The Quality and Governance Policy Manual © 2019 Health Carousel, LLC Version: v.1.1
The Quality and Governance Policy Manual Confidentiality Notice: This manual including all attachments is for the sole use of the intended recipient and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited unless specifically authorized by Health Carousel, LLC. © 2019 Health Carousel, LLC All rights reserved. No parts of this work may be reproduced in any form or by any means – graphic, electronic, or mechanical, including photocopying, recording, taping, or information storage and retrieval systems – without the written permission of Health Carousel, LLC. Version: v.1.1 v.1.1 1|Page
Quality and Governance Policy Table of Contents Contents Page Conflict of Interest 3 Organizational Chart 4 Code of Business Ethics 5 Standards of Conduct 6 Contracts “Agreement of Service” 7 Complaint Management 8 Reporting Clinical Incidents 9 Work Related Injuries 10 Emergency Management 11 Recruitment 12 Professional Work Experience Requirements 13 Professional License / Certification Verification 14 Professional Skill Reference Check 15 Employee Health Clearance 16 Competency Assessment Policy 17 Background Check Policy 18 Drug Free Workplace 19 Basic Life Support 20 Appropriate Placement and Reassignment Policy 21 Orientation Policy 22 Continuing Education Requirements 23 Performance Evaluation 24 Definition of Active Employee Performance Management Program Quality and Governance Policy25 26 Information Management 27 Appendix A: Job Descriptions 28 Appendix B: Reference Guide 61 Appendix C: Version Appendix D: Joint Commission Standard Reference Conflict of Interest 62 63 Joint Commission Standard: 2|Page v.1.1
HSLD.3: The firm addresses existing or potential conflicts of interest related to its internal and external relationships The purpose of this policy is to identify potential conflicts of interest and to implement a process to handle conflicts of interest when they arise. Employees have an obligation to conduct business in such a way that prohibits actual or potential conflicts of interest. The purpose of these guidelines is to provide general direction so that employees can seek further clarification of issues. Corporate Employee: - Employee Handbook – Workplace Conduct – Section 4.4 Codes of Ethics & Conflict of Interest Contract Professional: - Contract Professional Handbook – Workplace Conduct – Section 4.3 Code of Ethics & Conflict of Interest. v.1.1 3|Page
Quality and Governance Policy Organizational Chart Joint Commission Standard: HSLD.1: The health care staffing services (HCSS) firm clearly defines its leadership roles. The purpose of this policy is to provide a visual representation of the organization, its employees and their job responsibilities. Corporate Employee: - ADP Organizational Chart o This organizational chart gives an up to date organizational chart that includes all brands, departments, and locations. This program allows for export of the chart and contact information for the employees. Contract Professional: - N/A v.1.1 4|Page
Quality and Governance Policy Code of Business Ethics Joint Commission Standard: HSLD.2.1: The firm has a written code of business ethics. HSLD.2.2: The firm identifies potential ethical issues related to its business practices. HSLD.2.3: The firm implements a process to handle ethical issues. The purpose of this policy is to identify potential ethical issues and to implement a process to handle such issues. As a condition of employment with Health Carousel, each employee pledges his/her adherence to the principles and practices set forth in these policies. Health Carousel Employees acknowledge that such compliance is in the best interests of the organization, its customers and its employees. Health Carousel employees agree to always strive to: • Respect all laws and avoid any involvement in false, fraudulent, or deceptive activity. • Maintain high standards of honesty, integrity, and professionalism • Treat colleagues and those entrusted to their care with respect and dignity • Protect confidences and respect the privacy rights of patients, clients, and employers; reveal confidential information only as required by law to protect the welfare of the individual or community • Carry out responsibilities of assigned job in a manner that is respectful to co-workers and that contributes to an environment free of all forms of harassment • Ensure the delivery of quality patient care and service unrestricted by concerns of person attributes and without discrimination • Use equipment and accessories, employ techniques and procedures, and perform services in accordance with acceptable standards of practice and facility protocol. • Employ ethical recruiting practices by not directly, knowingly recruiting, encouraging or enticing professional to leave employment of a client. • Demonstrate ethical practices for international recruitment, which is free from intimidation or exploitation. • Honor all contracts, agreements, and assigned responsibilities Compliance Committee: The Compliance Committee is responsible for reviewing and responding to submissions of complaints, concerns, violations and proposed revisions to Health Carousel Coe of Ethics and Professional conduct. Committee members are currently as follows: - Marijke Woodruff: Chief of People: [email protected] - Jon Kukulski: General Counsel: [email protected] Corporate Employee: - Employee Handbook – Section 4.4 Code of Ethics Overview Contract Professional: - Contract Professional Handbook – Section 4.3 Code of Ethics & Conflict of Interest v.1.1 5|Page
Quality and Governance Policy Standards of Conduct Joint Commission Standard: HSLD.4: The firm complies with applicable laws and regulations. The purpose of this policy is to identify general standards for job performance and behavior expected of all Health Carousel employee. The performance and behaviors of Health Carousel Healthcare Professional correlates directly to the client facility’s continuing and future use of the services of Health Carousel and the Healthcare Professional. Therefore, it is essential that Healthcare Professional conduct his/herself in a professional manner throughout his/her assignment. Health Carousel Contract Professionals are responsible to adhere to federal and state laws as well as the rules, policies and procedures set forth by the healthcare facility, including competency, drug screening or other testing. Corporate Employee: - Employee Handbook – Section 3.4 Open-Door Policy, Disciplinary Action, & Termination Procedures Contract Professional: - Contract Professional Handbook – Section 3.5 Open Door Policy & Disciplinary Action v.1.1 6|Page
Quality and Governance Policy Contracts “Agreement of Service” Joint Commission Standard: HSLD.5: The firm provides services to customer according to a written agreement. The purpose of this policy is to assure the services contracted for by Health Carousel are provided to the customer. Written agreements with Client facilities and other healthcare providers are a necessary part of doing business. Written Agreements protect both parties by explaining terms of service, expectations, accountability. Corporate Employee: - Health Carousel Policy Statement Process Contract Professional: - N/A v.1.1 7|Page
Quality and Governance Policy Complaint Management Joint Commission Standard: HSLD.7: The firm addresses the resolution of complaints from customers and staff The purpose of this policy is to identify the process to accept complaints from any individual or organization that has concerns about the services provided by Health Carousel, the clinical setting(s) staffed by Health Carousel and/or Health Carousel’s healthcare professionals. A customer service complaint is any complaint and/or concern from one of our valued customers regarding fa situation or incident that results in dissatisfaction of that customer. The purpose of our complaint policy is to: - To have positive impact in improving customer service and satisfaction - To understand the causes that underlie a complaint and to focus on making changes to systems and processes to reduce the probability of a similar complaint in the future. - To prevent potentially compensable events and to protect corporate financial resources potentially jeopardized by customer dissatisfaction. - To analyze and trend data to identify opportunities for organizational performance improvement. Corporate Employee: - Health Carousel Complaints and Termination Policy Contract Professional: - N/A v.1.1 8|Page
Quality and Governance Policy Reporting Clinical Incidents Joint Commission Standard: HSLD.8.3: The firm implements a process for its clinical staff to report unexpected patient incidents related to the care, treatment and services provided (including errors, safety hazards, injuries and sentinel events), regardless of whether the incident resulted in an adverse patient outcome. The purpose of this policy is to identify and take steps to reduce safety risks. Clinical staff must recognize the importance of following effective procedures and are encouraged to speak up if something has compromised or might compromise patient safety and quality. Corporate Employee: - Employee Handbook – Section 4.6 Health Safety & Security Contract Professional: - Contract Professional Safety Policy – Section 3.4 Reporting Obligations v.1.1 9|Page
Quality and Governance Policy Work Related Injuries Joint Commission Standard: HSLD.7: The firm addresses the resolution of complaints from customers and staff reported occupational illness, work-related injuries and security incidents that occur while one assignment. HSLD.8: The firm identifies and takes steps to reduce safety risks. The purpose of this policy is to identify Health Carousel coverage of Workers’ Compensation insurance in compliance and as required by law. It is our philosophy that if an employee is injured while at work, it is our intent to assist that employee to return to work as soon as possible. The employee is obligated to report a work-related injury to Health Carousel immediately. Corporate Employee: - Employee Handbook – Section 4.6 Health Safety & Security - Employee Handbook – Section 5.4 Additional Benefits Contract Professional: - Contract Professional Safety Policy – Section 2.1 Work Related Incidents, Injuries, or Accidents - Contract Professional Handbook – Section 5.2 Benefits Information - HCTN Workers’ Compensation Process Guide - PPUSA Benefits Overview v.1.1 10 | P a g e
Quality and Governance Policy Emergency Management Joint Commission Standard: HSLD.9: The firm addresses emergency management. The firm has a written plan describing their emergency management process. The plan includes backup communication systems in the event of a communication system failure. In order to effectively plan and strategize against emergencies and unforeseen contingencies, there is the need to identify potential incidents and assess their impact on the continuity of business operations and functions. Corporate Employee: - Emergency Action Plan - Employee Handbook: Section 3.3 Emergency Operations Contract Professional: - Contract Professional Handbook: Section 3.3 Floating, Emergency Operations and Appropriate Attire Hazardous Vulnerability Analysis: Probability of Impact Rating Occurrence Risk 1. Very High 2. High 3. Medium 4. Low 5. Very Low 1. Terminal 2. Devastating 3. Critical 4. Controllable 5. Irritating Electrical Power Failure xx Communication Service Breakdown xx Loss of Water Supply xx Air Conditioning Failure xx Cyber Crime/Cyber Attack xx Loss of Data xx Disclosure of Information xx Main Server Failure xx Active Shooter xx Fire xx Earthquake / Tornado xx Ice/Snow Storms xx v.1.1 11 | P a g e
Quality and Governance Policy Recruitment Joint Commission Standard: HSHR.1: The firm confirms that a person’s qualifications are consistent with his or her assignment(s). Health Carousel strives to recruit and hire qualified and highly competent healthcare professional that will deliver safe, quality patient care. Recruiting healthcare professionals is one of the pillars of this company, and of the staffing industry in general. Without the continuous flow of new candidates our business will not grow. Corporate Employee: - Health Carousel Recruitment Policy v.1 Contract Professional: - N/A v.1.1 12 | P a g e
Quality and Governance Policy Professional Work Experience Requirements for Healthcare Joint Commission Standard: HSHR.2.1: The firm defines and documents the minimum clinical competence and qualification consistent with staff job responsibilities. The purpose of this policy is to assure that Health Carousel’s healthcare professionals’ competence, qualifications and skills are consistent with job responsibilities. Health Carousel’s high skilled healthcare professional recruiters conduct a search and selection process that is uniquely tailored to the characteristics most important to our clients, from specific expertise to interpersonal skills. All healthcare professionals complete a rigorous screening and competency assessment process. Corporate Employee: - Health Carousel Recruitment Policy v.1 Contract Professional: - N/A v.1.1 13 | P a g e
Quality and Governance Policy Professional License / Certification Verification Joint Commission Standard: HSHR.1.1: The firm uses primary source verification to confirm and document that required licenses, certifications, or registration are current at the time of hire, reactivation, or expiration according to law, regulation, and the firm’s policy or customer requirements. HSHR.1.2: Uses primary source verification and documents the voluntary or involuntary relinquishment, sanctions or limitations of any licensure or registration at the time of hire, reactivation, or expiration according to law, regulation, and the firm’s policy or customer requirements. The purpose of this policy is to determine with accuracy the current status of a HCP’s license, certification, or registration. Copies of the license, certification or registration submitted by HCP may not be reliable and do not allow Health Carousel to determine what might have occurred since issuance. Health Carousel will place HCPs who have obtained the appropriate license/certification for their discipline. Health Carousel will not employ professionals whose license/certification has expired, has current disciplinary action or is under investigation. Corporate Employee: - Health Carousel Background/Professional License Issue Policy Contract Professional: - N/A v.1.1 14 | P a g e
Quality and Governance Policy Professional Skill Reference Check Joint Commission Standard: HSHR.2: As part of the hiring process, the firm determines that a person’s qualifications and competencies are consistent with his or her job responsibilities. The purpose of this policy is to supply staff that provides safe, quality patient care. To enhance the quality of patient care, Health Carousel must be able to assess the qualification and competency of its staff. Corporate Employee: - Health Carousel Recruitment Policy v.1 Contract Professional: - N/A v.1.1 15 | P a g e
Quality and Governance Policy Employee Health Clearance Joint Commission Standard: HSHR.1.3: For clinical staff, the firm verifies and documents compliance with applicable health screening and immunization requirements established by law, regulation, the firm’s policy or customer requirements. The purpose of this policy is to establish a baseline for minimum employee health standards for Healthcare Professionals. Health Carousel also ensures all HCPs meet minimum requirements that comply with OSHA Standard 29CRF 1910.134 for Respiratory Protection, OSHA rule 29 CRF 1919.1030 Bloodborne Pathogens and Centers of Disease Control recommendations. Corporate Employee: - Health Carousel Medical Requirements Guide Contract Professional: - NA v.1.1 16 | P a g e
Quality and Governance Policy Competency Assessment Policy Joint Commission Standard: HSHR.4.1: The firm assesses, and documents clinical staff competence based on the techniques, procedures, technology and skills needed to provide care, treatment and service to the population(s) served. HSHR.4.3: The firm assess and reassesses competencies on an ongoing basis, based on the customer’s report of clinical staff performance. The purpose of this policy is to enhance the quality of patient care, Health Carousel assesses the qualifications and competencies of its staff and adequately matches clinical staff with customer needs based on competencies. Corporate Employee: - Health Carousel Prophecy Testing Requirements v.6.1 Contract Professional: - N/A v.1.1 17 | P a g e
Quality and Governance Policy Background Check Policy Joint Commission Standard: HSHR.1.4: The firm verifies information on criminal background, according to law, regulation, and the firm’s policy and customer requirements. The purpose of this policy is to assure the healthcare professionals placed by Health Carousel have a clear criminal background. Health Carousel completed criminal background checks using various NAPBS accredited agencies. Corporate Employee: - Health Carousel HCP Background Check/Professional License Issue Policy Contract Professional: - N/A v.1.1 18 | P a g e
Quality and Governance Policy Drug Free Workplace Joint Commission Standard: HSHR.1.3: The firm verifies compliance with applicable health screening and immunization requirements established by law, regulation, the firm’s policy or customer requirements. The purpose of this policy is to help provide a safe and drug-free work environment for our clients and our employees. With this goal in mind and because of the serious drug abuse problem in today’s workplace, the policy applies to all existing and future employees of Health Carousel. Corporate Employee: - Employee Handbook – Section 4.5 – Drug-Free & Alcohol-Free Workplace Contract Professional: - Contract Professional Handbook – Section 4.4 – Drug & Alcohol-Free Workplace & Safety Policy v.1.1 19 | P a g e
Quality and Governance Policy Basic Life Support (BLS) Certification Joint Commission Standard: HSHR.2.2: The firm accurately represents clinical staff qualifications, clinical competency, licensure, registration and certification to the customer. The purpose of this policy is to clearly define the Basic Life Support (BLS) requirement for Health Carousel. This policy applies to all HCPs. Corporate Employee: - Health Carousel Recruitment Policy v.1 Contract Professional: - N/A v.1.1 20 | P a g e
Quality and Governance Policy Appropriate Placement and Reassignment Policy Joint Commission Standard: HSHR.2.2: The firm accurately represents clinical staff qualifications, clinical competency, licensure, registration and certification to the customer. HSHR.2.3: The firm places clinical staff only in areas of practice within the scope of their license, registration, certification, or clinical competence. The purpose of this policy is to assure that healthcare professional are placed appropriately based on experience, skills and competencies. Health Carousel will appropriately place HCPs in assignments that match their clinical experience, skills and competencies. Corporate Employee: - Health Carousel Recruitment Policy v.1 Contract Professional: - N/A v.1.1 21 | P a g e
Quality and Governance Policy Orientation Policy Joint Commission Standard: HSHR.2.2: The firm accurately represents clinical staff qualifications, clinical competency, licensure, registration and certification to the customer. HSHR.1.5: The firm requires staff member to produce evidence of identity when reporting to assignment. The purpose of this policy is to assure all HCPs are oriented to Health Carousel’s policies and procedures and are provided an appropriate orientation at the client facility. Health Carousel will provide all new HCPs with an orientation to the company’s policies and procedures. For HCPs reporting to the healthcare facility for the first time, it is essential that the HCP produce evidence of identify; a photo ID that verifies their identity. Corporate Employee: - Health Carousel Recruitment Policy v.1 Contract Professional: - N/A v.1.1 22 | P a g e
Quality and Governance Policy Continuing Education Joint Commission Standard: HSHR.3: The firm provides orientation to clinical staff regarding initial training and orientation. HSHR.5.3: The firm documents ongoing educational activities of clinical staff. The purpose of this policy is to assure that Health Carousel’s HCPs meet all educational requirements as required by OSHA and Joint Commission. Health Carousel provides comprehensive, mandatory educational training program at the time of hire and annually thereafter. Corporate Employee: - Health Carousel Recruitment Policy v.1 Contract Professional: - Contract Professional Handbook – Section 5.2 – Continuing Education Allowance v.1.1 23 | P a g e
Quality and Governance Policy Performance Evaluation Joint Commission Standard: HSHR.6: The firm evaluated the performance of clinical staff. HSHR.6.1: The firm conducts a performance evaluation of active clinical staff based on the firm’s job descriptions biennially. HSHR.6.2: The firm’s performance evaluation includes an assessment of clinical staff performance based on the customer’s job description and feedback. The purpose of this policy is to access Healthcare Professionals’ ability to meet performance expectations as stated in his/her job description and according to client policies and procedures. Health Carousel representatives are unable to physically observe the work performance of the HCPs on assignment; therefore client feedback is necessary to appropriately assess the HCPs performance. Corporate Employee: - Health Carousel Recruitment Policy v.1 Contract Professional: - N/A v.1.1 24 | P a g e
Quality and Governance Policy Definition of an Active Employee The purpose of this policy is to determine the appropriate employment status of a healthcare professional and to establish a timeframe for when an inactive employee must repeat the hiring process. Corporate Employee: - Health Carousel Recruitment Policy v.1 Contract Professional: - N/A v.1.1 25 | P a g e
Quality and Governance Policy Performance Measurement Program Joint Commission Standard: CPR.5: The staffing firm submits performance measurements to The Joint Commission on a routine basis. PM.1: The firm plans an organized comprehensive approach to performance improvement PM.3: The firm collects performance improvement data PM.4: The firm analyzes the data The purpose of this policy is to have a multifaceted program designed to objectively and systematically evaluate the performance of services provided to clients, pursue opportunities to improve service, identify trends that warrant evaluation, modify processes to improve customer service and resolve identified problems. This focus on the continuous improvement of performance and service to customers is in concert with the philosophy of the organization. Corporate Employee: - Health Carousel Performance Improvement Program Contract Professional: - N/A v.1.1 26 | P a g e
Quality and Governance Policy Information Management Joint Commission Standard: IM.1: Information Management processed meet internal and external information needs. IM.2: The firm maintains health information and personal records for clinical staff. IM.3: The firm preserves the confidentiality and security of information about clinical staff and customers. IM.4: The firm has a process for maintaining continuity of information. The purpose of this policy is essential to have good principles of information management to provide authorized staff to easily access information, to preserve confidentiality and security and to maintain continuity of information. It is important to have an information system to meet the information needs associated with providing clinical staff to customers. To provide all stakeholders with timely and accurate information to support their operations without comprising the privacy, confidentiality and/or security of information. Corporate Employee: - Health Carousel Information Management - Health Carousel Password Policy - Health Carousel Retention Record Contract Professional: - Contract Professional Handbook – Section 4.2 – Confidential Information & HIPAA Regulations v.1.1 27 | P a g e
Appendix A Job Descriptions Healthcare Professional Job Description – Case Manager Job Description: Works as a local contract or traveling healthcare professional at a Health Carousel client facility, and in accordance with the limitations and scope of care in accordance with the applicable state practice act. Coordinates with physicians, staff, and other healthcare providers regarding patient care. In conjunction with physicians, develops treatment plan, monitors all clinical activities, makes recommendations for alternative levels od care, identifies cost- effective protocols, and develops guidelines for care. Provides hospital case management, utilization review and discharge planning to assure that the patient progresses through the continuum of care and is discharged to the least restrictive environment. Coordinate the integration of the social service function into patient care. Ensure compliance with quality patient care and regulatory compliance. Performs required duties at a high level, with minimal orientation. May be required to “float” outside of primary assignment location to another clinical assignment for which s/he is qualified to work. Remains flexible regarding work schedule to meet client staffing requirements. Job Knowledge / Responsibilities: General Duties • Monitor the care plan to ensure the effectiveness and appropriateness of in-patient services; ensure that services are being delivered and meet the needs of the client upon discharge. • Assess the physical, functional, social, psychological, environmental, and financial needs of clients/patients; identify a cost-effective comprehensive plan to meet the families’ service needs and implement the plan. • Provide referrals to appropriate community resources; facilitate access and communication when multiple services are involved; monitor activities to ensure that services are actually being delivered and meet the needs of the client; coordinate services to avoid duplication. • Assess the client’s formal and informal support systems. • Monitor client’s progress toward goal achievement and periodically reassess changes in health status. • Act as patient advocate; identify and develop new community resources; assist with problem solving. • Perform related duties and responsibilities as required. Documentation • Properly and accurately documents/charts observations and other data related to the clinical condition of the patient. Age Specific • Delivers age appropriate care for the patient population Continuing Education • Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies. v.1.1 28 | P a g e
• Attends and participates in continuing education programs to monitor proficiency, expand current knowledge and enhance professional excellence. Willingly shares knowledge and provides clinical orientation to other members of the staff. Confidentiality • Preserves and protects patient and client confidentiality in all situations and with all documentation. Safety • Maintain safe and clean working environment by complying with safety procedures, rules, and regulations. • Protects patients and employees by adhering to infection-control policies and protocols. • Follows hospital policy when disposing of bio hazardous materials, labeling and handling of all materials. Compliance • Adheres and adapts to client goals, objectives, and standards of performance, policies and procedures. • Complies with all Health Carousel policies Attendance / Punctuality • Maintains consistent and reliable attendance and complies with company guidelines on attendance • Demonstrates professionalism as a contract healthcare professional by being punctual and dependable for assigned/confirmed shifts. Physical Requirements: • Standing or stooping for long periods of time. • Mild physical labor to complete the tasks at hand • Exposure to blood, chemicals, and other bodily fluids. • Other physical demands that coincide with the duties of a Case Management professional. Qualifications: Education • Bachelor’s degree, or equivalent experience, in nursing or health related field. • Master’s degree preferred. • Graduate of an accredited school of nursing. Licensure • Licensed (or eligible for licensure) as required in the state of practice. • Able to practice within their profession per state guidelines. Certification • Certifications appropriate to the position and clinical setting v.1.1 29 | P a g e
Experience • One or more years of recent case management experience preferred. • Previous experience as a traveling case manager is preferred for travel assignments. Systems Experience • Basic computer knowledge (Word and Excel) and skills in case management information systems is desirable. Clinical Settings • BLS / CPR and other certification as determined by specialty and clinical setting. • Able to meet the physical requirements of the position • For clinical settings, additional requirements may apply and charge without notice, including, but not limited to, competency assessment, criminal background check, health clearance, and hospital compliance training. Company • Successfully pass Company pre-employment drug test and periodic and random thereafter • Effective time management skills • Proficient verbal and written English communication skills • Two professional references • Citizen of the United States or authorized to work in the U.S. • Additional requirements may be applicable by client assignment. v.1.1 30 | P a g e
Healthcare Professional Job Description – COTA Job Description: The Occupational Therapist Assistant will test and evaluate patients’ physical and mental abilities and analyze the data to determine realistic rehabilitation goals. You will select activities necessary to help individuals learn life-management skills within limits of their mental and physical capabilities. The successful candidates will also administer a team- oriented program to restore maximum function, including life skills, perceptual motor abilities, sensory function and adjustment to disability. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Applies knowledge of age-specific competencies and cultural diversity in the provision of patient care. Utilizes safe practices to minimize potential exposure to internal and external hazardous materials including but not limited to: blood and bloodborne pathogens, infectious/communicable diseases, noise, excessive physical injury from patients, airborne dusts, fumes, and gases. Performs required duties at a high level, with minimal orientation. May be required to “float” outside of primary assignment location to another clinical assignment for which s/he is qualified to work. Remains flexible regarding work schedule to meet client staffing requirements. Job Knowledge / Responsibilities: General Duties • Provides patient care as an Occupational Therapy Assistant to patients in assigned facility (or facilities). • Assists in the assessment, treatment, and implementation of patient care in accordance with the State Practice Act specific to the state in which the assignment is located. • Assist patients under direction of an Occupational Therapist to maximize their potential in activities of daily living including areas of self-care, meal time skills, and manipulation skills. • Performs routine occupational therapy care to assigned patients • Carries out observations and assists OT in administering formal evaluations • Maintains written reports and records on interventions • Constructs adaptive equipment, self-help devices as recommended by OT • Assists OT to instruct and educate patients and families • Participates in hospital educational programs as requested • Perform related duties and responsibilities as required. Documentation • Properly and accurately documents/charts observations and other data related to the clinical condition of the patient Age Specific • Delivers age appropriate care for the patient population Continuing Education v.1.1 31 | P a g e
• Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies. • Attends and participates in continuing education programs to monitor proficiency, expand current knowledge and enhance professional excellence. Willingly shares knowledge and provides clinical orientation to other members of the staff. Confidentiality • Preserves and protects patient and client confidentiality in all situations and with all documentation. Safety • Maintains safe and clean working environment by complying with safety procedures, rules, and regulations. • Protects patients and employees by adhering to infection-control policies and protocols. • Follows hospital policy when disposing of bio hazardous materials, labeling and handling of all materials. Compliance • Adheres and adapts to client goals, objectives, and standards of performance, policies and procedures. • Complies with all Health Carousel policies Attendance / Punctuality • Maintains consistent and reliable attendance and complies with company guidelines on attendance • Demonstrates professionalism as a contract healthcare professional by being punctual and dependable for assigned/confirmed shifts. Physical Requirements: • Standing or stooping for long periods of time. • Mild physical labor to complete the tasks at hand. • Exposure to blood, chemicals, and other bodily fluids. • Heavy lifting. • Other physical demands that coincide with the duties of an Occupational Therapist Assistant. Qualifications: Education • Graduate of an accredited occupational therapy assistant curriculum. Licensure • Licensed (or eligible for licensure) as required in the state of practice. • Able to practice within their profession per state guidelines. Certification v.1.1 32 | P a g e
• Certifications appropriate to the position and clinical setting. Experience • One or more years of experience as COTA preferred. • Previous experience as a traveling COTA is preferred for travel assignments. Systems Experience • Basic computer knowledge (Word and Excel) and skills in rehabilitation-related systems or other electronic medical records systems is desirable. Clinical Settings • BLS / CPR and other certification as determines by specialty and clinical setting. • Able to meet the physical requirements for the position • For clinical settings, additional requirements may apply and change without notice, including, but not limited to, competency assessment, criminal background check, health clearance and hospital compliance training. Company • Successfully pass Company pre-employment drug test and periodic and random thereafter • Effective time management skills • Proficient verbal and written English communication skills • Two professional references • Citizen of the United States or authorized to work in the U.S. • Additional requirements may be applicable by client assignment. v.1.1 33 | P a g e
Healthcare Professional Job Description – EKG Technologist Job Description: Works as a local contract or traveling healthcare professional at a Health Carousel client facility, and in accordance with the limitations and scope of care in accordance with the applicable state practice act. Provides quality electrocardiograph procedures and related examinations, exercise tolerance test system (treadmill), use of MUSE cardiology storage systems, Ambulatory Monitory System (Kind of Hearts & Holder monitors), Holter/event Scanner. Utilizes safe practices to minimize potential exposure to internal and external hazardous materials including but not limited to: blood and blood borne pathogens, infectious/communicable diseases, noise, excessive physical injury from patients, airborne dusts, fumes and gases. Performs required duties at a high level, with minimal orientation. Job Knowledge / Responsibilities: General Duties • Provides patient cares as an EKG Technician to patients in assigned facility (or facilities). • Communicates report to appropriate healthcare workers in accordance with the hospital policy. • Initiates or assists in Hospital codes and CPR as required. • Adapts and adheres to all facility policies and procedures. • Perform related duties and responsibilities as required. Documentation • Properly and accurately documents/charts observations and other data related to the clinical condition of the patient Age Specific • Delivers age appropriate care for the patient population Continuing Education • Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies. • Attends and participates in continuing education programs to monitor proficiency, expand current knowledge and enhance professional excellence. Willingly shares knowledge and provides clinical orientation to other members of the staff. Confidentiality • Preserves and protects patient and client confidentiality in all situations and with all documentation. Safety • Maintains safe and clean working environment by complying with safety procedures, rules, and regulations. • Protects patients and employees by adhering to infection-control policies and protocols. v.1.1 34 | P a g e
• Follows hospital policy when disposing of bio hazardous, labeling and handling all materials. Compliance • Adheres and adapts to client goals, objectives, and standards of performance, policies and procedures. • Complies with all Health Carousel policies. Attendance / Punctuality • Maintains consistent and reliable attendance and complies with company guidelines on attendance. • Demonstrates professionalism as a contract healthcare professional by being punctual and dependable for assigned/confirmed shift. Physical Requirements: • Standing or stooping for long periods of time. • Mild physical labor to complete the tasks as hand. • Exposure to blood, chemicals, and other bodily fluids. • Other physical demands that coincide with the duties of a EKG technologist. Qualifications: Education • Graduate of an approved School of Radiologic Technology. Licensure • Licensed (or eligible for licensure) as required in the state of practice. • Able to practice as a Radiologic Technologist per state guidelines. Certification • Certifications appropriate to the position and clinical setting Experience • Minimum of 1-year experience within their primary specialty • Previous experience as a travel EKG Tech is preferred for travel assignments. Systems Experience • Basic computer knowledge (Word and Excel) and skills in radiology information systems is desirable Clinical Settings • BLS / CPR and other certification as determined by specialty and clinical setting • Able to meet the physical requirements of the position v.1.1 35 | P a g e
• For clinical settings, additional requirements may apply and change without notice, including, but not limited to, competency assessment, criminal background check, health clearance, and hospital compliance training. Company • Successfully pass company pre-employment drug test and periodic and random thereafter • Effective time management skills • Proficient verbal and written English communication skills • Two professional references • Citizen of the United States or authorized to work in the U.S. • Additional requirements may be applicable by client assignment. v.1.1 36 | P a g e
Healthcare Professional Job Description – LPN Job Description: Works as a local contract or traveling healthcare professional, under the direct clinical supervision of a Registered Nurse at a Health Carousel client facility, and in accordance with the limitations and scope of care in accordance with the applicable state practice act. Delivers quality patient care through the nursing process of assessment, diagnosing, planning implementation, and evaluation. Performs required duties at a high level, with minimal orientation. May be required to “float” outside of primary nursing unit assignment to another nursing unit for which s/he is qualified to work. Remains flexible regarding work schedule to meet client staffing requirements. Job Knowledge / Responsibilities: General Duties • Provides patient care as a Licensed Practical Nurse / Licensed Vocational Nurse to patients in assigned facility (or facilities). • Observes, records, reports, and assists in the nursing plan of care, the implementation of care, and the evaluation of the patient status and progress. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. • Communicates reports to appropriate healthcare workers in accordance with the hospital policy. • Initiates or assists in Hospital codes and CPR as required • Responsible for strict administration, control and dispensation of prescription medication including narcotics in accordance with the hospital policy. • Adapts and adheres to all facility policies and procedures. • Perform related duties and responsibilities as required. Documentation • Properly and accurately documents/charts observations and other data related to the clinical condition of the patient. Age Specific • Delivers age appropriate care for the patient population Continuing Education • Maintains professional and technical knowledge by attending education workshops; reviewing professional publications; establishing personal networks; participating in professional societies. • Attends and participates in continuing education programs to monitor proficiency, expand current knowledge and enhance professional excellence. Willingly shares knowledge and provides clinical orientation to other members of the staff. Confidentiality • Preserves and protects patient and client confidentiality in all situations and with all documentation. v.1.1 37 | P a g e
Safety • Maintains safe and clean working environment by complying with safety procedures, rules and regulations. • Protests patients and employees by adhering to infection-control policies and protocols. • Follows hospital policy when disposing of bio hazardous materials, labeling and handling of all materials. Compliance • Adheres and adapts to client goals, objectives, and standards of performance, policies, and procedures. • Complies with all Health Carousel policies Attendance / Punctuality • Maintains consistent and reliable attendance and complies with company guidelines on attendance • Demonstrates professionalism as a contract healthcare professional by being punctual and dependable for assigned/confirmed shifts. Physical Requirements: May be required to pull up or reposition patients in bed, lift supplies, place equipment on supports, push beds throughout the hospital, and perform external cardiac compressions. The individual must be able to bend over to perform certain duties, e.g. check chest tube drainage, check urinary output, etc. The individual must also be able to maneuver throughout halls, stairways, and patient rooms in response to hospital emergencies. Interpretation of environmental input requires visual and auditory skills. In the event there is a need to evacuate the building, heavy lifting will be required to carry patients to safety. Frequently lifts up to 100 or more pounds consistently causing a high volume of stooping, bending, lifting, pulling, and twisting. Qualifications: Education • LPN graduate of an accredited school of professional nursing Licensure • Licensed (or eligible for licensure) as required in the state of practice. Certification • Certifications appropriate to the position and clinical setting Experience • Minimum of 1-year recent clinical experience within their primary specialty • Previous experience as a travel LPN is preferred for travel assignments. Systems Experience • Basic computer knowledge (Word and Excel) and skills in nursing information systems is desirable v.1.1 38 | P a g e
Clinical Settings • BLS / CPR and other certification as determined by specialty and clinical setting able to meet the physical requirements of the position • For clinical settings, additional requirements may apply and change without notice, including, but not limited to, competency assessment, criminal background check, health clearance and hospital compliance training. Company • Successfully pass Company pre-employment drug test and periodic and random thereafter • Effective time management skills • Proficient verbal and written English communication skills • Two professional references • Citizen of the United States or authorized to work in the U.S. • Additional requirements may be applicable by client assignment. v.1.1 39 | P a g e
Healthcare Professional Job Description – Medical Technologist / Medical Lab Technician Job Description: Works as a local contract or traveling healthcare professional, under the direct supervision of a Pathologist at a Health Carousel client facility, and in accordance with the limitations and scope of care in accordance with the applicable state practice act. The Medical Technologist (MT/CLS) / Medical Laboratory Technician (MLT) performs routine and complex analytical tests on human body fluids and tissues to provide accurate data to the health care team for optimal diagnosis, treatment and monitoring of disease states. The MT/MLT is capable of performing all of the tests in a single section or most of the tests in all clinical laboratory sections: bacteriology, immunohematology, chemistry, hematology, parasitology, serology and urinalysis. Performs required duties at a high level, with minimal orientation. May be required to “float” outside of primary assignment to location to another clinical assignment for which s/he is qualified to work. Remains flexible regarding work schedule to meet client staffing requirements. Job Knowledge / Responsibilities: General Duties • Performs routine laboratory test procedures as outlined in the laboratory standard operating procedure manuals and reports test results. Adheres to quality assurance and quality control procedures in performing all testing. • Correlated clinical information and/or previous lab results and reports discrepancies to supervisors and other appropriate personnel. Consults with superiors or pathologist when no preset criteria for decision-making is available before taking action • Collects and directs the collection of specimens with rigid attention to proper patient identification, priority status and hospital and laboratory safety and infection control policies for clinical testing • Maintains and operates lab equipment; able to detect malfunctions as they occur by review of instruments results. Troubleshoots the problem with technologist or service representative assistance. • Participates in developmental work on new tests • Participates in established TQM activities. QC testing of lab reagents and maintenance of equipment. Follows protocol for running and documenting control values. Collects, evaluates, and reports quality management data in order to monitor and improve laboratory performance. • Works closely with all laboratory personnel to ensure timely client service and accurate test results. • Maintains open communication with supervisors, pathologists, and fellow employees to ensure optimal in a clinically relevant time frame to enhance the lab’s contribution to patient care. • Writes and updates laboratory procedures under supervision as required. • Perform related duties and responsibilities are required. Documentation • Properly and accurately documents/charts observations and other data related clinical condition of the patient, Age Specific v.1.1 40 | P a g e
• Delivers age appropriate care for the patient population Continuing Education • Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies. • Attends and participates in continuing education programs to monitor proficiency, expand current knowledge and enhance professional excellence. Willingly shares knowledge and provides clinical orientation to other members of the staff Confidentiality • Preserves and protects patient and client confidentiality in all situations and with all documentation Safety • Maintains safe and clean working environment by complying with safety procedures, rules, and regulations. • Protects patients and employees by adhering to infection-control policies and protocols. • Follow hospital policy when disposing of bio hazardous materials, labeling and handling of all materials. Compliance • Adheres and adapts to client goals, objectives and standards of performance, policies and procedures. • Complies with all Health Carousel policies Attendance / Punctuality • Maintains consistent and reliable attendance complies with company guidelines on attendance • Demonstrates professionalism as a contract healthcare professional by being punctual and dependable for assigned/confirmed shifts. Physical Requirements: • Standing or stooping for long periods of time. • Mild physical labor to complete the tasks at hand. • Exposure to blood, chemicals, and other bodily fluids. • Other physical demands that coincide with the duties of a laboratory professional. Qualifications: Education • Bachelor’s degree in medical technology (MT)/Clinical Laboratory Scientist (CLS) or Associate degree in Medical Laboratory Technicians (MLT) related science from an accredited program Licensure • Licensed (or eligible for licensure) as required in the state of practice. v.1.1 41 | P a g e
Certification • Certifications appropriate to the position and clinical setting • Current and active certification from the American Society of Clinical Pathologists (ASCP) as a medical laboratory scientist (MLS) formerly known as MT or CLS or Medical Laboratory Technician (MLT) Experience • One year of recent clinical experience preferred • Previous specialized experience (e.g., microbiology, histology, cytology, blood banking is preferred for MT/MLT assigned to specific departments.) • Previous travel experience is preferred for travel assignments Systems Experience • Basic computer knowledge (Word and Excel) and skills in lab information systems is desirable. Clinical Settings • BLS/CPR and other certification as determined by specialty and clinical setting • Able to meet the physical requirements of the position • For clinical settings, additional requirements may apply and change without notice, including, but not limited to, competency assessment, criminal background check, health clearance and hospital compliance training. Company • Successfully pass Company pre-employment drug test and periodic and random thereafter • Effective time management skills • Proficient verbal and written English communication skills • Two professional references • Citizen of the United States or authorized to work in the U.S. • Additional requirements may be applicable by client assignment. v.1.1 42 | P a g e
Healthcare Professional Job Description – Occupational Therapist (OT) Job Description: Works as a local contract or traveling healthcare professional at a Health Carousel client facility, and in accordance with the limitations and scope of care in accordance with the applicable state practice act. The Occupational Therapist will test and evaluate patients’ physical and mental abilities and analyze the data to determine realistic rehabilitation goals. You will select activities necessary to help individuals learn life-management skills within limits of their mental and physical capabilities. The successful candidates will also administer a team-oriented program to restore maximum function, including life skills, perceptual motor, abilities, sensory function and adjustment to disability. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Performs required duties at a high level, with minimal orientation. May be required to “float” outside of primary assignment location to another clinical assignment for which s/he is qualified to work. Remains flexible regarding work schedule to meet client staffing requirements. Job Knowledge / Responsibilities: General Duties • Provides patient care as an Occupational Therapist to patients in assigned facility (or facilities). • Assists in the assessment, treatment, and implementation of patient care in accordance with the State Practice Act specific to the state in which the assignment is located. • Performs routine occupational therapy care to assigned patients, while utilizing age specific and universal precaution practices at all times. • Perform related duties and responsibilities as required. Documentation • Properly and accurately documents/charts observation and other data related to the clinical condition of the patient. Age Specific • Delivers age appropriate care for the patient population. Continuing Education • Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies. • Attends and participates in continuing education programs to monitor proficiency, expand current knowledge and enhance professional excellence. Willingly shares knowledge and provides clinical orientation to other members of the staff. Confidentiality • Preserves and protects patient and client confidentiality in all situations and with all documentation. v.1.1 43 | P a g e
Safety • Maintains safe and clean working environment by complying with safety procedures, rules, and regulations. • Protects patients and employees by adhering to infection-control policies and protocols. • Follows hospital policy when disposing of bio hazardous materials, labeling and handling of all materials. Compliance • Adheres and adapts to client goals, objectives, and standards of performance, policies and procedures. • Complies with all Health Carousel policies. Attendance / Punctuality • Maintains consistent and reliable attendance and complies with company guidelines on attendance • Demonstrates professionalism as a contract healthcare professional by being punctual and dependable for assigned/confirmed shifts. Physical Requirements: • Standing or stooping for long periods of time. • Mild physical labor to complete the tasks at hand • Exposure to blood, chemicals, and other bodily fluids • Heavy lifting • Other physical demands that coincide with the duties of an Occupational Therapist. Qualifications: Education • Graduate of an accredited occupational therapy curriculum. Licensure • Licensed (or eligible for licensure) as required in the state of practice. • Able to practice occupational therapy per state guidelines. Certification • Certifications appropriate to the position and clinical setting Experience • One year of recent clinical experience preferred • Previous travel experience is preferred for travel assignments Systems Experience • Basic computer knowledge (Word and Excel) and skills in lab information systems is desirable. v.1.1 44 | P a g e
Clinical Settings • BLS and other certification as determined by specialty and clinical setting; Able to meet the physical requirements of the position • For clinical settings, additional requirements may apply and change without notice, including, but not limited to, competency assessment, criminal background check, health clearance and hospital compliance training. Company • Successfully pass Company pre-employment drug test and periodic and random thereafter • Effective time management skills • Proficient verbal and written English communication skills • Two professional references • Citizens of the United States or authorized to work in the U.S. • Additional requirements may be applicable by client assignment. v.1.1 45 | P a g e
Healthcare Professional Job Description – Physician Assistant / Nurse Practitioner Job Description: Works as a local contract or traveling healthcare professional at a Health Carousel client facility, and in accordance with the limitations and scope of care in accordance with the applicable state practice act. Promotes and maintains health by providing medical services under the supervision of a physician. Perfoms required duties at a high level, with minimal orientation. May be required to “float” outside of primary assignment location to another clinical assignment for which s/he is qualified to work. Remains flexible regarding work schedule to meet client-staffing requirement. Job Knowledge / Responsibilities: General Duties • Contributes to physician’s effectiveness by identifying short-term and long-range patient care issues that must be addressed; providing information and commentary pertinent to deliberations; recommending options and courses of action; implementing physician directives. • Assess patient health by interviewing patients; performing physical examinations; obtaining, updating, and studying medical histories. • Determine abnormal conditions by administering or ordering diagnostic tests, such as x-rays, electrocardiograms, and laboratory studies; interpreting test results. • Documents patient care services by charting in patient and department records. • Performs therapeutic procedures by administering injections and immunizations; suturing; managing wounds and infections. • Instructs and counsels patients by describing therapeutic regimens; promoting wellness and health maintenance. • Provides continuity of care by developing and implementing patient management plans. • Performs related duties and responsibilities as required Documentation • Properly and accurately documents/charts observations and other data related to the clinical condition of the patient Age Specific • Delivers age appropriate care for the patient population. Continuing Education • Maintains professional and technical knowledge by attending educational workshops; reviewing professional • publications; establishing personal networks; participating in professional societies Attends and participates in continuing education programs to monitor proficiency, expand current knowledge v.1.1 and enhance professional excellence. Willingly shares knowledge and provides clinical orientation to other members of the staff. 46 | P a g e
Confidentiality • Preserves and protects patient and client confidentiality in all situations and with all documentation Safety • Maintains safe and clean working environment by complying with safety procedures, rules, and regulations. • Protects patients and employees by adhering to infection-control policies and protocols. • Follows hospital policy when disposing of bio hazardous materials, labeling and handling of all materials. Compliance • Adheres and adapts to client goals, objectives, and standards of performance, policies and procedures. • Complies with all Health Carousel policies. Attendance / Punctuality • Maintains consistent and reliable attendance and complies with company guidelines on attendance • Demonstrates professionalism as a contract healthcare professional by being punctual and dependable for assigned/confirmed shifts. Physical Requirements: • Standing or stooping for long periods of time. • Mild physical labor to complete the tasks at hand. • Exposure to blood, chemicals, and other bodily fluids. • Heavy lifting • Other physical demands that coincide with the duties of a laboratory professional. Qualifications: Education • Graduate of an accredited physician assistant or nurse practitioner curriculum. Licensure • Licensed (or eligible for licensure) as required in the state of practice. • Able to practice as a physician assistant or nurse practitioner per state guidelines. Certification • Certifications appropriate to the position and clinical setting Experience • One year of recent clinical experience preferred. • Previous experience as a traveling physician assistant or nurse practitioner is preferred for travel assignments v.1.1 47 | P a g e
Systems Experience • Basic computer knowledge (Word and Excel) and skills in lab information systems is desirable. Clinical Settings • BLS and other certification as determined by specialty and clinical setting; Able to meet the physical requirements of the positions • For clinical settings, additional requirements may apply and change without notice, including, but not limited to, competency assessment, criminal background check, health clearance, and hospital compliance training Company • Successfully pass Company pre-employment drug test and periodic and random thereafter • Effective time management skills • Proficient verbal and written English communication skills • Two professional references • Citizens of the United States or authorized to work in the U.S. • Additional requirements may be applicable by client assignment. v.1.1 48 | P a g e
Healthcare Professional Job Description – Physical Therapist (PT) Job Description: Works as a local contract or traveling healthcare professional at a Health Carousel client facility, and in accordance with the limitations and scope of care in accordance with the applicable state practice act. The Physical Therapist will plan and utilize therapies to minimize disability following disease, injury, or genetically acquired disabilities. Demonstrating proficiency in the use of mechanical and electrical equipment, as well as the use of prosthetic and orthotic devices is essential. The PT must also be able to set realistic and achievable goals for their patients as well as document and record the patient’s condition using the correct documentation. Education of the patient is also important. Performs required duties at a high level, with minimal orientation. May be required to “float” outside of primary assignment location to another clinical assignment for which s/he is qualified to work. Remains flexible regarding work schedule to meet client staffing requirements. Job Knowledge / Responsibilities: General Duties • Provides patient care as a Physical Therapist to patients in assigned facility (or facilities) • Assists in the assessment, treatment, and implementation of patient care in accordance with the State Practice Act specific to the state in which the assignment is located. • Performs routine physical therapy care to assigned patients, while utilizing age specific and universal precaution practices at all time. • Perform related duties and responsibilities as required. Documentation • Properly and accurately documents/charts observations and other data related to the clinical condition of the patient. Age Specific • Delivers age appropriate care for the patient population Continuing Education • Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies. • Attends and participates in continuing education programs to monitor proficiency, expand current knowledge and enhance professional excellence. Willingly shares knowledge and provides clinical orientation to other members of the staff. Confidentiality • Preserves and protects patient and client confidentiality in all situations and with all documentation. Safety v.1.1 49 | P a g e
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