IMPERIAL COUNTY CLASS TITLE: PHYSICAL THERAPIST BASIC FUNCTION: Under the direction of a Medical Therapy Unit Supervisor, provide physical therapy to individuals in the California Children Services Medical Therapy Unit (CCS/MTU) with medically eligible conditions; evaluate, develop and implement physical therapy treatment plans in response to client needs; train and provide work direction and guidance to therapy support staff. REPRESENTATIVE DUTIES: ESSENTIAL DUTIES: Provide physical therapy to clients in the CCS/MTU as prescribed by physician instructions; select and utilize appropriate evaluation tools; prepare written evaluations of client needs; establish functional goals and achievable objectives based on evaluations and clinical observation. Evaluate, develop and implement physical therapy treatment plans, programs and sessions in response to client needs; monitor, evaluate and adjust initial and subsequent treatment plans, programs and therapy activities in response to client needs and progress. Perform evaluation procedures such as test of function, strength, tone, range of motion, upright motor control, spasticity, sensation, proprioception, visual field, bulbar functions, cognition, gait analysis, body image, electro diagnostic and other tests; analyze results to determine extent of patient deficits, limitations and disabilities. Provide training and assistance to staff, patients, families, school personnel and others concerning physical therapy and related treatment plans, methods, principles, theories, standards, guidelines, requirements, practices and procedures; make home and school site visits to evaluate the physical environments of clients and assist in determining program, equipment and other therapeutic needs. Train and provide work direction and guidance to assigned therapy support staff; recommend caseload assignment for therapy support staff; oversee patient care treatments provided by support staff; review work for compliance with established standards, policies and procedures. Implement direct patient care program; perform complex treatments such as proprioceptive neuromuscular facilitation, muscle re-education, bulbar treatment, joint and soft tissue mobilization, mobility training, neuro-developmental techniques, functional electrical stimulation, fabrication and application of orthotic devices; provide prosthetic training and post-operative management. Confer and consult with physicians regarding evaluation, treatment and progress of patients, changes in treatment plans and discharge plans; provide recommendations to physicians for enhancing the functions of patients by use of a wide variety of medical, surgical or bracing procedures. October 2006 Physical Therapist - Continued Page 2 Monitor and evaluate client needs for new equipment such as braces, wheelchairs, walkers, lift devices or other therapeutic equipment; write letters of medical justification for Durable Medical Equipment (DME); evaluate existing equipment for effectiveness and make appropriate modifications; make adjustments in response to client growth as needed; instruct parents and caregivers in the maintenance and safe use of equipment; consult with DME providers as needed. Consult with classroom personnel regarding appropriate positioning for clients in the classroom and appropriate physical activities for clients. Develop implement and instruct families and caregivers concerning home exercise programs for physical therapy. Compile information and prepare and maintain various records and detailed written reports, case notes and summaries concerning patients, treatment, therapeutic activities, goals, objectives, progress, evaluations and assigned duties in accordance with established policies, regulations and procedures. Communicate with clients, physicians, personnel, schools, outside agencies and others to exchange information and resolve issues or concerns; prepare, distribute and respond to a variety of correspondence. Operate a variety of standard office equipment including a computer and assigned software; drive a vehicle to conduct work; utilize various hand and power tools in the design and fabrication of positioning devices. Coordinate client programs, schedules, transportation and other matters with others. Order supplies for office and clinic as assigned. Attend and participate in various meetings, workshops, in-services and clinics as assigned; attend IEP meetings as necessary. Maintain current knowledge of technological advances in medical equipment and advances in physical therapy techniques. OTHER DUTIES: Perform related duties as assigned. KNOWLEDGE AND ABILITIES: KNOWLEDGE OF: Principles and techniques of physical therapy. Practices, procedures and techniques involved in the development and implementation of treatment plans, programs and sessions for individual clients according to individual needs. Anatomy, physiology, kinesiology, neurology, neuroanatomy including structure function, malfunction, therapeutic exercise, muscle physiology and principles of treatment. Evaluation procedures such as test of function, strength, tone, range of motion, upright motor control, spasticity, sensation, proprioception, visual field, bulbar functions, cognition, gait October 2006 Physical Therapist - Continued Page 3 analysis, body image, electro diagnostic and other tests. Applicable laws, codes, regulations, policies and procedures. Operation and maintenance of equipment used in physical therapy. Safety precautions including hazards associated with client’s specific activities. Oral and written communication skills. Record-keeping and report preparation techniques. Principles of training and providing work direction. Health and safety regulations. Interpersonal skills using tact, patience and courtesy. BLS techniques. ABILITY TO: Provide physical therapy to clients in the CCS/MTU as prescribed by physician instructions. Evaluate, develop and implement physical therapy treatment plans in response to client needs. Train and provide work direction and guidance to therapy support staff. Evaluate individual physical disabilities of patient and prepare written evaluations. Provide training and assistance to teachers, staff, parents and others concerning physical therapy and related treatment. Communicate effectively with families of handicapped individuals. Establish and maintain cooperative and effective working relationships with others. Maintain records and prepare reports. Monitor and evaluate equipment needs. Repair and fabricate special equipment as necessary. Operate a variety of office equipment including a computer and assigned software. Interpret, apply and explain rules, regulations, policies and procedures. Maintain current knowledge of related technological advances and other matters. Prioritize and schedule work. Meet schedules and time lines. Observe health and safety regulations. Perform BLS as required. EDUCATION AND EXPERIENCE: Any combination equivalent to: bachelor’s degree in physical therapy and one year experience in physical therapy. LICENSES AND OTHER REQUIREMENTS: Valid Registered Physical Therapist Certificate issued by the California Board of Physical Therapy. Valid California driver’s license. Current BLS certificate. WORKING CONDITIONS: ENVIRONMENT: Therapy center environment. Driving a vehicle to conduct work. October 2006 Physical Therapist - Continued PHYSICAL DEMANDS: Dexterity of hands and fingers to operate office and therapeutic equipment. Seeing to monitor client progress and read a variety of materials. Hearing and speaking to exchange information. Bending at the waist, kneeling or crouching to assist students. Reaching overhead, above the shoulders and horizontally. Sitting or standing for extended periods of time. Lifting, carrying, pushing and pulling heavy objects as assigned by the position. October 2006 Page 4