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Home Explore Quality and Goverance Policy Manual v1.1 (1)

Quality and Goverance Policy Manual v1.1 (1)

Published by bill.jamison, 2020-07-23 07:32:26

Description: Quality and Goverance Policy Manual v1.1 (1)

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• 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 physical therapy curriculum Licensure • Licensed (or eligible for licensure) as required in the state of practice. • Able to practice physical therapy 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 PT is preferred for travel assignment. Systems Experience • Basic computer knowledge (Word and Excel) and skills in lab information systems is desirable. Clinical Settings v.1.1 50 | P a g e

• 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 51 | P a g e

Healthcare Professional Job Description – Physical Therapy Assistant (PTA) Job Description: Works 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 Assistant will carry out hands-on treatment of patients under the direction of the physical therapist (PT). Demonstrating proficiency in the use of mechanical and electrical equipment, as well as the use of prosthetic and orthotic devices is essential. The PTA 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. 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 assistant to patients in assigned facility (or facilities). • Assist in implementation and documentation of patient status under the direction of the physical therapist. • Communicates on a regular basis with the Physical Therapist as to the status, progress, and needs of the patient. • Assist in patient screenings. • Assist in developing and implementing new program/techniques to enhance physical therapy services. • Perform related and accurately documents/charts observations and other data related to the clinical condition of the patient. 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 institutions and with all documentation. v.1.1 52 | 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 a laboratory professional. Qualifications: Education • Graduate of an accredited physical therapy assistant curriculum. Licensure • Licensed (or eligible for licensure) as required in the state of practice • Able to practice physical therapy 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 PTA is preferred for travel assignments. Systems Experience • Basic computer knowledge (Word and Excel) and skills in lab information systems is desirable. v.1.1 53 | 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 54 | P a g e

Healthcare Professional Job Description – Registered Nurse (RN) 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. Delivers quality patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation. Directs and coordinates nursing care for patients in accordance with established clinical practice standards. 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 blood borne pathogens, infectious/communicable diseases, noise, excessive physical injury from patients, airborne dusts, fumes, and gases. Performs required Job Knowledge / Responsibilities: General Duties Documentation Age Specific Continuing Education Confidentiality 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. v.1.1 55 | P a g e

• Heavy lifting • Other physical demands that coincide with the duties of a laboratory professional. Qualifications: Education Licensure Certification Experience Systems Experience Clinical Settings 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. Healthcare Professional Job Description – Radiological Technologist Job Description: Job Knowledge / Responsibilities: General Duties Documentation Age Specific Continuing Education Confidentiality 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 v.1.1 56 | P a g e

• 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 Licensure Certification Experience Systems Experience Clinical Settings 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. Healthcare Professional Job Description – Speech Language Pathologist (SLP) Job Description: Job Knowledge / Responsibilities: General Duties Documentation 57 | P a g e v.1.1

Age Specific Continuing Education Confidentiality 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 Licensure Certification Experience Systems Experience Clinical Settings Company • Successfully pass Company pre-employment drug test and periodic and random thereafter • Effective time management skills v.1.1 58 | P a g e

• 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. Healthcare Professional Job Description – Surgical Technologist Job Description: Job Knowledge / Responsibilities: General Duties Documentation Age Specific Continuing Education Confidentiality 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 59 | P a g e v.1.1

Licensure Certification Experience Systems Experience Clinical Settings 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 60 | P a g e

Version Date Update Appendix B v.1 Created Version By Whom B. Riesenberg v.1.1 61 | P a g e

Appendix C Policy Reference Policy Owner Current Version Link to Document Employee Handbook Legal January 2019 Link Contract Professional Handbook Legal January 2019 Link Contract Professional Safety Policy Legal Link September Health Carousel’s Policy Statement QRC 2018 Link Process v.1 Health Carousel Complaints & Termination Policy Nursing v.1 Link HCTN Workers Compensation Process Guide Benefits June 2018 Link PPUSA Benefits Guide Health Carousel Emergency Action Plan Passport USA 1/29/2019 Link Health Carousel Recruitment Policy Julie Elbert v.1 Link Health Carousel QRC v.1 Link Background/Professional License Issue Nursing v.3 Link Review Policy Health Carousel Competency Testing Credentialing v.6.1 Link Requirements Health Carousel DNU Policy Nursing/QRC v.1 Link Health Carousel Performance Credentialing v.1 Link Improvement Program Health Carousel Medical Requirements QRC v.1 Link Guide Health Carousel Information QRC v.1 Link Management v.1.1 62 | P a g e

Appendix D Joint Commission Standard Reference Below is to be used as just a reference to the Joint Commission standards and Health Carousel standards. For more information regarding Joint Commission standards, please refer to The Joint Commission Comprehensive Accreditation and Cortication Manual. All information provided below was updated with the July 1, 2019 e-dition. Joint Joint Commission Certification Health Carousel Policy Commission Participation Requirements – Text Certification • Performance Measurement Program Participation The staffing firm submits performance Requirements measurement data to The Joint • Website Commission on a routine basis. • Contract Professional Handbook - - Label The staffing firm notifies the public it CPR 5 serves about how to contact the firm’s Section 2.3 Miscellaneous – Joint management and The Joint Commission Commission CPR 6 to report concerns about the quality and • Employee Handbook – Section 2.4 safety of patient care provided by staffing Additional Information – Joint firm’s employees. Commission HSLD.1 The health care staffing services (HCSS) • Organizational Chart located via HSLD. 1.3 firm clearly defines its leadership roles. ADP. HSLD.2 The leaders set goals, develop plans, and • Mission Statement manage the firm’s performance • GPS measurement and improvement activities • The HCSS firm has a code of business • Health Carousel Code of Business ethics Ethics • Contract Professional Handbook – Section 4.3 Code of ethics & Conflict of Interest • Employee Handbook – Section 4.4 Code of Ethics and Conflict of Interest v.1.1 63 | P a g e

HSLD.3 The HCSS firm addresses existing or • Health Carousel Conflict of Interest potential conflicts of interest related to • Contract Professional Handbook – HSLD.4 its internal and external relationships. HSLD.5 Section 4.3 Code of ethics & HSLD.6 The HCSS firm complies with applicable Conflict of Interest HSLD.7 laws and Regulations • Employee Handbook – Section 4.4 HSLD.8 The HCSS firm Provides services to Code of Ethics and Conflict of customers according to a written Interest HSLD.9 agreement HSHR.1 The HCSS firm is accessible to customers • Health Carousel Standards of v.1.1 and staff Conduct The HCSS firm addresses the resolution • Health Carousel Policy Statement of complaints from customers and staff Process The HCSS firm identifies and takes steps • Website to reduce safety risks. • Master Service Agreement • Health Carousel Contract The HCSS firm addresses emergency management Professional Handbook The HCSS firm confirms that a person’s • Health Carousel HCP Compliant and qualifications are consistent with his or Term Policy her assignment(s). • Health Carousel HCP Background/Professional License • Work Related Injuries • Contract Professional Safety Policy – Section 2.1 Work Related Incidents, Injuries, or Accidents • Reporting Clinical Incidents • Health Carousel Emergency Action Plan • Health Carousel Hazardous Vulnerability Analysis • Recruitment Policy • Health Carousel Medical Health Guide 64 | P a g e

HSHR.2 As part of the hiring process, the HCSS • Health Carousel HCP Background firm determines that a person’s Check/Professional License Issue HSHR.3 qualifications and competencies are Policy HSHR.4 consistent with his or her job HSHR.5 responsibilities • Recruitment Policy HSHR.6 The HCSS firm provides orientation to HSIM.1 clinical Staff regarding initial job training • Recruitment Policy HSIM.2 and information. HSIM.3 The HCSS firm assess and reassesses the • Health Carousel Prophecy Testing HSIM.4 competence of clinical staff and clinical Requirements HSPM.1 staff supervisors The HCSS firm encourages the • Recruitment Policy v.1.1 improvement of clinical staff competence • Contract Professional Handbook – through ongoing educational activities Section 5.2 Benefits Information The HCSS firm evaluates the • Recruitment Policy performance of clinical staff Information Management processes meet • Health Carousel Information internal and external information need. Management The HCSS firm maintains health • Health Carousel Medical information and personal records of Requirement Guide clinical staff The HCSS firm preserves the • Health Carousel Information confidentiality and security of information Management about clinical staff and customers. • The HCSS firm has a process for maintaining continuity of information • Health Carousel Emergency Action Plan The HCSS firm plans an organized, comprehensive approach to performance • Health Carousel Performance improvement Improvement Plan • Health Carousel Retention Records 65 | P a g e

HSPM.2 The HCSS firm maintains the quality and • Health Carousel Password Policy integrity of its data HSPM.3 • Health Carousel Information HSPM.4 The HCSS firm collects data to evaluate Management processes and outcomes The HCSS firm analyzed its data • Health Carousel Performance Improvement Program • Health Carousel Performance Improvement Program • Health Carousel Performance Improvement Program v.1.1 66 | P a g e


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