The pedorthtist communicates and interacts with physicians, allied health professionals, patients, and caregivers in various interdisciplinary clinical settings, rehabilitation medicine, orthopedics, neurosurgery, vascular care, podiatry, oncology, etc. as subject matter expert in foot care to develop the foot orthotic and footwear treatment plan. TREATS, VIA PEDORTHIC PRINCIPLES, PATIENTS WITH VARIOUS DISORDERS WITH DIAGNOSIS BELOW THE ANKLE 1) Assessment of patients with impairment of human movement or musculoskeletal abnormalities that would otherwise impede their ability to participate in their social environment or other activities in order to determine functional intervention. Pedorthic patient assessment may include, but is not limited to, the evaluation and documentation of: - anthropometric data - cognition - circulation - skin integrity - protective sensation - pain - peripheral nerve integrity - respiratory capacity - biomechanics - gait analysis including temporal and spatial assessment - range of motion - muscle strength - posture and balance - proprioception - pedorthic requirements - environmental barriers including social, home, and work reintegration 2) Formulation of a treatment plan based upon a comprehensive assessment to design an intervention to alleviate limitations and enhance function. Pedorthic treatment includes, but is not limited to: - verification of prescription/documentation - evaluation of the prescription rationale - a needs assessment based on patient and/or caregiver input - development of functional goals - analysis of structural and design requirements - consultation with and/or referral to other health care professionals 3) Implementation of the pedorthic treatment plan includes but is not limited to: - acquisition of anthropometric data - modification and/or rectification of anthropometric data - material selection - fabrication of pedorthic devices - device structural evaluation - diagnostic fitting - gait training - assessment of intervention for appropriate outcomes - patient education and instruction - supervision of the provision of care 4) Utilization of a follow-up treatment plan that ensures successful pedorthics outcomes, patient health and quality of life which includes, but is not limited to: - documentation of functional changes - formulation of modifications to ensure successful outcomes - reassessment of patient expectations - reassessment of treatment objectives - development of long term treatment plan - confirmation of patient education and instruction - evidenced based practice 5) Compliance with practice management plans to develop and document policies and procedures to ensure patient protection includes, but is not limited to: - adherence to applicable local, state and federal laws and regulations - following patient care guidelines and procedures maintaining a safe and professional environment for patient care - comprehension of claims development and submission 6) Promotion of competency and enhancement of pedorthic professional practice to contribute to the profession's body of knowledge includes, but is not limited to participation in: - training of residents/students - continuing education - clinical research - evidence based studies - promotion of public awareness of the pedorthic profession - consumer organizations, governmental and non-governmental organizations Work Schedule: Full Time, Monday - Friday 8:00 - 4:30. Scheduled subject to change based on the needs of the Agency. Position Description Title/PD#: Health Technician (Pedorthist)/PD91210A Physical Requirements: Work requires movement throughout the medical center, standing, bending, sitting, reaching, and lifting up to fifty pounds. There exists prolonged periods of working at a computer terminal. Ability to retrieve equipment from a storage room is required. Climbing associated with stocking of equipment and other items in storage areas is necessary. Normal safety precautions are utilized as appropriate for office, hospital, and warehouse settings. The work involves moderate discomfort when visiting sites away from the office. At times the employee may be required to wear personal protective equipment (i.e., mask and gown) when visiting work areas with other environmental exposures including wheelchair repair area or Prosthetic and Orthotic Laboratory. Patient transfer and lifting is required. Work Environment: Incumbent works in a fabrication facility Normal duties are performed in an office setting, which has adequate heat, light and ventilation: however, on a daily basis the incumbent must retrieve prosthetics items from various storage areas. Incumbent has direct daily contact with patients and will handle equipment returned form veterans with contagious diseases; therefore, the incumbent is required to practice Standard Precautions on a daily basis. Standard precautions include wearing of gloves while handling disinfectants used daily on returned reusable medical equipment as well as wearing of personal protective equipment used to reduce the risk of disease transmission.
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.