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Summary Physical Therapist Assistant (PTA) in this assignment typically works at Central Virginia VA Health Systems (CVVHS) in Richmond, VA, a Complexity Level 1A (High Complexity) medical center and spends a majority of his/her time treating patients in area assigned at a Community-Based Outpatient Clinic (CBOC). PTA treats a variety of highly complex diagnoses across the continuum of care utilizing specialized treatment tools and procedures as outlined in POC. Responsibilities Duties include but are not limited to: Clinic Treatment PTA is assigned a varied caseload of patients from medical, surgical, PM&R, neurology, NHCU, psychiatry, SCI wards, Polytrauma, Amputees, outpatients and employees. PTA demonstrates an ability to assess patient's medical condition through chart review. Can work effectively in any of our Specialty Centers (Spinal Cord Injury and Disease, Polytrauma, and Cardiothoracic care) with complex cases. Works with clients with cognitive disorders such as confusion, poor motor coordination, memory deficits, identity confusion and poor judgement. Administers a wide variety of evidence-based physical therapy procedures through the use of exercise programs, mechanical traction therapeutic massage, heat, cold, ultrasound, hydrotherapy, and electricity. Independently provides varied and multifaceted physical therapy interventions based on the established care plan (e.g., therapeutic exercise, balance, body mechanics, flexibility, strength, gait training, neuromotor development, physical agents, functional training). Can measure, adjust and instruct in care and use of crutches, canes, walkers, and wheelchairs. Instructs and assists patients in improving pulmonary function and in learning and improving functional activities - gait training, transfers, daily living activities - and in the use of and care of prostheses and orthoses. Performs, without interpretation, selected measurement procedures such as range of joint motion, gross strength of muscles groups, length and girth of body parts. Can modify patient's treatment program in collaboration with and under the direction of Physical Therapist within the limits specified in the care plan outlined by the Physical Therapist. Any need to deviate from the Plan of Care is immediately communicated with the Physical Therapist of record and any changes directed by Physical Therapist. Has knowledge and understanding of adverse reactions to treatment. Monitors vital signs and observes patients during treatment, and compiles and evaluates data on patient's progress and response. PTA reports orally or in writing to physical therapist. Maintains attendance records on assigned patients. Assists with maintaining department by performing various tasks, such as taking inventory, ordering supplies, compiling statistics and computer data entry for patient scheduling. May assist in the management of and/or responsibility for a specialty program. May assist in leading a group of employees and communicates information regarding work assignments and scheduling. Can instruct students and manage affiliate PTA students under the direction of the Physical Therapy Center Continuing Education Coordinator and assigned Licensed PT. Ward Treatment The physical therapist assistant assigned at the Richmond CVVHS is assigned a varied caseload. He/she assists the therapist in the treatment of often critically ill patients. Has the proper skills and knowledge to recognize special precautions for mobilizing patients that have been bedridden for prolonged periods of time. Assists in monitoring the patient's vital signs (HR, BP, RR) and assists to restore abnormal alterations to normal parameters in accordance with established procedures/protocols/practices. Documents changes orally and written in progress notes. Work Schedule: Monday through Friday 8 AM - 4:30 PM Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Complete all application requirements detailed in the "Required Documents" section of this announcement. As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest. 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: Individuals must meet at least one of the requirements below: Associate degree from an accredited community college, junior college, college or university in a physical therapy assistant education program accredited by the Commission on Accreditation in Physical Therapy Education; OR Graduate of foreign physical therapy assistant degree programs that meet the educational requirement and have successfully passed the National Physical Therapy Exam (NPTE) for PTAs. OR Graduate of military physical therapy assistant programs that meet the educational requirement and have successfully passed the NPTE for PTAs. Licensure: Current, full, active and unrestricted license as a PTA in a State, Territory or Commonwealth (i.e. Puerto Rico) of the United States, or District of Columbia. Exceptions for Non-Licensed Physical Therapy Assistant: Non-licensed applicants who otherwise meet the minimum qualification requirements, but who do not possess state licensure, may be appointed, pending licensure, as a graduate PTA on a full-time temporary appointment under the authority of 38 U.S.C. § 7401(a)(1)(B) and not to exceed two years in accordance with the timeframe in 38 U.S.C. § 7405(c)(2)(B). Non-licensed individuals shall only provide care under the direct supervision of a licensed PTA or PT who meets all state regulatory requirements. Non-licensed individuals may only be appointed at the entry level and may not be promoted/converted until licensure is obtained. Temporary appointments of non-licensed PTAs may not be extended beyond two years or converted to a new temporary appointment. English Language Proficiency: Must be proficient in written and spoken english. 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: In addition to the basic requirements outlined above, the following criteria must be met when determining the grade of candidates. GS-5: None beyond the basic requirements. GS-6: Experience: One year of creditable experience equivalent to at least the next lower grade Demonstrated Knowledge, Skills and Abilities: In addition to the basic requirements, the candidate must demonstrate the following KSAs: (a) Knowledge of evidence based physical therapy practice. (b) Ability to perform physical therapy data collection and use of objective measures in order to carry out patient plan of care. (c) Ability to modify treatment approaches, within the scope of the established treatment plans, to reflect patients' changing needs. (d) Skill in promoting physical therapy services by providing training and interventions within the assigned areas. Assignment. PTAs at this grade level serve in developmental positions under general direction from PTs. They receive ongoing guidance from more experienced staff members and require general clinical [direction] by the treating physical therapist. PTAs develop a broad base of practical knowledge to assist the PT in reaching pre-determined patient goals. GS-7: Experience: One year of experience equivalent to the next lower grade. Demonstrated Knowledge, Skills and Abilities: In addition to the basic requirements, the candidate must demonstrate the following KSAs: (a) Ability to perform in depth chart review to implement treatment plans. (b) Ability to independently use objective measures to assess progress, in accordance with the plan of care for complex patient cases. (c) Knowledge of contemporary physical therapy practice. (d) Ability to consult with the PT to assess progress, modify treatment and set discharge plan. Assignment. This is a developmental level for PTAs. PTAs receive ongoing guidance from more experienced staff members and receive general direction by the treating PT. PTAs draw upon a broad base of practical and experiential knowledge in order to assist the PT in reaching pre-determined patient goals. PTAs work independently but still under the general direction of PTs. They observe patients' ability to perform specified tasks in order to provide ongoing assessment of information on patients' physical and functional status. PTAs work with the physical therapy staff to assess progress, modify treatment and set discharge plan. They provide clinical direction for PTA students GS-8: Experience: One year of experience equivalent to the next lower grade. Demonstrated Knowledge, Skills and Abilities: In addition to the basic requirements, the candidate must demonstrate the following KSAs: (a) Ability to independently implement treatment plan using knowledge of techniques related to the patient's disability and needs. (b) Ability to independently provide varied and multifaceted physical therapy interventions based on the established care plan (e.g., therapeutic exercise, balance, body mechanics, flexibility, strength, gait training, neuromotor development, physical agents, functional training, etc.). (c) Knowledge of physical therapy data collection and assessment techniques in order to perform specific interventions and to monitor and capture progress of the patient/client. (d) Ability to instruct patient on varied interventions to provide materials to enhance compliance with home programs. (e) Ability to modify treatment techniques based on the learning needs and perceptions of the patient. (f) Ability to identify critical changes (e.g. vital signs, pain, mobility and alertness) in patient conditions to determine their medical and functional status. (g) Ability to work with PTs and other interdisciplinary healthcare team members to evaluate patient information for planning, modifying and coordinating treatment programs and discharge planning. Assignment. This is considered the journey level for PTAs. PTAs at this level collaborate with the primary PT then draw upon a broad base of practical knowledge and a well-developed treatment skill set in order to reach pre-determined patient goals by independently modifying techniques within the established plan of care. They implement the plan of care for patient cases, advance the program and continually review the patient's condition to determine their medical and functional status. They provide evidenced based skilled interventions including, but not limited to, therapeutic exercise, therapeutic activities, therapeutic modalities, gait training, transfer training, manual treatment, neuromuscular re-education, self-care and management training, patient/caregiver's education and group therapy. They meet with the physical therapy staff and other healthcare team members to evaluate and discuss patient information for planning, modifying and coordinating treatment programs and discharge planning. Preferred Experience: Applicants with experience in Outpatient Orthopedics is preferred. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is 8. The actual grade at which an applicant may be selected for this vacancy is in the range of 5 to 8. Physical Requirements: Pre-placement and periodic physical examinations are required for hybrid occupations to ensure workers are placed in positions where they can perform the essential functions of their job considering their physical, mental and emotional capacities, without endangering their health or the health of their co-workers. 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.