This position is located in the Physical Therapy Department of the Physical Medicine and Rehab Service (PMR) in the Amarillo VA Health Care System.The Physical Therapy Assistant (PTA) provides treatment that promotes the prevention, remediation, and rehabilitation of acute and chronic physical and psychosocial dysfunction. 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: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education. Individuals must meet at least one of the requirements below:(1) Associate degree from an accredited community college, junior college, college or university in a physical therapy assistant education program accredited by the Commission on Accreditation in Physical Therapy Education; OR(2) Graduate of foreign physical therapy assistant degree programs that meet the educational requirement and have successfully passed the National Physical Therapy Exam (NPTE) for PTAs. OR(3) Graduate of military physical therapy assistant programs that meet the educational requirement and have successfully passed the NPTE for PTAs. Licensure. Current, full, active and unrestricted license as a PTA in a State, Territory or Commonwealth (i.e. Puerto Rico) of the United States, or District of Columbia.(1) Exceptions for Non-Licensed Physical Therapy Assistant.(a) Non-licensed applicants who otherwise meet the minimum qualification requirements, but who do not possess state licensure, may be appointed, pending licensure, as a graduate PTA on a full-time temporary appointment under the authority of 38 U.S.C. § 7401(a)(1)(B) and not to exceed two years in accordance with the timeframe in 38 U.S.C. § 7405(c)(2)(B).(b) Non-licensed individuals shall only provide care under the direct supervision of a licensed PTA or PT who meets all state regulatory requirements.(c) Non-licensed individuals may only be appointed at the entry level and may not be promoted/converted until licensure is obtained.(d) Temporary appointments of non-licensed PTAs may not be extended beyond two years or converted to a new temporary appointment. English Language Proficiency. PTA candidates must be proficient in spoken and written English in accordance with 38 U.S.C. § 7403(f). May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: In addition to the basic requirements outlined above, the following criteria must be met when determining the grade of candidates. GS-5: None beyond the basic requirements. GS-6: Experience. One year of creditable experience equivalent to at least the next lower grade Demonstrated Knowledge, Skills and Abilities. In addition to the basic requirements, the candidate must demonstrate the following KSAs: (a) Knowledge of evidence based physical therapy practice. (b) Ability to perform physical therapy data collection and use of objective measures in order to carry out patient plan of care. (c) Ability to modify treatment approaches, within the scope of the established treatment plans, to reflect patients' changing needs. (d) Skill in promoting physical therapy services by providing training and interventions within the assigned areas. Assignment. PTAs at this grade level serve in developmental positions under general direction from PTs. They receive ongoing guidance from more experienced staff members and require general clinical [direction] by the treating physical therapist. PTAs develop a broad base of practical knowledge to assist the PT in reaching pre-determined patient goals. GS-7: Experience. One year of experience equivalent to the next lower grade. Demonstrated Knowledge, Skills and Abilities. In addition to the basic requirements, the candidate must demonstrate the following KSAs: (a) Ability to perform in depth chart review to implement treatment plans. (b) Ability to independently use objective measures to assess progress, in accordance with the plan of care for complex patient cases.(c) Knowledge of contemporary physical therapy practice. (d) Ability to consult with the PT to assess progress, modify treatment and set discharge plan. Assignment. This is a developmental level for PTAs. PTAs receive ongoing guidance from more experienced staff members and receive general direction by the treating PT. PTAs draw upon a broad base of practical and experiential knowledge in order to assist the PT in reaching pre-determined patient goals. PTAs work independently but still under the general direction of PTs. They observe patients' ability to perform specified tasks in order to provide ongoing assessment of information on patients' physical and functional status. PTAs work with the physical therapy staff to assess progress, modify treatment and set discharge plan. They provide clinical direction for PTA students GS-8: Experience. One year of experience equivalent to the next lower grade. Demonstrated Knowledge, Skills and Abilities. In addition to the basic requirements, the candidate must demonstrate the following KSAs: (a) Ability to independently implement treatment plan using knowledge of techniques related to the patient's disability and needs. (b) Ability to independently provide varied and multifaceted physical therapy interventions based on the established care plan (e.g., therapeutic exercise, balance, body mechanics, flexibility, strength, gait training, neuromotor development, physical agents, functional training, etc.). (c) Knowledge of physical therapy data collection and assessment techniques in order to perform specific interventions and to monitor and capture progress of the patient/client. (d) Ability to instruct patient on varied interventions to provide materials to enhance compliance with home programs. (e) Ability to modify treatment techniques based on the learning needs and perceptions of the patient.(f) Ability to identify critical changes (e.g. vital signs, pain, mobility and alertness) in patient conditions to determine their medical and functional status. (g) Ability to work with PTs and other interdisciplinary healthcare team members to evaluate patient information for planning, modifying and coordinating treatment programs and discharge planning. Assignment. This is considered the journey level for PTAs. PTAs at this level collaborate with the primary PT then draw upon a broad base of practical knowledge and a well-developed treatment skill set in order to reach pre-determined patient goals by independently modifying techniques within the established plan of care. They implement the plan of care for patient cases, advance the program and continually review the patient's condition to determine their medical and functional status. They provide evidenced based skilled interventions including, but not limited to, therapeutic exercise, therapeutic activities, therapeutic modalities, gait training, transfer training, manual treatment, neuromuscular re-education, self-care and management training, patient/caregiver's education and group therapy. They meet with the physical therapy staff and other healthcare team members to evaluate and discuss patient information for planning, modifying and coordinating treatment programs and discharge planning. Preferred Experience: Acute or chronic conditions Patient management in outpatient setting Virtual care Treatment of vestibular disorders Biopsychosocial approach for treatment of chronic pain Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-08. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-05 to GS-08. Physical Requirements: Moderate lifting (15-44lbs), occasional heavy lifting (45lbs+), light carrying (under 15lbs), pushing (1 hour), reaching above shoulder, use of fingers, both hands required, walking, standing, kneeling, repeated bending, both legs required ["Duties of this position include but are not limited to: Receiving and interprets requests and instructions for physical therapy procedures; Independently planning and implementing specialized treatment programs and applies physical therapy procedures to patients under the general supervision of a physical therapist. May carry out or oversee the work of lower graded assistants or technicians to accommodate requests; Completing preliminary review/examination of patient data (including medical history), compiling and organizing pertinent information, and developing/presenting a patient profile to be used in assessing patient's status; Assisting with or rendering a course of treatment based on the assessed needs of the patient, developing progressive types of physical therapy treatment programs within the scope of the physical therapy assessment. This may necessitate consultation with a physical therapist or physician; Assisting therapist in development of a comprehensive specialized treatment plan that includes long- and short-term goals. Persuades and motivates veterans and family members to participate in treatment plans and comply with indicated regimens and post-discharge activities. Interacts with the patient and family regarding goals for treatment; Independently performing highly specialized and diversified treatment procedures. Utilizes the full range of modalities including heat, cold, sound, electricity, and massage. Administers active and passive therapeutic exercise. Within the scope of the physical therapy assessment, the incumbent may fit, adjust and instruct patients in use of orthoses, prostheses, and mobility appliances. Instructs, motivates, and assists patients to learn activities of daily living and improve functional activities; Preparing and maintaining appropriate equipment and supplies required for treatments; Other related duties as assigned. Work Schedule: Monday - Friday, 8:00am - 4:30pm Telework: Ad-hoc Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized This is a bargaining unit position."]
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.