• | Metal/leather lower extremity orthoses: |
• | Receives the physician’s prescription, and in conjunction with higher level orthotic personnel, evaluates the patient and determines orthotic treatment. |
• | Takes measurements and drawing of affective limb(s). |
• | Corrects drawings with the use of measurements and standard techniques. |
• | Constructs orthosis with corrected drawing, joint components, side bars, bands, padding and leather. Construction requires use of proper tools and machinery such as bending irons, drill press, band saw, grinders, buffers, sewing machine, etc. |
• | Fits orthosis to patient, checking for proper clearances, alignment and function. |
• | Consults with higher level orthotic personnel for evaluation of problems in function or fit. |
• | Polypropylene lower extremity orthoses: |
• | Receives the physician’s prescription, and in conjunction with higher level orthotic personnel, evaluates the patient and determines orthotic treatment. Takes measurements and plaster impression (negative) of affected limb(s). |
• | In consultation with higher level orthotic personnel determines what joint components will be used. |
• | Changes Angles of impression (negative) at knee and/or ankle as is desirable for goals of orthotic treatment. |
• | Using shaving tools, shapes model (positive) to measurements for proper fit, control and clearances. |
• | Contours metal components (joints) as needed. |
• | Vacu-forms model and components with appropriate plastic. |
• | Cuts out and assembles orthosis. |
• | Fits orthosis to patient, checking for proper clearances, alignment and function. |
• | Consults with higher level orthotic personnel for evaluation of problems in function or fit. |
• | Foot Orthoses: |
• | Receives the physician’s prescription, and in conjunction with higher level orthotic personnel, evaluates the patient and determines orthotic treatment. |
• | Takes impressions of patient’s feet. |
• | In consultation with higher level personnel determines proper materials and construction design. |
• | Modifies model with shaping tools. |
• | Fabricates orthosis using heat forming, bonding, shaping procedures. |
• | Fits orthosis to patient, checking for proper clearances, alignment and function. |
• | Consults with higher level orthotic personnel for evaluation of problems in function or fit. |
• | Custom Shoes: |
• | Receives the physician’s prescription, and in conjunction with higher level orthotic personnel, evaluates the patient and determines orthotic treatment. |
• | Takes impressions of patient’s feet. |
• | Determines with patient the type of shoes desired. |
• | Generates written specifications for shoe construction. |
• | Arranges for shipping of casts, specifications and purchase order to shoe company. |
• | Upon arrival of completed shoes, checks construction against specification records. |
• | Fits orthosis to patient, checking for proper clearances, alignment and function. |
• | Consults with higher level orthotic personnel for evaluation of problems in function or fit. |
• | Fits prefabricated lower extremity orthosis: |
• | Receives the physician’s prescription, and in conjunction with higher level orthotic personnel, evaluates the patient and determines orthotic treatment. |
• | Fits the orthosis (arch supports, Becker, Wheaton, Pavlic etc., ankle braces, custom and non-custom foot orthoses, knee braces). |
• | Consults with higher level orthotic personnel for evaluation of problems in function or fit. |
• | Patient instruction and documentation: |
• | Instructs patient and/or family on proper use of orthosis including tolerance build up, alertness to potential problems, cleaning and maintenance. |
• | Records in patient chart information regarding orthosis construction, fit, adjustments, Performance and patient interaction. |
• | Consults with other health professionals such as nurses, therapists on orthosis application, use, fitting problems, etc. |
• | Prefabricated spinal orthoses: |
• | Receives the physician’s prescription, and in conjunction with higher level orthotic personnel, evaluates the patient and determines orthotic treatment. |
• | Fits prefabricated orthosis (cervical collars, Warm and Forms, corsets, Jewetts, Cash, etc.). |
• | Consults with higher level orthotic personnel for evaluation of problems in function or fit. |
• | Instructs patient and/or family on proper use of orthosis including tolerance build up, alertness to potential problems, cleaning and maintenance. |
• | Records in patient chart information regarding orthosis construction, fit, adjustments, Performance and patient interaction. |
• | Consults with other health professionals such as nurses, therapists on orthosis application, use, fitting problems, etc. |
• | Custom spinal orthoses: |
• | Receives the physician’s prescription, and in conjunction with higher level orthotic personnel, evaluates the patient and determines orthotic treatment. |
• | Takes measurements and impressions of patient’s trunk. |
• | Takes measurements and drawing of affective limb(s). |
• | Corrects drawings with the use of measurements and standard techniques. |
• | Constructs orthosis with corrected drawing, joint components, side bars, bands, padding and leather. Construction requires use of proper tools and machinery such as bending irons, drill press, band saw, grinders, buffers, sewing machine, etc. |
• | Fits orthosis to patient, checking for proper clearances, alignment and function. |
• | In consultation with higher level orthotic personnel determines what joint components will be used. |
• | Instructs patient and/or family on proper use of orthosis including tolerance build up, alertness to potential problems, cleaning and maintenance. |
• | Records in patient chart information regarding orthosis construction, fit, adjustments, Performance and patient interaction. |
• | Custom Corset |
• | Take measurements, send out for Camp to manufacture |
• | Additional duties: |
• | Observes lab problems/inefficiencies and suggests ideas to alleviate/improve situation. |
• | Attends lectures/seminars to improve knowledge and skill in orthotics. |
• | Seeks to improve fit and function of orthoses through application of mechanical and clinical experiences. |
• | Provides patient safety in evaluation, treatment, and fitting procedures and adhere to safety precautions to manage risk factors to patient and self (i.e. infection control, cardiac, pulmonary, behavioral etc.). |
• | Attends and participates in departmental and intra-departmental meetings and educational programs. |
• | Participates in student/intern/resident education/training and team meetings/activities. |
• | Mentors residents, Licensed Athletic Trainers (LAT), and visiting Physicians. |
• | Confers with physicians via interdepartmental communication. |
• | Maintains inventory in assigned areas. |
• | Ensures treatment fulfills the departmental intent and objective. |
• | Ensures evaluation and treatment is carried out in a timely and cost-effective manner. |
• | Completes an Age-Specific Self-Assessment annually for Child, Adolescent, Adult and Geriatric populations. |
• | Ensures all medical documentation will meet hospital and departmental criteria for content and timeliness. |