Clinical Services

0.7 FTE, 8 Hour Day Shift

At Stanford Children's Health, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time.

Job Summary

This paragraph summarizes the general nature, level and purpose of the job.

This position may include working with inpatients and outpatients, age ranges will likely include infants to adolescents. NICU and/or pediatric acute care experience preferred, but not required. Knowledge in evaluating and treating various feeding and swallowing disorders is preferred, however, willing to train candidate who possesses foundational skills and qualities that support development of competencies in this practice area.

Provides services to develop, enhance or restore functional capacity of patients whose abilities to cope with tasks of daily living are threatened or impaired by physical illness or injury, psychosocial disabilities, aging process, or by developmental deficits. Assesses and provides treatment in consultation with the individual patient, family and other appropriate persons. Duties may include the assessment, development, application and/or training in the use of assistive technology devices; training in the use of orthotic or prosthetic devices; pre-vocational evaluation, psychosocial re-conditioning for reentry into the community; dysphagia evaluation and treatment; and the adaptation of environments and processes to enhance functional performance. The Occupational Therapist II is a Senior Therapist with expertise and experience in developing treatment plans for complex cases and for a wide variety of ages and diagnoses, utilizing and applying innovative and advanced skills and techniques to solve patient care needs in an accurate and efficient manner. The Occupational Therapist II takes a leadership role in multi-disciplinary care team discussions, representing and recommending the most appropriate treatment plan for the needs of the patient. The Therapist serves as a clinical care advisor/guide to less experienced Therapists by answering questions, reviewing treatment plans and collaborating to develop and implement complex occupational therapy care plans. Supervises patient care responsibilities of Occupational Therapy interns, Assistants and duties of Rehabilitation Aide. Participates in program development, performance improvement, development of departmental policies and procedures, and other specialized programs. Occupational Therapists assigned to treat pediatric patients at LPCH provide intervention to infants, toddlers, children, and adolescents with disorders that affect development of motor and behavioral skills within the professional scope of practice.

Essential Functions

• Analyzes findings to determine therapy diagnosis and prognosis and designs a program to maximize outcomes and alleviate impairment and functional limitations; identifies the frequency and duration required to meet goals. Selects and administers appropriate assessment and treatment techniques. Performs age appropriate competency skills in area of practice and with respect to individual patient's problems.

• Discharges patient from treatment when appropriate with adequate discharge planning including equipment procurement and family training, and communicates this appropriately to patient, family and health care team.

• Evaluates the need for, recommends, and trains in use of complex durable medical equipment, orthotics,

• prosthetics, and adaptive devices; Fabricates orthotic and adaptive devices.

• Identifies departmental performance improvement issues and participates in performance improvement activities, e.g. chart reviews, revision of documentation forms, workflow studies, etc. Regularly re-evaluates patient care services and programs, and completes assignments in the departmental plan to improve services. Contributes to the development of departmental policies and procedures. Participates in new program development, for example by developing treatment protocols for new patient populations.

• Identifies needs for equipment repair or upgrade to maintain quality of care. Makes recommendations for selection and purchase of specific equipment and supplies.

• Initiates and participates in a leadership role in the multidisciplinary care planning to meet the needs of each patient and family, including participation in rounds and patient care conferences, communicating with and teaching other care providers. May contact community agencies as necessary to provide continuity of service between hospital and community

• Observes actual performance of activities and tasks to identify specifically what supports or hinders performance including motor skills (e.g., mobility, posture, coordination, strength) and process skills (e.g. attention, pace, organization, sequencing).

• Organizes and maintains a patient caseload consistent with department productivity standards. Schedules patients and informs supervisor if problems arise related to the delivery of patient care or caseload volume. Ensures documentation and billing are timely, accurate and complete, including precautions, monthly and discharge summaries.

• Participates in clinical teaching, including the clinical instruction of occupational therapy interns and other staff. Prepares and presents an

• in-service (at least one per year) at a department meeting. Provides input regarding the educational needs of the staff and serves as a resource in meeting those needs. With the support of the supervisor, may initiate clinical research within area of clinical expertise. Provides mentoring to others when appropriate and serves as a role model/resource/teacher/mentor to less experienced occupational therapists.

• Participates in Department, team, and discipline and/or unit meetings.

• Performs all necessary patient care documentation, including assessment, plan of care, progress notes, discharge summaries, and charges for evaluation and treatment. Documentation reflects patient status, progress or change, participation by patient and family in goal setting and delivery of care.

• Performs complex patient care tasks under minimal supervision with advanced skills in clinical reasoning, problem-solving and treatment interventions. Assesses and treats patients within the CA Licensing Board and AOTA (American Occupational Therapy Association) scope of practice including but not limited to ADL's (Activities of Daily Living), cognitive and perceptual status, swallow evaluation and treatment, splinting, wheelchair fitting and seating, and functional mobility.

• Provides direct patient care that meets department and professional standards of practice, including patient assessment, development of physical therapy care plan, patient treatment, family/caregiver training and discharge planning. May serve as a clinician in both the inpatient and outpatient settings.

Minimum Qualifications

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.

Education: Requirement met by License/Certification Requirement

Experience: Two (2) years of progressively responsible and directly related work experience

License/Certification: Current American Heart Association (AHA) Certification for Basic Life Support (BLS) for Healthcare Providers, Occupational Therapy in the State of California by National Board of Occupational Therapy Certification (Code: OTR)

Knowledge, Skills, and Abilities

• Ability to clinically supervise, train and evaluate students/interns.

• Ability to communicate effectively, both orally and in writing.

• Ability to develop, implement and adapt treatment programs.

• Ability to evaluate patients and interpret clinical data and make clinical judgments.

• Ability to instruct and provide consultation to therapists and other team members in designated clinical specialty.

• Ability to provide appropriate care and progress treatment based on professional standards of practice, and on the needs of the specific individual, including age and developmental considerations, cultural and psychosocial issues, precautions and medical condition.

• Ability to utilize sound clinical reasoning to determine appropriate patient interventions; demonstrates good safety awareness, judgment and problem analysis and resolution.

• Ability to work well with individuals at all levels of the organization.

• Ability to speak, read, write, and understand English effectively at a level appropriate for the safe and effective performance of the job.

• Knowledge and adherence to Code of Ethics and performance standards specific to the clinician's professional organization.

• Knowledge of available equipment and vendors used in assigned area.

• Knowledge of basic business aspects of position, such as utilization management, charging practices and regulatory compliance.

• Knowledge of basic principles of clinical supervision and clinical instruction.

• Knowledge of computer systems and software used in functional area.

• Knowledge of evaluation and treatment methodologies as applied to complex patients.

• Knowledge of legal issues affecting the clinical practice.

• Knowledge of pathologies and injuries which result in speech, language, cognitive, and swallowing disabilities.

• Knowledge of principles, methods, equipment and theory of the practice of clinical specialty.

• Knowledge of regulatory practice requirements.

Physical Requirements and Working Conditions
The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.