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Job Description Location Bronx 10466 Schedule Full-time 40 hours Essential Job Functions • Participates in the pre-admission evaluation study and plan; the evaluation study, program design and placement of the resident at the time of admission to the residence; the periodic reevaluation of the type, extent and quality of services and programming; and the development of discharge plans and referral to appropriate community resources, • Based on a comprehensive review of the client's overall condition, prepares, continually reviews and evaluates plans of nursing intervention to ensure that such interventions are consistent with the client's comprehensive treatment plan. Ensures, plans of nursing intervention include consideration of the client's cultural and ethnic background, customs, needs, beliefs, and primary language., • Develop treatment plans, in conjunction with the Interdisciplinary Team, consisting of an evaluation of the nursing needed and selection of nursing procedures and practices which will best serve the residents' health care needs., • Develops, nursing assessment to reflect holistic needs of each client with consideration of his/her psychological, physiological, social, ethnic, cultural, educational and spiritual strengths and needs., • Oversees the direct implementation of nursing care to ensure that it is carried out in accordance with the plan of nursing intervention, and overall treatment/service plan, and to ascertain if the needs of the client require modification of the plan., • Coordinates nursing care activities with other professional disciplines to ensure that the nursing plan is consistent with and integrated with the total treatment/service plan, • Participates at team meetings and provides nursing input on the development and implementation of treatment/service plans., • Conduct in-service training with regard to personal hygiene, medication administration, family life and sex education. Supervise medication administration practicums and sign off on medication administration monthly., • Control communicable diseases and infections through: identification and assessment, reporting to medical authorities, and implementation of appropriate protective and preventive measures., • Record on the residents' medical records nursing observations and action taken, such as nursing care given, medications and treatments given, reactions to treatments, tests, the intake and output of fluids and solids and the resident's vital signs. Record nursing needs of residents., • Modify the nursing plan, in terms of the residents' daily needs, at least annually for adults in accordance with developmental and medical changes., • Be available for on-call duty and to work varied shifts as the need arises., • Work with all consulting and/or contracted medical service providers to in-sure appropriateness of service & to insure that recommended treatments are appropriate and are carried out, integrated and documented into the treatment plan., • Ensure that the inventory standards for medicines, solutions, supplies and equipment are maintained to meet nursing care needs., • Account for the issuance of controlled drugs and narcotics and inventories of these drugs., • Ensures resident protection from health hazards such as transmission of infectious organisms, isolation of infected residents and use of properly sterilized equipment when its use is necessary., • Provide appropriate information to the resident and family about such areas as sustaining and preventive health care, personal hygiene, methods of family or self-treatments, self-medication and possible side effects of medications., • Serve as liaison, resident's interpreter with outside health services providers and escort residents to services as needed., • Train designated staff, by way of demonstrations and written and oral instructions, in the performance of select nursing techniques and the use of nursing equipment, and client specific condition trainings., • Provides health education/teaching for clients and their families., • Participates in risk management and quality assurance concerning health related issues., • Provides emergency care and crisis intervention, • Accesses medications and observes and records effects and side effects., • Participates in professional activities to improve personal skills and knowledge., • Provides Nurse Vacation coverage, phone availability during workday hours, and a minimum of one site visit at covering site, for Nurse Responsibility review and weekly reporting., • IDD Division Nursing Triage Service - After Hours, Weekends, and Holiday’s (5pm – 9am) – On a pre-determined rotation, across all IDD Nurses, • Performs other related duties as assigned. Additional responsibilities of the Residential Nurse in the IDD Division Consumer Medical Records-Maintain medical record of each individual and ensure all appointments occur as prescribed and on time • Schedule and coordinate all medical appointments in conjunction with Medical Specialist, • Follow up on all Medical Doctor recommendations following every appointment, • Ensure follow up on all medication changes, making sure the order has been sent to the pharmacy, Medication Administration Review has been updated, medication change log updates, bright colored posting of information has been placed and the information transcribed in the AMAP communication log, • Conducting weekly medical meetings( to occur every Wednesday), • Review all consults and ensuring compliance with all recommendations, • Ensure the updating of the Appointment Tracking Log as it is a IDD Division System, • Complete Residential Nurse Progress Note and filing all consults once the progress note has been written, • Ensure all AMAP Certifications are current, • Schedule and conduct all recertification pouring’s, • Ensure all medication supplies of each consumer is present and labeled according to doctors’ orders, • Ensure the consumer’s Medication Administration Review is updates according with all medication changes, neatly organized with formularies and doctor’s order attached, • At least once per week, conduct a full 100% audit of all consumers’ medication and document results on the IDD Division Medication Regimen Review Checklist. Follow up on any discrepancies immediately., • To be disseminated at the end of each week to the team. Capturing a recap of all appointments from the week and all follow up recommendations., • Conducting AMAP refreshers at least quarterly and other in-services of consumer protocols as needed. Essential Knowledge, Skills and Abilities • Knowledge of professional nursing concepts, principles and practices., • Knowledge of concepts and principles from the biological sciences that is supportive of nursing practice, • Knowledge of concepts and principles of health promotion and disease prevention., • Knowledge of abnormal signs and symptoms relating to physical and mental illness, as well as indicators of wellness, • Knowledge of medications and drugs, common dosages, their psychological, physical and physiological effects and possible adverse reactions., • Knowledge of emergency treatments and interventions., • Knowledge of teaching and consulting techniques., • Knowledge of the Agency's routines, procedures and policies., • Knowledge of cultural, ethnic, and linguistic needs of clients relating to cultural competence., • Ability to recognize changes in signs and symptoms that warrant the immediate action of a physician., • Ability to develop, evaluate, implement and modify a plan of nursing intervention to meet the needs of individual clients. New York State License and current registration to practice as a registered professional nurse, prefer at least one year post RN licensure clinical nursing experience working with individuals with developmental/intellectual disabilities. #ICLRN

Employed by PAGNY for The Division of Correctional Health Services (CHS) of New York City Health + Hospitals (H+H) is responsible for the delivery of medical care, mental health care, and discharge planning in the jail system. Approximately 25% of new admissions per year to the NYC jail system will receive care on the mental health service. This service strives to provide safe, holistic and evidence-based therapeutic interventions for the diverse range of mental health issues that face the population, from serious mental illness to the natural struggles that accompany incarceration. The service provides some of the most comprehensive and unique treatment modalities in the country, including specialty housing units for individuals with serious mental illness, a 24-hour on-call psychiatric service, robust creative arts programming, a strong DBT training program, clinics in each of the facilities, substance use treatment, integrated re- entry services, and relationships with multiple training institutions throughout the city. Responsibilities: The Pharmacy Technician performs all technical tasks in the unit dose, carry and out-patient drug distribution systems as well as other related duties of a satellite pharmacy. The Registered Pharmacist approves all work performed by the Pharmacy Technician. • Unit Dose and Carry Drug Distribution Systems, • Assists in maintaining accurate patient profiles by informing the pharmacist of changes in patient names, I.D. number or housing so modifications can be made in the pharmacy database., • Fills and labels patient cassettes with non-carry and carry system medication bags from computer generated fill lists, and/or original drug orders., • Obtains court medication list from General Office. Reviews distribution list to see if patient will be getting medication in morning. Reviews what is in Pyxis. If medication is not in Pyxis, provides dose for morning court medications. If medication is not in Pyxis, technician can have it added to Pyxis., • When outside methadone clinics call to verify last dose and date of methadone, technician will review Accumed methadone administration records to ascertain the patient’s last dose and date of methadone administration., • If there are requests for a patient profile, the individual should be instructed to get the profile themselves from report manager. Requests from other agencies should be referred to the pharmacist on duty., • Prints and reviews all transfer reports, checks if the patients is on medication, prints patient medication profile and fills needed doses of medication for subsequent checking by pharmacist. If patient is on methadone or DOT medications, tells pharmacist of such., • Transports patient cassettes to medication clinic areas and exchanges same when necessary., • Files completed fill lists, updates lists, distribution lists, methadone sheets and other materials according to procedure., • Checks, rotates and restocks all drug stock areas. Fills Pyxis machines as required. Files Pyxis reports with non pyxis stock records and retains them for 1 week. On a monthly basis checks for outdated medications in Pyxis, clinic floor stock, pharmacy stock and other areas where pharmacy stores medications. For non pyxis floor stock, maintains established par levels based on individual clinic or infirmary need. Records issues of stock on the non pyxis Floor Stock Inventory and Issue Record., • Delivers emergency boxes and other requested items to clinic or infirmary areas as needed., • Prepares weekly pharmacy stock order by utilizing par levels and building usage patterns for review by the pharmacist. Enters order into IDWhere and transmits on both a daily and weekly basis to packaging. Reconciles packing slip or invoice against items received. Notifies building pharmacist and packaging manager of any discrepancies. Puts away orders upon receipt, appropriately rotating stocks as required., • Inspects all drug storage areas (clinic, mini-clinic, urgi-center, infirmary, pharmacy, par level rooms, dental, X-Ray, etc.) for outdated medication, IV solutions and related supplies on a monthly basis., • Sorts, counts, prepares outdated drug manifest and packs up outdated medications for return to Central Medical Supply for submission to a reverse distributor., • Prepares and records the prepackaging of extemporaneous unit dose medication., • Records daily statistics on the RX Daily Stats Activity Report form in the computer. Gathers and records other statistical and survey information as required. Emails to appropriate party as requested., • Has a working knowledge of the pharmacy and medical computer systems. Keys data into the pharmacy system (compliance and OTC requests) and retrieves data from the computer as directed by the pharmacist and permitted by law. Prints or reprints all reports/labels as required., • Maintains all pharmacy areas, including “bubbles,” in a clean, orderly and well stocked fashion for all shifts. Helps arrange for sanitation pick-up and cleaning of these areas with the Department of Correction., • Allows new personnel to shadow them., • Monitors the quality of patient care through quality assurance/improvement mechanisms. Can remind patients that they are on medications and how to pick up the medications. Can refer patients to pharmacist or sick call for additional information. Can compare daily output of medical computer and pharmacy computer and notify users of missing data., • Distributes medication that has been checked and approved by the pharmacist to the correctly identified patient for self-administration in the proper way and at the proper time. Records receipt of the medication by the patient by clearly initialing and recording the number of days’ supply given on the MDR and by computer entry. (As described in the Medication Distribution Policy.), • Refers to the pharmacist or clinic any patient who requires further information concerning their medication, is non-compliant, or is having difficulty tolerating their medication., • Contacts the clinic captain, control room or tour commander in the event of DOC related delays in distributing medications. Contacts on-island administrator in the event of a delay or any other occurrences or problems which adversely affects the above procedures. Once a problem has been reported, keeps the on-island administrator informed about either the progress or lack thereof in distributing medication. (As described in the Disruption of Services Policy.), • Sets up and operates liquid and solid unit dose repackaging machines. Responsible for the proper maintenance and cleanliness of the machine at the end of each run., • Packages oral solids into plastic zip-lock bags for the carry system., • High School or equivalency diploma., • Completion of an approved Pharmacy Technician Training program or demonstrated equivalent experience. As of January 2012, all new hires or promotions must be certified pharmacy technicians by PTCB., • Demonstrated pharmacy competence and independent decision making/problem solving abilities. Must have knowledge of brand/generic names and drug uses., • Able to use email, scanners and copiers., • Ability to read, write, speak and understand English. Exceptional Benefits include: • Competitive compensation package, • Choice of a three-tiered medical plans, • Excellent dental insurance including orthodontics coverage, • Generous paid time off program, • Commuter benefits, • Hiring Salary: $32.77 per hour

Job Description Overview Employed by PAGNY for The Division of Correctional Health Services (CHS) of New York City Health + Hospitals (H+H) is responsible for the delivery of medical care, mental health care, and discharge planning in the jail system. Approximately 25% of new admissions per year to the NYC jail system will receive care on the mental health service. This service strives to provide safe, holistic and evidence-based therapeutic interventions for the diverse range of mental health issues that face the population, from serious mental illness to the natural struggles that accompany incarceration. The service provides some of the most comprehensive and unique treatment modalities in the country, including specialty housing units for individuals with serious mental illness, a 24-hour on-call psychiatric service, robust creative arts programming, a strong DBT training program, clinics in each of the facilities, substance use treatment, integrated re- entry services, and relationships with multiple training institutions throughout the city. Responsibilities The Pharmacy Technician performs all technical tasks in the unit dose, carry and out-patient drug distribution systems as well as other related duties of a satellite pharmacy. The Registered Pharmacist approves all work performed by the Pharmacy Technician. • Unit Dose and Carry Drug Distribution Systems, • Assists in maintaining accurate patient profiles by informing the pharmacist of changes in patient names, I.D. number or housing so modifications can be made in the pharmacy database., • Fills and labels patient cassettes with non-carry and carry system medication bags from computer generated fill lists, and/or original drug orders., • Obtains court medication list from General Office. Reviews distribution list to see if patient will be getting medication in morning. Reviews what is in Pyxis. If medication is not in Pyxis, provides dose for morning court medications. If medication is not in Pyxis, technician can have it added to Pyxis., • When outside methadone clinics call to verify last dose and date of methadone, technician will review Accumed methadone administration records to ascertain the patient’s last dose and date of methadone administration., • If there are requests for a patient profile, the individual should be instructed to get the profile themselves from report manager. Requests from other agencies should be referred to the pharmacist on duty., • Prints and reviews all transfer reports, checks if the patients is on medication, prints patient medication profile and fills needed doses of medication for subsequent checking by pharmacist. If patient is on methadone or DOT medications, tells pharmacist of such., • Transports patient cassettes to medication clinic areas and exchanges same when necessary., • Files completed fill lists, updates lists, distribution lists, methadone sheets and other materials according to procedure., • Checks, rotates and restocks all drug stock areas. Fills Pyxis machines as required. Files Pyxis reports with non pyxis stock records and retains them for 1 week. On a monthly basis checks for outdated medications in Pyxis, clinic floor stock, pharmacy stock and other areas where pharmacy stores medications. For non pyxis floor stock, maintains established par levels based on individual clinic or infirmary need. Records issues of stock on the non pyxis Floor Stock Inventory and Issue Record., • Delivers emergency boxes and other requested items to clinic or infirmary areas as needed., • Prepares weekly pharmacy stock order by utilizing par levels and building usage patterns for review by the pharmacist. Enters order into IDWhere and transmits on both a daily and weekly basis to packaging. Reconciles packing slip or invoice against items received. Notifies building pharmacist and packaging manager of any discrepancies. Puts away orders upon receipt, appropriately rotating stocks as required., • Inspects all drug storage areas (clinic, mini-clinic, urgi-center, infirmary, pharmacy, par level rooms, dental, X-Ray, etc.) for outdated medication, IV solutions and related supplies on a monthly basis., • Sorts, counts, prepares outdated drug manifest and packs up outdated medications for return to Central Medical Supply for submission to a reverse distributor., • Prepares and records the prepackaging of extemporaneous unit dose medication., • Records daily statistics on the RX Daily Stats Activity Report form in the computer. Gathers and records other statistical and survey information as required. Emails to appropriate party as requested., • Has a working knowledge of the pharmacy and medical computer systems. Keys data into the pharmacy system (compliance and OTC requests) and retrieves data from the computer as directed by the pharmacist and permitted by law. Prints or reprints all reports/labels as required., • Maintains all pharmacy areas, including “bubbles,” in a clean, orderly and well stocked fashion for all shifts. Helps arrange for sanitation pick-up and cleaning of these areas with the Department of Correction., • Allows new personnel to shadow them., • Monitors the quality of patient care through quality assurance/improvement mechanisms. Can remind patients that they are on medications and how to pick up the medications. Can refer patients to pharmacist or sick call for additional information. Can compare daily output of medical computer and pharmacy computer and notify users of missing data., • Distributes medication that has been checked and approved by the pharmacist to the correctly identified patient for self-administration in the proper way and at the proper time. Records receipt of the medication by the patient by clearly initialing and recording the number of days’ supply given on the MDR and by computer entry. (As described in the Medication Distribution Policy.), • Refers to the pharmacist or clinic any patient who requires further information concerning their medication, is non-compliant, or is having difficulty tolerating their medication., • Contacts the clinic captain, control room or tour commander in the event of DOC related delays in distributing medications. Contacts on-island administrator in the event of a delay or any other occurrences or problems which adversely affects the above procedures. Once a problem has been reported, keeps the on-island administrator informed about either the progress or lack thereof in distributing medication. (As described in the Disruption of Services Policy.), • Sets up and operates liquid and solid unit dose repackaging machines. Responsible for the proper maintenance and cleanliness of the machine at the end of each run., • Packages oral solids into plastic zip-lock bags for the carry system., • Maintains proper record keeping and control procedures as outlined in the Packaging policy. Qualifications • High School or equivalency diploma., • Completion of an approved Pharmacy Technician Training program or demonstrated equivalent experience. As of January 2012, all new hires or promotions must be certified pharmacy technicians by PTCB., • Demonstrated pharmacy competence and independent decision making/problem solving abilities. Must have knowledge of brand/generic names and drug uses., • Able to use email, scanners and copiers., • Ability to read, write, speak and understand English. Exceptional Benefits include: • Competitive compensation package, • Choice of a three tiered, starting at FREE medical plans starting day one, • Excellent dental insurance including orthodontics coverage starting day one, • Generous paid time off program, • Commuter benefits Physician Affiliate Group of New York (PAGNY) is one of the largest multi-disciplinary groups in the country whose main purpose is to nurture and embolden the healthcare providers who take care of the most fragile and vulnerable patients in New York City. PAGNY is comprised of over 4,000 physicians and healthcare professionals who provide services to NYC Health + Hospitals (H+H), the largest public health system in the United States. Our practitioners are highly skilled professionals with outstanding credentials who deliver the highest level of quality healthcare to patients throughout New York City. PAGNY has a strong commitment to the principles of diversity and, in that spirit, actively encourages applications from groups underrepresented in healthcare. Physician Affiliate Group of New York, P.C. (“PAGNY”) is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online. Please Click here to view the Federal “EEO is the law” poster or visit for more information.

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Controls expenditures within limitations of project budget.

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Construction, Project Controls & Design/Build.

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Implement and enforce quality control procedures to ensure work meets company and industry standards.

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H&S Loss Control Inspections, Inc Company Information. We have provided insurance underwriting Loss Control inspection reports since 1970 and we work directly with insurance Underwriters. Qualified Field Inspectors For Insurance Loss Control.

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