A prosthetic patient has a partial or total absence of a limb and needs a prosthesis, or a custom designed, fabricated, fitted and/or modified device to replace an absent external limb for purposes of restoring physiological function and/or cosmesis.
An orthotic patient has a neuromuscular and musculoskeletal disorder and needs an orthosis, or a custom designed, fabricated, fitted and/or modified device to correct, support or compensate for the disorder or acquired condition.
The Certified Prosthetist/Orthotist is specifically trained and educated to independently provide or supervise the provision of comprehensive prosthetic and orthotic care. This includes patient assessment, formulation of a treatment plan, implementation of the treatment plan, follow-up and practice management.
Prosthetics and Orthotics combine a unique blend of clinical and technical skills. Prosthetist/Orthotists evaluate patients and custom design, fabricate and fit prostheses and orthoses. They work with other members of the rehabilitation team, design with computers, and help change a patient's life.
The clinical skills and technical knowledge required to accomplish orthotic tasks are extensive, complex, and sophisticated. Proper care requires not only extensive training in the field, but also a comprehensive understanding of anatomy, physiology, biomechanics and kinesiology - in short, how the body's components operate and interrelate.
* Subject to limitations imposed by state and/or local law.
- Collaborate with physicians in the evaluation and analysis of a patient’s need for prosthetic or orthotic services; recommend treatment options to physicians when necessary.
- Examine and evaluate patient's needs in relation to disease and functional loss.
- Formulate design of Prosthetic or devices.
- Select materials, make cast measurements, model modifications, and layouts, taking into account new techniques and materials
- Perform fitting, including static and dynamic alignments.
- Evaluate prosthesis on patient, adjust to assure fit, function, medical efficacy, and quality of work.
- Instruct patient in use of prosthesis.
- Identify and reconcile issues/problems to ensure patient satisfaction with devices provided.
- Provide follow-up with patients and physicians
- Provide in-service training to physicians and allied health care professionals.
- Utilize effective materials management, quality and performance processes to maximize device quality and medical efficacy, maintaining a proper balance with costs and operational/financial performance.
- Meet with physicians, case managers and other referral sources to review prosthetic services and capabilities; develop and enhance business relationships to identify and secure ongoing and future sources or referrals.
- Responsible with manager to plan and implement strategies to meet and exceed revenue targets.
- Provide detailed clinical notes to patient records.
- May mentor residents or newly certified Prosthetists.
- Provide assistance to other clinical staff.
- Provide information to administrative staff to conduct reimbursement activities.
- Adhere to all safety regulations; compliance with Medicare and other governmental regulations; compliance with bloodborne and Occupational Safety and Health Administration (OSHA) requirements.
- Perform other duties or special projects as assigned.
Required Skills & Abilities:
- Thorough understanding of the principles of biomechanics, pathomechanics, gait analysis, kinesiology, anatomy and physiology
- Thorough understanding of componentry and its suitability and reliability for specific uses
- Thorough understanding of medical terminology
- Effective communication skills for accurate, concise, and organized oral and written presentation and reports to patient and staff
- Ability to instruct clinical and non-clinical personnel and customers on objectives of patient care services
- Active listening, reading and comprehension skills for analyzing reports, charts and correspondence
- Ability to assess patient condition and advise physician on treatment options
- Good interpersonal skills and ability to build professional relationships with physicians, therapists and patients
- Ability to work effectively as a team member
- Effective organizational, time management and planning skills
- Ability to lift patients using biomedical techniques frequently throughout the course of a work day/shift; must be capable of easily lifting fifty (50) pounds of weight alone
- Ability to walk, bend, stand, and reach constantly during a work day
- Visual acuity (near and distant) sufficient to maintain accurate records, recognize people, and understand written direction
- Ability to speak and hear sufficiently to understand and give directions
- Ability to push wheeled equipment throughout the facility
- Fine motor skills adequate for scheduling and preparing patients, equipment, and supplies for treatment
- Ability to participate in sustained activities for many hours in duration in accordance with state labor laws
- A baccalaureate degree in orthotics and prosthetics or
- A baccalaureate degree in any major and an orthotics or prosthetics certificate from a CAAHEP accredited program and a 12-month National Commission on Orthotic and Prosthetic Education (NCOPE) accredited residency program or
- An equivalent combination of education and experience to meet board eligibility
- Current board certification or board eligible in Prosthetics and Orthotics (i.e. American Board Certified (ABC))
- Demonstrated past experience in providing prosthetic and orthtotic services under the supervision of a certified practitioner