The Orthotist/Prosthetist functions in the Orthotic/Prosthetic Laboratory Section of the Central Virginia HCS, Richmond, Virginia. He/she administers, trains, and performs work concerned with providing clinical and laboratory prosthetic and orthotic services to disabled Veteran beneficiaries. This work requires a specialized knowledge of the medical and psychological problems directly related to the use of prosthetic devices and the fabrication and satisfactory fitting of prosthetic devices. The duties of the Orthotist/Prosthetist include but are not limited to: Understands the complex and unique activities and characteristics of a Level 1 Polytrauma facility (to include Spinal Cord Injury Traumatic Brain Injury, Physical Medicine and Rehab Services PACT Committee, Amputation System of Care (ASoC) and Regional Amputation Center (RAC), and Servicemember Transitional Amputation Rehabilitation (STAR) program. Assists the Chief, O&P Services in the planning, developing, and directing an Orthotic-Prosthetic Laboratory and related clinical activities at the national, VISN or local level. Serves as an advisor to physicians, therapists and other medical professionals with regard to indications and contraindications of prosthetic and orthotic componentry, prescription criteria. Authorizes the purchase, fabrication or repair of prosthetic devices. Maintains continuous liaison with manufacturers and dealer of prosthetic supplies, inspecting their facilities and services and participating in the award of prosthetic appliance contracts. Participates in investigative/research project studies by selecting patients as pilot wearers of newly developed prosthetic items, evaluating the usefulness of such items and compiling of data. Gives technical and administrative advice and assistance on prosthetic problems to other facilities. Maintains close liaison with the ASoC Director and RAC Orthotist/Prosthetist. Assists the Chief, O&P Services with duties regarding the NCOPE Residency Program. 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. Recognizes physical abnormalities, deviations, and complicating conditions with potentially life threatening implications. Identifies biomechanical condition. Takes necessary measurements, casts or scans to develop positive mold of the affected area of the body, which are used t create the orthosis and/or prosthesis. 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. Selects materials and components to be used in fabrication of the device and determines appropriate equipment to be used in fabrication of the device. 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. 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. Fits the device on the patient, assures preliminary alignment, and performs subsequent dynamic alignment. When needed, modifies fit and function of the device as fabricated and makes appropriate modifications to ensure optimum patient outcome. Trains the patient on proper function and fit of the device and evaluates patient's ability to don/doff the device. Also ensures that training is provided to the patient and/or caregiver in the device use and maintenance. Maintains the patient's record, including the electronic record, in accordance with established Joint Commission/ABC/BOC/Medical Center/VIS policies and ensures data is updated timely in patient record. Communicates with patient and/or caregiver regarding treatment and follow-up care. Assists with the preparation and presentation of lectures or training to VA and/or non-VA functions. Conducts in-service training for O&P staff, Veteran Service Officers, as well as staff in other disciplines regarding O&P technologies. Analyzes training/developmental needs of subordinate employees and Residents and makes provisions for training. Assists in the oversight and management of the daily operations of O&P Services. Assists in the development of the budget for the O&P Services. Manages inventory of stock items, fabrication materials, and components and conducts quarterly inventory with the Inventory Manager/Supply Technician. Reports gaps, barriers and discrepancies and takes corrective action. Provides guidance and direction to lower graded O&P staff. Assists Chief, O&P in developing recommendations for revisions or improvements of VA Orthotic and Prosthetic Services (Lab) policies. Work Schedule: Monday - Friday, 8:00am - 4:30pm (may vary)/ Ad Hoc/Compressed Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.