2. In this section think about….  What qualifications would be required for each of the HELP roles?  Describe the job descriptions for each of these roles in your setting.  What orientation would be appropriate for new HELP employees?

3.  Recommended Full Time Equivalents (FTE)  Qualifications  Role Descriptions  Modifications at HHS  Orientation

4. ELNS VOLUNTEERS ELS PATIENT Staff Nurses Attending and Staff Physicians Consultants (OT, PT, SLP, Dietitian) Social Worker Pharmacist Community Agencies Geriatrician

5. FTE- 1.0 recommended Qualifications- Bachelor’s Degree  experience in geriatrics  supervisory experience  communication  organizational  computer skills

6. Role Responsibilities  Day to day operations  Volunteer recruitment  Volunteer training, ongoing mentoring  Linking of patient, health care team and volunteers  Patient Screening  Patient Enrollment  Reviewing patients’ clinical status  Consulting with CNS and other team members  Ensures completion of volunteer interventions  Tracking of patient data

7. Modifications at HHS-  FTE- 1.0 FTE General site 0.8 FTE Juravinski site  In class training shared with CNS  ELS screens all patients, and shares patient assessment responsibilities with CNS  ELS participates in program and corporate initiatives related to care of seniors  HHS stipulates that ELS has to belong to a Professional College

8.  Corporate Orientation  Orientation to HELP  Job shadowing of HELP staff  Performing the ELS role with supervision  Shadowing interdisciplinary team members on HELP units (PT, OT, Dietitian, SW, Charge Nurse, Pharmacist, SLP)

10.  FTE -0.5 recommended  Qualifications:  Master’s prepared Advanced Practice Nurse  3-5 years experience with older adult population  Expert clinician in gerontology or willingness to become an expert clinician

11. Role Description  Utilizes in-depth knowledge and skills, advanced judgment in providing solutions to common health problems in older adult population  Methodically reviews patients’ clinical status daily with focus on “geriatric vital signs” and utilizes Elder Life CNS protocols as appropriate  Provides education, support and role modeling to nursing staff  Identifies and assesses trends or pattern that have health implications for patients and their families  Critiques, interprets, applies and disseminates evidenced based findings  Initiates timely and appropriate referrals and collaboration with health care providers  Serves as a liaison between patient and community agencies to facilitate discharge planning

12. Modifications at HHS Nursing Protocols  Nursing Protocols  Assessment and enrollment of patients- CNS enrolls and follows patients with complex needs  CNS participates in classroom training of volunteers Job Orientation Job Orientation  Individualized based on nursing education and experience

13. FTE- 0.1 recommended Qualifications- Certified Geriatrician Role Description  Participates in interdisciplinary rounds  Provides geriatric assessment and consultation upon request  Provides education to physicians  Serves as liason with hospital medical staff Modifications at HHS  Due to limited Geriatrician resources, a Geriatrician consults with HELP team monthly to discuss program development/management issues and clinical cases  HELP team can recommend a Geriatric Consult for a HELP

14.  HELP team is integrated part of interdisciplinary healthcare team: - Attending and Staff Physicians - Staff Nurses - PT, OT, SW, SLP, Dietitian, Pharmacist - Discharge Planner/Social Worker  Allied Health Professionals support the HELP by participating in HELP volunteer training (PT, SLP, Infection Control) and by providing guidance to HELP volunteers

15. FTE- 0.1 Role Description  Oversees and supervises the entire program and is key to provide overall leadership  This role can be assumed by the Geriatrician or HELP CNS Modifications at HHS-  Clinical Manager who manages several Seniors Health services oversees day to day operations including budget, staffing, etc.