Fitter
Job description
JOB DESCRIPTION
Job Title
(30 character limit)
ORTHOTICS/PROSTHETICS FITTER- Level 1
Job Code
TBD (7175 current)
Division/Function
Orthopaedics
Career Level/
Grade Level
Grade 92
Reports To
Chief Orthotics & Prosthetics
FLSA
Non-Exempt
GENERAL PURPOSE
The General Purpose provides a concise, high level overview of the role, level, and scope of responsibility consisting of 3-4 sentences. It provides a basic understanding of the job and a concise summary of why the job exists and how it makes an impact.
Provides independent patient care related to patient evaluation, prescription recommendation, applying all manner of fracture casts, fitting and adapting of assistive devices and coordination of patient care with other health care professionals. Usually works in accordance with standard procedures and practices. Exercises a high degree of judgment and skill.
JOB DUTIES AND RESPONSIBILITIES
This section contains a description of the 4-7 separate duties and responsibilities that make up the position. Assign each responsibility a percentage of time (increments of 5% and no one responsibility greater than 25%) to total 100%. Select an indicator (Y/N) for essential function and remote work. Job Duties should be listed in order of percentage of time, with highest percentage first. When estimating percentage of time, it can be considered that 10% of a week is 5 hours or 5 weeks in a year.
Responsibility
% of Time Spent
(Must total 100%)
Essential* Function (Y/N)
Can Be Performed Remotely (Y/N)
Clinical Assessment
- Obtains a history of the patient, evaluates patient, and examines the patient manually. Determines the needs of the patient by integrating the information obtained from history, examination and observation in order to assess the specific needs of the patient. Analyzes the data obtained by empirical methods in order to prepare a recommendation.
- Collaborates with patient, family and involved providers to develop a treatment protocol for the specific patient and to determine a specific device recommendation and plan for its use.
- Obtains and accurately records appropriate measurements and other data from the patient in order to produce the device recommended.
10%
Patient management
- Measures a patient by utilizing proper instruments and tests in order to compile data to be used in prosthetic and orthotic design and fabrication. Manipulate the patient’s body or body segments to provide correction.
- Properly fist orthotic designs by utilizing accepted prosthetic/orthotic techniques in order to achieve optimum fit, function and cosmesis.
- Evaluates a patient’s gait by visual observation in order to achieve optimum prosthetic or orthotic function.
- Achieves optimum alignment of patient’s prosthetic/orthotic device by evaluation of the sagittal, transverse and coronal planes in order to provide maximum function.
- Manages a simple, stable fracture utilizing prefabricated orthoses.
- Follows up with patient care in order to assure proper fit and function of the prosthetic/orthotic device by periodic evaluation.
- Provides the solution to a patient’s prosthetic/orthotic problem by appropriate evaluation in order to achieve proper function.
- Educates the patient on the various procedures you are about to perform and/or explain his/her role and responsibilities regarding these procedures by utilizing appropriate communication skill in order to achieve successful fabrication and utilization of the prosthetic/orthotic device.
50%
Practice Management
- Communicates patient information to referring physicians and other healthcare providers to achieve ultimate patient care.
- Provide proper documentation of patient history and financial records by established record keeping techniques in order to verify patient care and other pertinent records.
- Establish procedures for patient care that comply with accepted medical/legal requirement by maintaining current education in these areas to provide appropriate patient care in order to avoid legal ramifications.
30%
Professional responsibilities:
- Selects the most appropriate course of action when faced with patient related problems by applying their experience in order to recognize their limitations in providing appropriate patient care.
- Provide optimum patient care by recognizing the need to pursue continuing education in order to remain current in practice.
- Provide ethical patient care by applying the American Board of Certification in Orthotics and Prosthetics Canon of Ethics in order to maintain ethical professional services.
- Educate individuals involved in patient care (physicians, residents, therapists, etc.) by utilizing appropriate communication skills in order to provide them with current prosthetic and orthotic information.
- Other duties as directed by supervisor
10%
Other duties as assigned
*Essential functions are those functions that the individual who holds or desires the position must be able to perform with or without a reasonable accommodation. A job function may be deemed essential based upon several factors such as whether: 1. the position exists for performance of the function; 2. the number of employees available who can perform the function and limitations on the ability to reassign it; or 3. the degree of skill or expertise required to perform the function.
QUALIFICATIONS
This section lists the level of job knowledge (such as education, experience, knowledge, skills and abilities) necessary to do this job and whether it is required or preferred. Required qualifications are the minimum level of qualifications needed to perform this job. Preferred qualifications are “nice to have”, but are not essential to the day-to-day functions of the job.
Description
Required/Preferred
Minimum Education
High School Diploma
Associates degree
Required
Preferred
Experience
Experience in a healthcare Setting
or equivalent combination of education and experience
Preferred
Required
Knowledge, Skills & Abilities
Ability to interact with patients and physicians on a professional level.
Willingness and ability to learn
Required
Required
Certification
Certification by American Board for Certification of Orthotics, Prosthetics and Pedorthics
Preferred
JOB SCOPE
Place an “X” next to the ONE statement that applies the majority of the time in each category.
Critical Thinking
Basic level of problem solving ability. Follows policies and procedures where facts are readily available.
Moderate level of problem solving ability. Gathers and interprets data to solve routine problems that require verification. Some independent judgement required.
Independent level of problem solving ability. Resolves semi-complex problems that require independent judgement.
High level of problem solving ability. Integrates and interprets data from diverse sources to find solutions to very complex problems.
Freedom to Act
Work is closely managed and reviewed for accuracy and adequacy. Follows specific, outlined and detailed instructions.
Work is accomplished with moderate supervision. Follows established and detailed directions. Work is reviewed for accuracy and overall adequacy.
Work is accomplished with limited direction. Determines and develops approach to solutions. Work is evaluated upon completion to ensure objectives have been met.
Work is accomplished without considerable direction. Exercises judgement in selecting methods, techniques, and evaluation criteria in obtaining results. Exerts significant latitude in determining objective of assignment. Takes calculated risks with consultation from an expert.
Works with minimal direction toward predetermined long-range goals. Acts independently to determine methods and procedures on new or special assignments. Determines and pursues courses of action essential in obtaining desired results. Takes calculated risks.
Supervision of others (including hire/fire)
No supervisory responsibility
Non-supervisory leader (Example: team leader, coordinator, or mentor)
Supervisory (two or more fulltime direct reports or equivalent)
Planning
Executes goals and objectives established by supervisor or manager.
Develops individual goals and sets individual daily priorities and tasks. Goals and objectives are monitored by supervisor or manager.
Develops and executes goals and objectives for a department or functional group. Recommends and gives input to strategic initiatives.
Creates business strategies for long-term strategic objectives. Monitors results of initiatives.
Consequence of Error
Failure to accomplish results can normally be overcome without significant effect on the organization.
Failure to achieve results or erroneous judgements may require allocation of additional resources to correct and/or achieve goals.
Failure to obtain results or erroneous judgements or recommendations would normally have serious results and may require substantial expenditure of resources to correct and/or achieve goals.
Erroneous decisions or recommendations would normally result in the inability to reach crucial organizational objectives and may have prolonged effect, as well as the expenditure of substantial resources.
Erroneous decisions or recommendations would normally result in failure to reach goals crucial to significant organizational objectives and would profoundly affect the image of the organization.
Financial Responsibility (Please check all that apply)
Signing responsibility
Manage pre-determined budget
Independent judgement and responsibility to develop employer or departmental budget
Responsible for revenue generating processes less than or equal to $1M
Responsible for revenue generating processes $1M to $5M
Responsible for revenue generating processes greater than $5M
Independent judgement and authority to commit the employer in matters of significant financial impact
PHYSICAL/SENSORY REQUIREMENTS AND WORKING ENVIRONMENT
Indicate the physical/sensory requirement for each activity. Also indicate weight requirements where applicable
Activity
Rarely, Occasionally, Frequently, Continuously or N/A**
Weight***
Stationary Standing
Sitting
Walking
Crawling
Balancing
Lifting/Carrying
Pushing/Pulling
Bending
Squatting
Kneeling
Twisting/Turning
Climb
Stoop
Overhead Reaching
Typing/Keyboarding
Driving (car/equipment)
Critical Thinking/Organization
Talking on Phone
Talking in Person
Hearing in Person
**Key to frequency codes:
R = Rarely (less than 0.5 hours per day) C = Continually (5.6 - 8.0 hours per day)
O = Occasionally (0.6 - 2.5 hours per day) N/A = Not Applicable
F = Frequently (2.6 - 5.5 hours per day)
***Weight: Up to 10Ibs; Up to 20lbs; Up 35lbs; Up to 50lbs; Greater than 50lbs
Hazard Assessment
Please enter a “Y” next to any hazard that this job is subjected to in a normal workday
Hazard Present (Y/N)
Hazard Type
Hazard Description
Chemical
Toxic: A chemical that exposes a person by absorption through the skin, inhalation, or through the blood stream that causes illness, disease, or death. The amount of chemical exposure is critical in determining hazardous effects. 1910.1000 for chemical hazard information.
Flammable: A chemical that, when exposed to a heat ignition source, results in combustion. Typically, the lower a chemical’s flash point and boiling point, the more flammable the chemical. Check MSDS for flammability information
Corrosive: A chemical that, when it comes into contact with skin, metal, or other materials, damages the materials. Acids and bases are examples of corrosives.
Explosion
Chemical Reaction: Self-explanatory
Over Pressurization: Sudden and violent release of a large amount of gas/energy due to a significant pressure difference such as rupture in a boiler or compressed gas cylinder.
Electrical
Shock/Short Circuit: Contact with exposed conductors or a device that is incorrectly or inadvertently grounded, such as when a metal ladder comes into contact with power lines. 60Hz alternating current (common house current) is very dangerous because it can stop the heart.
Fire: Use of electrical power that results in electrical overheating or arcing to the point of combustion or ignition of flammables, or electrical component damage.
Static/ESD: The moving or rubbing of wool, nylon, other synthetic fibers, and even flowing liquids can generate static electricity. This creates an excess or deficiency of electrons on the surface of material that discharges (spark) to the ground resulting in the ignition of flammables or damage to electronics or the body’s nervous system.
Loss of Power: Critical equipment failure as a result of loss of power.
Ergonomics
Strain: Damage of tissue due to overexertion (strains and sprains) or repetitive motion.
Human Error: A system design, procedure, or equipment that is error-provocative. (A switch goes up to turn something off).
Excavation (Collapse)
Soil collapse in a trench or excavation as a result of improper or inadequate shoring. Soil type is critical in determining the hazard likelihood.
Fall (Slip, Trip)
Conditions that result in falls (impacts) from height or traditional walking surfaces (such as slippery floors, poor housekeeping, uneven walking surfaces, exposed ledges, etc.)
Fire/Heat
Temperatures that can cause burns to the skin or damage to other organs. Fires require heat source, fuel, and oxygen
Mechanical/ Vibration (Chaffing/ Fatigue)
Vibration that can cause damage to nerve endings or material fatigue that results in a safety-critical failure. (Examples are abraded slings and ropes, weakened hoses and belts.)
Mechanical Failure
Self-explanatory; typically occurs when devices exceed designed capacity or are inadequately
maintained.
Mechanical
Skin, muscle, or body part exposed to crushing, caught-between, cutting, tearing, shearing items or equipment.
Noise
Noise levels (>85 dBA 8 hr TWA) that result in hearing damage or inability to communicate safety-critical information
Radiation
Ionizing: Alpha, Beta, Gamma, neutral particles, and X-rays that cause injury (tissue damage) by
ionization of cellular components.
Non-Ionizing: Ultraviolet, visible light, infrared, and microwaves that cause injury to tissue by thermal or photochemical means.
Struck by (Mass Acceleration)
Accelerated mass that strikes the body causing injury or death. (Examples are falling objects and projectiles.)
Struck Against
Injury to a body part as a result of coming into contact of a surface in which action was initiated by the person. (An example is when a screwdriver slips.)
Temperature Extreme (Heat/Cold)
Temperatures that result in heat stress, exhaustion, or metabolic slow down such as hypothermia.
Visibility
Lack of lighting or obstructed vision that results in an error or other hazard.
Weather
Phenomena (Snow/Rain/ Wind/Ice) Self-explanatory.
Approvals
Signature
Date
HR Business Partner:
Compensation Analyst:
Approver:
Job Type: Full-time
Pay: $22.83 - $27.49 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Medical specialties:
- Orthopedics
Schedule:
- 8 hour shift
- Monday to Friday
- Weekend availability
Ability to commute/relocate:
- Rochester, NY 14618: Reliably commute or planning to relocate before starting work (Required)
License/Certification:
- Driver's License (Preferred)
Work Location: In person
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