Phys Therapy Home Care
2 months ago
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.
Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?
Summary:
- The Physical Therapist assumes the responsibility for assessing the physical abilities of patients, restore maximum function and maintain maximum performance of patient's capabilities, relief of pain, prevent further disability or deformity, and develop or improve the physical abilities of the patient.
- Provides skilled physical therapy to patients in the home. Provides home health management when a primary nurse is not involved with the patient case. Review patient progress with other disciplines involved with the patient, as needed, but at least every 14 days. o Notify the team leader of any patient problems, concerns or issues as they occur. o Review patient progress with the team leader during biweekly case conference. Review the case with team leader more frequently than weekly if patient condition warrants it. o Communicate with social and/or government agencies providing services to a patient. Assess and identify patient's needs and problems to determine the patient's need for care and services. o Assess the physical capabilities of the patient through testing and functional abilities. o Assess the home environment for safety. o Assess the patient's need for medial equipment and assist the patient in obtaining the necessary durable medical equipment. o Contact the physician to discuss need for nursing, additional rehabilitation or medical social services, if these services were not ordered at time of referral. o Contact the physician with patient changes or problems on the day they occur. o Contact the physician after the first patient visit for confirmation of orders or to report patient problems as appropriate. o Contact the primary nurse with report of initial assessment and plan of care. o Assess for abuse and neglect. Notify physician and meet with social service and team leader to discuss plan of action. o Complete initial assessment within 24 hours of start of care date. o Reassess patient on each visit throughout the course of service. o Instruct the patient on the Bill of Rights and Responsibilities/Advanced Directives/Financial Responsibility. o Inform the patient how to contact therapist and/or home health department. o Explain the purpose and frequency of services to the patient/caregiver. Develop a care plan based on the assessment findings o Identify patient problems and needs. o Discuss plan and prioritizes patient needs with the patient/caregiver. o Update the care plan as the health status of the patient changes, but at least every 62 days. Provision of skilled care o Identify the patient's learning needs and receptiveness to learning. Use written teaching material with the patient; leaves written teaching instruction and exercise program in the home with the patient. Document the use of teaching tools and exercise programs. o Provides direct skilled therapy. o Reassess patient response to therapy; revises care plan as needed. Contact the physician with changes in the patient condition. Managed Care patients o Update case management department with patient status in a timely manner and prior to the date of the last approved visit. o Provide casemanager with comprehensive data to support physical therapy need and visits. o Follow approved visit schedule. Supervise the home health aide every two weeks, when the nurse is not involved with the case. o Review home health aide care plan with the aide. o Review and update home health aide care plan as patient functional status changes, but at least every 62 days. Notify home health aide of changes in plan of care. o Discuss the care provided by the home health aide with the patient/caregiver to assure patient/caregiver satisfaction. o Place a copy of the home health aide care plan in the home. Discharge a patient from home care when the patient no longer requires skilled care. o Assess possible discharge needs on patient admission; include in plan of care. o Prepare patient/caregiver for discharge from home health care prior to the discharge visit. o Document discharge reason on the daily time sheet. o Notify physician of patient discharge. o Notify other disciplines on the case of the physical therapy discharge. o Complete discharge summary. Complete documentation of the following information in a timely manner o assessment paperwork (24 hours) o progress note for each patient visit o discharge summary (day of discharge) o daily time sheet o home health aide care plan o plan of treatment (24 hours) o verbal order Schedule patients according to the plan of treatment (485). Provide a copy of the schedule to the team leader/assistant. Record changes on schedule. o Schedule patient for weekend/holiday visits as needed. Complete the plan of treatment (485) in conjunction with the physician within 24 hours of admission. Complete recertification of plan of treatment two weeks prior to recertification date. o Discuss needed changes in the plan of treatment with the physician. Document changes on a verbal order. o Follow physician orders on the plan of treatment; no changes are made without a physician order. Document the change orders on a verbal order. o Participate in performance improvement processes. o Maintain patient confidentiality and demonstrates respect for patient and patient property. o Attends biweekly team meetings and case conferences. • Attend monthly staff meetings. • Attend inservices • Attend special programs to ensure competency of skills. o Attend all mandatory inservices. o Attends a minimum of 12 hours of education time in one year (may included inservices in the home care department) o Precept new employees and/or students according to all policies, procedures and mission of the Penn Care.
- Basic Cardiac Life Support (Required)
- Car Insurance (Required)
- Driver's License (Required)
- Physical Therapist (Required)
- Currently licensed as a physical therapist in Pennsylvania required.
- Bachelor of Arts or Science (Required)
- Education Specialization: Bachelor of Science Equivalent Experience: •And 1+ years Home health physical therapy
Live Your Life's Work
We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
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