous quality improvement (Quality Initiative measures) including efforts to improve patient outcomes. (Oasis)

1. Adheres to MHS Behavioral Standards.

1. Is accountable for all equipment in his/her position including but not limited to, laptop computer, FAX machine, and Rehab equipment.

1. Evaluates treatment needs of assigned physician referred patients.

1. Determines and implements plan to accomplish treatment goals within appropriate time frames.

1. Provides appropriate feedback to physician, department, and other team members and maintains required documentation.

1. Contributes to the maintenance of a satisfactory work environment.

1. Assists in development of occupational therapy programs.

1. Completes patient care documentation in a timely manner according to department policy.

1. Maintains skills in treatment procedure through utilization of in-service and continuing education opportunities and expertise of other clinical staff personnel.

1. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

Essential Functions and Job Duties

• Performs assessment (chest auscultation, need for therapy, ABG results) on assigned patients as ordered by a physician; demonstrates accurate assessment skills in relation to age of patient.

• Establishes priorities and plan of care based on assessment.

• Provides care according to respiratory standards of practice.

• Documents tolerance to treatments and patient variances; revises plan of care to achieve optimal patient outcomes.

• Completes all annual educational requirements; demonstrates competency in respiratory areas, including assessment, 02 administration, patient ventilators, treatment, medications, etc.

• Documents care; completes CQI projects.

• Participates in continuing education and development of department staff by providing inservices and acting as a resource to staff in a specific specialty area of respiratory care (i.e. ventilator management)

• Performs other duties as assigned.

Required Skills

1. Perform basic and advanced therapeutic procedures for infant, child, adolescent adult and older adult patients according to guidelines established in the department policy and procedure manual.

1. Communicate necessary changes in the patient therapy to nursing staff and department head or designee in a timely manner.

1. Provide effective education to patients, patient’s family members and co-workers as appropriate.

1. Accurately and safely perform fundamental diagnostic procedures according to the department policies and procedures.

1. Perform emergency and acute pulmonary and cardiology procedures according to department policies and procedures.

1. Maintain clinical and professional competency.

1. Demonstrate competency for age specific categories for both respiratory and cardiology procedures according to their training qualifications.

1. Assemble, check and correct malfunction of department equipment.

1. Assist with clerical work in the cardiopulmonary department.

1. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

12/2018