Summary

This position is aligned under the Physical Medicine & Rehabilitation Service (PM&RS) which provides complex medical - rehabilitative and psychosocial rehabilitation to outpatients - inpatients - Domiciliary patients - SCI patients and ECRC (long term / short stay) patients on the Community Living Center (CLC). PM&RS has a fully integrated affiliation with the Eastern Virginia Medical School with an active residency program.

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

Basic Requirements:

• United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy
• Education
• Individuals must meet at least one of the requirements below:(1) Associate degree from an accredited community college - junior college - college or university in a physical therapy assistant education program accredited by the Commission on Accreditation in Physical Therapy Education
• OR Graduate of foreign physical therapy assistant degree programs that meet the educational requirement and have successfully passed the National Physical Therapy Exam (NPTE) for PTAs
• OR (3) Graduate of military physical therapy assistant programs that meet the educational requirement and have successfully passed the NPTE for PTAs
• Licensure
• Current - full - active and unrestricted license as a PTA in a State - Territory or Commonwealth (i.e
• Puerto Rico) of the United States - or District of Columbia
• Exceptions for Non-Licensed Physical Therapy Assistant.(a) Non-licensed applicants who otherwise meet the minimum qualification requirements - but who do not possess state licensure - may be appointed - pending licensure - as a graduate PTA on a full-time temporary appointment under the authority of 38 U.S.C. § 7401(a)(1)(B) and not to exceed two years in accordance with the timeframe in 38 U.S.C. § 7405(c)(2)(B).(b) Non-licensed individuals shall only provide care under the direct supervision of a licensed PTA or PT who meets all state regulatory requirements.(c) Non-licensed individuals may only be appointed at the entry level and may not be promoted/converted until licensure is obtained.(d) Temporary appointments of non-licensed PTAs may not be extended beyond two years or converted to a new temporary appointment
• English Language Proficiency
• PTA candidates must be proficient in spoken and written English in accordance with 38 U.S.C. § 7403(f)
• Grade Determinations: In addition to the basic requirements outlined above - the following criteria must be met when determining the grade of candidates
• GS-5 (Entry level): None beyond the basic requirements
• GS-6: Experience
• One year of creditable experience equivalent to at least the next lower grade Demonstrated Knowledge - Skills and Abilities
• In addition to the basic requirements - the candidate must demonstrate the following KSAs:(a) Knowledge of evidence based physical therapy practice.(b) Ability to perform physical therapy data collection and use of objective measures in order to carry out patient plan of care.(c) Ability to modify treatment approaches - within the scope of the established treatment plans - to reflect patients' changing needs.(d) Skill in promoting physical therapy services by providing training and interventions within the assigned areas
• Assignment
• PTAs at this grade level serve in developmental positions under general direction from PTs
• They receive ongoing guidance from more experienced staff members and require general clinical [direction] by the treating physical therapist
• PTAs develop a broad base of practical knowledge to assist the PT in reaching pre-determined patient goals
• GS-7: Experience
• One year of experience equivalent to the next lower grade
• Demonstrated Knowledge - Skills and Abilities
• In addition to the basic requirements - the candidate must demonstrate the following KSAs:(a) Ability to perform in depth chart review to implement treatment plans.(b) Ability to independently use objective measures to assess progress - in accordance with the plan of care for complex patient cases.(c) Knowledge of contemporary physical therapy practice.(d) Ability to consult with the PT to assess progress - modify treatment and set discharge plan
• Assignment
• This is a developmental level for PTAs
• PTAs receive ongoing guidance from more experienced staff members and receive general direction by the treating PT
• PTAs draw upon a broad base of practical and experiential knowledge in order to assist the PT in reaching pre-determined patient goals
• PTAs work independently but still under the general direction of PTs
• They observe patients' ability to perform specified tasks in order to provide ongoing assessment of information on patients' physical and functional status
• PTAs work with the physical therapy staff to assess progress - modify treatment and set discharge plan
• They provide clinical direction for PTA students GS-8: Experience
• One year of experience equivalent to the next lower grade
• Demonstrated Knowledge - Skills and Abilities
• In addition to the basic requirements - the candidate must demonstrate the following KSAs:(a) Ability to independently implement treatment plan using knowledge of techniques related to the patient's disability and needs.(b) Ability to independently provide varied and multifaceted physical therapy interventions based on the established care plan (e.g. - therapeutic exercise - balance - body mechanics - flexibility - strength - gait training - neuromotor development - physical agents - functional training - etc.).(c) Knowledge of physical therapy data collection and assessment techniques in order to perform specific interventions and to monitor and capture progress of the patient/client.(d) Ability to instruct patient on varied interventions to provide materials to enhance compliance with home programs.(e) Ability to modify treatment techniques based on the learning needs and perceptions of the patient.(f) Ability to identify critical changes (e.g
• vital signs - pain - mobility and alertness) in patient conditions to determine their medical and functional status.(g) Ability to work with PTs and other interdisciplinary healthcare team members to evaluate patient information for planning - modifying and coordinating treatment programs and discharge planning
• Assignment
• This is considered the journey level for PTAs
• PTAs at this level collaborate with the primary PT then draw upon a broad base of practical knowledge and a well-developed treatment skill set in order to reach pre-determined patient goals by independently modifying techniques within the established plan of care
• They implement the plan of care for patient cases - advance the program and continually review the patient's condition to determine their medical and functional status
• They provide evidenced based skilled interventions including - but not limited to - therapeutic exercise - therapeutic activities - therapeutic modalities - gait training - transfer training - manual treatment - neuromuscular re-education - self-care and management training - patient/caregiver's education and group therapy
• They meet with the physical therapy staff and other healthcare team members to evaluate and discuss patient information for planning - modifying and coordinating treatment programs and discharge planning
• The full performance level of this vacancy is GS-8. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-5 to GS-8. Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Heavy lifting - 45 pounds and over - use of fingers - both hands required - reaching above shoulder - walking (8hrs) - Standing (8hrs) - both legs required (1 prosthetic) - far vision correctable i one eye to 20/20 and to 20/40 in the other - ability to distinguish basic colors - ability to distinguish shades of colors - hearing (aid permitted) - and mental and emotional stability
• Part of this position will involve sedentary work involving computers and communications.

Duties

• Duties Include - but are not limited to: A
• Receives / Interprets Therapy Instructions: Receives instructions for procedures to be administered via chart review of the consult note or initial evaluation note in CPRS
• May receive and carry out additional instructions from Physical Therapist (PT) via addendums to therapy notes - electronic orders and chart review in CPRS
• All documentation of the incumbent is co-signed by a licensed physical therapist
• This clinical position includes a level of physicality normally associated with direct patient care such as long periods of standing - walking - moderate lifting - bending - etc
• Part of this position will involve sedentary work involving computers and communications
• Incumbent understands and carries out the requests made by the therapists or seeks assistance from the Supervisor when an uncommon - unique or new procedure is required
• B
• Assists with or Renders Treatment Based on Patient's Needs: Assists with or renders a course of treatment based on the plan of care set by the Physical Therapist and the assessed needs of the patient - implementing progressive types of physical therapy treatment programs
• Assists with or performs standard physical therapy procedures outlined in the plan of care within a broad spectrum of neurological and musculoskeletal problems
• Many of the treatments are standardized due to mental and physical conditions of the Veteran
• Incumbent recognizes abnormalities - and brings them to the attention of the Physical Therapist
• Schedules procedures - coordinating appointments with other services
• Suggests different procedures if accomplishing same procedure are unlikely to produce adequate results
• Monitors Veterans condition and records response to treatment - ensuring that this is made part of the permanent medical record
• Recognizes deviations in Veterans condition during procedure and duty to report finding to Physical Therapist
• Prepares and maintains appropriate equipment and supplies required for these treatments
• Maintains a work safe environment to include non-technical maintenance of equipment - safety checks - cleaning - stocking - etc
• C
• Adapts and Adjusts Procedures: Screens - advises and assists Veteran through the physical therapy regimen
• Adapts and adjusts physical therapy procedures outlined in the plan of care as needed
• Performs ongoing assessment of Veteran's physical and functional status to determine tolerance to activities and interventions implemented from the pan of care
• Makes mild modifications within narrowly specified limits in nonstandard physical therapy treatment approaches
• Makes modifications within the scope of the established treatment plan to reflect the changing needs of the Veteran and his or her sociocultural context
• Modifies treatment / intervention environment - tools - materials - and activities within the plan of care in response to each Veterans response to treatment
• Adapts the technical procedures and approaches involving standard treatment and rehabilitation objectives within the plan of care to meet the Veteran's individual needs
• Seeks ongoing guidance from evaluating PT
• D
• Administrative Responsibilities: 1
• Inputs scheduling data into hospital CPRS
• Completes and documents initial evaluations with-in 24 hours - treatment interventions - re-evaluation - and discharge notes in accordance with PM&R Service and VHA policy that cover the entire course of treatment
• 2
• Frequently selects - adapts - and adjusts kinesiotherapy intervention in accordance with rehabilitation goals
• D
• Performs other related duties as assigned
• Work Schedule: Full Time
• 8:00-4:30pm Virtual: This is not a virtual position
• Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized