Veterans Affairs, Veterans Health Administration Physical Therapist in Houston, Texas
Summary This position is located at the Michael E. DeBakey VA Medical Center in Houston, Texas. The incumbent independently provides Physical Therapy services primarily to patients referred from the RECL and Operative and Medicine Care Lines for acute Physical Therapy care with particular emphasis on the acute medical, surgical, and ICU units. Provides Physical Therapy services to patients with a variety of diagnoses as available or assigned. Responsibilities This position is open to all US Citizens. If you are a current, permanent federal employee please apply on announcement CBST-11255115-22-DS. Performing examinations and evaluations of individuals who have or may develop impairments, activity limitations, and participation restrictions related to conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems while considering the effects attributable to unique psychosocial and environmental factors. Independently interprets consults, findings from examination and evaluation, selects appropriate test and measures, and integrates findings into the physical therapy plan of care for the full range of patient populations. Appropriately establishes a diagnosis within the scope of physical therapy and identifies the appropriate rehabilitation intervention, including referral to another provider for further consultation as clinically indicated. Determines accurate physical therapy prognosis by incorporating examination findings with the patient's preferences in order to set clinically appropriate treatment goals, optimize outcomes and maximize functional independence. Exhibits the knowledge and skills necessary to demonstrate sensitivity to the special needs of all patients in respect to age, functional status, and culturally related factors. Communicates effectively, both orally and in writing, with patients, families, caregivers, healthcare professionals to facilitate the interdisciplinary treatment process. Reviews the medical record and independently evaluates each patient to determine functional deficits and the best method to accomplish rehabilitation goals. Evaluations include medical history, results and interpretation of appropriate functional tests and measurements such as: range of motion, muscle strength, sensory deficits, coordination, functional mobility, pain scales, etc. Utilizes standard and non-standard methods in the evaluation and interpretation of a wide variety of physical functional levels. Develops an individualized patient centered treatment program with each patient including functional, measurable, and timed short and long term goals as appropriate. Implements, in a timely manner, progressive treatment programs to meet goals, taking into consideration the specific rehabilitation needs of each patient. Applies recognized Physical therapy treatment procedures correctly, safely, and modifies these techniques in such a manner as not to interfere with any traction devices, surgical drains, catheters, immobilizing appliances, respiratory aides, or monitoring devices. Independently adapts and modifies treatment programs, to better meet short term and long term goals. Recognizes adverse reaction to treatment, significantly altered physical or mental status of patients, and reports to appropriate medical authority. Documents initial findings, treatment goals, equipment recommendations, treatment provided, patient progress, patient/family education, and discharge summary in patient's medical record within established guidelines. Evaluates for and recommends appropriate assistive devices and special equipment as indicated. Accurately completes timely Prosthetics consults for recommended items. Fits devices appropriately for patient needs and instructs patient/care provider in the use of these devices. Develops appropriate home program with patient, as needed, prior to discharge. As indicated, instructs family or care provider in ways to assist patient to carry out the program. Completes patient and/or family training as indicated. Participates in team conferences, rounds, discharge planning meetings, specialty clinics, other assigned medical meetings. Observes infection control procedures, safety and treatment precautions pertinent to the patient's condition or disease process, and the specific treatment technique or procedure being utilized. Participates in continuing education activities applicable to the patient cohort for which Physical Therapy services are being provided. Reads peer-reviewed journals, attends seminars, workshops, in-service meetings and lectures, etc. to upgrade physical therapy knowledge, skills and competencies pertinent to MEDVAMC and RECL programming. Shares new and evidence based techniques and information with all appropriate staff. Provides assistance and guidance for less experienced staff in physical therapy treatment. Assists with educating/training of other students and less experienced staff. Work Schedule: Tuesday through Saturday, Time: 8:00 AM - 4:30 PM Additional Weekend work may be required Telework: Not Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Physical Therapist Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Requirements Conditions of Employment 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: Candidates must be a citizen of the United States. After a determination is made that it is not possible to recruit qualified citizens, necessary personnel may be appointed on a temporary basis under authority of 38 U.S.C. 7405 without regard to the citizenship requirements of 38 U.S.C. 7402 or any other law prohibiting the employment of or payment of compensation to a person who is not a citizen of the United States. Candidates must meet all other requirements for the grade and position concerned. Education and experience: The individual must meet at least one of the requirements below: Bachelor's degree in Physical Therapy AND five (5) years of progressively independent experience as a physical therapist Master's degree in Physical Therapy AND two (2) years of progressively independent experience as a physical therapist Doctorate degree in Physical Therapy. Foreign Graduates: Graduates of foreign physical therapy programs meet the requirements in subparagraph 3b if they have a full unrestricted and current license to practice physical therapy in a State, Territory or Commonwealth of the United States, or in the District of Columbia Licensure: Individuals hold a full, current, and unrestricted license to practice physical therapy in a State, Territory or Commonwealth of the United States, or in the District of Columbia. Non-licensed PTs, who otherwise meet the basic requirements in this standard, may be given a temporary appointment as a graduate PT at the GS-11 grade level under the authority of 38 U.S.C. 7405 (a)(1)(D) for a period not-to-exceed two years from the date of employment on the condition that such PT provide care only under the supervision of a PT who is licensed. Failure to obtain licensure during that period is justification for termination of the temporary appointment. English Language Proficiency: Individuals appointed under authority of 38 U.S.C. chapters 73 or 74, to serve in a direct patient-care capacity in VHA must be proficient in written and spoken English. Grade Determinations: GS-11 Physical Therapist (Developmental): No Additional Requirements GS-12 Physical Therapist (Full Performance Level) (a) Education, Experience and Licensure. In addition to the basic requirements, candidates must possess one year of experience equivalent to the GS-11 grade level, hold a valid unrestricted state license and demonstrate all the KSAs below: (b) Demonstrated Knowledge Skills and Abilities (KSAs): 1. Ability to make autonomous clinical decisions in a Direct Access environment. This includes ability to independently evaluate and treat patients who seek PT services. 2. Skill in performing examinations and evaluations of individuals who have or may develop impairments, activity limitations, and participation restrictions related to conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems while considering the effects attributable to unique psychosocial and environmental factors. 3. Ability to interpret findings from examination and evaluation, select appropriate test and measures, and integrate findings into the physical therapy plan of care for the full range of patient populations. 4. Ability to establish a diagnosis within the scope of physical therapy and identify the appropriate rehabilitation intervention, including referral to another provider for further consultation as clinically indicated. 5. Ability to determine physical therapy prognosis by incorporating examination findings with the patient's preferences in order to set clinically appropriate treatment goals, optimize outcomes and maximize functional independence. 6. Ability to independently provide clinical oversight of PT Assistants as well as students on clinical affiliations who are in Doctoral PT Programs or PTA Programs. References: VA Handbook 5005, Part II, Appendix G12. The full performance level of this vacancy is Grade 12. This position may be filled at the GS-11 or GS-12 level. Physical Requirements: Work requires typical physical requirements of working within a hospital facility, outpatient clinic, office, gymnasium or pool in the performance of job responsibilities. Physical exertion such as prolonged standing, frequent moderate lifting with occasional heavy lifting (up to 50 lbs), crouching, bending, stretching, walking stairs, reaching over shoulders, pulling/pushing, Heavy lifting/carrying, reaching, pushing, walking, standing, repeated bending and climbing. Personal Protective Equipment (PPE) may be required in the course of a workday. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. NOTE: Individuals must be a graduate of a Commission on Accreditation in Physical Therapy Education (CAPTE) accredited college or university. NOTE: Prior to 1995 the terminal degree for PT's was either a bachelors or master's degree. In 1995 CAPTE accredited all baccalaureate, master's, and Doctor of Physical Therapy terminal degree programs. Effective 2002, CAPTE changed its scope of accrediting activities of PT education programs to include only those programs that culminate in post-baccalaureate degrees(eliminating the baccalaureate degree). Effective 2015, professional physical therapy education programs have only offered the Doctor of Physical Therapy (DPT) degree to all new students. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Foreign Graduates. Graduates of foreign physical therapy programs meet the requirements in subparagraph 3b if they have a full unrestricted and current license to practice physical therapy in a State, Territory or Commonwealth of the United States, or in the District of Columbia. The Foreign Credentialing Commission on Physical Therapy (FCCPT) is a non-profit organization created to assist the United States (U.S.) Citizenship and Immigration Services (formerly INS) and U.S. state licensing authorities by evaluating the credentials of Foreign Educated Physical Therapists (FEPTs) who wish to immigrate and work in the U.S. Although the licensing of physical therapists in the U.S. is a right and responsibility of each jurisdiction, foreign educated individuals must undergo an educational credentials assessment for substantial equivalency to the first professional degree in the US. The Federation of State Boards of Physical Therapy (FSBPT) is committed to protect the public and to provide leadership within the field and practice of physical therapy. FSBPT's Foreign Educated Standards Committee has developed standards that represent "best practices" in evaluation services. The Credentials Evaluation Standards were developed with input from the physical therapy credentialing agencies that are licensed to use FSBPT's Coursework Tool. Additional Information As required by Executive Order 14043, Federal employees are required to be fully vaccinated against COVID-19 regardless of the employee's duty location or work arrangement (e.g., telework, remote work, etc.), subject to such exceptions as required by law. If selected, you will be required to be vaccinated against COVID-19 and submit documentation of proof of vaccination by November 22, 2021 or before appointment or onboarding with the agency, if after November 22. The agency will provide additional information regarding what information or documentation will be needed and how you can request of the agency a legally required exception from this requirement. Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.