HomeMy WebLinkAboutMINUTES - 09011987 - 1.32 POSITION ADJUSTMENT REQUEST No. / `1 -C 7
Date: 8-3-87
Dept. No./ Copers
Department Health Svcs/Public Health Budget Unit No. 0460 Org. No. 5891 Agency No. 54
Action Requested: Classify one (1 ) 40/40 Physical Therapist position and two (2) 40/40 _
Occupational Therapist positions.
Proposed Effective Date: 9-2-87
Explain why adjustment i,: needed: To provide additional staff to the California Children
Services Program based upon an increased service need.
Classification Questionnaire 7ttached: Yes E3 No [—]
Estimated cost of adjustment: ( $ 19,714.86)
Cost is within department's budget: Yes ® No E] Reduced County
If not within budget, use reverse side to explain how costs are to be fund
contribution.
Department must initiate necessary appropriation adjustment.
Use additional sheets for further explanations or comments. Web Beadl Xept. Personnel Offi er
for Department Head
a
Personnel Department Recommendation
Date: .,. F �20—,ob -7
Classify one (1 ) 40/40 Physical Therapist position, Salary Level C4 1648 (2478-2869) ;
classify two (2) 40/40 Occupational Therapist positions, Salary Level C4 1648
(2478-2869).
mend Resolution 71/17 establishing positions and resolutions allocating classes to the
asic/Exempt Salary Schedule, as described above.
ffective: day following Board action.
l_ .. 5
Date for Director of Personnel
ounty Administrator Recommendation Fez �/ 7
Date:
pprove Recommendation of Director of Personnel
Disapprove Recommendation of Director of Personnel
Other:
for County dministrator
)ard of Supervisors Action SEP Phil Batchelor, Clerk of the Board of
ijustment APPROVE on 1 1987 Supervisors nd County Administrator
ite: �' � ?� 7 By:
'PROVAL OF THIS ADJUSTMENT CONSTITUTES A PERSONNEL/SALARY RESOLUTION AMENDMENT.
M 5
CONTRA COSTA COUNTY
1
C L A S S i F i C A T 1 0 N Q U E S T I O N N A I R E
H-alth OCS 1•52dical-Ther.o-r Unit
AM!< DEPARTMENT DIVISION
Occunatior.al T-erloist Occupational Therapist 1C.3. Cameron School
7-5:30 T-F
OFFICIAL JOE? CLASSIFICATION WORKING JOB TITLE Place of Work oral Assigned Hours
Time Ro1•airedE z.TAr^ TRA 1INERT: Working wit[leefdl t'�rsl&*V's prescription, I provide direct
Ti�l�
on-going treatment to each child in my case-load. I am
responsible for the initial assessment and subsequent determi:
50-b0° r. of the t-rpe of therapy ap-ropriate for each child. I evaluate those children
assigned to Tne and recommend to the doctor whether or not therapy is ird'cated.
„valuate and treat those children assigned to me w^ose physician's have ordered
sup..c:fic treatment modality for which I have specialized advanced training
addi tional training and national certification above the entry-level occupation
theraoi.st position). I review and re-assess my treatment and change wi- pro?ra^�
when, in ml, judgment, it appears annropriate._
?RErIAIRiDC REPORTS: I am responsible for keeping daily atter-Rance records on eact
child in ny caseload. I complete assessner.t forrs, write roe
10-15% and objectives on each child one month after initial contact,
I ,-ri.te i rl tial, numerous interim and final reports to the clinic p!:ysic?an and i
private ph-rsicians on a routine basis on each child in my caseload. In ny repor'
it is ny responsibility to indicate the degree of progress of the child and to
sueeest the need for or.-going the`.apy or, if in my judgment, it seems anpropriatE
suggest the cessation of therapy. I prepare summary disl�har£e reports `_or childr
who move fror+ the area. Quarterly, I complete reports, to be submitted to the
State Denart*mert of Public Health, outlining ny goals, objectives, ar.d treatment
periods for each child. I respond to pr-Tsiciar. requests. for general irformation
a treatment modality for which i have soecialized training. I co mlete various
forms for specialized programs for the children. I assist the Supervising Therar
in arnual budget preparation. I have worked extensively with another agency (sct
dis ,rict) on a 3-year Grant Project with numerous written reports `-eing submittee
to officials at. both the school district and state levels.
INTRA-AGE21Cy CONTACT: I attend neuro-muscular clinics where I make Toth written
h-55 oral reports to the attending physicians concerning my
patients. During that time, I exchange information with
fellow therarists, the child's parents, nurses, psychologists, physicians, brace-
--akers and other non-county professionals. In the absence of ny i-.nediate super-
visor, I coordinate and oversee both the neurotmascular and pediatric clinics.
T_i'STER-AGEi'CY CONTTACT: It is my responsibility to make every ef''ort to establish
maintain rapport with the teacher oeach child in my case
load who is enrolled in the school for har.dicann_ed childre
(The teachers are school district personnel--riot County erployees. ) Frequent di.s
cussions are held with the teachers surrounding each child's nrooram, perfornarc
and nutual goals on both a formal and infornal level. It is ny responsibility to
Five a full and connlete report on the child's performance in tberapr at forral
Admission and Discharge meetings, ar•d official parent-teacher-therapist conferenc
I con`'er with nersonrel from non-nrofit agencies--Red Cross and United Cerebral
Pals-r--on mutual children. In the absence of the supervisor, I an exnected to "s
in" on selected meeti.r.ps, take notes, answer questions from parents, represent an
emlain Health Depart-ent-CCS policies to those interested narerts and non-County
profess; orals and rnport the ir.Yormat` on to r!y supervisor. For those children in
my caseload t•:hc attend reeular public schools, 4t is ny respo^sibilit;r to establi
and n3 ntai n rar..port ,ith the teacher throue'. telephone contact or •,-hen deemed
recess=r? ;t.rough an in-nerson visit to the child's school. i awl available at al
"fines to arsi.,-er ouestions concerri rP the child's pe oral co-.ditior, pro7ress and
as'�-ed, ex-olein Fealth Dnoartmer.t roli.etes a-d orocf-dures. Vhiemver, In my judgne
it arrears necessary, I establish contact with se%lool rpsrses, psychologists and
other nprso"npl '+J^O have a mutual Interest in the child. Tlpon req,+est, T arran;-e
For and per 'or" de.-onst.ratioms in occurs;_cnal therapy for student teac ers, soci
workers, PF`s nursing students.
PUBLIC ^='rlry"T: i estaTlish and maintain frequent contact with the Parents (or o
lr-?55 family members) of each child in rrf caseload. I assist parents
locating specific eg0.pr.ent for their harlican^ed children, and
AK 75 for those parents who in ry judgmert require assistance, act as ar irter-ediar-.r i
� v
2-
�t
ar•:); ntt15?nts for f?,y.!i_n npn+ e-•'aluat:o r. dilien mCg33arir, i 8':COf"1a::% tCte .far--, t:
-a r " ld to =vate a?e'-c:es nor eouinment evalU.ation. I explain 'health Le-jarmen}-C-3
�.ccli rrs ;or the purchase of such equipment to both the parent and the sales persornel.
hags contact in writim, through the telep'-ore, or in person with private physicians
cnmerning specific childrer. and in reponse to physician inquiries, explain. Health Dept.
-Olinips and procedures. In the absence of mfr i?rediate supervisor, I take 'V�lenhone_ call
Pro-, the general public, answer and explain eeneral questions concerning the Health Dept.-
G':S Policies and procedures or, when i n my judgmert, It appears appropriate, I refer tile c
to higher le-rel s,!nervi sore pPrsorr'el. In the abserce of mtr sunervisor.. I represent the
Fnalth Dent. and eyplain occuoational therapy and the nature of ry work to tourl ra groans
dire fo. e G.t di?nir"aries and ans-.•er their questions.
I have direct supervision over two therapist aides when they are workiruw *rrit
m•r specific r.ati.er.ts. It 13 my resnonsibilit, to train, schedule and direct
Vnese aides in the nroaed�lres i wish then to follow when working with n.r
pat;Pnts.
f,JC DE 1) If i n m,r i,.;dr►*:ert, a. child needs a maior piece of em:4.prent (arheel-
cbai..r, adapted toilet, bathing or fe0dira aid), in concert with the
parent, I recoend such evi.pmer.t to t'�e nhysician. Since the
r,�irc ase or' a lar_re niece ofe7,0-lomert is na.i.d for either b;.,- t..'-e narert, or out of Count,..-
or ad`-Cal ft�rds, ar iranrronri.�te recom,endation could result in an tirnecessary
e xne rx?i.ture- of money.
2) in the absence of my immediate simervisor, I a?: frequently called
upon to accept or reject e!.uinment donations for the departrent.
Since I am in a field office away from any oOer supervisory
verso mel I Mst use my iudgment as to the suitability of each donation. 11n inappro-riat
acc�ntace could resxilt in storage problems, d;sposal profilers or potential erbarassmer.t to
tr? count-; if the equiomert has to '^e returned to the donor.
3) School personnel frequently ask for recom er-dati-ons on the apporpr{at
rrss of taki.n7 snecific children on school reiated field-,rips. The
teachers' questions revolve around the child's physical capabilities/
limitations in snecific situations. At best, an incorrect de^is--on could result in an
u rhippy child denied an op^ortunity to go on a field trip org at worst, an iniurnd child
ar•d concornit an t law-suit.
,"T GF 4i1T"0 TT`_' TO ACT FOP. ,OL'?:'TT: I represent the Health Dent. in dail�r contacts wi t
nor.-Oounty r,Prsonnel. I ars called upon to explain
Yealth dPpartrient-xS policies and procedures to
'_ci ans, r-.T.71sr school teache-•s, parents, the general rvbl`c ar.d private ac�erc_es on
a fro^cent basis.
'tr CONTRA COSTA COUNTY
C L A SSI F I CATION Q U EST IONN A I R E
_ Health Crippled Childrens Services
NAME DEPARTMENT DIVISION
8:oo to 4;30 M-F
Staff Physical Therapist
—_ Staff Physical Therdpist Shadeiands M.T.U.
OFFICIAL JOB CLASSIFICATION WORKING JOB TITLE yt;:••.•• Place of Work and Assigned Hours
Time 11,quired Description of Work.,
Direct treatment: provide ongoing therapy to orthopedically
handicapped children ages 0-21. Orthopedic handicaps include
children with cerebral palsy, neuromuscular disorders such as
muscular dystrophies and atrophies, amputees, physical handicaps
due to trauma or disease process. Therapy incudes direct treatment
to the child, continuing evaluation, continuing contact with the
parent regarding proper handling and positioning of the child at
home and keeping the parent informed of his child ' s therapy,
program; continuing contact with the school personnel regarding
proper handling and positioning of the child in the classroom and
keeping them informed of the child ' therapy program. The
therapist is responsible for the evaluation of the child, determine;
the proper treatment program, instructs the parent in a home
program of therapy if needed, instructs the therapy aide in a
program of treatment if indicated and carries through with the
treatment program. The therapist supervises the therapy aides in
their work with the Childrens treatment programs and in their
duties as related to the therapy program. The number of children
seen by' an individual therapist varies, however, the average
number of children seen per full time therapist is 25. The number
of times per week that a child is seen varies and this is determine(
by the therapist as to the needs of each child.
Consultation: Physicians: therapist is responsible for keeping
the c i s physic an informed of the child' s total program and '
makes appropriate recommendations based on her ongoing evaluation
of the child. The therapist works with the physician as part of
a team to meet the needs of the child in regards to treatment,
bracing, equipment needs, and program planning. The physicians
the therapist works with are primarily orthopedists and pediatrician
however she also deals with other physicians such as urologists,
physiatrists, neurologists, neurosurgeons as needed to effectively
plan for the Childs care.
County Agencies: The therapist is responsible for keeping the
other professionals involved with the. child' s care informed
as to the child ' s program and works with them as a team to
effectively plan the child' s total program. These professionals
come from such services as public health nursing, social service,
social welfare, protective service.
Public Aaencies: The therapist acts as a consultant and may also
be part of a team involved with the child to such agencies as
United Cerebral Palsy, Muscular Dystrophy Association, Regional
Center of the East Bdy. Sometimes when assistance is needed to
purchase equipment, the therapist acts as the child ' s adovcate
to other agencies such as Crippled Childrens Society, Avery
Fuller Foundation, to obtain needed funds for the family.
Parents: Recommendations are given to parents when buying ,
appliances for their child, when adapting their homes to. make
it easier for their child to carry out daily living skills.
The therapist makes a home visit when appropriate and as determined
by the chills need, to assist and/or teach the parent effective
means of working or handling their handicapped child.
School Personnel: Acts as part of theschool team to effectively
plan the ch 1 s program. The team included the princip?,,
psychologist, teacher, and nurse. The therapist is also a
consultant, to ancillary personnel working with the child such as
remedial P.E. and the PHRC personnel!. .
Other staffs : therapist gives as needed consultation to other
programs such as Head Start regarding programs and/or the need for
services for specific children.-
AX In the performance of consultation services, the therapist travels
75 to other agencies. She attends neuromuscular clinics held at the
local M.T.U . ; also attends clinics at Shriners, Children' s Hospital
of the East Bay, Stanford Rehab. Engineering, and may attend with
the child when seen privately by a physician.
B
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De:3c r;-b�Ion of :-nor : Pa�Je 2
The therapist, also goes with the child when he/she is being
se-an by the orthotist or prosthetist to be measured and/or
fitted ,with an orthopedic .appliance.
EVALUATIONS: in addition to evaluation of one ' s ovm patient load,
' the t.hera.pist eiraluates children prior to being seen by the clinic
physician to determine the need for therapy services and prepares
a 1•r'ritten report of each evaluation.
Written Reuorts: Reports are written on each child at least once
every 6 mon s or more often as deemed necessary by the therapist
to record changes in the child' s physical picture . Reports are
generaAly typed by the therapist and she makes sure that they
are sent to the appropriate people, e.g. the chills physician
and the Martinez office for the Childs record there. Reports
are also written fns' the school admissions committee.
Record Keeping: Therapist is responsible for kbeping accurate
records oall treatments, evaluations, and consultations given
to each child seen. Therapist prepares a quarterly report for
the state records. She keeps accurate running notes on each child
seen describing their day to day therapy program.
Maintain a tickler file on all the children seen in the neuro-
, muGcular clinics. This involves 6 physicians. It must be kept
up to date regarding ;when child is to be seen next, when last seen;
must coordinate with two other M.T.U.s since children from their
area are also seen at this M.T.U. for clinic. Make up clinic
list for clerks in Martinez, check to see if children are coming,
notify supervisor when additional clinics are d�,eeeded or if herei
is no need for a clinic, decide after talking Ivith other therapists
who is to be seen.
Therapist is responsible for keeping the medical chart up to date
regarding surgeries, other medical services, change in home status,
charge of address or phone number and make certain the Vartinez
office is notified of theses.
Equipment Construction: Supervises aides and also does the
.:1 _ actual construction off` adaptive equipment to meet the needs of
the children.
Budget Preparation: Determine the needs of the therapy department
end order the necessary equipment for the treatment of the children
S seen in therapy.
Inservice to School Staff: provide staff at inservice meetings
ideas in treatment and nein concepts in equipment, new concepts in
handling and keep .them up to date on servttes available. Assist
i� in the training of staff members in working and handling
handicapped children.
1,4eetings and Inservice: Attend once a month therapy meetings that
provide insery ce raining for the therapists. Attend meetings
as called by the administrative staff. Attend once weekly staff
meetings for our local M.T.U. Fill in for supervisor if necessary
at Parent Club meetings. Attend school open house once yearly in
the evening. Attend staffing meetings as necessary for program
planning for individual children. Attend as a team merrber parent
conferances. Attend monthly meetings for the purposes of planning
the older student .pro gram.
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