Exercise Physiologist

Summary

The Cardiopulmonary Rehab Exercise Physiologist helps to maintain the operations of a comprehensive cardiopulmonary rehabilitation program, to provide high quality patient care in keeping with the standards and strategic objectives as put forth by MyMichigan Health, Rehabilitation Services; under the direction of the CR/PR medical director(s) and/or the CR/PR health system manager.

The Exercise Physiologist is responsible for the participation and decisions in daily operations within the cardiopulmonary rehabilitation environment. This includes but not limited to the development, implementation and regulatory compliance associated with patient care and the entire range of services provided in CR/PR such as: patient evaluation/assessment, patient engagement, patient interventions as indicated, patient and community education, exercise training and treatment, psychosocial support and continued reevaluation and follow-up in conjunction with the CR/PR program's medical director.


Responsibilities

(50%)* Daily operations and patient treatment consisting of supervised monitored exercise for the cardiovascular and pulmonary patient, under the direct supervision of the CR/PR medical director(s). The Exercise Physiologist informs patients of their rights and responsibilities as a patient in CR/PR while maintaining the preservation of patient confidentiality; as the individual participates in their decision regarding acceptance or refusal of medical treatment.

The Exercise Physiologist facilitates appropriate patient referrals for CR/PR services, assists with the development and 30-day reevaluation of the patient's individualized exercise prescription and treatment plan throughout the patient's course of therapy; as well as patient assessment/re-evaluation, interpretation of ECG's rhythms and monitoring of patient vital signs in the outpatient environment during exercise treatment.

(25%)* Performs patient self-management education in the acute care and outpatient environment and addresses the needs of the individual through case-management interventions. This includes: patient self-management education; development and fostering patient engagement in their care; risk factor assessment and behavior modification counseling; and community benefit participation/education, for the communities in which we serve.

(25%)* Maintains patient's chart and performs chart auditing. Performs patient outcome assessments pre/post treatment and as indicated. Performs outcome data collection and interpretation for national program certification and national program registry. Leads and/or participates in Health System, Rehabilitation Services, and CR/PR program performance improvement initiatives to maintain the highest level of program quality and patient safety. Actively participates in the Rehabilitation Shared Governance model and the CR/PR Shared Governance Work-Groups.

OTHER DUTIES AND RESPONSIBILITIES

Regular communication/reporting with the CR/PR medical director(s), CR/PR health system manager, the CR/PR Shared Governance Work Groups, and any designated CR/PR lead person.

Responsible for obtaining: patient history, physical assessment measurements during exercise treatment, such as: exertion, dyspnea, pain, blood pressure, heart rate, oximetry reading, heart sounds, blood glucose levels and Interpretation of ECG rhythms.

Performs patient monitoring for inappropriate responses to exercise, discontinuation of treatment and appropriate reporting, as indicated to the CR/PR supervising physician, medical director and/or the patients referring physician.

Responsible for participation in CR/PR patient emergent situations and the initiation of appropriate emergency responses according to the CR/PR Emergency Procedures and national regulatory guidelines for cardiopulmonary rehabilitation. Will participates in annual emergency preparedness training and mock codes per CR/PR program.

Assists in the establishment and maintenance of the student internships and job shadows for the CR/PR multi-disciplinary professionals.

Management of Electronic Medical Records (EMR) Work Queues: 1) patient referrals, 2) billing, revenue capture, 3) insurance authorization, 4) patient scheduling and 5) provider and/or intradepartmental communication. 6) Performs all necessary documentation and enters daily assessment data into patient records.

Demonstrates competency in Infection Prevention/Control practices: 1) control measures designed to prevent the spread of infectious diseases, 2) implements and maintains isolation techniques, and 3) follows hand hygiene policies and utilizes personal protective equipment as indicated.

Assists with maintenance, calibration, infection prevention and cleaning of CR/PR equipment. Performs other duties and/or functions as assigned by the CR/PR manager or designee.

MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows.

An employee may be required to participate in further learning as designated by the health system,

Rehabilitation Services, and/or the CR/PR manager.

Certifications and Licensures

Credential: BLS: Basic Life Support

Equivalent Experience: Within 1 month of hire or transfer

Qualification Source: AHA

Essential: true

Required Education

Education: BACH

Equivalent Experience:

Education Specialization: EXPHY

Essential: true

Other Information

EXPERIENCE, TRAINING AND SKILLS:

Experience in assessment of cardiac and pulmonary patients, the development of individualized exercise prescriptions and individualized treatment plans, and the design of intividual exercise regimens for patients receiving treatment in CR/PR.

PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:

Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.


Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.

Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.


Overall vision and hearing is necessary with or without assisted device(s).

Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.


Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.


Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.

Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.


Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs.


Equivalent Experience and Other Comments (Education)

Education: BACH

Equivalent Experience:

Education Specialization: EXPHY

Essential: true

Other Comments

Credential: ACSM: Am College of Sports Medicine

Equivalent Experience:

Qualification Source:

Essential: false

Credential: BLS: Basic Life Support

Equivalent Experience: Within 1 month of hire or transfer

Qualification Source: AHA

Essential: true