Occupational Therapist - PEDS NICU/Acute Care - Oregon Health & Science University
Portland, OR
About the Job
OHSU is proud to be designated a Magnet hospital by the American Nurses Credentialing Center. Just 9 percent of U.S. healthcare organizations hold this designation. We pride ourselves in not only serving our community with the highest of accolades but also pushing a multifaceted mission that strives for excellence within the OHSU Culture.
OHSU is hiring! We offer a variety of benefits on top of joining a thriving organization:
- Medical, dental and vision coverage at low or no cost to employees
- Covered 100% for full-time employees and 88% for dependents
- Several retirement plans to choose from! – Oregon Public Service Retirement Plan and University Pension Plan, voluntary savings plans (403b, 401a and 457b)
- Up to 200 hours (equal to 25 full days) a year of paid time off
- 96 hours of sick leave a year (prorated by FTE status)
- Commuter subsidies
- Tuition reimbursement
- Access to group life insurance, disability insurance and other supplemental benefits
- Annual Raises
- Employee discounts to local and major businesses
- Childcare service discounts
- Growth/Development Opportunities
We want you, apply and work with us today! https://www.ohsu.edu/
The purpose of this position is to function as a member of the Rehabilitation Services patient care team by providing occupational therapy services to the pediatric population, with a primary focus in the Neonatal Intensive Care Unit and in Acute Care.
Occupational therapy services are intended to improve functional independence in self-care, work/school, and play/leisure and may be pivotal to client discharge from the hospital, community integration, academic/professional success and/or quality of life. These services may include, but are not limited to: ADL (activities of daily living) training, energy conservation strategies, splint fabrication and monitoring, exercise for improved functional range of motion/strength/endurance, sensory integration activities, developmental stimulation, perceptual/cognitive training, assistive technology, and provision of appropriate adaptive equipment. The Occupational Therapist in this position would be expected to serve patients in multiple areas of Doernbecher Children’s Hospital. This position requires skills to both evaluate a patient’s functional performance and participation in activities of daily living as well as to provide appropriate therapeutic interventions to improve or enhance functional performance and independence. Assessment areas may include, but are not limited to, patient’s daily routines of self-care, feeding, play, school-related activities, sensory integrative and perceptual-motor processing, motoric abilities, prevocational skills, and community living skills. Parent or caregiver education and training is an integral part of this position. This position requires the ability to use Evidence Based Practice and Practice Based Evidence in achieving functional outcomes.
Therapists evaluate each patient referred, establish treatment goals/objectives, develop and treatment plan and implement the plan. Therapists are expected to supervise therapy interns, assist with other educational research activities conducted by the department or the hospital and meet hospital standards regarding documentation and productivity.
PROVIDES A SAFE THERAPEUTIC ENVIRONMENT
- Ensures the safety and welfare of patients and fellow employees
- Utilizes proper posture, sound body mechanics and principles for safe patient handling
- Considers the needs of patients, employees, medical staff, volunteers, vendors and members of the community in an informative, courteous and compassionate manner
- Maintains general good physical and mental health and self-care in order not to jeopardize the health and safety of self and others in the hospital / clinical setting
PROFESSIONALISM
- Maintains current knowledge of professional practice responsibilities and relevant national and state laws and issues which affect their practice
- Models ethical appropriate behavior, professional standards, compliance, and personal integrity
- Identifies and pursues continuing education opportunities; applies and shares new knowledge
- Participates in departmental staff meetings and in-service education programs
- Takes responsibility for special projects and assignments, and additional caseload when needed
- Displays mature, empathetic and effective professional relationships by exhibiting compassion, integrity and concern for others
- Conducts oneself in an ethical and legal manner, upholding the AOTA Code of Ethics, OHSU, federal privacy policies, and state statues / OAR's specific to discipline.
- Adapts to changing and demanding environments
SERVICE
- Demonstrates excellent customer service and communication skills in all interactions with patients and family, including both telephone and face-to-face situations
- Uses I CARE for introduction and closing
- Demonstrates active listening skills and supportive, professional/behavior at all times, to patients, families and staff
- Addresses complaints and problems promptly and courteously, involving management when indicated
- Communicates with patients/families, other health care team members, in a time and cost efficient, courteous manner
EVALUATION AND CASELOAD MANAGEMENT
- Prioritizes patient care needs given medical necessity, discharge plan, medical stability and appropriateness to participate in rehabilitation
- Evaluates patients to determine appropriateness of referral, and the abilities, disabilities and therapy needs of the patient. Identifies rehabilitation potential, establishes treatment goals specific to the scope of acute care rehabilitation, including functional outcomes, quantitative measures and target dates
- Develops treatment plans to achieve identified goals
- Documents evaluation in patient's medical record in compliance with DNV, OHSU, OAR’s and third-party payer criteria
- Enters accurate codes for services performed and bills time in patient care accurately
- Provides surveillance and/or consultation in a time-efficient manner for patients, specific to care area; requesting orders and/or providing guidance to the patient’s team regarding activity or prevention of complications (including but not limited to range of motion, skin integrity, fall risk reduction)
- Meets productivity standard.
PROVIDES SKILLED REHABILITATION TREATMENT
- Prioritizes care needs given medical necessity, discharge plan, medical stability and appropriateness to participate in rehabilitation
- Performs and documents skilled patient care activities, including direct treatment and caregiver/patient/family education
- Monitors and adjusts treatment plan specific to patient progress
- Facilitates routine patient activity plans with nursing and other caregivers
- Updates recommendations to team regarding continuing rehabilitation needs and plan as patient’s condition and situation warrant
- Directs, supports and provides supervision as required for Aides and volunteers
- Develops and enhances patient care program and patient outcomes in specialty area
- Documents treatment and other patient contacts in patient's medical record in compliance with DNV, OHSU, OAR’s and third-party payer criteria
CARE COORDINATION
- Collaborates with the patient, family and medical team in multi-disciplinary patient rounds, ensuring a common level of understanding of the patient’s rehabilitation needs, and providing recommendations for rehabilitation after discharge
- Requests patient /family conferences as appropriate, and participates in conferences representing department, heightens awareness of and advocates for rehab needs of patient
- Enhances patient safety both during and after hospitalization by assisting the team in problem-solving, including but not limited to fall risk reduction, prevention of contracture, implementation of structured activity for patients with cognitive impairments
- Provides feedback and educates physicians, fellows, residents, and other health care providers about rehabilitation (including but not limited to medical necessity for skilled rehabilitation services and appropriate referrals, and expectations for rehabilitation outcome and rehabilitation service intensity at various levels of care)
CLINICAL EDUCATION
- Provides evidenced-based clinical instruction experiences and supervision for occupational therapy students typically in a backup role to full time CI’s
- Ensure student completion of weekly goals; identifies and facilitates achievement of affiliation objectives
- Provides regular feedback, completes CPI on schedule
- Participates in the supervision and training for students from other disciplines
PERFORMANCE IMPROVEMENT AND PROFESSIONAL DEVELOPMENT
- Maintains current knowledge of, and complies with hospital and department policies and procedures, union contracts, etc
- Ensures baseline skills for patient management in all inpatient areas and maintains proficiency through regular exposure and patient care activity, mentoring with other staff, and formal or informal peer review
- Participates in ongoing professional development, mentoring and competency assessment for self and other staff. Includes but is not limited to: attends educational classes appropriate to a job development, communicates additional training needs to direct supervisor, attends staff meetings and orients new staff, cross-trains for position in assigned or other areas
- Assists in department quality improvement. Independently maintains an organized schedule, solves schedule conflicts through peer collaboration and informs supervisor when adequate patient coverage is not available
DEPARTMENT OPERATIONS
- Maintains a clean, safe and orderly environment for the patients, family and staff. Includes, but is not limited to: maintaining supplies, equipment and forms, notifying appropriate personnel when cleaning and repair of equipment is needed following infection control policies
- Ensures return of equipment after patient use to designated place (whether unit-owned or department-owned)
- Ensures and supports the delivery of individualized, high quality, current and evidenced based patient instructional materials; appropriate for patient condition and learning preferences
- Ensures scheduler / manager has ongoing, current availability for scheduling.
- Responds in a timely manner to scheduling requests; both for pre-scheduling requests for work opportunity response, and same day-notice unscheduled requests.
- Completion of an occupational therapy educational program that is recognized by the Oregon Occupational Therapy Licensing Board
- Outpatient or acute care pediatric affiliation or experience
- Knowledge, skills and abilities to conduct in-depth evaluations of patients referred for therapy, develops and provides professional occupational therapy programs for the care and treatment of patients having physical and/or mental disabilities.
- American Heart BLS Certification
- Oregon Occupational Therapist License
Compliance with Code of Conduct, Respect in the workplace and Applicable policies, procedures and agreements related to position, department or OHSU as a whole
Must be able to perform the essential functions of the position with or without accommodation
- Doctorate in Occupational Therapy (OTD)
- Ambulatory and acute care experience in pediatrics
- NICU, Pediatric Intensive Care Unit experience
- Experience with patient/clients aged 0-15 years.
- NICU, Pediatric Intensive Care Unit coursework or rotation.
- NICU specialty certification
Pay Range: $44.91 - $61.65 per hour (Commensurate with qualifications, experience and internal equity)
- Routine ambulatory and acute care inpatient hospital environment.
- Ability to lift 40 lbs., to repeatedly carry equipment weighing more than 5 lbs. and to walk extensively on hard and soft surfaces. Frequent bending and reaching to navigate medical equipment or perform treatment is required. Requires ability to respond quickly and appropriately to urgent medical situations that may arise with high risk or unusual patient populations. Able to use keyboard and mouse frequently for documentation and communications. Must be physically able to lift and/or carry children/individuals and to assume play positions with children. Knowledge of inpatient medical environments and equipment, such as, oxygen/ventilation/respiratory apparatuses.