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Internship at GHS Center for
Prosthetics & Orthotics
Emerson Hart
HLTH 4200
Fall 2016
Introduction
 During the fall of 2016, I was able to intern at the Greenville Health
System Center for Prosthetics and Orthotics (GHS O&P) in Greenville,
SC.
 This presentation gives an overview of the internship, including:
 Site Description
 GHS Mission and Goals
 Department Description
 Prosthetics Services
 Orthotics Services
 Pediatric Services
 Mastectomy Services
 Locations
 Internship Preceptor
 Other Practitioners
 Roles and Duties
 Projects
 Conclusions
Site Description
 “Greenville Health System is a public not-for-profit healthcare
delivery system committed to medical excellence through
clinical care, education and research.”
GHS Mission and Goals
Mission: Heal compassionately. Teach
innovatively. Improve constantly.
Vision: Transform health care for the benefit
of the people and communities we serve.
Values: Together we serve with integrity,
respect, trust and openness.
Department Description
 “GHS Center for Prosthetics & Orthotics provides comprehensive
prosthetic, custom orthotic and off-the-shelf orthotic services. Our
clinical team provides prosthetic and orthotic intervention for infants,
toddlers, adolescents, and adults. We work in collaboration with your
physician and therapist to provide the most functional and
comfortable solution individualized specifically for you.”
Department Description
 Available for pre-surgical consultation
 Available in hospital for post-surgical and pre-prosthetic
management and will provide continued services during
rehabilitation.
 Provide orthotic solutions related to injury, illness, disease, and
trauma. Extensive orthotic intervention for pediatric population,
focusing on cranial remolding orthosis, scoliosis management,
and lower extremity bracing.
Prosthetics
Services
 Upper- and lower-extremity prostheses, myoelectric
prosthetics, and computer controlled leg prosthetics.
 Comprehensive follow-up and care for people with
amputations.
 Collaborate with vascular surgeons, orthopedists, internists,
family medicine physicians, prosthetists, physical therapists,
occupational therapists.
Orthotics Services
 Upper Extremity Orthoses:
 Wrist orthosis (WO)
 Wrist Hand Orthosis
(WHO)
 Elbow Orthosis (EO)
 Shoulder Immobilizers
(SO)
 Lymphedema and
Compression Garments
 Lower Extremity Orthoses:
 Ankle Foot Orthosis (AFO)
 Knee Ankle Foot Orthosis
(KAFO)
 Hip Knee Ankle Orthosis
(HKAFO)
 Reciprocating Gait
Orthosis (RGO)
 Hip Abduction Orthosis
(HO)
 Knee Orthoses (KO)
 Compression Garments
 Functional Electrical
Stimulation Orthoses
(WalkAide and Bioness)
 Spinal Orthoses:
 Lumbar Sacral Orthosis
(LSO)
 Thoracic Lumbar Sacral
Orthosis (TLSO)
 Cervical Orthoses (CO)
 Low profile Minerva (CTO)
 HALO devices
 Comprehensive scoliosis
bracing
Pediatrics Services
Foot orthotics, SMOs, AFOs, KAFOs, knee
orthoses, spinal orthoses, upper limb
devices, cranial remolding orthoses, spinal
orthoses, upper and lower limb prostheses.
Idiopathic scoliosis and pectus carinatum
bracing for adolescents.
Mastectomy Services
 Assessment, fitting, and adjusting or modifying of breast
prostheses and post-mastectomy services.
 Mastectomy breast forms
 Mastectomy bras and camisoles
 Post-surgical garments
 Seamless microbeads puff
 Lymphedema compression garments (sleeves, gloves, gauntlets,
etc.)
Locations of GHS O&P
 Main office: 10 Edgewood Dr, Greenville, SC 29605
 On site at Vascular Health Alliance Center for Developmental
Services
 On site with Baptist Easley Hospital’s Roger C. Peace Adult and
Pediatric Therapy Department
 In Cancer Institute at Greenville Memorial Hospital (Post
Mastectomy and Lymphedema garments)
 Seneca (Wednesday mornings)
 Department of Child Services
Internship Preceptor
My Internship Preceptor was Todd O’Hare,
PT, CPO.
 Todd is the manager of the GHS Center for
Prosthetics and Orthotics. He was providing
direct supervision most of the time during my
internship as I completed projects and worked on
miscellaneous tasks throughout the office.
Other Practitioners
 There were 4 other CPO’s (Certified
Prosthetists/Orthotists) at the Edgewood Office
where I interned. There was also an amputee
coordinator who is also a PTA, 3 certified orthotic
fitters and 3 office staff who worked with reception
duties, all administrative tasks, and billing. I was
able to observe patient appointments with each of
them and help with administrative tasks with the
front office staff.
Roles and Duties
 During my internship, I was able to shadow practitioners during
patient visits, work in the shop, and help with some
administrative tasks.
 I observed halo adjustments and removals, orthotic and prosthetic
fittings and castings, cranial remolding scans, and diabetic shoe
fittings.
 I was able to make heel inserts, my own custom foot orthotic, a
custom ankle-foot orthotic, and learn how to use all of the
machines in the workshop.
 I helped make a patient instruction booklet and helped with the
process of getting approved by the American Board for
Certification in Orthotics and Prosthetics.
Internship Projects: Approval for
machinery and PPE
 I was able to make a custom Ankle-Foot Orthotic from a cast of
my own leg with the help of technicians at the office. I helped
with the shaping of the cast, pulling the plastic, and grinding
and shaping the AFO.
Internship Projects: Custom AFO
Internship Projects: Custom Foot Orthotic
 I was able to go through the full process of fabricating a
custom foot orthotic of my own foot from taking an impression
to modification. I completed all of the steps with assistance and
supervision from certified Orthotic technicians.
A mold of my foot plastic suctioned around the mold  modified and shaped orthotics  orthotics in my tennis shoes
Internship Projects: Case Study
I was able to complete a case
study of a child who was
treated with a custom cranial
remolding orthosis (helmet).
This case study was approved
by my preceptor.
Conclusions
 I very much enjoyed my time at the GHS Center for Prosthetics
and Orthotics. It was helpful for me to see how an office works
as part of a larger healthcare system. I was able to get a lot of
unique hands-on experience, for which I am very thankful. The
GHS O&P staff were very welcoming and taught me so many
things that I did previously not know about their field.
References
 https://www.ghs.org/newsroom/aboutus/
 https://www.ghs.org/healthcareservices/rehabilitation/ghs-
center-prosthetics-orthotics/
 https://www.ghs.org/healthcareservices/rehabilitation/ghs-
center-prosthetics-orthotics/locations/
 https://www.ghs.org/healthcareservices/rehabilitation/ghs-
center-prosthetics-orthotics/mastectomy/
 https://www.ghs.org/healthcareservices/rehabilitation/ghs-
center-prosthetics-orthotics/orthotics/
 https://www.ghs.org/healthcareservices/rehabilitation/ghs-
center-prosthetics-orthotics/prosthetics/

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Internship powerpoint

  • 1. Internship at GHS Center for Prosthetics & Orthotics Emerson Hart HLTH 4200 Fall 2016
  • 2. Introduction  During the fall of 2016, I was able to intern at the Greenville Health System Center for Prosthetics and Orthotics (GHS O&P) in Greenville, SC.  This presentation gives an overview of the internship, including:  Site Description  GHS Mission and Goals  Department Description  Prosthetics Services  Orthotics Services  Pediatric Services  Mastectomy Services  Locations  Internship Preceptor  Other Practitioners  Roles and Duties  Projects  Conclusions
  • 3. Site Description  “Greenville Health System is a public not-for-profit healthcare delivery system committed to medical excellence through clinical care, education and research.”
  • 4. GHS Mission and Goals Mission: Heal compassionately. Teach innovatively. Improve constantly. Vision: Transform health care for the benefit of the people and communities we serve. Values: Together we serve with integrity, respect, trust and openness.
  • 5. Department Description  “GHS Center for Prosthetics & Orthotics provides comprehensive prosthetic, custom orthotic and off-the-shelf orthotic services. Our clinical team provides prosthetic and orthotic intervention for infants, toddlers, adolescents, and adults. We work in collaboration with your physician and therapist to provide the most functional and comfortable solution individualized specifically for you.”
  • 6. Department Description  Available for pre-surgical consultation  Available in hospital for post-surgical and pre-prosthetic management and will provide continued services during rehabilitation.  Provide orthotic solutions related to injury, illness, disease, and trauma. Extensive orthotic intervention for pediatric population, focusing on cranial remolding orthosis, scoliosis management, and lower extremity bracing.
  • 7. Prosthetics Services  Upper- and lower-extremity prostheses, myoelectric prosthetics, and computer controlled leg prosthetics.  Comprehensive follow-up and care for people with amputations.  Collaborate with vascular surgeons, orthopedists, internists, family medicine physicians, prosthetists, physical therapists, occupational therapists.
  • 8. Orthotics Services  Upper Extremity Orthoses:  Wrist orthosis (WO)  Wrist Hand Orthosis (WHO)  Elbow Orthosis (EO)  Shoulder Immobilizers (SO)  Lymphedema and Compression Garments  Lower Extremity Orthoses:  Ankle Foot Orthosis (AFO)  Knee Ankle Foot Orthosis (KAFO)  Hip Knee Ankle Orthosis (HKAFO)  Reciprocating Gait Orthosis (RGO)  Hip Abduction Orthosis (HO)  Knee Orthoses (KO)  Compression Garments  Functional Electrical Stimulation Orthoses (WalkAide and Bioness)  Spinal Orthoses:  Lumbar Sacral Orthosis (LSO)  Thoracic Lumbar Sacral Orthosis (TLSO)  Cervical Orthoses (CO)  Low profile Minerva (CTO)  HALO devices  Comprehensive scoliosis bracing
  • 9. Pediatrics Services Foot orthotics, SMOs, AFOs, KAFOs, knee orthoses, spinal orthoses, upper limb devices, cranial remolding orthoses, spinal orthoses, upper and lower limb prostheses. Idiopathic scoliosis and pectus carinatum bracing for adolescents.
  • 10. Mastectomy Services  Assessment, fitting, and adjusting or modifying of breast prostheses and post-mastectomy services.  Mastectomy breast forms  Mastectomy bras and camisoles  Post-surgical garments  Seamless microbeads puff  Lymphedema compression garments (sleeves, gloves, gauntlets, etc.)
  • 11. Locations of GHS O&P  Main office: 10 Edgewood Dr, Greenville, SC 29605  On site at Vascular Health Alliance Center for Developmental Services  On site with Baptist Easley Hospital’s Roger C. Peace Adult and Pediatric Therapy Department  In Cancer Institute at Greenville Memorial Hospital (Post Mastectomy and Lymphedema garments)  Seneca (Wednesday mornings)  Department of Child Services
  • 12. Internship Preceptor My Internship Preceptor was Todd O’Hare, PT, CPO.  Todd is the manager of the GHS Center for Prosthetics and Orthotics. He was providing direct supervision most of the time during my internship as I completed projects and worked on miscellaneous tasks throughout the office.
  • 13. Other Practitioners  There were 4 other CPO’s (Certified Prosthetists/Orthotists) at the Edgewood Office where I interned. There was also an amputee coordinator who is also a PTA, 3 certified orthotic fitters and 3 office staff who worked with reception duties, all administrative tasks, and billing. I was able to observe patient appointments with each of them and help with administrative tasks with the front office staff.
  • 14. Roles and Duties  During my internship, I was able to shadow practitioners during patient visits, work in the shop, and help with some administrative tasks.  I observed halo adjustments and removals, orthotic and prosthetic fittings and castings, cranial remolding scans, and diabetic shoe fittings.  I was able to make heel inserts, my own custom foot orthotic, a custom ankle-foot orthotic, and learn how to use all of the machines in the workshop.  I helped make a patient instruction booklet and helped with the process of getting approved by the American Board for Certification in Orthotics and Prosthetics.
  • 15. Internship Projects: Approval for machinery and PPE
  • 16.  I was able to make a custom Ankle-Foot Orthotic from a cast of my own leg with the help of technicians at the office. I helped with the shaping of the cast, pulling the plastic, and grinding and shaping the AFO. Internship Projects: Custom AFO
  • 17. Internship Projects: Custom Foot Orthotic  I was able to go through the full process of fabricating a custom foot orthotic of my own foot from taking an impression to modification. I completed all of the steps with assistance and supervision from certified Orthotic technicians. A mold of my foot plastic suctioned around the mold  modified and shaped orthotics  orthotics in my tennis shoes
  • 18. Internship Projects: Case Study I was able to complete a case study of a child who was treated with a custom cranial remolding orthosis (helmet). This case study was approved by my preceptor.
  • 19. Conclusions  I very much enjoyed my time at the GHS Center for Prosthetics and Orthotics. It was helpful for me to see how an office works as part of a larger healthcare system. I was able to get a lot of unique hands-on experience, for which I am very thankful. The GHS O&P staff were very welcoming and taught me so many things that I did previously not know about their field.
  • 20. References  https://www.ghs.org/newsroom/aboutus/  https://www.ghs.org/healthcareservices/rehabilitation/ghs- center-prosthetics-orthotics/  https://www.ghs.org/healthcareservices/rehabilitation/ghs- center-prosthetics-orthotics/locations/  https://www.ghs.org/healthcareservices/rehabilitation/ghs- center-prosthetics-orthotics/mastectomy/  https://www.ghs.org/healthcareservices/rehabilitation/ghs- center-prosthetics-orthotics/orthotics/  https://www.ghs.org/healthcareservices/rehabilitation/ghs- center-prosthetics-orthotics/prosthetics/