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PEACE & JOY HOME CARE
POSITION DESCRIPTION FOR DIRECTOR OF NURSING

Title: Director of Nursing

Qualifications:

A licensed RN, in good standing, issued by the NJ Board of Nursing
Graduate from an accredited college with a Bachelor of Science degree with a major in nursing or other health related field, with two years of professional experience as an RN in community health and/or home health
In lieu of a BS degree, the Director of Nursing may have 3 years of professional experience as an RN in community health and/or home health, with progressive nursing responsibilities
The Director of Nursing qualifications shall include experience in providing nursing services in a patient’s home environment, inclusive of an assisted living facility
Availability via telephone and provide home visits, if necessary, during Agency On-Call Hours
Professional Liability Insurance with 1-3 million dollars in coverage, if applicable

Physical Requirements:

Able to effectively communicate with clients and co-workers in English
Ability to perform tasks involving physical activity, which may include heavy lifting and extensive bending and standing
Ability to deal effectively with stress

Reports To:

President/Administrator/CEO

Essential Functions of the Position:

To ensure quality and safe delivery of home health care services
To coordinate provision of home health care services that reflect agency philosophy and standards
To plan, develop, implement and evaluate agency services, programs and activities
To ensure quality and safe delivery of nursing care services, is delivered within the guidelines of the ANA Standards of Care and the policies of the agency

Performance Responsibilities:

Ensures quality and safe delivery of home health care services
Assists in planning and overall development and administration of the company per agency policies and procedures
Assumes assigned responsibility for agency operations in the absence of the Administrator
Responsible for the overall coordination and evaluation of Client Services
Responsible for overall coordination of the Quality Improvement and Risk Management programper agency policy
Coordinates with community agencies to provide for continuity of care.
Monitors the clinical status of all clients
Demonstrates the ability to communicate effectively with the client and his/her family members
Interprets to the client and family implications of the client’s health status
Assists in the hiring process (interview, orientation, competency)
Evaluates and supervises staff
Coordinates in-service training. Maintains documentation of attendance
Performs functions of the Nursing Supervisor as needed
Performs additional duties as assigned by Administrator
Demonstrates the ability to communicate effectively with other members of the health care team and staff of the agency
Consistently adheres to universal precautions, aseptic technique and infection control guidelines
Consistently seeks, accepts and implements suggestions to improve performance
Demonstrates respect for the opinion of others
Consistently assumes and follows through on the responsibility for assignment
Demonstrates the ability to function effectively under stressful situations
Maintains confidentiality of client assessments and records
Utilizes time effectively, maintaining a consistent level of productivity
Identifies and uses appropriate resources
Demonstrates sound judgment and clinical knowledge in planning and decision making
Consistently complies with standards for attendance, absence notification and punctuality
Consistently demonstrates professionalism through appearance, performance and communication
Assumes responsibility for reading and comprehending all posted notices, communications and policies/procedures
Respects the rights, privacy and property of others at all times

I have read and understand the job description for Director of Nursing

Print Name:

Date:

CHHA Signature:

PEACE & JOY HOME CARE
Position Description for On-Call Nurse/Nurse Supervisor

Position Title:

On-Call Nurse/Nurse Supervisor

Organizational Relationship:

The position of On-Call Nurse/Nurse Supervisor reports to the Director of Nursing.

Position Scope:

The On-Call Nurse/Nurse Supervisor is available during agency on-call hours to provide and direct nursing care and implement the medical plan of treatment that is prescribed by a licensed physician.

The scope of the nursing practice will include assessing, diagnosing, and treating the human response to actual or potential physical or emotional health problems. (ANA Nursing Practice) This practice will be implemented through preventative, supportive and restorative care. This care is delivered within the guidelines of the ANA Standards of Care and the policies of PEACE & JOY HOME CARE.

Position Qualifications:

Graduate of an accredited School of Nursing required
A licensed RN in good standing, holding a current/appropriate license/registration in the state of {New Jersey}
Must pass the Home Care Exam
Availability via telephone and to provide home visits, if necessary, during Agency On-Call Hours
Professional Liability Insurance with 1-3 million dollars in coverage, if applicable
A valid driver’s license
A valid auto insurance policy with liability coverage

Experience:

One year of professional experience as a Registered Nurse
Experience in home care nursing preferred

Physical Requirements:

Able to effectively communicate with clients and co-workers in English
Ability to perform tasks involving physical activity, which may include heavy lifting and extensive bending and standing
Ability to deal effectively with stress

Performance Responsibilities:

Maintains standards of nursing care and implements the policies and procedures established by the agency
Competently assess and documents the clients biophysical, psychosocial, and educational needs
Interprets to the client and family the implications of the client’s health status
Demonstrates the ability to communicate effectively with other members of the health care team and staff of the agency
Consistently reports appropriate changes in the client’s condition to the DON and the physician
Administers and documents the client’s prescribed medication competently
Demonstrates competence in performing all treatments per Physician’s Plan of Care
Consistently adheres to universal precautions, aseptic technique, and infection control guidelines
Consistently implements care in a manner that is safe for the client, his/her family, and self
Consistently seeks, accepts, and implements suggestions to improve performance
Demonstrates respect for the opinion of others
Consistently assumes and follows through on the responsibilities of the assignment
Demonstrates the ability to function effectively under stressful situations
Maintains confidentiality of client assessments and records
Utilizes time effectively, maintaining a consistent level of productivity
Identifies and uses appropriate resources
Coordinates scheduling of client’s multidisciplinary appointments and therapies
Consistently submits time cards and patient records completed in an appropriate timely manner
Consistently maintains an adequate level of supplies and equipment in working order in conjunction with suppliers and family
Demonstrates sound judgment and clinical knowledge in planning and decision making
Consistently complies with standards for attendance, absence notification, and punctuality
Consistently demonstrates professionalism through appearance, performance, and communication
Assumes responsibility for reading and comprehending all posted notices, communications, and policies/procedures
Demonstrates competencies to provide care to patients of all ages
Respects the rights, privacy, and property of others at all times
Assumes responsibility to participate in quality improvement activities as directed
Consistently plans and implements supportive and restorative care
Consistently coordinates community and social services to meet the needs of the client and caregiver/family

I have read and understand the job description for On-Call Nurse/Nurse Supervisor.

Signature/Title of Employee:

Date:

Peace & Joy Home Care
Position Description for Certified Home Health Aide

Job Title: Certified Home Health Aide

Who can perform CHHA duties and what are their qualifications:

A Certified Home Health Aide
- completion of a training program approved by the New Jersey Board of Nursing required
- in good standing, holding a current, valid certificate as a Home Health Aide issued by the New Jersey Board of Nursing
- completion of the Home care test
A Nursing Student
- with a written New Jersey Board of Nursing waiver in lieu of a certificate
- Completion of the Home care test
A Home Health Aide who recently completed the homemaker home health aide training program and has not yet received a certificate
- The presence of the Aide’s name on the New Jersey Board of Nursing Home-maker Home Health Aide Certification Eligibility List until the actual certificate is issued
- Completion of the Home care test

Physical Requirements:

Able to effectively communicate with clients and co-workers
Ability to perform tasks involving physical activity, which may include heavy lifting and extensive bending and standing
Ability to deal effectively with stress

Reports to: The Registered Nurse Field Supervisor

Essential Functions of the position:

A Certified Home Health Aide is a person who carries out health care tasks as an extension of a registered professional nurse. A CHHA also provides assistance with personal hygiene, housekeeping and other related supportive tasks for a client with health care needs in his/her home.

Consistently takes and records temperature, pulse, respiration when advised and reports all deviations from a normal reading
Competently assists the client in bathing in bed, in tub and in shower
Competently assists the client with care of teeth and mouth.
Competently assists the client with grooming, care of hair including shampoo and shaving
Competently assists the client with foot care
Competently assists the client with ordinary care of nails (no cutting)
Competently assists the client on and off bedpan, commode, and toilet
Competently assists the client in moving from bed to chair or wheelchair and in walking with a cane or walker
Competently assists the client with eating
Prepares and serves meals according to instructions
Competently assists the client with dressing
With guidance from the nurse, arranges a schedule so that the client follows medical recommendations such as increased physical activity and taking their own medication
Remind his/her client to take his or her own medications as directed by the RN
Maintains records as instructed by the Professional Registered Nurse
Competently performs other pertinent care functions as assigned and demonstrated by the Professional Registered Nurse
Safely accompanies client to obtain medical care
Makes and changes client’s bed
Dusts and vacuums the rooms the client uses
Washes the client’s dishes
Tidies the client’s kitchen, bedroom, bathroom, and personal environment
Makes a list of needed supplies
Shops for the client if no other arrangement is possible. The CHHA should never purchase alcohol or non-prescription drugs for the client
Washes the clients’ personal laundry if no family member is available or able, including ironing
Sends clients linen to laundry if necessary
Utilizes aseptic technique to clean around and secure the client’s Foley or Texas catheter
Competently cares for an incontinent client
Assists the client in changing position to prevent decubiti
Demonstrates appropriate preventive skin care techniques
Consistently follows the Aide Plan of Care developed by the RN
Consistently records all pertinent information on the Aide Plan of Care, and time cards in an appropriate timely manner
Correctly measures and records Intake and Output as directed by the RN
Competently assists the client with range of motion exercises as directed by RN or therapist
Demonstrates the ability to communicate effectively with the client and his/her family members
Assists the RN supervisor to make client visits by ensuring presence of self and client at the time planned
Demonstrates the ability to communicate effectively with other members of the health care team and staff of the agency
Consistently reports occurrences to the Nursing Supervisor
Consistently adheres to universal precautions, aseptic technique and infection control guidelines
Consistently implements care in a manner that is maximally safe for the client, his/her family, and self
Consistently seeks, accepts and implements suggestions to improve performance
Demonstrates respect for the opinion of others
Consistently assumes and follows through on the responsibility for assignment
Demonstrates the ability to function effectively under stressful situations
Maintains confidentiality of client observations and records
Utilizes time effectively, maintaining a consistent level of productivity
Completes the continuing education requirements annually (12 hours)
Consistently complies with standards for attendance, absence notification, and punctuality
Consistently demonstrates professionalism through appearance, performance and communication
Assumes responsibility for reading and comprehending all posted notices, communications and policies and procedures related to CHHAs
Demonstrates competencies to provide care to patients of all ages
Respects the rights, privacy and property of others at all times

I have read and understand the job description for the position of Certified Home Health Aide.

Print Name:

Date:

CHHA Signature:

Employment Application – Peace & Joy Home Care

First Name

Middle Initial

Last Name

Position Applying For

Social Security Number

Contact Information

Street Address

Apt / Floor

City

State / Zip

Phone Number

Any other Names you have used in your present or past work experience?

Education

School / College	Degree	Year

Employment History

Employer	Location	Phone	Supervisor	From	To

Work Availability

Weekdays (9 AM – 5 PM)
Weekends (9 AM – 5 PM)
I am available for any shift

Work Experience Field and Period

Please list any and all areas of actual working experience and period of time during which experience was acquired (for example, ICU – one year, med surg, etc.):

Employer Name	Period Worked	Experience

Experience & Details

Please explain, in detail, any periods of unemployment or reasons for leaving each employer:

Employer Name:

Reason for leaving:

Employer Name:

Reason for leaving:

Employer Name:

Reason for leaving:

Employer Name:

Reason for leaving:

Why are you Interested in this Position? Special Qualifications

Licenses & Insurance

License / Certification Details Malpractice Insurance Details

Professional References

Name	Address	Phone

Declaration

I,(Applicant) ,here by authorize (Agency) Peace & Joy Home Care to request andreceive from all prior employers within one (1) year of the date of this application, any and all pertinent information concerning my prior employment and its termination, including the reasons for such termination.

Signature

Date

Supporting Documents / Affirmation Statements

Are you capable of lifting up to 50 lbs of weight?

Yes No

Do you have a passport or a valid form of ID such as a driver's license or state ID etc.?

Yes No

Do you have a Green Card / Work Authorization or any valid document that authorizes to work legally in the United States?

Yes No

Do you have a valid Social Security Card?

Yes No

Please upload a copy of your most recent HHA/RN work physical form even if it’s from another Agency or Employer. If you currently don’t have a work physical from your current home care agency or employer, please download the physical form below and have your Doctor complete and certify it and bring copies with you during your interview. Download Physical Examination Form

Please upload a copy of your valid unexpired New Jersey Home Health Aide license or RN license/ or any other license that allows you to work in this field in New Jersey.

Reference Request 1 – Peace & Joy Home Care

REFERENCE TYPE:

Employer Educational

TOP SECTION TO BE COMPLETED BY APPLICANT

Reference Name

Employment Dates (From)

Employment Dates (To)

TO:

Supervisor Name

City

State

Zip

Phone

Fax

FROM:

Applicant Name

Position Held

Authorization Statement

I HEREBY REQUEST AND AUTHORIZE THE AGENCY TO REQUEST AND RECEIVE FROM ALL PRIOR EMPLOYERS WITHIN ONE YEAR OF THE DATE OF APPLICATION, ANY AND ALL PERTINENT INFORMATION CONCERNING MY PRIOR EMPLOYMENT AND ITS TERMINATION, INCLUDING THE REASONS FOR SUCH TERMINATION. I AGREE TO HOLD HARMLESS THESE PERSONS OR ORGANIZATIONS, THEIR OFFICERS, DIRECTORS, EMPLOYEES, AND AGENTS OF LIABILITY, CLAIMS, DAMAGES OR DEMANDS OF ANY NATURE ARISING FROM OR RELATED TO THE INVESTIGATION OF INFORMATION CONTAINED IN MY APPLICATION.

Position Applied For

Applicant Signature

Date

CURRENT OR PREVIOUS EMPLOYER PLEASE COMPLETE THIS SECTION OR AGENCY STAFF MEMBER DURING TELEPHONE VERIFICATION

Criteria	Poor	Average	Good	Excellent
Quality of Work
Attendance
Punctuality
Dependability
Competency
Cooperation

Name of Person Completing Reference

Title

Facility Phone Number

Signature

Date

Reference Request 2 – Peace & Joy Home Care

REFERENCE TYPE:

Employer Educational

TOP SECTION TO BE COMPLETED BY APPLICANT

Reference Name

Employment Dates (From)

Employment Dates (To)

TO:

Supervisor Name

City

State

Zip

Phone

Fax

FROM:

Applicant Name

Position Held

Authorization Statement

Position Applied For

Applicant Signature

Date

CURRENT OR PREVIOUS EMPLOYER PLEASE COMPLETE THIS SECTION OR AGENCY STAFF MEMBER DURING TELEPHONE VERIFICATION

Criteria	Poor	Average	Good	Excellent
Quality of Work
Attendance
Punctuality
Dependability
Competency
Cooperation

Name of Person Completing Reference

Title

Facility Phone Number

Signature

Date

Work History Verification Form 1 – Applicant Section

TO:

Previous Employer Information

Previous Employer

Job Title (Position Held)

Employment From

Employment To

Supervisor Name

Phone

Fax

Employer Address

City & State

Zip Code

From:

Applicant Authorization

Applicant Name

Position Applied For

I, the applicant, hereby authorize the agency to request and receive from all prior employers within one year of the date of application, any and all pertinent information concerning my prior employment and its termination, including the reasons for such termination.

Applicant Signature

Date

Work History Verification Form 2 – Applicant Section

TO:

Previous Employer Information

Previous Employer

Job Title (Position Held)

Employment From

Employment To

Supervisor Name

Phone

Fax

Employer Address

City & State

Zip Code

From:

Applicant Authorization

Applicant Name

Position Applied For

Applicant Signature

Date

Which position are you applying for ?

Qualifications:

Physical Requirements:

Reports To:

Essential Functions of the Position:

Performance Responsibilities:

Employment Application – Peace & Joy Home Care

Contact Information

Education

Employment History

Work Availability

Work Experience Field and Period

Experience & Details

Licenses & Insurance

Professional References

Declaration

Supporting Documents / Affirmation Statements

Employee Personal Health Self-Assessment

Overall Health View

Preventative Health

Job Requirements & Responsibilities

Review

Reference Request 1 – Peace & Joy Home Care

REFERENCE TYPE:

TOP SECTION TO BE COMPLETED BY APPLICANT

TO:

FROM:

CURRENT OR PREVIOUS EMPLOYER PLEASE COMPLETE THIS SECTION OR AGENCY STAFF MEMBER DURING TELEPHONE VERIFICATION

ALL INFORMATION PROVIDED WILL BE KEPT CONFIDENTIAL

Confirmed Dates of Employment

Telephone Verification Documentation

Reference Request 2 – Peace & Joy Home Care

REFERENCE TYPE:

TOP SECTION TO BE COMPLETED BY APPLICANT

TO:

FROM:

CURRENT OR PREVIOUS EMPLOYER PLEASE COMPLETE THIS SECTION OR AGENCY STAFF MEMBER DURING TELEPHONE VERIFICATION

ALL INFORMATION PROVIDED WILL BE KEPT CONFIDENTIAL

Confirmed Dates of Employment

Telephone Verification Documentation

Work History Verification Form 1 – Applicant Section

TO:

Previous Employer Information

From:

Applicant Authorization

Work History Verification Form 2 – Applicant Section

TO:

Previous Employer Information

From:

Applicant Authorization