Volunteer Services

Transcription

Volunteer Services

Provena Covenant Medical Center
Volunteer Services Department
SPRING 2012 Community Based Volunteer Application Information
Dear Volunteer Candidate ~
Thank you for your inquiry regarding about volunteer opportunities available at Provena
Covenant Medical Center. We are pleased that you are interested in our volunteer program.
Please take a few moments to review this application packet and complete the application
form. You will find in the packet, a complete listing of volunteer opportunities available.
After completing the application form, please return it to us:
 By fax (217-337-4746)
 E-mail to: [email protected]
 Or via USPS to Provena Covenant Volunteer Services,
1400 W. Park, Urbana, IL 61801.
When I receive it, I will contact you in the near future to arrange a time for us to get together
to discuss volunteer opportunities.
We have a wonderful and diverse group of dedicated volunteers committed to the Mission of
Provena Covenant. Our Mission states: Provena Health, a Catholic health system, builds
communities of healing and hope by compassionately responding to human need in the spirit
of Jesus Christ.
Volunteer opportunities are extensive and include services such as patient ambassadors,
Ambulatory Surgery Unit, Maternal Child Services Welcome Center, patient wheelchair
transport/discharge escorts, information services (lobby information desk) surgical waiting
room, as well as administrative support, Gift Shop, customer relations activities, and
individual department assignments. Please see the enclosed information sheet for a complete
listing. Our projects are great for both men and women.
I hope to hear from you soon. In the meantime, please feel free to call me at 337-2378 or
E-mail me at [email protected] if you have any questions. I look forward to
talking with you soon.
Sincerely,
Mindy Slack
Mindy Slack, Director
Volunteer Services
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Volunteer Application Procedure
Thank you for your interest in our volunteer program. The following information will
guide you through the application process for a volunteer position with Provena Covenant
Medical Center. We encourage you to review the entire information packet carefully and
contact us with any questions.
Application Form
After completing the application form, please return it to us:
 By fax (217-337-4746)
 Scan and E-mail to: [email protected]
 Or via USPS to Provena Covenant Volunteer Services,
1400 W. Park, Urbana, IL 61801.
When we receive it, we will contact you in the near future to arrange a time for us to get
together to discuss volunteer opportunities.
Interviews:
All interviews will be conducted at the County Plaza Building located at 102 E. Main Street
in downtown Urbana located north of the Champaign County Courthouse. Parking for
Provena visitors is located at the entrance to the building and our offices are located on the
first floor.
Preparing for a Volunteer Assignment
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Volunteer candidates are required to attend volunteer orientation before beginning a volunteer
assignment. Volunteer staff will advise you of available scheduled sessions.
Each new volunteer will be given the opportunity to shadow in a department before making a
commitment and will be provided training for that assignment. You will be provided a
volunteer “mentor” to guide you before you take a solo assignment.
Every applicant must be able to provide Social Security # at the time of interview to complete
the information necessary to conduct a background check.
Volunteer candidates are required to provide three references. (forms included in packet)
Health Requirements:
Candidates must show proof of immunity against Rubella and Rubeola (measles) and Chicken
Pox.
Each volunteer is required to have a "2-Step" TB test (2 injections) test within the last 3
months. The two injections must be done 7 – 20 days apart.
 Volunteer Services staff can assist with resources to meet health requirements.
Provena Covenant is committed to offering a quality volunteer experience to individuals in our
program. We are seeking motivated individuals who enjoy a challenge and are anxious to learn in a
mission- focused patient care environment.
QUESTIONS?
Call Volunteer Services - 337-2378
Office hours: Mon-Fri, 8 a.m. - 4:30 p.m. or e-mail at: [email protected]
Volunteer Services Offices located at 102 E. Main, downtown Urbana
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Adult Volunteer Description of Opportunities
Non-Patient Care Opportunities
 Administrative Support
Work in various offices within the Medical Center to help answer phones, do computer data entry, filing
and more. Generally, hours would be during regular business hours Monday- Friday 8 a.m.-4:30 p.m.
 Center for Healthy Aging
 Faith in Action Office Assistance – New Service Opportunity!
Volunteers are needed to assist in making calls to schedule volunteers to provide service to care
recipients in the program. Pleasant personality is a must! This is a wonderful working environment
with great support from staff. Volunteers can provide support any day M – F during 8-4:30 office
hours in 2 – 4 hour shifts.
 Faith in Action Care Recipient Volunteers
The Center for Healthy Aging offers assistance to seniors in the Champaign/Urbana Community.
Types of assistance include but are not limited to transportation, yard work, home visiting, etc.
Volunteers will do a variety of tasks including filing, database entry, coordinating volunteers,
assistance with special events, and other marketing/public relation type of activities. Hours are
flexible, Monday-Friday.
 Provena’s Center for Healthy Aging weekly Coffee Shop
Coffee shop takes place every Wednesday morning form 7:30- 10:00 am. It is a time for seniors in
our community to join us for free refreshments, games, socialization, and a presentation on topics that
are important to seniors. It’s a great way to have fun and make new friends. Needs 2 friendly
volunteers! This is a great opportunity to work along with another volunteer to help be a hostess for
this event. Coffee shop usually has between 20-30 people in attendance. Duties include making
coffee, setting out refreshments, greeting and making people feel welcome, and clean up. Volunteer
time frame would be from 7:00-10:30 am on Wednesdays (allowing time for set up and clean up).
 Central Communications
The Central Communications Department is looking for volunteers to assist responding to patient Call
Lights during the early morning shifts. Skills needed to qualify include the ability to answer call lights in
a friendly voice and to use a touch screen PC to send patient requests. This is a very user-friendly
system! Training will be provided. Volunteer shifts are needed Monday- Friday from 7- 9am, year
round. Volunteers may be of any age ranging from High School to Adult Volunteers. Volunteer
opportunity involves primarily sitting at a work station.
 Gift Shop
Volunteers will assist with cash register sales, customer service, gift-wrapping, and more. This is a
wonderful opportunity to serve our patient family members, visitors, employees and volunteers. The Gift
Shop provides a very friendly and pleasant work environment. Volunteers needed Monday-Friday, 9 –
12:30, 12:30 – 4 or 3 pm- 6pm. Saturday & Sunday hours are 11am- 3pm.
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 Health Information Management Assistant
Volunteers will be responsible for assisting Analysts, Coders, and Clerks in completing clerical functions
with the Health Information Management Office. This will include Meditech computer data entry, filing
and/or retrieving medical records and reports for physicians, attorneys, insurance companies, audits,
special projects, etc. Volunteers must be highly organized; detail oriented, and demonstrates the ability
to maintain confidentiality. There is a great need for persons who enjoy filing and very attentive to
accuracy. Hours are flexible, Monday – Friday.
 Human Resources
The Human Resource Department is looking for volunteers to address employee birthday cards. Hours
are completely flexible and can be done in your own time at home one time each month. It takes an
average of 2 – 3 hours per month total.
 Information Desk
Volunteers provide critical information and referral services to patients and visitors entering the hospital.
Shifts are scheduled Monday - Friday between 8-12 noon and 12-4 p.m.
 Mail Room
Volunteers are needed to assist with daily assortment of office and patient mail. In addition to processing
mail, volunteers will make “med” runs throughout the hospital hourly as well as handling clinical
deliveries to the lab and other departments. Hours available are Monday – Friday between 1 – 4 p.m.
 Medical Library Assistant
Volunteers are needed to assist with basic tasks in the library. Assistance is needed with photocopying,
faxing and shelving books. Volunteers should enjoy working independently after receiving training.
Days needed are Mondays, Wednesdays or Fridays between 8 a.m. - 4:30 p.m. We request a 2, 4 or 6
hour shift. The Medical Library is a great resource for our medical staff and clinical interns. You would
be providing a very important service!
 Outpatient Pharmacy Clerk
Assist with checking in new supplies, tagging medications, filing prescriptions, as well as guest
transactions. Volunteers need to have a comfort level with basic computer transactions, dexterity, and
the ability to stand for some periods of time. Scheduled between 8 a.m.-5 p.m. Monday- Friday.
 Patient Registration Escort
Volunteers are needed to assist patients safely to their destination in the hospital after they complete the
registration process. These patients would be ambulatory and able to walk on their own. We are looking
for friendly volunteers willing to escort them safely so they get to the right location right away! Hours
are flexible but morning or afternoon, any day M – F are our greatest need.
 Provena Regional EMS/PRO Ambulance Office Assistant
This office is offsite at 408 S. Neil St., Champaign. Volunteers are needed primarily for data entry work.
There is a lot of information weekly that needs to be compiled into various spreadsheets. This position
provides a great opportunity to work in a fast paced environment in the PRO Ambulance base
headquarters. Our friendly staff will appreciate your efforts! Training will be provided for each
volunteer. Hours are flexible, Monday – Friday.
 Sewing Projects
Many projects are ongoing, including “Caring Critters”, which are hand-sewn and provided for children
who are patients in the hospital. Other projects include hand-sewn “Memory Blankets” and
handkerchiefs provided to the parents who have lost a child due to infant death or miscarriage. Clothing
for premature babies in the hospital is sewn as well. Sewers work at home during the week, as well as in
the Volunteer Services Department on Tuesday mornings.
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Patient Care Opportunities
Ambulatory Surgery
Volunteers assist with patients having same day surgery. Duties include providing nourishment for patients’
post-surgery, transporting to x-ray, securing patient belongings, and making up chart packets. Morning or
afternoon shifts are scheduled.
 Cardiac Catheterization Lab
Volunteers provide a variety of clerical as well as patient support services in the busy Cardiac Cath. Lab.
Volunteers are needed Monday – Thursday between 7 a.m. – 3:30 p.m. Duties include:
 Answering telephones
 Transporting patients via cart with a staff member
 Cleaning room between cases
 Restocking disposable supplies
 Assisting with inventory
 Assisting patients during pre and post procedure activities such as applying EKG patches, blood
pressure, obtaining pulse, etc.
 Clinical In-Patient Service Opportunities: Please select from choices below
 Cardiac Services
Cardiac patients will benefit from your care, concern and assistance with basic patient care
responsibilities. You have many of the same responsibilities as with Medical-Surgical units, but
these patients are recovering from cardiac events. Hours available are 9 a.m.-noon and 1 – 4 p.m.
Mondays – Fridays.

Maternal Child Services
Volunteers are needed up in Maternal Child Services to help aid in greeting patients and visitors upon
acceptance of the visitor, answering phones, rounding with patients and relaying information to the
RN’s, and helping put together charts. Other clerical duties may include faxing, delivering flowers as
well as other duties needed and assigned by the staff. Hours available are Monday-Sunday from 8 –
11 a.m., 11 a.m. – 2 p.m., 2 – 5 p.m. or 5 – 8 p.m.

Medical/Surgical In-Patient Unit (6th or 7th floors)
Volunteers will have the opportunity to work directly with patients and provide services in a variety
of ways. Duties include passing and collecting patient meal trays and documenting output, assist with
feeding patients, filling water pitchers, assist staff when giving bed baths, and making occupied beds,
delivering flowers, sitting with patients as friendly visitor, assist with patient transfers, walking
patients to bathroom and in the halls, transport patients within hospital and for discharge and other
duties. Hours available will be Mondays – Sundays, 8 – 11 a.m., 2 – 5 p.m. or 7-10 p.m.

Rehab Patient Care
You will be providing care for patients who have experienced head, neck, or spinal cord injury or
suffered a stroke or other debilitating illness. Duties include filling water mugs, answering
telephones, straightening bulletin boards, delivering meal trays, helping patients complete menu
selections, assembling chart packets, visit patients and many other duties to assist with our patients.
Hours available are Monday-Sunday from 4 – 7 p.m.
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 Community Fitness Program
Volunteers assist staff as exercise assistants, performing tasks including taking heart rates and blood
pressure, oxygen saturation readings, adjusting workloads on the exercise equipment, performing small
tasks such as filing charts, putting supplies away, making up “new start” packets, etc. If you have an
outgoing personality and a willingness to interact with patients this placement is for you. Cardiac Rehab
hours are scheduled from 6-8 a.m. or 4-6 p.m. Monday, Wednesday, or Friday or 9 a.m.-1 p.m. Tuesday
and Thursday. Pulmonary Rehab shifts available Monday, Wednesday, or Friday between 8 a.m. - 12
noon or 1-3:30 p.m.
 Dietetic Services
Students who are in their junior or senior year in Food & Nutrition or Dietetic studies are eligible to
volunteer in Provena Covenant’s Dietetic Department. Students are assigned a variety of projects
working in the office as well as with patients. Schedules vary, but typically involve a 3-hour shift
morning or afternoon Monday-Friday.
 Discharge Escorts – New Spring Service Opportunity!
Volunteers will be scheduled to assist with patients being discharged from the hospital with wheelchair
transport. Volunteers are needed Monday – Friday between 11 a.m. – 4 p.m.
 Emergency Department
Volunteers in the ED regularly check patients and/or visitors in the waiting room, while forwarding
questions to their ED Team Leader. They also transport patients and often stay with them to provide
support. All shifts are 3 hrs Mon – Sun. 6 – 9 am, 9 – 12, 12 – 3 pm, 3-6 pm, 6-9 pm, 9-midnite.
 Maternal Child Services Welcome Center
Volunteers are needed in Maternal Child Services to greet and welcome patients and visitors to the unit.
Volunteers will escort visitors and patients into one of the 3 secure areas of the unit ensuring their safe
arrival. Volunteers need to be friendly and willing to move about the unit as required. Hours available
are Monday-Sunday from 8 a.m.-12 noon; 12 noon-4 p.m., or 4-8 p.m.
 Occupational Therapy (Pre-Occupational Therapy Students Preferred)
Volunteers provide assistance during occupational therapy sessions with patients in the rehab program.
Occupational Therapy staff supervises volunteers. Occupational Therapy is designed to enable the patient
to adjust to living and coping with physical limitations in their environment. This program offers an
excellent opportunity for students pursuing a degree in Occupational or Physical Therapy. Hours
scheduled are 8:30-11:30 a.m., or 1-4 p.m., any one shift, Monday-Friday.
 Operating Room Department Delivery Clerk
Volunteers in this department must be self-starters who take the initiative. They will be delivering
supplies to and from the OR to Central Supply. You will be working in an environment that is fast paced
with many clinical specialists. Scrubs will be provided. Monday-Friday shifts available.
 Patient Transporters
Volunteers are needed to provide transport services to patients in the front lobby area and throughout the
hospital. Volunteers will assist with escorting patients by walking or wheelchair from the lobby area to
departments throughout the hospital. Hours available: Monday-Friday, 8-12 noon, 12 – 4 or 3-6 p.m..,
Saturday and Sunday, 9-12 or 12-3 p.m.
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 Patient Ambassadors
Visit patients and provide support with questions, requests, or concerns. Volunteers match needed
resources to meet the patient’s needs. Scheduled Monday-Sunday, AM or PM.
 Patient Newspapers
Volunteers are needed daily to deliver complimentary newspapers to our patients. Volunteers can arrive
between 8-10 a.m. any day Monday-Sunday. Papers are delivered to the patients in all in-patient care
areas and waiting rooms. Total delivery time is 1-2 hours. Dependability is a must! This volunteer
assignment offers a great opportunity to greet our patients and their family members.
 Physical Therapy (Pre-Physical Therapy Students Preferred)
Pre-Physical Therapy students or students planning to enter a Physical Therapy program are placed in the
Physical Therapy program. Guidance and supervision is provided by staff physical therapists providing
experience with patients of all ages suffering from permanent or temporary injury from head or neck
injury, stroke, automobile accidents, and patients who suffer pain and dysfunction due to joint or
muscular problems. This experience will be mainly observational with some hands-on experience as
appropriate. Hours scheduled are 8:30-11:30 a.m., or 1-4 p.m., any one shift, Monday-Friday.
 Procedure Center
Volunteers provide assistance through interaction with patients, clinical staff, and physicians in the
Procedure Center Department. Tasks include patient transport, assistance with patient discharge,
assistance with carts and chart packets, department filing and more.
 Radiology (Medical Imaging/X-Ray) Patient Ambassador
Volunteers will be assisting in Radiology to assist providing directions and assurances for patients.
Volunteer will assist throughout the department with a variety of duties including checking on patients in
waiting area, assisting with light patient transport, offering information and directions and light office
duties. Positions are available Mondays – Fridays from 9 a.m. – 12 noon.
 Recreational Therapy
Volunteers work directly with the staff recreational therapist in providing individual and group recreation
programs for our rehab patients. This program offers a great opportunity to get to know the patients on
an individual basis and assist with great programming. Volunteers will be assisting in taking patients on
outings in the community. Volunteers work as an assistant to the staff Recreation Therapist. Hours
available are Tuesdays, Wednesdays and Thursdays from 2:30-5:30 p.m. or 5-8 p.m.
 Surgical Waiting Room
Volunteers provide critical assistance to physicians and family members of surgical patients Monday Friday, 7 am - 12 noon, or 12 - 4pm. Volunteers track family members so they can be readily available
to meet with the physician after surgery to receive the surgical report.
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_________________________________________________________________________________________________________
Adult Volunteer Application
Please type or print
Gender Male Female
Name ______________________________________________________________________________________
Last
First
Middle Name
Local Address____________________________________ Apt.#_________ City___________ State________ Zip__________________
Street
Permanent Address (if different from above)
Address____________________________________ Apt.#_________ City_____________State_____________ Zip_________________
Street
Birth Date______/_______/_______
(Year optional)
Daytime Phone_______________________
Cell Phone__________________________
Email____________________________________________
Last Year of School Completed _____ High School _____College _____Grad School Degree Obtained _________________________
Please state what you would like to get out of this volunteer experience.
___________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
Do you have any physical limitations which prevent you from doing certain types of tasks?  Yes  No
If yes, please explain: _________________________________________________________________________________________________
Previous Work, Volunteer and Community service experience
Organization
Position Held
Date of Experience
Please provide three (3) professional references (former employers, pastors, etc.)
Name
Address
Email
How many hours each week do you wish to volunteer? _______________________
Which shifts do you wish to volunteer?
Monday___a.m___p.m. Tuesday___a.m___p.m. Wednesday ___a.m___p.m. Thursday ___a.m___p.m. Friday___a.m___p.m. Sat. ___a.m___p.m Sun. ___a.m___p.m
Assignments: Please indicate areas or departments that you are willing to be assigned.
1________________________________ 2______________________________________
1400 West Park Street,
Urbana, IL 61801
217.337.2378
3____________________________________
I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete. I understand that any false
or misleading representations or omissions may disqualify me from further consideration for a volunteer position and may result in discharge even if
discovered at a later date. I hereby authorize persons, schools, my current employer (if applicable) and previous employers and organizations named
in this application (and accompanying resume, if any) to provide this facility and all affiliates with any relevant information regarding a volunteer
decision, and I release all such persons from any liability regarding the provision or use of such information.
Signature_________________________________________________________________
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Date_______________________
Volunteer Services
Volunteer Applicant Health Survey
Name___________________________________________________________________
Last
First
Phone______________________
M.I.
Address____________________________________ Apt #____________ City___________ State_____ Zip____________
Email Address_________________________________________________
Gender
Male
Female
Emergency Contact_____________________________________________________________________________________
Name
Phone
Relationship
Your Physician______________________________ Clinic___________________________ Phone____________________
Do you now have or have you ever had Chickenpox?  Yes
 No
Have you ever had a positive reaction to a T.B. test?  Yes
 No
List any known allergies to food, medications, and/or environmental substances:______________________________________
Have you had a tetanus shot in the last 10 years?
 Yes
 No
Do you have any health conditions/restrictions you feel we should be aware of?_______________________________________
I understand that physician’s approval may be required for my participation in the volunteer program at Provena Covenant.
Applicant Signature_____________________________________________________________________Date______________
Parent/Guardian signature for student under 18 years of age:
Parent/Guardian Signature_______________________________________________________________Date______________
Illinois State Police Background Check Information
Then following information will be given to the Illinois State Police Department to conduct a background check on the volunteer applicant.
Please fill out all fields.
Name________________________________________________________________________
Last
Gender
First
Male
Female
Birth Date____/_____/____
M.I.
Race_________________________________
Valid codes for Race
White…………………….W
Black……………………..B
Asian/Pacific Islands……A
American Indian/Alaskan.I
Unknown…………………U
Subject Signature: ______________________________________________________________________________________________
If you have any questions, please contact the Illinois State Police Department, Division of Administration, Bureau of Identification, 260 N. Chicago Street, Joliet,
IL, 60432-4075
Page 9
Date________________________
Dear, _______________________
____________________________ has applied for a volunteer position at Provena Covenant Medical Center. To meet
accreditation requirements, we are requesting your input or feedback regarding your knowledge of the applicant’s strengths and
skills. We have requested information in short-answer format for your convenience, but you are welcome to provide additional
comments. Thank you for your time. Acceptance of being a volunteer at Provena Covenant Medical Center is contingent upon
completion and return of this form. Please fax or mail to: Mindy Slack, Volunteer Services, Provena Covenant Medical Center,
1400 W. Park Street, Urbana, Illinois 61801 Fax: 217-337-4746. You may also scan completed form and e-mail to:
[email protected] Thank you for your assistance in providing for this volunteer opportunity!
Name of Volunteer Applicant______________________________________________________________
In what capacity have you know this person? _________________________________________________
How long have you known him/her? ________________________________________________________
Is he/she someone you feel is dependable?
Yes___________ No___________
Would he/she be able to follow instructions and adhere to guidelines on issues such as confidentiality and emergency procedures?
Yes___________ No___________
Do you have any reservations about this person’s ability to be Provena Covenant Volunteer?
Yes___________ No___________
If yes, please explain_____________________________________________________________________
______________________________________________________________________________________
Does this person exhibit good judgment?
Yes___________ No___________
What are some strengths of the applicant? ____________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Name: (Please print) __________________________
Signature: __________________________________
Title: ______________________________________
Organization: _______________________________
Date: _______________________
______________________________________________________________________________________
I authorize the above named person to release the information requested to Provena Covenant Medical Center
__________________________________________
Applicant’s Signature
____________________________________
Applicant’s Name (Please print)
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Date________________________
Dear, _______________________
Yes___________ No___________
Yes___________ No___________
Yes___________ No___________
______________________________________________________________________________________
Yes___________ No___________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Signature: __________________________________
Title: ______________________________________
Organization: _______________________________
Date: _______________________
______________________________________________________________________________________
__________________________________________
____________________________________
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Date________________________
Dear, _______________________
Yes___________ No___________
Yes___________ No___________
Yes___________ No___________
______________________________________________________________________________________
Yes___________ No___________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Signature: __________________________________
Title: ______________________________________
Organization: _______________________________
Date: _______________________
______________________________________________________________________________________
__________________________________________
____________________________________
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Volunteer Services

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