CORPORATE EMPLOYEE HANDBOOK 10TH Printing October 2014 . . . Equal Opportunity Employer. . . TABLE OF CONTENTS About Firely Pediatric Services 1 About Home Care 2 About PPECC 3 About Home for Kids 4 About Richie’s Place 5 About the Firely Foundation 6 Philosophy and Mission 7 Employment At-Will Policy 8 Employment Classification 9 Welcome Message and Handbook Receipt 10 Important Phone Numbers 11 Equal Employment Opportunity 12 Americans with Disabilities Act 12 Uniform Service Leave of Absence 13 Immigration Law Compliance 14 Maintaining Personnel Files 15 Access Personnel Files 16 Attendance 17 Bereavement Leave 18 Jury and Witness Duty 18 Inclement Weather 19 Personal Time Off 20 Paid Time Off Request Form 21 Scheduling Policies 22 Outside Employment 23 Nursing/Aide Responsibilities 24 HIPPA Compliance Policy 25 Dress Code 26 Employee Health 27 Education 28 Human Resources and Payroll 29 Employee Benefits 30 Referral Bonus 31 Anniversary Date 31 Evaluations 31 Referral Bonus Plan 32 Health Insurance 33 Voluntary Dental Insurance 33 401K Plan 33 Section 125 Cafeteria Plan 34 Family Medical Leave Act 35 Policies and Procedures 36 Social Media Policy 37 Smoking Policy 38 Retention Policy 39 Cell Phone Policy 40 Surveillance Camera Policy 41 30 Day Probationary Period 42 Behavioral Expectations 43 Drug and Alcohol 44 Harassment 45 Open Door Policy (Grievances) 46 No Compete Claus 47 Termination of Employment 48 Voluntary Termination (Resignation) 48 Involuntary Termination 49 Disciplinary Guidelines 50 Security and Safety 51 Workers’ Compensation 52 About . . . 1 Firely Pediatric Services Firely Pediatric Services (FPS) is a company that provides Skilled Nursing Services for Pediatric Clients in their home setting (Home Care), at our Prescribed Pediatric Extended Care Center (medical daycare), and our pediatric residential homes (Home For Kids); along with a nonprofit organization – The Firely Foundation which provides for a weekend camp for medically fragile children. Firely Pediatric Services (FPS) also provides Skilled Nursing Services for medically fragile young adults in our homes for young adults (Richie’s Place). Additionally, we provide contracted Physical Therapists, Occupational Therapists, Speech and Feeding Therapists, and Social Work Services. We believe that our personnel are our most valuable resource. We understand the importance of providing clear and comprehensive information to you regarding Firely Pediatric Services and its’ operations. WELCOME TO Firely Pediatric Services! Marty and Holly Firely About . . . 2 Home Care Firely Pediatric Home Care provides Skilled Nursing Services for Pediatric clients in their homes. Having received Medicare and Joint Commission Certifications, we continually strive to maintain the high quality of services initiated when we opened the agency in 1998. Additionally, we provide Social Work Services, and contracted Physical Therapists, Occupational Therapists, and Speech and Feeding Therapists. . . . A State-Certified, Joint Commission-Accredited Company. . . About . . . 3 “Prescribed Pediatric Extended Care Center” (PPECC) Building Blocks Program A Daycare for medically fragile children The PPECC is a Prescribed Pediatric Extended Care Center that was created to meet the needs of families with medically fragile and / or technology dependent children who require skilled nursing services. The thought behind this unique place was to allow medically fragile children the chance to go to pre-school outside the home environment, just like their brothers, sisters, and friends. The consistency that the PPECC offers allows parents to work, go to school, and take care of other family responsibilities while their medically fragile child is cared for by a professional nurse in a fun and child friendly atmosphere. This reliable nursing care is provided by our experienced pediatric nursing staff and, unlike homecare, offers guaranteed coverage which may help children and families avoid unnecessary ER visits, prolonged hospital stays or residential placement. Currently we offer one location – Harleysville 364 Maple Avenue Harleysville, PA 19438 About . . . 4 Pediatric Residential Homes (Home For Kids) The owners of Firely Pediatric Services have become aware of the acute need for a residential home for children who require 24 hour nursing. Home for Kids offers a warm, comfortable, home-like environment to medically fragile children who have severe needs and cannot remain in a hospital or home-setting for various reasons. The families of our residents are encouraged to visit their children as often as possible. We currently offer four residential Home For Kids Allentown 2402 Sunshine Road Allentown, PA 18103 Bradford 14975 Berwick Turnpike Gillett, PA 16925 Harleysville 364 Maple Ave Harleysville PA 19438 Pottstown 3082 Pruss Hill Road Pottstown PA 19464 About . . . 5 Young Adult Residential Homes (Richie’s Place) Richie’s Place is named after the owner’s brother, Richie who was born medically fragile. This opened up the world of the needs of the medically fragile community for the owners. Seeing this need, the owners opened up a Home Care Agency, a home for kids, and a daycare for medically fragile children. But as our children grew up, we saw a new need for adults. Therefore Richie’s Place was created. Richie’s Place is where medically fragile young adults can live in a home like setting, allowing them independence while having their medical needs met. We currently offer three Richie’s Places All in Norristown 1729 W. Marshall St. Norristown PA 19403 207 Beechwood St Norristown PA 19401 254 Bryans Road Norristown PA 19401 About . . . 6 The Firely Foundation “Camp For Kids” Respite Funds to help Financial Needs The Firely Foundation is a non-profit (501 c3) organization designed to provide medically fragile children the opportunity to attend weekend camping excursions in Bradford County, Pennsylvania and to help offset the costs associated with raising a medically fragile child. Camp for Kids is an opportunity for medically fragile children to attend summer camp. This summer camp includes; boating, fishing, horseback riding, visiting a farm and of course plenty of arts and crafts. The Foundation covers expenses incurred with running the camp, which include but are not limited to transportation, activities, housing, supplies and the skilled nursing care that falls outside of normal authorized nursing hours. PHILOSOPHY… MISSION 7 Having grown up with a medically fragile brother, followed by working in the home care field for various nursing companies, the owners became acutely aware of the need for a new approach to Home Care. We are committed to providing skilled, empathetic, compassionate nursing care. MISSION INTEGRITY - HONESTY - TRUST Firely Pediatric Services is committed to meeting the needs of our clients through providing individualized care while maintaining the highest level of ethical standards. INTEGRITY: The Company was built on firm principles, backed by the Joint Commission and the State of Pennsylvania, in which we incorporate high moral and professional standards. Firely Pediatric Services strives to maintain these principles throughout the company by our open door policy and our commitment to education and communication. HONESTY: The Company strives to be fair, truthful, and morally upright in all its dealings with employees, clients, families, doctors, contractors and hospitals. The sincerity in which Firely Pediatric Services approaches their clients and employees has helped Firely Pediatric Services continually grow as a company. TRUST: One of the principles our company was built on is Trust. Our clients and families have grown to know that they can rely on Firely Pediatric Services. We have shown our company to be consistently honest, fair, caring and reliable while providing a high level of skilled nursing care. Trust is of utmost importance when you are caring for loved ones. Firely Pediatric Services is committed to upholding “our mission” through continual open communications among all the different levels of care; through the nursing staff, aides, families, office staff, doctors and therapists. It is the responsibility of all personnel to uphold these standards. If you have any questions regarding our mission statement, please contact Human Resources. If, at anytime, this standard is violated, please notify the main office. Disclaimer 8 It is expressly understood that the contents of this manual do not constitute the terms of a contract of employment, but rather employment with Firely Pediatric Services is on an “at-will” basis, which means either myself or Firely Pediatric Services may, at any time, terminate the employment relationship with or without cause. I understand that written or oral statements made to me are not to be interpreted in any way that would modify this at-will relationship. No statements to the contrary, written or oral made either before or during an individual’s employment can change this. No individual, director, manager, or officer can make a contrary agreement, except for the president, and even then, such an agreement must be set forth in a written employment agreement signed by the employee and the president. All procedures, including the disciplinary procedures in the handbook are advisory and are not binding on Firely Pediatric Services and may be adjusted or modified, at any time, due to the discretion of Firely Pediatric Services. At any time, Firely Pediatric Services may change any terms or conditions of employment, whether these are stated in the handbook or are established through employment practices. The policies and procedures in this manual supersede all other previously written policies and procedures, and any alterations will be in writing and signed by the president. Employment At-Will Policy Firely Pediatric Services maintain an “at-will” work policy. This means that a FPS employee can be terminated for any reason and may leave for any reason. If at any time, Firely Pediatric Services Management becomes aware of a violation of a policy or procedure, Firely Pediatric Services may take disciplinary action up to and including termination of employment. Firely Pediatric Services employees who fail to meet expectations of their positions including but not limited to, education requirements, hiring requirements and health requirements, may be disciplined through: 1. 2. 3. 4. Verbal Warning Written Warning Suspension Termination Firely Pediatric Services “at-will” Policy provides the option to terminate any employee without Steps 1 through 3 or to modify, skip, or alter the order of the disciplinary procedures. Employment Classification 9 Regular Full-Time – is an employee who has no termination date and who is regularly scheduled to work 36 to 40 hours per week in one FPS facility. Regular Full Time employees are eligible for Health Insurance. Corporate Full Time – is an employee who has no termination date and who is regularly scheduled to work 36 to 40 hours per week, but the hours are split between two or more of FPS facilities. Corporate Full Time employees are eligible for Health Insurance. Regular Part-Time – is an employee whose position has no termination date and who is scheduled to work 8 or more hours, but less than forty hours per week. Part-time employees are not eligible for Health Insurance. Temporary Employee – is an employee who is hired for a certain length of time, with a hire date and an ending date. A temporary employee will not receive any benefits or holiday pay. Per Diem Employee – is an employee who has no guaranteed or regularly scheduled hours. However all Per Diem employees are still required to maintain their employee files which includes health forms and education. Per Diem Employees are not eligible for Health Welcome Message 10 Handbook Receipt and Acknowledgment Form Dear Employee, Welcome to Firely Pediatric Services! (FPS) At Firely Pediatric Services we value our employees and appreciate their dedication to the Clients we provide care for. Providing high-quality health care depends largely on the knowledge and skills of each employee. We are excited to have you as part of our team! We have developed a handbook for employees to facilitate a better understanding of Firely Pediatric Services operations, the benefits for working at FPS and employees’ responsibilities to the children, families, and Firely Pediatric Services alike. Please sign the bottom of this sheet to indicate receipt of your copy of the “Firely Pediatric Services Employee Handbook.” As always, if you have questions, please contact the Main Office for assistance - we are eager to assist you and to help you succeed. You will find phone numbers on the following page. Welcome To FPS Sincerely, Marty & Holly Firely I acknowledge that I have received a copy of FPS Employee Handbook. I understand that the working conditions, policies, procedures, and benefits described in this handbook are confidential and may not be distributed in any way or discussed with anyone who is not an employee of FPS. I understand that the policies and benefits described are subject to change at any time at the sole discretion of FPS and may be revised based on FPS particular circumstances. I understand that it is my responsibility to read and comply with all policies in this manual and any revisions made to it, which may be circulated. I understand that if I have questions or concerns at any time about the handbook, the Policies or the standards of Conduct, I will consult my Case Coordinator, Human Resources, the Administrator or the CEO for clarification. It is expressly understood that the contents of this manual do not constitute the terms of a contract of employment, but rather my employment with Firely Pediatric Services is on an “at-will” basis, which means either myself or Firely Pediatric Services may, at any time, terminate the employment relationship with or without cause. I understand that written or oral statements made to me are not to be interpreted in any way that modifies the “at-will” relationship. Print Name: ___________________________________________________ ______________________________________________ Employee Signature ____________ Date Important Phone Numbers 11 Main Number…………………………………………………………………………….215-513-7455 Fax…………………………………………………………………………………..………….215-513-7454 Office Manager………………………………………………………..…….……….215-513-7455 ext. 200 Payroll………………………………………………………………………….…….………215-513-7455 ext. 212 Human Resources ………………………………………………….……….………215-513-7455 ext. 213 Education………………………………………………………………………….……....215-513-7455 ext. 213 Trainer………………………………………………………………………...………..….215-513-7455 ext. 217 Social Worker……………………………………………………………….……..….215-513-7455 ext. 219 Home Care Scheduler……………………………………………………………215-513-7455 ext. 205 Home Care On-Call Phone ……………………………………………………215-513-7455 follow prompts PPECC………………………………………………………………………………………..215-513-1662 PPECC fax…………………………………………………………………………………215-513-3031 Harleysville Home For Kids…………………………………………………..267-932-8013 HHFK fax………………………………………………………………………………….267-932-8019 Lehigh Valley Home For Kids…………………………………………………610-797-1027 LVHFK fax ………………………………………………………………………………..610-797-4969 Bradford County Home For Kids……………………………………………570-596-3899 BCHFK fax………………………………………………………………………………….570-596-3893 Pottstown Home For Kids………………………………………………………..484-949-9721 PHFK fax …………………………………………………………………………………….484-949-9734 Richie’s Place 1 – Marshall St……………………………………………………484-231-8210 RP Fax……………………………………………………………………………………………484-231-8660 Richie’s Place 2 – Beechwood St……………………………………………..484-231-1272 Richie’s Place 3 – Bryans Rd………………………………………………………484-322-2403 Camp for Kids…………………………………………………………………………………570-596-2351 Communications Firely Pediatric Services will make every effort to communicate information that is desirable or necessary to all employees including updates for this Employee Handbook. The following methods may be used: E-Mail Mass Mailing (letter, memo, newsletter, etc) Pay Envelope In-Service Education Monthly Schedules Telephone Voicemail Texting Bulletin Boards Also, kept in the Main Office and at each facility are company bulletin boards with important company updates, safety meeting minutes and other important information such as policy and/or procedure changes. Please be sure to check these bulletin boards as often as you can. Equal Employment Opportunity Employer 12 Firely Pediatric Services is an equal opportunity employer. Firely Pediatric Services is committed to abide by the equal employment opportunity rights of all qualified persons. No person is unlawfully excluded from consideration for employment because of race, color, religious creed, national origin, ancestry, sex, age, veteran status, marital status, or physical challenges or any other category protected by applicable state or federal law. This policy applies not only to recruitment and hiring practices, but also includes affirmative action in the area of placement, promotion, rate of pay and termination. Any FPS employee who engages in discrimination will be subject to suspension or termination. Furthermore, we will not tolerate any form of discrimination or harassment of our employees by co-workers, supervisors, clients, or vendors. Americans with Disabilities Act Compliance Firely Pediatric Services adheres to the Americans with Disabilities Act (ADA), as amended, and makes every effort to ensure that qualified individuals with a disability are not discriminated against in any terms, conditions or privileges of employment. The ADA requires employers to provide a reasonable accommodation to qualified individuals with known disabilities in all aspects of employment, unless the accommodation would cause an undue hardship to the employer. A qualified individual is a person with a disability who meets the skill, education, experience, training and other job-related requirements of the position, and who, with or without reasonable accommodation, can perform the essential functions of a job, unless such accommodation would create an undue hardship to FPS. Undue hardship is defined as an action requiring significant difficulty or expense when considered in light of factors such as an employer's size, financial resources, and the nature and structure of its operation. Firely Pediatric Services is not required to lower quality or production standards to make an accommodation; nor is Firely Pediatric Services obligated to provide personal use items such as glasses or hearing aids. Americans with Disabilities Act Compliance 13 Medical Examinations and Inquires: Firely Pediatric Services may not ask job applicants about the existence, nature, or severity of a disability. Applicants may be asked about their ability to perform specific job functions. A job offer may be conditioned on the results of a medical examination, but only if the examination is required for all entering employees in similar jobs. Medical examinations of employees must be job related and consistent with the employer's business needs. If you need an accommodation under the ADA, you should immediately notify the main office. Uniformed Service Leave of Absence The policy prohibits discrimination against a person who: (1) is a member of or applies to be a member of the uniformed services, (2) performs or has performed in the uniformed services, (3) applies to perform active duty, or (4) has an obligation to perform service in any uniformed service. Generally, only individuals discharged under honorable conditions who were regular full-time or regular part-time employees are eligible for re-employment. Under USERRA (Uniformed Services Employment and Reemployment Rights Act), the individual is generally required to give advance notice of the leave, be on leave for no more than 5 years, and reapply for reemployment within specified time frames. The advance notice may be written or verbal. No prior notice is required if it is precluded by military necessity or such notice is impossible or unreasonable. The 5-year limit is the cumulative length of absence from a job. If you are re-employed under USERRA, you are entitled to all seniority-based benefits for the time accrued, including your uniformed service time. Any applicable payroll deductions for benefits still apply while on a uniformed service leave. According to USERRA, you may waive your rights of non-seniority-based benefits by knowingly providing a written notice of intent not to return. Temporary employees are not eligible for reinstatement. Under USERRA, employees who were about to be discharged for misconduct had they not left for uniformed service are not eligible for reinstatement and will not be rehired. Immigration Law Compliance 14 In accordance with the Immigration Reform and Control Act of 1986 (IRCA), Firely Pediatric Service only employs individuals who are legally authorized to work in the United States. Furthermore, FPS does not continue to employ any individual whose legal right to work in the United States has been terminated. U.S. Citizenship and Immigration Services Form I-9 is used to verify your identity and employment eligibility. You must complete the employee section of Form I-9 and provide the required documentation supporting your identity and employment eligibility before you may begin working. I-9 Forms will be retained for three years after the date of hire, or one year after the individual’s employment is terminated, whichever is later. These files will be made available for inspection by the Federal Government upon written notice. FPS will assist those persons lawfully in the US and applying for a change in immigration status by providing verification of employment through the Human Resources Department. Maintaining Personnel Files 15 Firely Pediatric Services maintain personnel records for applicants, employees, and past employees to document employment decisions, evaluate and assess policies, and comply with government record keeping and reporting requirements. Firely Pediatric Services seeks to balance its need to obtain, use, and retain employment information with a concern for each individual's privacy. To further this goal, Firely Pediatric Service seeks to maintain only the personnel information that is necessary for the conduct of its business or required by federal, state, or local law. The Human Resources department or the Director of the Home is responsible for overseeing recordkeeping for all personnel information and will specify what information should be collected and how it should be stored and secured. It is important that personnel records of FPS be accurate at all times. In order to avoid problems with your benefit eligibility, tax liability, or our ability to communicate with you regarding shift changes and the like, FPS requires that you will promptly notify, in writing, your supervisor or human resources of any change in your name, marital status, home address, telephone number, cell phone number, emergency contact information, number of dependents, payroll tax changes, or any other information pertinent to your employment with FPS. Employees who have a change in the number of dependents or marital status are to complete a new W-4 form or similar state form for income tax withholding purposes. Please contact Payroll. Employees who change their position from part time to full time or full time to part time; or employees who pick up extra shifts from another branch of FPS, are to contact Human Resources to complete a new Staff Benefit Form. All Firely Pediatric Services Employees must maintain up-to-date information. The Human Resources and Education Departments or the Director of the Home, monitor all Employee Files that include, but are not limited to: Professional Licensure - All employee licenses (original or photocopy) will be verified with the State immediately upon receipt, and at least annually. Hereafter, Firely Pediatric Services reserves the right to verify any license at any point in time. Renewal fees are paid by the employee. CPR Certification - Available through Firely Pediatric Services at a nominal fee. Contact the Education Department for information or to register for a class. Payment is expected at the time of the class. If CPR is obtained at another Center any fees incurred are the employee’s responsibility. Education Requirements – See “Education” Section Employee Health Requirements - See “Employee Health” Section 16 As employees who will have regular contact with children, Firely Pediatric Services, in following State Regulations, requires the following background checks upon hiring: (Fees incurred are the employee’s responsibility) Pennsylvania Child Abuse History Clearance Pennsylvania State Policed Criminal Record Checks FBI Criminal History Background Checks (fingerprinting) Also during the hiring process, FPS will contact your references and previous places of employment. Annually, Firely Pediatric Services requires all employees who will have regular contact with children to complete: 1. An Employee Health Update 2. A Criminal Background Update form Access Personnel Files Upon request, employees may inspect their own personnel records and may copy, but not remove, documents in the file. Likewise, in accordance with applicable law, employees may inspect their medical records and may copy, but not remove, documents in the file. A verbal or written request to inspect a personnel file should be submitted to the Human Resources department or to the Director of the Home and appointments will be scheduled at a mutually convenient time. All inspections must be conducted in the presence of a designated member of the Human Resources department. Employees may be charged for the cost of making numerous copies of documents in the personnel file. Attendance 17 Employees are expected to report to work on time, on each day scheduled. If you are unable to arrive at work on time, or must be out for an entire day, employees must contact and speak to someone at the facility, the Director, the Scheduling Coordinator, Case Coordinator, the office manager, the Administrator or the On Call Person. Each facility has its own Attendance guidelines. Please see your FPS facilities Employee Handbook Addendum for more specific information. Full Time Employees with Benefits: If you miss work for any reason; you call off, inclement weather or your patient is sick or hospitalized, it is your responsibility to contact the scheduler or the director to see how to handle the missed time pertaining to your health insurance. It is your responsibility to maintain your benefit contribution each pay. Physician’s Note - Calling Out for three or more consecutive scheduled shifts requires a Physician’s Note stating the nature of the illness, the approved return-to-work date, and any restrictions. No employee will be permitted to return to a client’s home or the center until Human Resources or the Director receives the Physician’s note. Any additional scheduled shifts missed while obtaining and forwarding a note to Firely Pediatric Services will be considered “unexcused absences” and may result in loss of work. “Unexcused Absences” Failure to show up or call out for a scheduled shift will result in an “unexcused absence”. Two (2) consecutive “unexcused absences” may result in "voluntary quit.” Failure to comply with obligated shifts as they appear on the monthly schedule, without consulting with the scheduler, the appropriate Director or Administrator within the appropriate timeframe will result in an “unexcused absence.” Make-up hours for an “unexcused absence” are different for each facility. Please see your Facility Employee Handbook for details. Note: Attendance, Tardiness, and/or Unexcused Absences may, at the very least, negatively influence future salary increases, but also may lead to termination. Bereavement Leave 18 Firely Pediatric Services recognize that a death in the family creates a very difficult time. Firely Pediatric Services seek to ensure that the employee is able to attend to family matters. Firely Pediatric Services have adopted the following guidelines for bereavement leave: Amount of time: Absence due to a death in an employee’s immediate family (mother, father, sister, brother, spouse, children, or individual who took the place of parents in the employee’s childhood), will be an unpaid excused absence. The duration and starting date of a leave will be discussed with and, agreed to with Firely Pediatric Services President or Administrator mutually. A one-day absence to attend a funeral of a relative not in the immediate family will be granted as an “excused absence.” Time off for other funerals will be considered on an individual basis. If employee has accrued personal time, they may utilize this benefit towards paid time off. Employee Procedure: Employees must contact and speak to the scheduling coordinator, appropriate Director, Administrator, or the person on call after normal business hours. Note: During regular business hours employees are not to leave a message on anyone’s voicemail or e-mail if calling out for any reason, you must speak to a person. . Jury and Witness Duty Serving as a juror or testifying as a witness is a civic duty and, as such, is fully supported by Firely Pediatric Services. Please notify your Director or the Scheduling Coordinator as soon as you receive your notice to serve. This will help ensure we keep coverage for our clients while you are serving. Inclement Weather 19 Firely Pediatric Services will not have employees’ safety put at risk; so please listen to the radio for news alerts about road conditions, consider the vehicle you will be driving and make a decision if it is safe or not safe to travel. If you are unable to arrive at work on time, or must be out for an entire day, employees must contact and speak to someone at the facility, the Director, the Scheduling Coordinator, Case Coordinator, the office manager, the Administrator, or the On Call Person. *If calling the On Call Person – please call at a reasonable hour.* Each Facility has different policies and procedures for Inclement Weather, Please refer to your Employee Handbook Addendum. Personal Time Off 20 See “Employment Benefit Plans” for Personal Time entitlement Employee may take Personal Time Off with or without pay. For facility specific information on taking time off, please see your Employee Handbook Addendum Each facility has specific guidelines for taking Personal Time Off with and without pay. See also “Scheduling” for more information on time off. Paid Personal Time Off (PTO) is found on your pay stub. Personal Time is accrued for hours worked each pay period and will appear on your pay stub (See “Staff Benefits Form” for the plan you are on to see your personal time entitlement). If you have questions, please contact Human Resources/Payroll Department. PAYROLL - Once an employee meets the requirements of the Full-time or Part-time entitlement described on the “Staff Benefits Form”, the employee is granted Paid Personal Time Off. The employee may also take Paid Personal Time Off on a day they are not scheduled to work and receive the extra income, however, be aware that Personal Time hours taken are not included in the overtime calculation. The employee must have the “Paid Time Off Request Form” sent in before the end of the payroll period the employee wishes to be paid for. SCHEDULING - First always discuss time off, both paid and not paid, with your scheduling coordinator or Director, to ensure the dates are approved. Please see Scheduling for more information Paid Time Off Request Form Name: 21 Today’s Date: SCHEDULING OFF REQUEST: All Personal Time Off requests must be submitted to the Scheduling Coordinator by email thirty days prior to the date(s) being requested off. PAID TIME OFF REQUEST: If you have accrued Paid Personal Time Off- and wish to use your accrued Paid Personal Time Off; in order to be PAID properly, please indicate how many hours you will be taking off with pay. Please return this form to the Payroll dept. before the end of the payroll period the employee wishes to be paid for. Client Name Date of Request Example: 4/1/2014 Shift Example: 8am – 4pm Is shift covered? If YES, Please give Name of person covering shift Do you want to be paid for shift? Yes or No Yes Yes Yes Yes Yes Yes Yes Employee Signature: Human Resources, Employee Handbook ~ LMFM ~ 2/14;5/14;7/14 or or or or or or or No No No No No No No Date: Number of hours to be Paid Example: 8 hours Scheduling Policies 22 Each Firely Pediatric Services Facility has its own Scheduling Policy. Please see your Employee Handbook Addendum for facility specific Scheduling Policies Guidelines for All Firely Pediatric Services Employees: Time Off: Employees may take time off with or without pay. But first always discuss time off, both paid and not paid, with your scheduling coordinator or Director, to ensure the dates are approved. Please see “Personal Time Off” for more information Call Outs: Employees are expected to report to work on time, on each day scheduled. If you are unable to arrive at work on time, or must be out for an entire day, employees must contact and speak to someone at the facility, the Director, the Scheduling Coordinator, Case Coordinator, the office manager, the Administrator or the On Call Person. Each facility has its own Attendance guidelines. Handbook Addendum for more specific information. Please see your FPS facilities Employee Physician’s Note: Calling Out for three or more consecutive scheduled shifts requires a Physician’s Note stating the nature of the illness, the approved return-to-work date, and any restrictions. No employee will be permitted to return to a Client’s Home or a FPS Facility until Human Resources or the Director receives the Physician’s Note. Any additional scheduled shifts missed while obtaining and forwarding a note to Firely Pediatric Services will be considered Unexcused Absences (see “Attendance Policy”). Overtime - will be avoided if at all possible. In the event that an employee works over 40 hours in the pay week, time-and-one-half will be paid to any hours over 40. Firely Pediatric Services has the right to replace any employee in overtime with an employee who is not in overtime. Outside Employment 23 Firely Pediatric Services is committed to meeting the needs of our clients through providing individualized care while maintaining the highest level of ethical standards. We are committed to providing skilled, empathetic, compassionate nursing care. In order to give our best to our clients, we need our employees to be at their best. Therefore it is FPS policy to put limits on how long an employee can work in one day. If you are employed outside FPS as well as work for FPS, you must notify your Director or Scheduler. We will be happy to work with your schedule so that you are not scheduled too many hours in one day and so that you get sufficient sleep and rest, to do your job successfully at both work places. Nursing/Aide Responsibilities 24 Upon hiring, all applicants review the responsibilities of their intended position for employment with Firely Pediatric Services. The Firely Pediatric Services “Nursing Staff Responsibilities” form or “Nursing Aide Responsibilities” form is signed by the applicant and placed in his/her employee file. A copy of the form can be found in the Employee Handbook Addendum. See also “Behavioral Expectations”, “Dress Code”, “Education” and “Health” for more Nursing and Aide Responsibilities. As the result of your employment at Firely Pediatric Services, you will acquire and have access to confidential information belonging to the client, the client’s family and FPS. Under HIPPA regulations, you are required to keep all personal and medical information confidential. As a condition of employment you must also keep FPS operating information confidential. Violation of our confidential information policy and HIPPA policy may result in disciplinary actions, up to and including terminations. If an employee fails to uphold his/her nursing/Aide responsibilities, disciplinary action will be taken. See “Employee At-Will Policy” for further details. FPS HIPPA Compliance Policy PC.02.02.01 25 POLICY: Firely Pediatric Services will not use or disclose protected health information without the consent or authorization of its patients (Patient’s Parent or Guardian) for purposes other than treatment, billing or operations related to treatment and billing. All personnel will understand and be able to identify the elements of protected health information. PROCEDURE: 1. Protected health information is any individually identifiable information contained in the patient’s medical record or files. This includes the patient’s name, address, diagnosis, chart notes, lab results, treatment plan, insurance or financial information. 2. Every chart should contain a signed consent form from the patient that authorizes or prohibits the practice from using or disclosing protected health information. The consent from must be signed at the opening of each case. 3. Authorized Personnel may use and disclose protected health information for treatment, billing or operations related to treatment and billing without patient consent. Any other use of protected health information must be authorized by the patient and documented in the chart. 4. It is expected that authorized personnel who release protected health information for any reason will release only the minimum amount of information necessary based on the purpose of the request. For example, if an insurance company requests chart notes for the purpose of reviewing a claim, only the notes specific to that date of service and procedure under review should be released. 5. If protected health information is used or disclosed for any other purpose than treatment, billing or operations related to treatment and billing, the information must be “de-identified” by removing any and all information that would distinguish the individual’s record from a group. HIPPA Compliance Policy Pennsylvania Office of Long Term Living ~ LMFM 4/2013 Dress Code 26 The purpose of the dress code is to portray a confident, neat, professional image to our clients, their families and visitors. Each FPS facility has a different Dress Code; please refer to the Employee Handbook Addendum for specific Dress Code for your employment. However for all of FPS facilities attire should be clean, neat and not in need of repair. The following guidelines must be adhered to for all employees who have direct contact with our clients: Shirts must have sleeves (cap to long) Skirts/Dresses may not be shorter than knee length Shorts are not permitted Adequate foot protection must be clean, with heels less than two inches high Jewelry must be kept to a minimum so as to not interfere in delivering care and services to the child {visible pierced jewelry, aside from ears, is not permitted} Hair must be clean, neat, and of natural hues; it should be worn so as to not fall forward while working Fingernails/toenails must be clean and well-trimmed Male facial hair must be clean, trimmed and shaped Use of perfumes and cologne is not acceptable Extreme make-up styles are not permitted Employee Health 27 Firely Pediatric Services regards the health status of its employees providing Care and Services in the homes and facilities as a critical aspect of protecting the health of its Clients and client’s families. Throughout employment, all Firely Pediatric Services employees are required to maintain an up-to-date health file. Information is requested upon hiring and at least annually thereafter. All Firely Pediatric Services health files are maintained in the Human Resource Office or in the office of the Directors of the Home, according to HIPPA Requirements. Upon hiring, all Applicants are required to provide the following items for their Health File: Communicable Disease Clearance Form signed by a Physician A completed current “Employee Health Update” form and Tuberculin Skin Testing or proof of current Tuberculosis Screening results dated within one (1) year from the interview date. And Updated Annually; Tuberculin Skin Test Employee Health Update All health care workers exposed to those who are at high risk for developing TB are at risk for developing TB themselves. All Firely Pediatric Services employees who come in contact with Firely Pediatric Services clients are required to comply with Firely Pediatric Services Tuberculosis Control Plan. Most persons can safely receive TB testing. Such testing is only contraindicated for those who have displayed a severe reaction from previous testing {i.e., necrosis, blistering, anaphylactic shock, or ulcerations}, as well as those who have received either a live-virus measles or smallpox vaccine within the past six (6) weeks. It is not contraindicated for any other persons, including infants, children, pregnant women, breastfeeding women, persons who are HIV-infected, or persons who have been vaccinated with BCG longer than five (5) years. *High Risk Employee Requirements: Upon Hiring ~ Chest X-Ray {negative results} MD Note {stating no TB symptoms present} TB Questionnaire Annually ~ TB Questionnaire Employee Health Additionally, all employees are encouraged to receive the Hepatitis B Vaccination Series for their own personal protection, as well as that of others. In the event a Firely Pediatric Services employee is unable to function at their capacity, the situation will be evaluated by Firely Pediatric Services Governing Body {at least two members}. No one will be permitted to enter a Client’s home or Center unless Firely Pediatric Services Management is certain they will not compromise the integrity of Care and Services provided to that Client. Firely Pediatric Services will make every effort to support employees in this situation. Please Note: Firely Pediatric Services provide PPD’s to active employees. Additionally, Firely Pediatric Services is not responsible for any fees an employee incurs through obtaining these tests/vaccines elsewhere. Education 28 All employees of Firely Pediatric Services are required to complete mandatory Orientation education and mandatory yearly education. The education is mandated to FPS by the Joint Commission and by the State of Pennsylvania. The education is a condition of continued employment with Firely Pediatric Services. Each facility has different education requirements. Please see the Employee Handbook Addendum for the facility for which you are employed for more specific education requirements. In addition, FPS offers Pediatric Care Classes and Trach and Vent classes. If you are interested in taking a class, please contact the Education Dept. Human Resources and Payroll 29 Paychecks and Payday Firely Pediatric Services issues Paychecks bi-weekly. Upon hiring you received a Pay Schedule that listed the Pay Period Begin, Pay Period End and the Pay Date. If you need another copy of this schedule, please contact the Main Office. All time sheets and Progress Notes are to be handed in weekly, but on Pay week, they need to be in the Main Office by 12:00 noon on the Monday before Pay Day. Any time submitted after 12:00 noon on the Monday of our Pay Week, will be added to the next Pay. Mail Progress Notes/Timesheets to: Firely Pediatric Services 364 Maple Avenue Harleysville, PA 19438 Direct Deposit is available by contacting Human Resources. Firely Pediatric Services are also a member of American Heritage Federal Credit Union (AMHFCU) which offers many services. Please contact Payroll for more information regarding the Credit Union. Orientation Rate: Any orientation is paid at the current orientation rates. Any active employee who is taking a FPS training class will be paid for class time at the current orientation rates. Shift Differential; FPS does offer shift differential, please see your “Staff Benefit Form” for the exact shift differential you are eligible to receive. HOLIDAY PAY: When Holiday hours are worked the pay is at time and a half. Handbook Addendum for accurate Holiday hours. Please check your Employee To see your pay rate, base pay, any differential that may be offered or any holiday or personal time pay you may be eligible for, please see the Staff Benefit Sheet you signed at your hiring. If you need another copy – please contact Payroll or the Director of the facility. Human Resources and Payroll The Human Resources department or the Director of the Home is responsible for overseeing recordkeeping for all personnel information and will specify what information should be collected and how it should be stored and secured. It is important that personnel records of FPS be accurate at all times. In order to avoid problems with your benefit eligibility, tax liability, or our ability to communicate with you regarding shift changes and the like, FPS requires that you will promptly notify, in writing, your supervisor or human resources of any change in your name, marital status, home address, telephone number, cell phone number, emergency contact information, number of dependents, payroll tax changes, or any other information pertinent to your employment with FPS. Employees who have a change in the number of dependents or marital status are to complete a new W-4 form for income tax withholding purposes. Please contact Payroll. Employees who change their position from part time to full time or full time to part time; or employees who pick up extra shifts from another branch of FPS, are to contact Human Resources to complete a new Staff Benefit Form. Daylight Savings Time, Night shift (11pm to 7am) or (7pm to 7am): In the Spring, clocks are turned ahead one (1) hour, thus losing an hour. In the Fall the clock is turned back on (1) hour, thus gaining an hour. Employees are not paid for the lost hour, unless they physically work an eight (8) hour shift, nor can an employee work an extra hour without prior permission from their Director. The employee has two (2) options; work the total hours allotted (scheduled hours) to the shift, regardless of time change, or not. The time out on progress note is the actual time on the reset clock that morning. Examples: Spring: Option 1: 2300 to 0700 is an actual seven (7) hour shift Option 2: 2300 to 0800 is an actual eight (8) hour shift Fall: Option 1: 2300 to 0600 is an actual eight (8) shift. Option 2: 2400 to 0700 is an actual eight (8) shift (if parent/guardian wishes employee to be in home until 0700, the shift cannot start until midnight) Note: Falsifying information on the Progress Note or Timesheet may result in immediate termination. Employee Benefits 30 Upon hire, Firely Pediatric Services require an employee to sign the “Staff Benefits Form”, which is specific to each job and each facility. Each employee will be given two Staff Benefits Forms, one which will be kept in their personnel file, and the other is for the employee to keep. As benefits plans change, including salary, throughout each employee’s relationship with Firely Pediatric Services, all employees will be notified through verbal or written communication. Appropriate documentation of the employee’s change will be kept in the personnel file. If the employee has an opportunity to work at more than one FPS facility, that employee must then fill out the “Staff Benefits Form” for each facility. Firely Pediatric Services conform to all State and Local Law Requirements regarding the following: FMLA - (Family Medical Leave Act) Unpaid Family/Medical Leave of Absence available to all eligible employees. Notify Firely Pediatric, Human Resources, or Scheduling Coordinator or your Director as soon as an FMLA decision has been made. COBRA - Extension of Medical Benefits available at employee’s cost upon termination. Firely Pediatric Services contracts an insurance/financial service company to administrate COBRA. Firely Pediatric Services Human Resources Department will notify the administrator of COBRA of your termination. ADA - (American Disabilities Act) - Reasonable Accommodation USERRA – Uniformed Services Employment and Reemployment Rights Act Firely Pediatric Services offer the following benefits to all eligible employees: Health Insurance Voluntary Dental Insurance 401K Voluntary STD (Short Term Disability) Personal time off To see your specific job Benefits, please refer to your facilities Employee Handbook Addendum. Note: Benefits may change at any time and Firely Pediatric Services Handbook may not be immediately updated. If Benefit’s change you will be notified either in writing or verbally, then we will follow up with documentation of the change in two forms – one form will be for you to sign for our files and the other form will be for you to keep. Referral Bonus 31 A lump sum bonus will be awarded to any Employee who has referred an RN, LPN or Home Aide to Firely Pediatric Services. Contact Human Resources for the latest referral incentive. Anniversary Date The first day of work is your “anniversary date.” conditions and benefits. The date is used to compute various Evaluations Evaluations are given to all FPS employees. Each facility has its own evaluation policy. Please see the Employee Handbook Addendum for specific evaluation information. Referral Bonus Plan 32 Effective March 31,2014: A FPS employee refers a Nurse to us for a Full Time Position. If he/she stays in the Full Time Position for a period of six months, then the FPS employee, who referred the nurse, will receive a bonus of $250. A FPS employee refers a Nurse to us for a Part Time Position. If he/she stays in the Part Time Position for a period of six months, then the FPS employee, who referred the nurse, will receive a bonus of $100. A FPS employee refers an Aide to us. If the Aide stays in the position for a period of six months, then the FPS employee, who referred the Aide, will receive a bonus of $100. Please Print: FPS Employee making the Referral: Name of Referral: Is Referral an RN, LPN, or Aide? Referral was hired for Full Time or Part Time? Assignment: Beginning Date of Assignment: Date Eligible for Bonus: Human Resources – FPS Handbook – LMFM 3/2014 Health Insurance 33 For Full Time Employees; Firely Pediatric Services pay a portion of the premium for eligible employees. Additional coverage for dependants is available at employee’s cost. For an information packet on our Health Care Insurance, please contact Human Resources or your Director. The Health Plan can be changed or canceled by a “life-changing event”, during open enrollment, or change of a benefit plan. To change an insurance plan during the plan year there must be a “life-changing event.” New Hire Enrollment is within 30 days after the 15th of the month from date-of-hire and Open Enrollment is once a year. Employees who elect this coverage will receive a “Summary Plan Description”, which details the benefit. Voluntary Dental Insurance Available to all eligible employees at employee’s cost. Employees who elect this coverage will receive a “Summary Plan Description”, which details the benefit. For an information packet on our Voluntary Dental Insurance, please contact Human Resources or your Director. 401K Plan All employees are eligible to enroll in our 401K plan after one year of employment and one thousand hours worked. For an information packet on our 401K plan, please contact our Payroll Dept. Section 125 Cafeteria Plan 34 (Premium Only Plan POP) Eligible employees who have elected to participate in Firely Pediatric Services health insurance and/or dental insurance are entitled to the “pre-taxed dollars” benefit. The plan reduces the employee’s taxable salary by the health/dental deduction and increases the percentage of takehome pay. Family Medical Leave Act (FMLA) 35 Firely Pediatric Services provides family and medical leaves in accordance with applicable law. Eligible employees are entitled to up to 12 weeks of unpaid leave per a 12-month period, for one of the following reasons: the birth or adoption of a child and in order to care for that child; to care for a seriously ill member of the employee's immediate family (parent, child, or spouse); or for the employee's own serious illness that makes the employee unable to perform an essential function of the employee’s job. This policy also provides up to 26 weeks of unpaid leave in a 12month period to care for Military Service members in compliance with the expansion of FMLA under The Support for Injured Servicemembers Act of 2007. An "eligible employee" is one who has been employed for at least 12 months and must have provided at least 1,250 hours of service during the 12-month period. The principles established under the Fair Labor Standards Act (FLSA) determine the number of hours worked by an employee. The FLSA does not include time spent on paid or unpaid leave as hours worked. Consequently, these hours of leave are not counted in determining the 1,250 hours eligibility test for an employee under FMLA. An eligible employee can take up to 12 weeks (or up to 26 weeks of leave to care for an injured or ill servicemember) under this policy during any 12-month period. If a husband and wife both work for the Company and each wishes to take leave for the birth of a child, adoption or placement of a child in foster care, or to care for a parent (but not a parent in-law) with a serious health condition, the husband and wife may only take a combined total of 12 weeks of leave. If a husband and wife both work for the Company and each wishes to take leave to care for a covered injured or ill servicemember, the husband and wife may only take a combined total of 26 weeks of leave. An employee whose spouse, son, daughter or parent either has been notified of an impending call or order to active military duty or who is already on active duty may take up to 12 weeks of leave for reasons related to or affected by the family member’s call-up or service. Reasons related to the call-up or service includes helping the family member prepare for the departure, caring for children of the servicemember, attending certain military events, addressing certain financial and legal arrangements, attending certain counseling sessions, and attending postdeployment reintegration briefings. The leave may commence as soon as the individual receives the call-up notice. Employees requesting this type of FMLA leave must provide proof of the qualifying family member’s call-up or active military service before leave is granted. Family Medical Leave Act (FMLA) 35 Leave to care for an injured or ill servicemember may extend to up to 26 weeks in a 12-month period for an employee whose spouse, son, daughter, parent or next-of-kin is injured or recovering from an injury suffered while on active military duty and who is unable to perform the duties of the servicemember’s office, grade, rank or rating. Next-of-kin is defined as the closest blood relative of the injured or recovering servicemember. An employee is also eligible for this type of leave when the family servicemember is receiving medical treatment, recuperation or therapy, even if the servicemember is on temporary disability retired list. Employees requesting this type of FMLA leave must provide certification of the family member or next-of-kin’s injury, recovery or need for care. This certification is not tied to a serious health condition as for other types of FMLA leave. This is the only type of FMLA leave that may extend an employee’s leave entitlement beyond 12 weeks to 26 weeks. Other types of FMLA leave are included with this type of leave totaling the 26 weeks. Leave does not necessarily have to be taken all at once. Leave may be taken on an intermittent basis (i.e., one week per month) or on a reduced schedule basis (four or five hours per day). Intermittent or reduced schedule leave taken for a serious health condition — either of the employee or of an immediate family member — may be taken "if medically necessary." Intermittent or reduced schedule leave taken for the birth or adoption of a child may only be taken if approved by a manager. If an employee's request for intermittent leave is foreseeable based on planned medical treatment, he or she may be required to transfer temporarily to an alternative position (with equivalent pay and benefits) in order to better accommodate repeated periods of absence. Employees must first use any available Paid Time Off (PTO) while on FMLA leave. Employees are to give 30 days' written notice for leave taken for the birth or adoption of a child, assuming the employee is able to give such notice; if not, the employee must give such notice as is practicable. A serious health condition is an illness, injury, impairment, or physical or mental condition that involves either an overnight stay in a medical care facility, or continuing treatment by a health care provider for a condition that either prevents the employee from performing the functions of the employee’s job, or prevents the qualified family member from participating in school or daily activities. Subject to certain conditions, the continuing treatment requirement may be met by a period of incapacity or more than 3 consecutive calendar days combined with at least two visits to a health care provider or one visit and a regimen of continuing treatment, or incapacity due to pregnancy, or incapacity due to a chronic condition. Other conditions may meet the definition of continuing treatment. Family Medical Leave Act (FMLA) 35 Leave taken on the basis of an employee’s serious health condition requires the employee to provide doctor certification of the condition and of the inability to perform the required job functions. Doctor certification is also required for leave where the employee is the caregiver for a parent, child, or spouse. Failure to provide the requested medical certification in a timely manner may result in denial of the leave until it is provided. In the case of intermittent leave, this certification must also provide the dates and durations of the treatments to be given. The Company has the right to seek a second opinion at its expense. An employee returning from approved family and medical leave will be restored to the position held when the leave commenced, or to an equivalent position. Before the employee returns to work from FMLA leave for the employee's own serious health condition, the employee is required to submit a fitness for duty certification from the employee's health care provider, with respect to the condition for which the leave was taken, stating that the employee is able to resume work. An employee failing to provide a fitness for duty certification will not be permitted to resume work until it is provided. All applicable benefits continue during the approved family and medical leave subject to the appropriate employee payroll deductions. Employees who fail to make the appropriate timely payment for health and dental insurance have a 30-day grace period to make their premium payment. If payment is not received in a timely matter, the employees coverage may be cancelled. The Company will provide a written notice of cancellation at least 15 days prior to the policy cancellation. Service time for the purpose of PTO accrual continues while the employee is on FMLA. Any earned vacation during leave will be paid out when the employee has returned to active work for 30 days. If at the end of FMLA leave, an employee is not able to return to their job because they are unable to perform the job, either with or without reasonable accommodation, due to illness or injury, then Firely Pediatric Services will allow the employee to bid for any unfilled position that the employee is qualified for and capable of performing with or without accommodation. Employees who bid and are selected for open, unfilled positions may have their pay adjusted appropriately for that position. Family Medical Leave Act (FMLA) 35 Employees unable to return to their job or an unfilled position which they are qualified for and capable of performing, either with or without reasonable accommodation, after the exhaustion of FMLA leave will be terminated. Firely Pediatric Services will inform employees requesting leave whether they are eligible under FMLA. If they are, the notice will contain the employee’s rights and responsibilities. If they are not eligible, Firely Pediatric Services will provide the reason for ineligibility. Policies and Procedures 36 The policy of Firely Pediatric Services is to maintain a basic Policy and Procedure Manual, for each FPS facility at each FPS facility. During the Interview Process, all prospective employees are oriented to selected policies and procedures that pertain to their job with FPS. Then once hired, the employee will work through an Orientation packet which will include FPS Policies and Procedures for that Facility. New updates that involve Employees are relayed through various types of Staff Education, Staff Memos and the mandatory Skills Lab. Employees are urged to call the Main Office, at any time, to clarify a specific policy and/or procedure. Someone will be glad to answer questions and/or help solve a problem. In addition, please check your Employee Handbook Addendum for job specific Policies and Procedures. A few Policies that pertain to All FPS employees has been included in this handbook and can be found on the pages following this page. Social Media Policy 37 INTEGRITY – HONESTY – TRUST In keeping with our mission statement, FPS has developed a Social Media Policy. Nurses are obligated to hold confidential any information that they learn while treating a patient. All patients are entitled to privacy, which includes the right to be treated with dignity and respect. All patients are also ethically and legally entitled to confidentiality through state and federal government laws, this includes HIPAA. This policy is made to reinforce the federal government’s HIPAA policy. Patient confidentiality can be inadvertently breached by using social media. If you post any details about any patient you may be possibly indentifying the patient. HIPAA defined patient identifiers as any information that can be used to identify the individual. “Nurses must recognize that it is paramount that they maintain patient privacy and confidentiality at all times, regardless of the mechanism that is being used to transmit the message, be it social networking or a simple conversation. As licensed professionals they are legally bound to maintain the appropriate boundaries and treat patients with dignity and respect,”i The risks of using social media are; • The information can take on a life of its own where inaccuracies become “fact” • Patient privacy can be breached • The public’s trust of nurses can be compromised • Individual nursing careers can be undermined as well as the company they work for Therefore FPS is following American Nurses Association’s (ANA) Principles for social media; FPS nurses and staff must not transmit or place online individually identifiable patient information. Please note ~ even if a patient is not identified by name or record number in a Facebook or social media posting, other information could identify the patient. All patients have the right to receive care without being the subject of a Facebook discussion. Remember that standards of professionalism are the same online as in any other circumstance. FPS nurses and staff must observe ethically prescribed professional patient-nurse boundaries. Do not share or post information or photos gained through the nurse-patient relationship. Maintain professional boundaries when using any electronic media. FPS nurses and staff should not make disparaging remarks about patients, employers, or co-workers, even if they are not identified clearly in the post, someone may recognize them. FPS nurses and staff should be aware that patients, colleagues, institutions and employers may view postings. FPS nurses and staff are not to take photos or videos of patients on personal devices, including cell phones, without the written consent of the patient. If the patient is a minor, you need the written consent from the patient’s parents or guardian. FPS nurses and staff should promptly report a breach of confidentiality or privacy. And remember anything you post can be disseminated anywhere. Anything you post can hang around forever. So stop and think before you post. References: American Nurses Association. (2011, September). Principles for social networking and the nurse. Silver Spring, MD: Author. National Council of State Boards of Nursing. (2011, August). White Paper: A nurse’s guide to the use of social media. Chicago, IL: Author. Smoking Policy 38 Firely Pediatric Services maintains a no smoking policy so that we may offer a safe and healthy work environment. The use of tobacco products, such as cigars, pipes, cigarettes, and chewing tobacco, is prohibited during work time. This policy is in effect in any area of any FPS’s facilities, in all of our client’s homes, as well as during transportation of any resident, at any time. In addition, because employees and clients may have allergies or be sensitive to the smell of smoke on clothing or hair, employees may not come to work or return from a break smelling of smoke. At no time is the use or possession of tobacco products permitted by any resident. A designated outdoor smoking area, as well as his/her personal vehicle, may be used by any adult, following these restrictions: Use of any tobacco products shall be out of the sight of the residents/clients; Following proper protocol regarding fire safety must be maintained at all times; Waste from use of tobacco must be discarded properly; and Staff Members must have completed the Fire Safety portion of their Initial Orientation prior to using any tobacco product on premises. All adults, including staff members, resident families, and visitors, may be denied the privilege of using tobacco products on site if the above restrictions are not maintained. All staff members are to report any observed violation of these restrictions to the Director, Administrator, and/or CEO ASAP. Employees who violate this policy will be subject to discipline, up to and including the immediate termination of employment. RETENTION POLICY 39 Firely Pediatric Services relies heavily upon the professionalism of its nurses and staff. Without our professional nurses and dedicated staff we could not uphold our Mission - “FPS is committed to meeting the needs of our Clients through providing individualized care while maintaining the highest level of ethical standards.” FPS believes that our nurses and staff are our most valuable resource. Therefore FPS works hard to keep our nurses and staff happy and productive. FPS works to retain our valuable employees by offering the following; Holiday Pay Health Insurance Voluntary Dental Insurance Voluntary Short Term Disability Unpaid Family/Medical Leave Personal Time Vacation Pay Referral Bonus On Job Training/Orientation Reimbursement for Travel Advancement Training. But most importantly, FPS is a Family run business, working hard to help and support its employees and clients families. FPS keeps open communication among all companies staff and clients. You can find important phone numbers to reach our owner, administrator, case coordinators, and/or our scheduler in our Family Handbook and our Employee handbook. INTEGRITY - HONESTY - TRUST HR Policy ~ LMFM 1/2011, 1/2012 FPS CELL PHONE POLICY 40 This policy about cellular phone usage applies to any device that makes or receives phone calls, leaves messages, sends text messages, surfs the Internet, or downloads and allows for the reading of and responding to email whether the device is company supplied or personally owned. This policy applies to all FPS employees, part time, full time or per diem. Driving Distracted driving is a major cause of vehicle crashes and incidents. Distractions take both the driver’s eyes and attention off of the road. Distractions can consist of cellular phones, eating or drinking, grooming or talking with passengers. Therefore use of cellular phones or any similar device while driving is prohibited. This includes company issued cell phones, or personal cell phones. An employee who uses a company-supplied device or a company-supplied vehicle is prohibited from using a cell phone, hands on or hands off, or similar device while driving, whether the business conducted is personal or company-related. This prohibition includes receiving or placing calls, text messaging, or any other activity on your cell phone or similar device. Pennsylvania State Law prohibits any texting while driving. FPS Cell Phone Policy prohibits any cell phone or similar device to be used at all while you are operating a vehicle. Some tips from OSHA; Turn cell phone off or set on “silent” or “vibrate” before starting the car Pull over to a safe place if a call must be made or received while on the road Modify the voice mail greeting to indicate that the employee is unavailable to answer calls or return messages while driving Inform clients of this policy If there is an emergency and you need to use your cell phone to get help, first you must pull over to a safe spot and stop the vehicle before you use your cell phone to call for help. Any violation of this policy will result in disciplinary action and possible termination. While Working Day Shift Cell phones are to be used briefly and for emergencies only. Violation of this policy will result in disciplinary action and possible termination. While Working Night Shift While the patient is sleeping you may use your cell phone or lap top or another electronic device quietly to help you stay alert during the night shift. However, the device should be quiet and should never be streaming anything that contains anything offensive in any way. Also, you must always be prepared to jump up at any time when the client awakes or needs your attention. Camera Phones Employees may not use any cameras, video and/or audio recordings devices at work. These devices may cause a violation of privacy and breaches of confidentiality of fellow employees and clients. Acknowledgement I acknowledge that I have read and understand FPS Cell Phone Policy. Printed Name: Date: Signature: Surveillance Camera Policy 41 Policy Statement 1. Surveillance cameras may be installed in situations and places where the security of either property or people would be enhanced. 2. When appropriate, cameras may be placed inside and outside of buildings. Cameras will be used in a professional, ethical, and legal manner consistent with all existing State laws and policies. Camera use will be limited to situations that do not violate the reasonable expectation of privacy as defined by law. 3. The Director and Supervisor will function as the Surveillance Camera Coordinators. Reason for Policy 1. The purpose of this policy is to regulate the use of surveillance cameras to protect the legal and privacy interests of FPS employees. 2. The function of surveillance cameras is to assist in protecting the safety and property of FPS employees and clients. 3. The primary use of surveillance cameras will be to record images for future identification of individuals in the event of legal or policy violations. 4. The exterior surveillance cameras will be used to identify employees and visitors at the doors during office hours, when exterior doors are locked. Police Requirements 1. Only authorized personnel, as determined by this policy and authorized by the Surveillance Camera Coordinators, will be involved in, or have access to, surveillance camera data. 2. When an incident is suspected to have occurred, designated personnel only, may review the images from surveillance camera data. 3. Surveillance cameras will not record or monitor sound. HFK /Policies/Surveillance Camera Policy LMFM 10/13; 4/14 FPS 30 DAY PROBATIONARY PERIOD 42 STATEMENT OF UNDERSTANDING Employee Printed Name: Date: Position: Address of FPS Facility: Every employee’s first thirty (30) days of employment are on a trial basis and are considered a continuation of the employment selection process. PURPOSE The purpose of the 30 day probationary period is to provide the staff member and the supervisor a means by which to evaluate the work environment. During the 30 day probationary period FPS has the opportunity to observe and evaluate the skill set of the employee, which includes the employee’s ability to satisfactorily perform all the essential functions, tasks and responsibilities of his or her job; and to observe and evaluate the employee’s work habits, job skills and conduct, including attendance and the employee’s relationship with the clients, coworkers and supervisors. During the probationary period, FPS may terminate employment immediately, with or without cause and with or without notice. Likewise, the employee may also terminate his or her employment with FPS at any time, with or without notice and with or without cause. This 30 day probationary period is not a term or condition of any temporary employment relationship and is not intended, nor does it impact the ‘At-Will’ nature of the temporary employment relationship between FPS and the employee. END OF PROBATION At the end of the 30 day probationary period, the supervisor will evaluate your performance. This evaluation will include, but be limited to; attendance, punctuality, quality of work, and relationships with clients, staff, co-workers and others. The evaluation will be used to assess and evaluate your employment status. EXTENSION The probationary period may be extended for an additional period of 30 days, if the supervisor determines in his or her judgment that additional time is necessary. During the extended 30 day period, the supervisor will continue to monitor the staff member in areas where improvement is deemed warranted or necessary. I have read the above statement and understand that during my first 30 days and additional 30 day period with FPS, I am a probationary employee and may not be selected for hire, without cause or may resign my position. Employee’s Signature: Date: Supervisor’s Signature: Date: Human Resources/Employee Handbook/ LMFM 8/14; 10/14 Behavioral Expectations 43 When providing care and services to Firely Pediatric Services Clients, it is expected that all Employees will maintain conduct that is nothing less than commendable. The following list of requirements is not all inclusive: Uphold “Client Confidentiality” at all times - there should never be a situation when you need to discuss a Client with a person not associated with that Case. Respect the privacy of Firely Pediatric Services Clients and their Families. Never post on any social media anything about the client or the family Do not contact the Family from your home or give your phone number to the Client’s family - this can cause future problems that can be very difficult to resolve. Do not use abusive or foul language Speak respectfully to client and client’s family Keep the work area clean, neat, and orderly. Always follow all Safety guidelines All potentially unsafe items must be kept out of the reach of children consider when storing or disposing of medical equipment and/or medical waste. Use your time appropriately - extended time away from the Client is not an acceptable way to fill “downtime.” Cell phones are to be used briefly for Emergencies only! Some conduct resulting in immediate disciplinary action up to and including termination includes but is not limited to: Any employee discussing salaries with associates (co-workers) may be disciplined Accessing confidential information Sharing confidential information in any way – especially on social media Stealing Behavioral Expectations 43 Insubordination or refusal to follow and or carry out reasonable instructions. Dishonesty Gossiping, any form of gossiping, with coworkers, clients, families, anyone. Harassment Misconduct Any type of disruptive behavior Any type of abuse or neglect Violent Behavior Threat of Violence Substance abuse on the job Arriving to work under the influence of abusive substances Possessions of weapons or contrabands Violation of any policy in this handbook Leaving work early Arriving late to work Sleeping on the job Gambling Negligence Falsifying documents NOTE: Firely Pediatric Services Staff are not permitted to accept gifts from Clients, except items like flowers, candy, or a small token of appreciation may be acceptable; not to exceed a value of $25. Each FPS Facility has its own Behavioral Expectations. Please refer to your Employee Handbook Addendum for more specific expectations. Drug and Alcohol 44 Firely Pediatric Services has adopted a Policy on Drugs, alcohol, and other prohibited items. To help ensure a safe, healthy, and productive drug-free work environment for the employees of Firely Pediatric Services and others on the properties or in the Client’s home, To protect the properties and assets of FPS and our clients and families, To maintain favorable public image, And to assure efficient operations, It is the policy of Firely Pediatric Services to provide a drug-free work environment that is both safe for our employees, and conducive to efficient and productive work standards. This policy restricts certain items and substances from being present on any Firely Pediatric Services property or any Client’s home, nondependent of whether on duty. This policy restricts employees from having detectable levels or identifiable trace quantities of certain drugs and other substances, and prohibits the unauthorized possession of certain materials. Prohibited Items The use, possession, sale, manufacture, distribution, dispensation, concealment, receipt, transportation or being under the influence of any of the following items or substances: Illegal drugs, controlled substances, marijuana, intoxicants (legal or illegal), "look-alike" substances, designer drugs, counterfeit or synthetic drugs, inhalants, and any other drugs or substances that will, in any way, affect safety, work ability, alertness, coordination, judgment, response or the safety of others on the job. Alcoholic beverages, consuming alcoholic beverages while driving or driving any vehicle for Firely Pediatric Services business while intoxicated is prohibited. The consumption of alcohol on Firely Pediatric Services properties or on Client’s property is prohibited. Consuming alcohol in a Client’s home is prohibited. Consuming alcohol at anytime when working is prohibited. Drug paraphernalia. Prescription drugs and over-the-counter medications, except under the following conditions: (a) The drugs have been prescribed by an authorized medical practitioner for current use (within the past 12 months) for the person in possession of the drugs. (b) The drugs/medications, both prescribed and over-the-counter, are limited to a one day's supply, or must be kept in their original container and must be taken in accordance with the dosage recommendations and usage cautions and may not affect the person's ability to perform work safely. (c) Firely Pediatric Services reserves the right to consult with a medical doctor to determine if a drug or medication produces hazardous or non-safe effects and may restrict the use of any such drug or medication accordingly on Company property. Drug and Alcohol 44 Firely Pediatric Services also reserve the right to require an employee to undergo a fitness for duty medical examination by a physician of Firely Pediatric Services choosing. This may include restricting or altering the individual's work activity or presence at the worksite. Policy Enforcement Because of the importance of this Policy, Firely Pediatric Services reserve the right, at all times, while on Firely Pediatric Services, or Clients premises and property and when circumstances warrant, to have Firely Pediatric Services management and/or authorized Search and Inspection Specialists, including scent-trained dogs, to conduct searches and inspections of employees, or other persons, and their personal property and effects for the purpose of determining if such employees or other persons are using, possessing, selling, manufacturing, distributing, dispensing, concealing, receiving or transporting any of the prohibited items and substances contained in the Policy. The employee's manager and a Firely Pediatric Services Officer have the right to conduct an on-the-spot search and inspection of employees, or others, and their personal property and effects, as described, if said manager has a reason to believe that employees, or others, are in direct violation of any part of this Policy. All searches and inspections conducted by outside authorized specialists will be in the presence of a Firely Pediatric Services Officer. All employees are expected to cooperate with any investigation regarding this policy. Failure to cooperate, or providing false information or omitting information, may subject any employee to disciplinary action up to and including termination of employment. Harassment 45 Firely Pediatric Services complies with all federal, state, and local laws concerning prohibition of harassment. Any kind of harassment by or against a FPS employee is prohibited. Firely Pediatric Services will not tolerate any form of sexual harassment or any offensive conduct that has the effect of severely interfering with an employee's work performance or creating a pervasive, intimidating, hostile, offensive work environment. An employee who sexually harasses others will be disciplined. Disciplinary action can include suspension, dismissal, or any other action appropriate under the circumstances. Sexual harassment includes, but is not limited to, demeaning, abusive, hostile, insulting, embarrassing, sexual, or intimidating behavior, sexual advances, such as unwelcome physical contact, gestures, jokes or slurs, any pornographic material such as cartoons, pictures or photos, requests for sexual favors that directly or indirectly affect work or career advancement or any requests for sexual favors. Any employee who believes that he or she has been the victim of sexual harassment should report it immediately to his or her Administrator. Confidentiality will be maintained to the extent permitted under such circumstances. Additionally, any employee who observes harassment of any type is to report it to his or her Administrator. Administrator will take appropriate action. Retaliation is Prohibited: Firely Pediatric Services prohibits retaliation against any individual who reports discrimination or harassment or participates in an investigation of such reports. Retaliation against an individual for reporting harassment or discrimination or for participating in an investigation of a claim of harassment or discrimination is a serious violation of this policy and like harassment or discrimination itself, will be subject to disciplinary action. All employees are expected to cooperate with an investigation of any type of harassment. Failure to do so may lead to discipline, including termination. Information provided by an individual will be treated as confidential and only provided to those who have the need for the information, or when it is required in the course of investigating the complaint. False information provided in the course of an investigation may lead to discipline, including termination. Employees accused of harassment may be suspended pending the outcome of the investigation. Harassment 45 Important Notice: If you have experienced conduct you believe is Harassment, you have an obligation to report the incident. Your failure to report the incident could affect your rights in pursuing legal action. Early reporting and intervention have proven to be the most effective method of resolving actual or perceived incidents of harassment. Firely Pediatric Services strongly urge the prompt reporting of complaints or concerns so that rapid and constructive action can be taken. The availability of harassment reporting does not preclude individuals who believe they are being subjected to harassing conduct from promptly advising the offender that his or her behavior is unwelcome and requesting that it be discontinued. The following examples have been compiled. This is not a comprehensive list, but only examples: It is sexual harassment for any supervisor to condition the granting of any benefit based on sexual favors. It is racial harassment for any employee to make any joke that disparages any race. It is harassment for any employee to use any racial, ethnic, or sexual slur or comments to or about an individual. The display of any explicit photographs, posters, and the like is sexual harassment. It is sexual harassment for any employee to make an explicit comment about an individual of the opposite sex, such as "She has great buns," or "She is well endowed." It is sexual harassment for any employee to smirk at another employee. It is harassment for any employee to deface the personal property of an employee for purposes of a racial, ethnic, or sexual "joke". It is sexual harassment for any employee to repeatedly ask a co-worker out after being rebuffed. It is sexual harassment for any employee to inquire about the sexual activities of an employee. Open Door Policy (Grievances) 46 The “Open Door Policy” is a policy designed to encourage employees to voice their workplace concerns before greater problems arise. Firely Pediatric Services encourage its’ Employees to voice their concerns, seek information, provide input, grievances, and/or complaints through their Case Coordinator, Administrator, or Director, or as appropriate, consult with management towards a resolution. All employees are encouraged to call, email, or walk in to talk to their Case Coordinators, Directors or the Administrator whenever they need to discuss something. If it is something serious and a grievance report needs to be filed, please know that: All grievances are addressed confidentially. Case Coordinator, Administrator, or Director will listen to employees’ concerns/grievances, encourage their input, and seek clarity in resolving problems and issues. Procedure for Filing a “Grievance Report:” The grievance must be submitted verbally or in writing to any Firely Pediatric Services Office/Staff Member. If verbally submitting, a “Grievance Report” will be completed by the Office/Staff Member receiving the grievance. No Compete Clause 47 Firely Pediatric Services maintain a “No-Compete Clause” which prohibits any Employee associated with a Firely Pediatric Services Client from providing Nursing Services to that Client through another agency for a period of one year from any of the following: Client’s Discharge Date, Employee’s last date of providing care to the Client through Firely Pediatric Services, or Employee’s Date of Termination from Firely Pediatric Services. Any Employee found in violation of this policy is subject to fines of up to $3,500.00. Termination of Employment 48 Terminations fall into two categories – Voluntary (Resignation) and Involuntary. Any Employee is free to voluntarily terminate (resign) his/her employment for any reason. However we do request at least two weeks’ notice prior to the employees last day so that we can find coverage for the client. Also any Firely Pediatric Services Employee can be fired (Involuntary Termination) for any reason. Voluntary Termination (Resignation) When resigning from your position from Firely Pediatric Service, FPS asks for as much notice as possible, but at least two weeks’ notice. FPS needs this time to find coverage to keep all our clients safely covered at all times. Resignation letters are requested. Please send your resignation letter to your Scheduler or Director. All Employees are encouraged, however, to discuss their decision with Firely Pediatric Services Administrator, Assistant Administrator, and/or Director prior to submitting written notification. Shifts the Employee is currently scheduled for on the posted Schedules are expected to be fulfilled during the final two weeks. All time worked will be paid for, up to and including the last day worked. Paid time off will be included in the last paycheck, after any outstanding debits are paid in full Involuntary Termination 49 Involuntary Termination can be due to, but not limited to Temporary Layoffs, Permanent Layoffs, Poor Performance, Misconduct, or Criminal Behavior as follows: Temporary Layoffs - a temporary response to changed business conditions. * Permanent Layoffs - a permanent response to changed business conditions with no near-term prospect of rehiring. * Poor Performance - includes, but is not limited to failure/unwillingness to follow Firely Pediatric Services Policies and Procedures and/or failure to meet responsibilities of the position. * Misconduct - Includes a wide range of unacceptable behaviors, but is not limited to lying, stealing, violent behavior, the threat of violence, substance abuse on the job, arriving for work under the influence of abusive substances, bringing a weapon to work, accessing confidential information, and/or disregarding the safety of Firely Pediatric Services Clients, their Families, and/or Fellow Employees. See also Behavioral Expectations * The circumstances surrounding an Employee Termination may be discussed during Staff Meetings, Nursing Rounds, or Governing Body Meeting. The final decision regarding the Termination of an Employee will be a unanimous decision made by Firely Pediatric Services CEO and/or Administrator. All Firely Pediatric Services Employees have the right to request a Termination Meeting that may include the presence of and/or the following: CEO Administrator Assistant Administrator Director and at least one additional member of management as determined by the CEO. The Employee will be given ample opportunity to respond and is encouraged to voice suggestions regarding improving Firely Pediatric Services daily operations. Once the Employee has been notified of the termination, Firely Pediatric Services Management has the right to address the situation to the remaining Firely Pediatric Services Employees, Clients, and Families. If the termination was not harmonious, the Employees will be told that the individual is no longer employed with Firely Pediatric Services and the reasons are confidential. The willingness of Employees, Clients, or Families may be sought to provide any information concerning whether the terminated Employee has attempted to solicit business from the agency or has slandered Firely Pediatric Services in any way. Disciplinary Guidelines 50 At Firely Pediatric Services we value our employees and appreciate their dedication to the Clients we provide care for. Each employee is a reflection of FPS as a whole, so a high standard of care and consistency must be adhered to. Your employment with FPS is an “At-Will” employment which means that either the employee or FPS can terminate the employment relationship at any time, with or without advance notice, and with or without cause. Certain behavior will result in immediate termination, this behavior includes, but is not limited to; sleeping on the job, falsifying documents, drug or alcohol use while working, and/or any type of abuse or neglect of our clients. But other violations will result in other disciplinary actions, such as verbal or written warnings or a scheduled conference with the Director or Administrator. These violations include, but are not limited to: violation of completion of hiring paper work, violation of completion of education paperwork, falsifying documentation, violation of dress code, tardiness, excessive absences, excessive requests for time off, and/or certain unacceptable behavior. All warnings, both verbal and written and all conferences will be documented and kept in the employees file. Security and Safety 51 Security and Safety is a priority at Firely Pediatric Services. FPS strives to provide a clean, hazard-free, and safe environment for employees, clients and their families in accordance with all state laws. As an employee, you are expected to take part in maintaining this environment. When you are hired, part of your orientation is safety training. During training you will learn the location of all safety and emergency equipment, as well as the safety and/or emergency phone numbers. Once trained you must continue to observe all posted safety rules, adhere to all safety instructions provided by your supervisor, and use safety equipment when required. You may be required to purchase and maintain some of your own safety equipment. Any problem with FPS provided equipment should be reported to your supervisor. If it is not safe to work for any reason, report the problem to your supervisor immediately. All work related accidents are covered by Worker’s Compensation Insurance under State Law. In order to maintain our safe environment a Safety Committee has been formed. Our Safety Committee has representation from each one of our facilities. The purpose of our Safety Committee is: To work together to build a safety culture through communication and involvement Educate and train employees on safe practices, safe work spaces and safe living Educate and train employees on reporting unsafe areas and practices Investigate all reports; determine root causes to unsafe acts or conditions Conduct inspections; create a safety action plan. Promote safe work conditions Evaluate our safety progress and reassess yearly The Safety Committee meets regularly, and, once approved, all minutes are posted in the Main Office and in each of FPS other Facilities. As new policies are implemented, all staff is notified either through education, memos or postings. Workers’ Compensation 52 All work related accidents are covered by Worker’s Compensation Insurance under State Law. If you are injured on the job, you must contact your Director or your Case Coordinator WITHIN 24 HOURS of the injury in order to be eligible for Worker’s Compensation. The Director or the Case Coordinator will then notify our Incident Manager, who will contact you directly to let you know the appropriate course of action.