Ann Marie Viray, PT

• Provide therapy services in a home health setting
• Perform comprehensive initial and ongoing assessments to determine patients' functional levels and overall health status, including early detection of complications such as changes in skin integrity and cognition
• Develop and implement individualized treatment plans focused on achieving functional goals and quality of life in a home health setting
• Evaluate patients' rehab potential, functional mobility, activity tolerance, safety in the home environment, need for DMEs, compliance with physician orders, including medication reconciliation, need for community resources, and Continuing Care services
• Implement a plan of care to reach functional goals
• Supervise and communicate with PTAs regarding patient’s response or progress to treatment
• Regularly re-assess clinical symptoms to determine effectiveness of treatment and the need to modify plan of care
• Evaluate functional status through objective or functional measurements
• Educate and demonstrate to patient/family/caregiver the proper techniques for bed mobility, transfers, ambulation, sitting/standing balance, and other functional mobility, and reinforce training and education if needed
• Provide instructions / hand-outs on HEP and safety precautions based on individual’s diagnoses
• Perform home assessment and recommend home modification or DMEs to ensure safety at home
• Coordinate the delivery of physical therapy services with rehabilitation team, nursing, social worker, and home health aides which results in effective utilization of resources and timely attainment of achievable goals
• Manage daily scheduling of start of care visits, follow ups and discharges
• Ensure prompt documentation of physical therapy services
• Complete OASIS documentation with precision and in compliance with regulatory guidelines
• Provide direct one-on-one physical therapy interventions to enhance strength, balance, coordination, posture, range of motion, gait training and address various impairments
• Capable of distinguishing between emergent and non-emergent patient care, escalating as necessary
• Discharge patient from physical therapy when treatment goals have been met

• Completed thorough evaluations using screening tools for adult and geriatric patients with a variety of conditions such as stroke, traumatic brain injury, Multiple Sclerosis, Guillain-Barre Syndrome, major joint replacement, spinal fusion, congestive heart failure, coronary artery bypass graft (CABG), fractures S/P ORIF, pulmonary diseases, and other orthopedic cases
• Reviewed patient referral and performed thorough examinations of patients’ health history and medical record prior to treatment
• Utilized screening tools such as range of motion (ROM), manual muscle testing (MMT), functional muscle testing (FMT), Timed Up and Go (TUG), 2–minute walk test, 30 Second Chair Rise Test (30STS), Elderly Mobility Scale (EMS), Functional Independence Measure (FIM) scoring, and other special tests for baseline information and objective progress
• Managed a daily caseload of 7-8 patients and administrative tasks, with average productivity of 90% and efficiency of 95%
• Formulated plan of care, facilitated early mobility, restored function, and improved activities of daily living (ADL) and functional mobility using therapeutic exercises/activities neuro-developmental techniques (NDT), functional mobility training program, and other therapeutic modalities/interventions
• Administered ultrasound, diathermy, electrical stimulation, ice massage, and other physical agents as part of therapeutic interventions
• Evaluated and trained residents for custom seating and wheelchair needs, and assistive devices such as canes, crutches, walkers and orthotic/prosthetic devices with 10/10 carryover upon discharge
• Maintained an organized and accurate documentation, completed in a timely manner
• Supervised two physical therapy assistants daily, and assigned appropriate caseload yielding increased efficiency and properly monitored patient care
• Coordinated and collaborated with physician, nurses, and other members of the interdisciplinary team (IDT), the patients’ plan of care (POC) and current functional status
• Participated in patient discharge planning and assisted in decision making for appropriate discharge placement of patients
• Educated and trained patients, family members/caregivers on safety precautions, transfer techniques, and home exercise program (HEP) with 100% carryover prior to discharge
• Assisted the director of rehab with staffing, scheduling, and patient delegation, and attended daily meetings for rehab reporting
• Implemented new patient program in accordance with facility policies
• Developed fall prevention and fall recovery program
• Educated and guided other therapists on the use of outcome measure/objective tests
• Led quarterly and annual screening of long-term patients
• Observed the department’s policies and procedures, including proper sanitation of equipment and isolation precautions
• Trained RNA and established maintenance program for facility residents
• Provided clinical training and directed supervision on DPT students during SNF rotations
• Attended patient/family care conferences
• Performed chart audits

• Provided therapy services in an out-patient care setting
• Responsible for physical therapy evaluations and treatments
• Supervised PTAs through proper delegation and implementation of plan of care
• Conducted exercise prescriptions and different training protocols
• Assessed functional status through the use of objective measurements
• Administered therapeutic exercises, hydrotherapy, electrotherapy, and other therapeutic modalities
• Established goals in conjunction with the patient and physician
• Educated patient and family regarding home exercise programs, proper body and gait mechanics, and use of assistive device
• Completed appropriate documentation on the medical record regarding patient’s response and progress to treatment
• Evaluated the need for further diagnostic testing like Nerve test or MRI
• Determined the need for a referral to the next level of care
• Coordinated to other Medical Team discharge plans or recommendations
• Provided In-Service education on site to both employers/employees in Industrial Setting to help reduce work related injuries
• Educated patient/workers on proper body/lifting mechanics, posture, ergonomics, and assessed work environment for safety.

• Delivered exceptional home-based physical therapy services, improving patients' safety and independence
• Evaluated and assessed the need for physical therapy to improve independence, functional mobility, and safety at home and in the community
• Developed and implemented a comprehensive Plan of Care, crucial in achieving functional goals
• Supervised and communicated with PTA regarding patient’s response or progress to treatment
• Assessed functional status through objective or functional measurements
• Demonstrated to the patient proper techniques for bed mobility, transfers, ambulation, sitting/standing balance, and other functional mobility.
• Conducted in-depth education sessions with patients and caregivers, resulting in improved adherence to prescribed HEP
• Performed home assessment and recommended home

modification or DMEs to ensure safety at home

• Discharged patient from physical therapy services when patient has met treatment goals