Dr. Kristi Greenfield, OTD, OTR/L
Tacoma
Summary
Passionate therapist offers high-level skills in comprehensive evaluation and developing complex goal-oriented, evidence-based treatment plans while collaborating and coordinating with multidisciplinary teams for optimization of successful return to work. Provides evidence-based interventions to effectively address patients' physical, cognitive, and social needs. Experience working with both individuals and groups throughout the lifespan in numerous clinical settings which include outpatient hand therapy, outpatient chronic pain rehabilitation clinic, inpatient rehabilitation, inpatient orthopedics, inpatient acute (general inpatient, intensive care unit, and emergency department), inpatient post-acute skilled nursing facility and outpatient home health. Experience with use of therapeutic modalities, integrative techniques and technologies for evaluation and ongoing treatment. Adept at collaborating and coordinating with multidisciplinary teams, effective patient education and delivering culturally competent care.
Overview
4
4
years of professional experience
1
1
Certification
Work History
OCCUPATIONAL THERAPIST, HAND THERAPIST
Highline Physical and Hand Therapy
Bonney Lake
09.2023 - Current
- Outpatient hand therapy focusing on evaluating functional limitations / activity restrictions and treating patients to optimize return to work.
- Primarily outpatient adult, populations treated include infants, pediatrics, young adults, adults and geriatric / older adults.
- Experience developing complex goal-oriented, evidence-based treatment plans as well as collaborating and coordinating with multidisciplinary teams for optimization of successful return to work.
- Additionally, extensive experience with use of therapeutic modalities, integrative techniques and technologies for evaluation and ongoing treatment.
- Experience treating active-duty military service members, veterans, manual laborers / skilled trade workers, workers' compensation patients and Labor and Industry (L&I) patients.
- Conditions and impairments treated include acquired amputations, upper extremity neuropathies, traumatic upper extremity amputations, neurodegenerative conditions, post-operative impairments and complications, congenital defects, traumatic orthopedic injuries, cardiovascular accident (stroke) related hemiplegia and hemiparetic extremities, spasticity related to traumatic brain injuries, upper extremity contractures, overuse injuries, impaired gross and fine motor control secondary to inoperable brain tumors and post-operative cranial tumor excision, and complex regional pain syndrome.
- Experience Treating, rehabilitating and optimizing return to work / activities of daily living postoperatively for various procedures including joint arthroplasties, ligament and tendon repairs, open reduction internal fixation (ORIF) following fractures, carpal tunnel release, cubital tunnel release, fractures with external fixators, De Quervain's Tenosynovitis (stenosing tenosynovitis) release, scapholunate ligament repair, triangular fibrocartilage complex repair, arthroscopic debridement, wafer procedure, distal ulna resection, Darrach procedure, proximal carpal row carpectomy, and more.
- Experience developing and overseeing standard operating procedures for occupational therapy clinic and staff.
- Extensive knowledge and experience optimizing treatment for successful return to work.
- Treatment focused on work-related activity endurance, biomechanical function, muscular strengthening, neuromuscular reeducation, improving functional task tolerance, activity of daily living, instrumental activities of daily living, as well as gross and fine motor skills.
- Extensive experience educating patients and their family / caregivers on post-operative care and precautions, activity modification, activity of daily living adaptations and safety, adaptive equipment, orthotic wear, mental health resources and community support resources.
OCCUPATIONAL THERAPIST
Piedmont Northside Rehabilitation Hospital
Columbus
08.2022 - 08.2023
- Acute inpatient rehabilitation facility (IRF), acute inpatient hospital, intensive care unit, and emergency department.
- Experience treating injuries and impairments including traumatic brain injuries, spinal cord injuries, cancer related deconditioning and secondary impairments, neurodegenerative conditions, orthopedic injuries and impairments, post-operative joint arthroplasties, cognitive impairments, cardiovascular deconditioning, cerebrovascular accidents (strokes) muscular weakness, medically complex and fragile individuals.
- Extensive experience mobilizing patients while managing medical equipment such as lines, wound vacs, mobility devices, oxygen compressors, and more during treatment of patients.
- Rehabilitation evaluation, treatment, and ongoing re-evaluation with a focus on activities of daily living (ADLs) and instrumental activities of daily living (IADLs).
- Experience developing complex goal-oriented, evidence-based treatment plans as well as collaborating and coordinating with multidisciplinary teams for optimization of successful discharge from inpatient facility.
- Additionally, extensive experience with use of therapeutic modalities, integrative techniques and technologies for evaluation and ongoing treatment.
- Experience educating patients and family/caregivers on safety, transfers, ambulation, activities of daily living modifications, adaptive equipment, mental health resources and community support resources.
- Continuous multi-disciplinary collaboration focused on patient safety and independence prior to discharge from facility.
- Experience collaborating with nursing, physical therapy, physicians, certified nursing aides, physical therapy assistants, certified occupational therapy assistant, wheelchair specialists and others.
OCCUPATIONAL THERAPIST
Jack Hughston Memorial Hospital
Phenix City
08.2022 - 08.2023
- Inpatient orthopedic specialty hospital with focus on major joint arthroplasties and postoperative care.
- Experience mobilizing patients postoperatively, educating patients on postoperative precautions per physician instruction, continuous multi-disciplinary collaboration during treatment sessions and when determining patient's discharge plan.
- Experience working with young adults, adults and older adult / geriatric populations including active duty military service members, veterans, athletes, skilled trade workers, and general population.
- Extensive experience educating patients and family/caregivers on safety, transfers, ambulation, activities of daily living modifications, adaptive equipment, mental health resources and community support resources.
OCCUPATIONAL THERAPIST
Reliant Rehabilitation
Phenix City
08.2022 - 01.2023
- Inpatient post-acute skilled nursing facility with both long-term and short-term residents.
- Rehabilitation involving evaluation, treatment, and ongoing re-evaluation with a focus on activities of daily living (ADLs) and instrumental activities of daily living (IADLs).
- Continuous multi-disciplinary collaboration focused on patient safety and independence prior to discharge from facility.
- ADLs/IADLs treatment include ambulation, self-care, bed mobility, self-feeding, safety awareness, sleep hygiene and transfer safety.
- Experience working with adult and older adult / geriatric populations with conditions and impairments such as neurodegenerative diseases, cognitive impairments, acquired spinal cord injuries, traumatic brain injuries, cerebrovascular accidents (strokes).
- Extensive experience educating patients and family / caregivers on safety, transfers, ambulation, activities of daily living modifications, adaptive equipment, mental health resources and community support resources.
- Experience conducting and assisting with custom wheelchair evaluations.
OCCUPATIONAL THERAPIST
Fox Rehabilitation
Phenix City
09.2021 - 07.2022
- Outpatient adult and older adult / geriatric home health.
- Rehabilitation involving evaluation, treatment, and ongoing re-evaluation with a focus on activities of daily living (ADLs) and instrumental activities of daily living (IADLs).
- Experience treating injuries and impairments including traumatic brain injuries, pulmonary diseases, cancer related deconditioning and secondary impairments, neurodegenerative conditions, orthopedic injuries and impairments, postoperative joint arthroplasties, cognitive impairments, cardiovascular deconditioning, cerebrovascular accidents (strokes) muscular weakness, medically complex and fragile individuals.
- ADLs/IADLs treatment include ambulation, self-care, bed mobility, self-feeding, safety awareness, sleep hygiene and transfer safety.
- Experience educating patients and family/caregivers on safety, transfers, ambulation, activities of daily living modifications, adaptive equipment, mental health resources and community support resources.
Education
DOCTOR OF OCCUPATIONAL THERAPY -
Northern Arizona University
Phoenix, AZ04.2021
BACHELOR OF SCIENCE - EDUCATIONAL PSYCHOLOGY
Texas A&M University
College Station, TX08.2018
Skills
- Direct patient care
- Electronic medical record / electronic health record
- Sleep hygiene patient education and intervention
- Progress assessments
- Patient and family education
- Patient needs assessment
- Complex goal-oriented treatment
- Evidence-based treatment plans
- Progress Evaluations
- Discharge Planning
- Treatment relating to functional capacity evaluation
- SOAP notes expertise
- Neurological rehabilitation
- Goal Setting
- Sensory integration
- Occupational performance
- Wheelchair seating evaluation/modification
- Ergonomic assessments
- Hand therapy
- Behavioral health interventions
- Group therapy
- Intervention planning
- Medical documentation
- Development of standard clinic operating procedures
- Patient evaluation
- Staff education and training
- Treatment plan implementation
- Interdisciplinary collaboration
- Mental health interventions
- Motor coordination evaluation and treatment
- Activity analysis
- Advanced clinical reasoning
- Assistive technology
- Pain management treatment and pt education
- Treatment planning
- Sleep training knowledge
- Integrative techniques and technologies
- Evaluation and ongoing treatment of patients
- Evaluation of patient functional limitations
- Evaluation of patient activity restrictions
- Therapeutic modalities / physical agent modalities
- Orthopedic injury evaluation and treatment
- Treatment optimizing return to work
- Multi-disciplinary team collaboration
- Adult outpatient postoperative care and education
- Postoperative wound care
- Occupational need assessment and evaluation
- Treatment of medically complex patients
- Orthotic fabrication for upper extremity
Certification
• Licensed Occupational Therapist, Washington
• BLS for Healthcare Workers
• Adult and Pediatric First Aid/CPR/AED/BLS
• Certified Occupational Therapist, NBCOT, 07/2021 to current
• BLS for Healthcare Workers
• Adult and Pediatric First Aid/CPR/AED/BLS
• Certified Occupational Therapist, NBCOT, 07/2021 to current
Fieldwork Rotations And Residency
- Level IA Fieldwork Rotation, Marc Community Resources, 05/2019 to 06/2019, Outpatient day program for adults with intellectual and developmental delays (IDD) and serious mental illness (SMI) diagnoses
- Level IB Fieldwork Rotation, St. Luke's Medical Center, 12/2019 to 12/2019, Inpatient pediatric behavioral health
- Level IIA Fieldwork Rotation, AZOPT Kids Place, 06/2020 to 09/2020, Outpatient pediatric clinic
- Level IIB Fieldwork Rotation, Montecito Post-Acute Care & Rehabilitation, 09/2020 to 12/2020, Inpatient post-acute and long-term care
- Doctoral Capstone Residency, Mayo Clinic Pain Rehabilitation Center & Mayo Clinic Hospital, 01/2021 to 05/2021, Outpatient pain rehabilitation program with inpatient component focusing on early identification and preventative treatment of individuals at risk of developing chronic pain conditions
Research
Complex Regional Pain Syndrome and its Effects on Sleep as an Occupation, Faculty-lead critical review, 09/2019 to 04/2021
Timeline
OCCUPATIONAL THERAPIST, HAND THERAPIST
Highline Physical and Hand Therapy
09.2023 - Current
OCCUPATIONAL THERAPIST
Piedmont Northside Rehabilitation Hospital
08.2022 - 08.2023
OCCUPATIONAL THERAPIST
Jack Hughston Memorial Hospital
08.2022 - 08.2023
OCCUPATIONAL THERAPIST
Reliant Rehabilitation
08.2022 - 01.2023
OCCUPATIONAL THERAPIST
Fox Rehabilitation
09.2021 - 07.2022
DOCTOR OF OCCUPATIONAL THERAPY -
Northern Arizona University
BACHELOR OF SCIENCE - EDUCATIONAL PSYCHOLOGY
Texas A&M University