Location: Wilmington, North Carolina, North Carolina
Internal Number: 774900300
The Fayetteville VA Health Care System has an immediate opening for (1) Orthotist / Prosthetist located with Prosthetics and Sensory Aids Services at the Wilmington Health Care Center in Wilmington, NC. This work requires a specialized knowledge of the medical and psychological problems directly related to the use of prosthetic devices; and a specialized knowledge and understanding of the fabrication and satisfactory fitting of prosthetic devices. An Orthotist Prosthetist at this level must have analytical ability, social awareness, tact and diplomacy, and good communication skills. The Orthotist Prosthetist at this level must be able to anticipate the need for action. He/she must also possess the ability to deal effectively with individuals and groups and to adjust to difficult or stressful situations. ABC or BOC Practitioner Certification is required at this level. An Orthotist Prosthetist at this level may serve as the (NCOPE) Residency Director for the site, or otherwise may be required to directly contribute to the education of Prosthetic-Orthotic Residents. For purposes of this qualification standard the reference "orthotist/prosthetist" is intended to mean orthotist, prosthetist, or orthotist/prosthetist. 1. Orthotist. An allied health professional specifically trained to provide or manage the provision of a custom designed, fabricated, modified, and fitted orthosis based upon independent or consultative clinical assessment of the patient's unique needs and desires, as well as their expectations pursuant to a physician's prescription. 2. Prosthetist. An allied health professional specifically trained to provide or manage the provision of a custom designed, fabricated, modified, and fitted prosthesis based upon independent or consultative clinical assessment of the patient's unique needs and desires, as well as their expectations and pursuant to a physician's prescription. 3. Orthotist/Prosthetist. An allied health professional specifically trained to provide or manage the provision of custom designed, fabricated, modified and fitted orthoses and prostheses based upon the independent or consultative clinical assessment of the patient's unique needs and desires, as well as their expectations and pursuant to a physician's prescription. 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. English Language Proficiency: Orthotists, prosthetists, or orthotist/prosthetists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d). Education: 1. A bachelor's degree or higher in orthotics and prosthetics from a Commission on Accreditation of Allied Health Education Programs (CAAHEP) accredited program. OR 2. A bachelor's degree or higher in any major along with a post-graduate orthotics or prosthetics certificate from a CAAHEP accredited program. (Graduates of foreign degree programs must have proof of a minimum of a Bachelor's degree from an accredited college or university or foreign equivalent, as verified through an independent credential evaluation company, with a specialization in orthotics and prosthetics.) Board Certification: Candidates must be board certified by the American Board for Certification in Orthotics and Prosthetics (ABC) or the Board for Orthotist/Prosthetist Certification (BOC) as an orthotist, prosthetist, or orthotist/prosthetist. The board certificate must be current and the applicant must abide by the certifying body's requirements for continuing education. (Certification as a technician, pedorthist, assistant or fitter does not meet this requirement.) Creditable Experience: 1. Knowledge of Current Orthotist / Prosthetist Practices. To be creditable, the experience must have demonstrated the use of knowledge, skills, and abilities associated with current professional orthotic and/or prosthetic professional practice. 2. Quality of Experience. The experience must be post-degree, from an accredited training program and include work as a professional orthotist/prosthetist directly related to the position to be filled. Experience satisfying this requirement may be paid or non-paid employment. For all assignments above the full performance level, the higher level duties must consist of significantly larger scope, administrative independence, complexity (difficulty) and range of variety as described in this standard at the specified grade level and be performed by the incumbent at least 25% of the time. 3. Part-Time Experience. Part-time experience as a professional orthotist/prosthetist is creditable according to its relationship to the full-time workweek. For example, an orthotist/prosthetist would receive 1 week of full-time credit for each 2 weeks of half-time work. GS-12 Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates. Experience. Completion of 1 year of experience equivalent to the next lower GS-11 grade level as an orthotist/prosthetist functioning as a full member of the clinical team which includes significant involvement in treatment plan development for the most complex types of conditions. Demonstrated Knowledge, Skills, and Abilities. The candidate must demonstrate the following KSA and demonstrate the potential to acquire the assignment specific KSAs designated by an asterisk (*):1. Knowledge of regulatory requirements established by the ABC, BOC, the National Committee for Orthotic/Prosthetic Education (NCOPE), the International Association of Orthotists and Prosthetists (IAOP), the American Academy of Orthotists and Prosthetists (AAOP), Joint Commission on Accreditation of Healthcare Organizations (JCAHO), etc.*2. Knowledge of administrative functions including budget development and management, inventory management, space and workload planning, as well as knowledge of the National Prosthetic Patient Database (NPPD), knowledge of the Prosthetic National Software (PNS) package, Decision Support System (DSS), and knowledge of accreditation requirements for orthotic and prosthetic laboratories and certification requirements for individuals.*3. Ability to analyze data and provide reports using CPRS, Vista, DSS, HCPCS codes and other patient database information.*4. Ability to provide training to orthotists/prosthetists in new technologies and innovations in devices. Advanced Practitioner. The orthotist/prosthetist assignment at this level is intended for smaller, independent laboratories. In addition to functions typical of the GS-11 grade level, the assignment involves responsibility for assuring the accreditation of the laboratory, regulation compliance, and a variety of administrative duties such as developing a budget; managing inventory and resources; overseeing contract employees; planning the orthotics and prosthetics clinical schedule; conducting site surveys of commercial vendors; devising short and long range goals in accordance with local, VISN, and VHA Central Office direction; and conducting quality assurance activities; etc. The orthotist/prosthetist 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 a subject matter expert to develop the orthotic and/or prosthetic treatment plan. The orthotist/prosthetist at this level is expected to recognize physical abnormalities, deviations, and complicating conditions with potentially life threatening implications. References: See VA Handbook 5005, Part II, Appendix G32. Orthotist/Prosthetist Qualification Standard GS-667 ["Functional Tasks: 1. Follows established regulations and procedures to insure patient privacy. 2. Identifies biomechanical condition. 3. Conducts gait analysis, range of motion, coordination and balance, motor skills, and clinical assessment studies in accordance with occupational principles for unusual conditions, multiple complex interrelated conditions, etc. 4. Interviews patients to determine expectations, lifestyle, home/work environment, ability to use the device. 5. Takes necessary measurements, casts or scans to develop positive molds of the affected area of the body, which are used to create the orthosis and/or prosthesis. 6. Recognizes physical abnormalities, deviations, and complicating conditions with potentially life threatening implications. 7. Assesses patient for indications/contra-indications of appropriate treatment protocols and discusses the assessment with the physician/requesting provider for purposes of developing the overall treatment plan. Has considerable influence in the development of the plan. 8. Considers new and emerging technologies in designing unique or innovative devices to accommodate or treat a wide range of complex medical conditions, which include unusual problems or complications. 9. Considering the information developed through the assessment as well as time management workload considerations, designs custom devices using standard components to optimize patient performance for difficult and complex conditions; may include CAD/CAM systems. 10. Selects materials and components to be used in fabrication of the device and determines appropriate equipment to be used in fabrication of the device. 11. Fabricates components, or selects and modifies components, and assembles these into the finished device. Uses CAD/CAM system as appropriate in this process and performs preliminary alignment. 12. Fits the device on the patient, assures preliminary alignment, and performs subsequent dynamic alignment. 13. Assesses and/or modifies fit and function of the device as fabricated and makes appropriate modifications to insure optimum patient outcome. 14. Evaluates patient's ability to don/doff the device, provides training to the patient and/or caregiver in its use and maintenance. This may also include training the clinical staff. 15. Explains procedures and processes to the patient to reduce anxiety and gain support and cooperation in all stages of the process. 16. Maintains the patient's record, including the electronic record, in accordance with established JCAHO/ABC/BOC/Medical Center/VISN policies 17. Attends professional and manufacturer's training seminars. 18. Completes mandatory training per hospital requirements. 19. Maintains professional credentials and/or competency. 20. Observes appropriate, established infection control guidelines. 21. Follows environmental and occupational safety guidelines. 22. Communicates and interacts with physicians, allied health professionals, patient and caregiver in various interdisciplinary clinical settings as a subject matter expert to develop the O/P treatment plan. (PM&R, Orthopedics, Neurosurgery, vascular, podiatry, oncology, etc.) 23. Conducts in-service training for O/P staff, VSO's, as well as staff in other disciplines regarding O/P technologies. 24. Provides guidance and direction to lower graded O/P staff. 25. Manages the daily operations of a small to medium Lab. 26. Plans clinical schedule for Orthotics and Prosthetics and assures appropriate staff coverage. 27. Conducts site surveys of commercial vendors to insure vendor regulatory compliance. 28. Evaluates the ability of a vendor to provide a product. 29. Responsible for accreditation compliance. 30. Develops short & long range plans/goals for the lab in accordance with local, VISN, Headquarters direction. 31. Develops budget plan for lab 32. Manages inventory of stock items, fabrication materials, and components 33. Assures safe workplace considering environmental concerns, OSHA/JCAHO regulations 34. Conducts quality assurance activities ALL OTHER ASSIGNED DUTIES Work Schedule: Monday - Friday; Hours 8:00a - 4:30p Financial Disclosure Report: Not required Telework: Not available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized"]
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. At VA Long Beach Healthcare System, our health care teams are deeply experienced and guided by the needs of Veterans, their families, and caregivers. Our medical center provides primary care and specialty health services, including cardiology, mental health care, treatment for spinal cord injuries and disorders, suicide prevention, women’s health services, and more.