The incumbent serves as the lead seating and mobility specialist and is fully responsible for the administration of the multi-faceted approach to the evaluation and prescription of custom seating and mobility systems for the disabled veteran population in the Tucson and surrounding areas. The specialist will demonstrate treatment competency at the advanced practice level by executing a full range of treatment and evaluation procedures designed to provide the physically challenged veteran. Clinical: Independently assesses and evaluates the physiological functioning of patients referred to the seating and mobility clinic by means of patient chart review, personal interview, gross physical and cognitive screening process (including manual muscle testing, balance, coordination and endurance, posture, joint range of motion, measures of cortical involvement, visual acuity, skin condition, and sensation) as they relate to providing the individual with the optimal seating system and mobility device in consideration of their existing condition. Accurately applies anatomy, physiology and kinesiology concepts including but not limited to principles of training, major postural deviations, proper body alignment, joint range, and physical fitness components. Develops means to work effectively with a variety of patient diagnoses including those in the areas of general medicine and surgery, ambulatory care, psychiatry, spinal cord injury, traumatic brain injury, neurology, pulmonology, orthopedics, acute and long-term care. Performs, when indicated, assessment of intended use environments (home, school, work, and recreation) to also include modes of transportation (personal vehicle, public transportation, bus, train, plane, and cruise ship) to assure wheelchair accessibility and compatibility with said environments. Identifies and prescribes appropriate manual and power mobility devices, seating systems, driver controls, environmental controls, positioning hardware, and accessories to ensure optimal user posture, comfort, safety and function. Education: Serves as a consultant to medical and nursing staff, allied health professionals, and rehabilitation personnel across VISN 22 and the nation in the evaluation and prescription of wheelchair cushioning, and support systems as well as wheelchair and wheelchair accessories that will enhance patients function, comfort, positioning and stability. Functions as an active member of the interdisciplinary team, for the purpose of providing total health care delivery to the patient and continuity of care by sharing ideas, exchanging pertinent information, planning treatment, and recommending the need for kinesiotherapy services. As aforementioned, the therapist must have a specialized knowledge of seating and mobility as well as other assistive technologies for use with the physically disabled client. The therapist must know standard and non-standardized evaluation tests and instruments, which allows the determination of the patient's functional level. The therapist then can adapt the proper instruments and specialized instruction to meet the patient's needs. Finally, the therapist must have an in-depth knowledge of activity analysis for educational use in patient/family assessment, intervention and teaching. Administration: As a member of the multidisciplinary core team, the therapist maintains a close working relationship with medical and allied health specialist to assess patient condition and progress, and coordinate patient treatment to effect maximum care giving and rehabilitation potential for his/her assigned caseload. The incumbent is recognized by the team members as a kinesiotherapy expert who functions independently, exercising latitude in developing and carrying out an effective evaluation, treatment program for each patient. The therapist is solely responsible for modifying treatment plans as necessary to achieve patient goals and objectives. Consults with community partners for clarification of equipment status, upgrade and modification options, and demonstrator equipment for clinical trials. For custom-fit equipment, consults with the brand representatives to ensure accurate and complete seating prescriptions as reflected in itemized quotes. Maintains clinic and administrative areas in an orderly, efficient and safe manner. Alerts immediate supervisor of equipment and work order needs and is familiar with all emergency procedures, including infection control, fire, medical, etc. Supervisory Controls: Although the supervisor sets the overall objectives to be met, and ensures resources are available, the therapist functioning in this position functions independently. The kinesiotherapist plans and carries out the intervention process for referred individuals and devises or adjusts the approaches and priorities to meet intervention objectives. The kinesiotherapist frequently coordinates with other health care providers concerning total care. The kinesiotherapist informs the supervisor when treatment is contraindicated or when other issues may result in conflict with other providers if needed. The supervisor is generally apprised of work performed through workload and productivity reports, activity schedules, and occasional discussion of the work with the knesiotherapist. Work Schedule: Monday to Friday 7:30 am - 4:00 pm Financial Disclosure Report: Not required
Internal Number: 599214300
About Veterans Affairs, Veterans Health Administration
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.