Exercise Rehab Therapist

Cardiac Rehab Exercise Physiologist
The Cardiac Rehab Exercise Physiologist performs cardiac rehabilitation functions to facilitate patient cardiac fitness. Participates in process of assisting the patient with cardiac risk factor reduction and long term lifestyle changes.
Patient Care/Evaluation:
Selects appropriate evaluation tools consistent with patient's history, diagnosis, and medical status
Short and long term goals are realistic, measurable and address functional needs
Appropriate plan of care including rehab potential, estimated length of stay, treatment frequency and duration.
Conducts exercise therapist assessment and documents findings on multidisciplinary assessment form.
Identifies any orthopedic, neurological or medical problems, which may interfere with patient's successful completion of the program and notes any of these problems in initial patient admission assessment.
Reviews patient's goal for exercise within the first week of program and documents exercise goals in initial evaluation.
Reviews and evaluates results of GXT (when available) and medical data prior to patient admission.
Calculates patient's target heart rate before first exercise session and documents on patient's exercise record
Participates in educational activities outside department (nursing, physicians) regarding individual patient needs.
Maintains communication with the referring physician or primary care physician regarding patient's progress
Demonstrates in-depth knowledge about equipment/materials/ utilized in patient care
Selects therapeutic techniques that reflect integration of therapists clinical knowledge and theory
Performs therapeutic techniques that are consistent with the problems and medical standards in a safe manner
Develop and provide treatment plans for complex patients with increased medical considerations such as LVAD (Left Ventricular Assist Devices), Heart Transplant, Renal Dialysis, Stroke, Stage 3-4 Heart Failure, Diabetic patients with Insulin Pumps.
Presents group education classes related on principles of exercise and documents entry on Pt/Family Education Record
Explains principles of exercise prescription, safety guidelines and overview of program at first exercise session and documents teaching within first week of program.
Provides patient support with behavior modification and risk reduction plan
Instructs patient to monitor heart rate and perceived exertion during exercise and documents in patient record.
Demonstrates appropriate clinical decision making skills in reporting of signs and symptoms by patient to supervising RN
Advances patient's exercise prescription weekly, based on target heart rate, patient's perceived exertion and patient's medical condition.
Prepares patients for telemetry, takes blood pressure and monitors heart rate, RPE when necessary.
Performs Virtual Cardiac Rehab visits using Zoom technology for patients who prefer a home-based or hybrid exercise program
Documents patient program and progress
Completes patient care information on a daily basis
Therapist adheres to all procedures and documentation standards
Therapist takes responsibility to provide coverage information on all patients for whom they have primary responsibility when absent
Requests change for physician's orders as needed
Accurately receives and documents department order from physician as appropriate.
Documents patient education documentation completely per department and JCAHO standards
Documents entry for orientation session on Patient/Family Education Record.
Reviews orientation equipment safety checklist with patient during first week and documents review.
Documents patient progress with increasing activity tolerance and advances exercise prescriptions based on patient's THR, RPE and medical condition
Documentation will include home exercise program review at least once every week.
Demonstrates ability to obtain multisession data reports from Scottcare system as needed
Documents exercise prescriptions on the patient exercise record considering target heart rate and patient's perceived exertion.
Documents treatment and progress in patient's chart with each session.
Documents all related patient outcome data in the AACVPR Outcome Data Registry pre- and post-program
Billing:
Plans and actively participates in department projects/events/activities
Participates in Shared Governance including being an active member of the Unit Based Council
Serves as ambassador for department to visitors (tours/observation of patient care)
Assists with continuous Quality Improvement and Lean activities, as directed
Evaluate Patient Outcome Data from AACVPR Outcome Registry as part of process improvement initiatives
Pursues knowledge and skills needed to become CCRP (Certified Cardiac Rehabilitation Professional) through the AACVPR (American Association of Cardiovascular and Pulmonary Rehabilitation) preferred.
Embraces technological advances that allow us to communicate information effectively and efficiently based on role - for example, EPIC, Scottcare Telemetry and Documentation System and Outlook, Virtual CR visits using Zoom as needed.
Demonstrates willingness to identify and/or assume activities relative to the developmental needs of the department and hospital
Able to complete clinical and non-clinical tasks as well as assigned activities according to policies, practice guidelines and assigned deadlines
Utilizes critical thinking and problem solving in day to day operations as well as in emergent situations.