Seton Medical Center has a long tradition of providing patient-centered, quality care. Founded in 1893, the 357-bed medical center now serves 1.5 million residents of San Francisco and northern San Mateo County with comprehensive inpatient and outpatient medical specialties, as well as emergency and urgent care services. Its sister facility, Seton Coastside, is a 116-bed skilled nursing complex offering inpatient care and the only 24-hour standby Emergency Department on the Pacific Coast between Daly City and Santa Cruz. Both facilities receive ongoing philanthropic support from generous individuals and organizations that serve the community through the Seton Medical Center Foundation.
The Recreation Therapist (RT) evaluates and treats patients, maintains patient activity programs, communicates with patients, families, surrogates, conservators, physicians, and other health team members and maintains documentation of services, treatment plans etc., in the medical record. The RT will be assigned a specific case load. The RT will assign specific caseload of patients to activity leaders for groups, one to one visits, or other activities as scheduled.
MAJOR JOB OBJECTIVES AND RESPONSIBILITIES:
Provides feedback, training in activities and group planning, preparation and performance of effective group participation to activity staff and student interns.
Supervises all recreation therapy treatment plans for patients.
Communicates with interdisciplinary (IDT) regarding clinical concerns regarding patient care.
Assures that documentation by Activity Leaders is completed in a timely and accurate manner.
Manages case load in an efficient manner. Assists relief recreation therapy staff prioritize work and manage their case load.
Participates in development, review and implementation of departmental policies and procedures as needed and at least annually.
Reviews / revises job descriptions for assigned staff as needed and at least annually.
Participates in hiring process, orientation, mentoring, counseling, performance evaluations and performance improvement plans for activity staff. Completes performance evaluations in a timely manner. Supervises student interns.
Participates in the annual budget process for recreation therapy services. Determines equipment and supply needs and is responsible for purchase and inventory of supplies.
Insures safety of program area and supplies / equipment.
Assessment / Reassessment: Assures that an initial activity assessment is completed within 72 hours of admission of patients. Assures that an activity reassessment is completed with a change in behaviors, change in condition and at least weekly.
Treatment Planning: Assures that treatment plans include activity interventions on admission and activity treatment plans are completed within 72 hours. Treatment plans are updated on change of condition or behavior with new interventions and at least weekly.
Interdisciplinary Team (IDT): Actively participates in the IDT process and is prepared for presentation of pertinent information during IDT including revision of treatment plans, behavioral interventions etc.
Communication: Assures that communication between activity staff and the interdisciplinary team is completed in a timely manner.
o Attends and participates in treatment team meetings. Presents patient status (i.e. changes in behavior, responses to interventions, new behaviors and new or re-enforced interventions).
o Notifies the IDT members promptly of any changes identified in patient's condition
o Provides information about patients to IDT members verbally and in writing utilizing the Acute
o Psychiatric Log as needed.
o Reviews Acute Psychiatric log book on a daily basis.
o Documentation: Maintains accurate documentation including but not limited to:
o Observes and monitors patients for side effects of medications, antecedents to inappropriate behaviors, changes in cognition / physical status etc. and reports to licensed nurse and / or physician for further review and possible change in treatment etc.
o Admission assessments
o Reassessments at least weekly
o Individual and group participation
o Treatment plan
o Maintains a daily / monthly activity calendar.
o Participates and / or leads group activities including but not limited to: ADL / grooming, aroma therapy, music therapy, art therapy, process groups, psycho-education, recreational, social, spiritual, educational, leisure skills etc.
o Provides supervision of patients during activities to prevent accidents i.e. falls, inappropriate eating, choking, patient to patient incidents, self-injurious behaviors, other inappropriate / dangerous behaviors etc.
o Accounts for all sharps, equipment and supplies at the end of each group.
o Secures all materials in a locked area at the end of each group session.
Patient Teaching: Instructs patients / patient's authorized representative / conservator regarding treatment plans including leisure activities.
Notification: Notifies supervisor of new behavior problems in a timely manner.
o Reports incidents of elder I dependent abuse per facility policy
o Removes any defective equipment from immediate use using "lock out - tag out" procedure and notifies appropriate department / vendor for repair.
o Notifies Housekeeping of any spills etc. in a timely manner.
o Completes a facility incident report when unusual occurrences happen, participates in the investigation and notification to the appropriate facility leader.
Continuous Quality Improvement Responsibilities
Quality Assurance and Performance Improvement: Actively participates in the Acute Psychiatric Unit QA & PI program. Reviews indicators for social service on a pre-assigned basis, makes any necessary corrections and makes recommendations for improvement to the QA and PI Committee at least quarterly.
Theft and Loss: Coordinates the theft and loss program. Maintains a theft and loss log, tracks all incidents of theft/loss, investigates lost property, reports stolen items valued at $100 or greater to law enforcement, facilitates replacement of lost property in collaboration with Administration. Presents a report to the facility QA & PI Committee. Implements remedial actions as indicated / directed
Complaint/Grievance Process: Assists with coordination of the complaint / grievance / compliment process. Logs all complaints I grievances I compliments per facility policy. Assures that resolution is appropriate to person submitting issue. Tracks, trends and reports issues to the QA& PI Committee on a regular basis. Implements remedial actions as indicated I directed.
Staff training: Provides instruction and training to patient care staff (i.e. C.N.A / M.H.W., licensed nurses, activity, social services, ancillary and other staff as appropriate) regarding behavioral interventions and psycho social issues in an ongoing manner.
Patient Safety: Assures safety for patients on the Acute Psychiatric unit including but not limited to:
o Safe environment (i.e. doors are secured, no trip hazards, no sharps, no left over food, no products with hazardous chemicals that are not secured, no objects that could be used for strangulation or self-harm etc.)
o Identification of all patients utilizing two forms of ID for treatments.
o Fall precautions
o Elopement precautions
o Housekeeping and maintenance supplies are locked or under supervision of a staff member at all times
o No weapons are brought on unit be law enforcement or others.
Follows facility policies and procedures and federal/state regulation
Participates in facility quality management program
Follows oral and written instructions accurately
Keeps supervisor informed of work priorities and problems.
Responds appropriately to emergency situations and disasters
Provides a safe environment for patients, visitors and staff
Assures security of environment to prevent exit of patient's intent on elopement. Implements the facility procedure for elopement if any patient leaves the facility without permission.
Follows facility standards relating to customer service.
Maintains confidentiality of patients and other work related issues
Assures that all patients are treated with respect and dignity and that staff are sensitive to cultural and spiritual preferences
Follows facility rules of conduct
Attends in-service related to work and completes required in-service annually; attends outside classes to enhance role and professional standards, as appropriate.
Provides timely notification of illness/absences to appropriate supervisor following departmental policy and time lines.
Attends facility meetings as assigned.
Follows dress code for work area
Performs other duties as assigned
REQUIREMENTS AND QUALIFICATIONS:
Graduate of an accredited college or university with a bachelors or master's degree in occupational therapy or recreation therapy is preferred.
Current certification or license (i.e. OTRIL in Occupational Therapy or CTRS in Recreation Therapy)
Basic Life Support certificate (BLS)
Completion of Crisis Prevention and Intervention (CPI) training within 3 months of employment.
Ability to perform activity / recreation therapy and collaborate with others;
Ability to interact effectively with patients, visitors, administration, physicians, and staff;
Knowledge of State and Federal laws and regulations governing Mental Health.
Ability to read, write and speak English in a clear manner;
Desire to work with geriatric and mentally disabled persons;
Ability to generate enthusiasm and cooperation from others;
Must possess the ability to make independent decisions when necessary;
Ability to understand and respond appropriately to cultural diversity.
Seton Medical Center