The Orthotist-Prosthetist provides the appropriate orthotic and/or prosthetic devices and treatment. To accomplish this goal, the Orthotist-Prosthetist through: A comprehensive examination of the patient; formulation of a treatment plan; design, component selection, measurement/casting of the patient, fabrication and fitting of the device; proper documentation of the patient record; continuing care and periodic examination of the patient to assess function of the patient.

Duties

Performs comprehensive assessment of the patient to obtain an understanding of the patients orthotic-prosthetic needs: Review patient's prescription/referral Take a comprehensive patient history, including demographic characteristics, family dynamics, previous use of an orthosis/prosthesis, diagnosis, work history, vocational activities, signs and symptoms, medical history (including allergies to materials), reimbursement status, patient expectations and results of diagnostic evaluations. Assist in formulating the treatment plan by performing a diagnostic-specific functional clinical examination, including manual muscle-testing, gait assessment and evaluation of sensory function, cognitive ability, range of motion, joint stability, ski8n integrity and compliance. Consult with other health care professionals and caregivers about patient's condition to assist in formulating a treatment plan. Communicate with patient and/or caregiver about the recommendation treatment plan, and any optional plans, to involve them in orthotic or prosthetic care; include disclosure of potential risks/benefits. Verify patient care by documenting history, ongoing care and follow-up, using established record-keeping techniques. Refer patient, if appropriate, to other health care professionals (e.g. psychologist, therapist, physician) for intervention beyond orthotic-prosthetic scope of practice. Create a comprehensive orthotist-prosthetic treatment plan to meet the needs and goals of the patient: Evaluate the findings to determine an orthotic-prosthetic recommendation. Formulate treatment goals and expected orthotic-prosthetic outcomes to reduce pain/increase comfort, enhance function and independence, provide stability, prevent deformity, address cosmetics and/or promote healing. Consult with physician/referral source to modify, if necessary, the original prescription and/or treatment plan. Identify material; design and components to support anticipated outcome. Develop a plan for patient needs, including patient education and follow-up. Document treatment plan using established record-keeping techniques to verify patient care. Perform the necessary procedures to deliver the appropriate orthotic-prosthetic services, which may include fabrication of the orthosis/prosthesis: Inform patient, family and/or caregiver of the orthotic-prosthetic procedure, possible risks and time involved in the procedure. Select appropriate material/techniques to implement treatment plan. Provide patient for procedure required to initiate treatment plan (e.g. take impression, digitize, delineate, scan). Prepare patient for procedure required to initiate treatment plan (e.g. take impression, digitize, delineate, scan). Implement procedure (e.g. take impression, digitize, delineate, scan). Select appropriate materials, components and specifications for orthosis/prosthesis based on patient criteria to ensure optimum strength, durability and function as required (e.g. choose ankle or knee joints, feet, knee units; choose material of components, lamination lay-ups). Consult technical component/material resources as required. Prepare delineation/impression/template for modification/fabrication. Modify and prepare patient model for fabrication. Fabricate/assemble prescribed device by assembling selected materials/components to prepare for fitting and/or delivery. Assess device for structural safety and ensure that manufacturer's guidelines have been followed prior to patient fitting/delivery. Assess/align orthosis/prosthesis for accuracy in sagittal, transverse and coronal planes to provide maximum function/comfort. Provide gait training/functional-use training. Ensure that materials, design and components are fit/delivered as prescribed. Complete fabrication process after achieving optimal fit of orthosis/prosthesis Educate/counsel patient and/or caregiver about the use and maintenance of the orthosis/prosthesis. Reassess orthosis/prosthesis for structural safety prior to patient delivery. Document treatment using established record-keeping techniques to verify implementation of treatment plan. VA Careers - Prosthetics: https://youtube.com/embed/3NUvF5jjErQ Work Schedule: 0800-1630 Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 612-00301-F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

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 (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. Foreign Graduates. 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. 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: GS-5 (Entry Level) Experience. None beyond the basic requirements. GS-7 Experience. One year of creditable experience as an orthotist/prosthetist equivalent to the next lower grade level. Demonstrated Knowledge, Skills, and Abilities (KSAs). In addition to the experience above, the candidate must demonstrate the following KSAs: 1. Knowledge of medical terminology, anatomy, physiology, biomechanics, kinesiology, physics, and etiology of diseases. 2. Knowledge of psychology and age-related competency. 3. Knowledge of materials science including materials such as plastics, composites, metals, and leather commonly used in fabrication. 4. Ability to use hand and power tools in the fabrication of devices. 5. Ability to communicate orally and in writing. GS-9 Education. Education equivalent to 2 full years of progressively higher level graduate education or master's or equivalent graduate degree in orthotics and/or prosthetics, provided the applicant's total background demonstrates the core competencies for GS-9 level assignment. OR, Experience. Completion of 1 year of experience equivalent to the next lower grade level which demonstrates possession of the knowledge, skills, and abilities needed to provide orthotic/prosthetic services in a hospital setting. Demonstrated Knowledge, Skills, and Abilities. In addition to the education or experience above, the candidate must demonstrate the following KSAs: 1. Ability to attend clinics and participate as a member of the treatment team. This includes knowledge of medical terminology, anatomy, physiology, biomechanics, kinesiology, physics, and etiology of diseases as well as knowledge of psychology and age-related competencies. 2. Knowledge of the Healthcare Common Procedure Coding System (HCPCS). 3. Ability to conduct clinical patient analyses such as gait, range of motion, life style, etc., for patients with complex but typical conditions. 4. Ability to take necessary measurements, casts, or scans to develop positive molds of the affected area of the body to create orthoses and/or prostheses. GS-11 (Full Performance Level) Experience. Completion of 1 year of experience as an orthotist/prosthetist equivalent to the next lower grade level that demonstrates possession of the knowledge, skills, and abilities needed to provide orthotic/prosthetic services in a hospital setting. Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate the following KSAs: II-G32-5 March 21, 2017 VA HANDBOOK 5005/91 PART II APPENDIX G32 1. Ability to attend clinics and participate as a fully participating member of the treatment team with considerable influence in the development of the treatment plan. This includes advanced knowledge of medical terminology, anatomy, physiology, biomechanics, kinesiology, physics, and etiology of diseases as well as knowledge of psychology and age related competencies. 2. Ability to conduct clinical patient analyses such as gait, range of motion, life style, etc., for patients with a wide range of complex medical conditions which include unusual problems or complications, and to design unique or innovative devices to accommodate those conditions. 3. Ability to recognize physical abnormalities, deviations, and complicating conditions with potentially life threatening implications. References: VA Handbook 5005 VA Qualification Standard Appendix G32.The full performance level of this vacancy is GS- 11. Physical Requirements: Work requires regular and recurring physical exertion in standing, bending, kneeling, reaching, gripping, and walking. Sitting is required in meetings and for conducting administrative work. Work may require physical health, normal use of arms and legs, and good visual and auditory acuity.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address VA Northern California Health Care System 10535 Hospital Way Mather, CA 95655 US
• Name: Marisella Souza
• Phone: 925-356-4088
• Email: [email protected]