Certified Occupational Therapy Assistant

Community Rehabilitation Hospital West is a 40-bed, 50,000-square-foot, two-story facility. We focus on acute rehabilitation for patients who suffer from stroke, traumatic brain injury, spinal cord injury, complex neurological disorders, orthopedic conditions, multiple traumas, amputation and other injuries or disorders. Large multidisciplinary therapy gymnasiums are outfitted with the latest therapeutic technologies, including augmented reality balance training, therapy bionics and a full body exoskeleton. The 40-bed hospital also includes a therapeutic courtyard with exterior amenities to support patient care and help return the patient back to daily living activities.

JOB SUMMARY:

The Certified Occupational Therapy Assistant functions under the direct supervision of the Occupational Therapist and as directed by a licensed physician, is responsible for a specific patient’s care. The COTA assumes responsibility and accountability for providing occupational therapy modalities and treatment procedures as determined by a treatment plan established by an Occupational Therapist in order to restore function and prevent disability following patient illness or injury. The COTA carries out these responsibilities in accordance with established hospital and departmental policies while maintaining the highest degree of quality patient care.

ESSENTIAL FUNCTIONS:

• Under guidance of supervising OTR/L: Acquires pertinent information and implements comprehensive program using varied techniques and treatment activities; reviews and modifies treatment in response to changing patient needs; identifies equipment and discharge needs.

• Is aware of patient injury/diagnosis and takes all necessary precautions for observing indications and contradictions.

• Observes, measures and records the cardiovascular responses of heart rate, blood pressure, and oxygen saturation.
• The population is adult and geriatric patients requiring an adult medical rehabilitation program and services.
• Provides input/suggestions for the physical functioning of the department in the areas of equipment management, space utilization, storage, etc.
• Plans and presents educational programs for department; hospital and/or community.
• Protects patient confidentiality in regard to medical, emotional, and social status.
• Assists in maintenance of safe, clean work environment.
• Uses computer system to assist in preparation/maintenance/printing of work list and entering of charges.
• Demonstrates appropriate and effective written, verbal and non-verbal communication with team members through the continuum of care.
• Utilizes specialized equipment, testing procedures and/or advanced treatment techniques with appropriate competency
• Complies with department, hospital, and regulatory agency guidelines with respect to ethics, legal issues and supervisory relationships. Demonstrates professional accountability per AOTA Occupational Therapy Code of Ethics and Standards of Practice.
• Reports on patient’s status at patient care in team conference when necessary. (Team conferences should be attended by the supervising OTR/L and with the COTA in attendance.)
• Other duties as assigned
• Performs discharge planning under the direct supervision of the OTR/L (prescriptions, equipment requests, and referrals).
• Assists in preparation/maintenance of daily treatment schedule.
• Conducts the class/group situations (stroke, SCI, BI) as appropriate.
• Provides written and updated treatment/coverage programs for days off.
• Communicates collaborates with support personnel regarding treatment orders as directed by the supervising OTR/L.
• Keeps the supervising therapist informed of patient’s status, problem areas, progress, etc.
• Completes timely and accurate documentation, including QI scoring, of patient treatment in the patient medical record as indicated
• Provides orientation, instruction, supervision and/or guidance to ancillary staff, COTA students, and volunteers.
• Provides treatment to diverse diagnostic populations and completes supporting documentation according to hospital policy and State Practice Act.
• Develops home programs and instructs patients in the programs as delegated by the supervising occupational therapist.
• Perceives the existence of problems and notifies supervising therapist for implementation of safe, effective and timely solutions.
• Assists in inventory and ordering of supplies and equipment.
• Able to assess patient pain interfering with optimal level of function of participation in rehabilitation; makes appropriate interventions to reduce pain after consulting with supervising OTR/L and makes appropriate physician contact as indicated.
• Observes treatment affect, accomplishment of short and long term goals and recommends change to the supervising OTR/L, if needed.
• Assists in program development and preparation to meet regulatory agency standards i.e. Joint Commission, CARF.
• When necessary, instructs care giver/family members in home exercise program as related to the patient’s functional and self-care status: discusses necessary equipment for the home situation.
• Demonstrates appropriate safety measures when implementing treatment programs.
• May transport patients/equipment to/from therapy gym.

• Current state licensure/certification as a Certified Occupational Therapy Assistant.
• Previous experience in the care of patients preferred.
• Current BLS/CPR.