Experience:
No experience
Employment Type:
Full time
Posted:
1/5/2018
Job Category:
Nursing
Industry:
Other
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Registered Nurse
Hattie Larlham | Mantua, Ohio
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Job Description

Whether you're an experienced nurse in the health care field or a new graduate, Hattie Larlham has opportunities for caring and compassionate nurses to gain pediatric experience and develop and maintain clinical skills.

Hattie Larlham, a long-term care provider for people with intellectual and developmental disabilities, seeks highly motivated, passionate nurses. Hattie Larlham provides continuous, quality nursing to children, adolescents and adults with developmental disabilities and complex medical needs. If you have a desire to enhance the quality of life for the people we serve and develop meaningful, long-term relationships, we want to interview you.

Registered Nurse (RN) responsibilities include, but are not limited to, administering medication, documenting data, communicating with people served and their parents and guardians and building a professional rapport with the medical team. Good judgment is also required. Excellent and affordable Full time benefits. Recently increased starting rates. Excellent shift differentials. Hattie Larlham has opportunities for recent nursing graduates.

Hattie Larlham is looking for full time night shift Registered Nurses!

Qualifications

Applicants must be eligible to work in the specified location

About Hattie Larlham

Hattie Larlham is a family of agencies designed to deliver support services to more than 1,400 children and adults with disabilities and their families across northeast Ohio. Scicolone, who works on the main campus in Mantua, Ohio, joined the staff three years ago and is only sorry he didn't get there sooner. "Most of my career has been as a department head. I've had the opportunity to work in several different settings such as large teaching hospitals, small community hospitals, rehab hospitals and long-term specialty settings," he explains. "Prior to coming to Hattie Larlham, I did homecare and sales. When I worked for Hytech Homecare in Mentor, Ohio, Hattie Larlham was one of my accounts. I was intrigued by the facility and decided that, if they ever needed a respiratory therapist, I would jump at the chance. The opportunity arose, and here I am. I love working here and wish I could have spent more of my career in this setting." "Coming here was a learning experience, because I'd never dealt with a population quite like this," he admits. "I did have some long-term care experience but not with profoundly disabled and handicapped children. Some of the things that might be considered abnormal in a normal population are normal for our kids and vice versa. What might be considered abnormal breath sounds may be the normal expected thing here. It was an adjustment I had to make, learning the differences." Although it is primarily a pediatric facility, Hattie Larlham's patient population ranges in age from 5 or 6 to 40. "Diagnoses include severe or profound mental retardation and developmental disabilities. Cerebral palsy, neuromuscular disorders, and central nervous system disorders are common." In his day-to-day work, Scicolone faces numerous challenges while caring for patients. "Because of these physical and mental disabilities, we can't elicit a response to verbal commands," he says. "The clinical staff has to do more to deliver effective therapy than they would if working with other populations. The challenges for me include trying to understand what's actually going on with the kids when they can't tell me, and not having the kind of diagnostic services that would be available in a hospital." In addition to being nonverbal, most of the patients Scicolone sees are very limited physically. "Being physically inactive inevitably leads to a high incidence of pneumonia. My challenge is to try to prevent the pneumonias from occurring, and to treat them when they inevitably occur." He continues, "One of my biggest challenges is to get patients to breathe as deeply as possible," Scicolone says. "I employ several different pressure breathing devices to expand the chest cage, which promotes better breathing and loosens secretions in the airway." These devices include cough assists, intrapulmonary percussive ventilation (IPV) and therapy vests. Although his title is respiratory therapy manager, Scicolone is currently the only full-time therapist on staff. "We have one part-time person and we're recruiting to expand the coverage even further," he says. "My day-to-day responsibilities include assessing and treating individuals, some routinely and others during acute illnesses. I confer with the physician, nurse practitioner and unit nurses to plan and coordinate the care of the individuals. I oversee the use and care of respiratory equipment and supplies; plan and provide educational programs for the staff; participate in events and serve on various committees," he comments. Describing a more or less typical day, Scicolone says: "This morning I got here a little before 7:00 a.m. I met with the night shift nursing supervisor to get a report on what happened through the night and see what, if any, areas I need to look at before I go on my rounds. Then, I started the day clinically, providing the routine therapies. We have monitors that we use occasionally to assess oxygen levels up to 24 hours at a time, so one of the next things I did was to print out a trending report of what had transpired over the last 24 hours. Then, I spent the rest of the the time in meetings." Scicolone is also very involved in training and development of all staff. "There is a very strong training and development department here," he says. "We do formal educational training programs, both for the nursing staff and for the Direct Care staff. I also participate in new nurse training and orientation. When they go through their orientation here, all new nurses spend three days with me, in addition to the time they spend with their nurse-educators." "Our medical director, Dr. Richard Grossberg, a pediatrician, is very actively involved in our educational programs. He, a full-time nurse practitioner and I constitute the medical team working with the nurses on each of the divisions. In addition to conducting our own educational programs, we participate in courses conducted by outside agencies. For example, we recently completed a pediatric advanced life support (PALS) course here that was provided by an outside agency through the Cleveland Clinic. There are now 10 of us who are PALS-certified, which is a good number for a facility like ours." Additionally, Scicolone's educational efforts extend to the larger community. Earlier this year, he took part in "Abilityville," a presentation in Akron for students with and without disabilities, and a story in the local newspaper pictures Scicolone showing a student how a therapy vest is used. As chairperson of VEST (voluntary employee support team), an employee fundraising committee, Scicolone works hard with his staff to provide the best possible care for his patients, though their budget is limited. "Because of recent the cutbacks in Ohio's Medicaid funding, we have to work on an even slimmer budget than before," he explains. "Yet, we are expected to provide a high level of care, which I believe we do. Recently, I was visiting one of our individuals in the hospital and the nurse told me about how well cared for our residents are. When they're admitted to the hospital, our kids don't have bedsores and are clean and extremely well cared for. That says a lot for the commitment of our staff. People really put themselves out to do what it takes to take good care of our kids. The employee fund raising effort shows this commitment to providing care. If we don't have the money, we try to raise it ourselves." Although he is not involved in an ongoing research project at this time, Scicolone does not rule out the possibility. "Hattie Larlham has a Research Institute and we have discussed some potential projects. Up to this point I have not started any, but I can see the need in a few areas, such as obstructive breathing disorders among our population and the relationship between seizure disorders and sleep apnea." According to Scicolone, in the years since his career began, the field of respiratory therapy has changed dramatically. "The field was still very much in its infancy when I became involved," he remembers. "Locally only hospital-based training was available. There were very few university-based programs at that time. I was interested in the profession because of its use of high-tech equipment and direct hands-on patient care. Inhalation Therapists, as we were called in those days, worked in all areas of the hospital: ER, ICU, Post-Op Recovery, Labor and Delivery, Medical-Surgical and even Medical Research. We performed diagnostic and therapeutic procedures, responded to emergency codes and managed to get involved in all sorts of new and exciting things. I realized I was getting into a new and evolving field and was excited about the opportunity." "The field continues to change and new and greater demands are being placed on us. As the healthcare delivery system changes, more emphasis is placed on care outside the traditional settings. My job in a perfect example of that. An Intermediate Care Facility for Mentally Retarded (ICFMR) would not have been a typical setting for an RT, even a few years ago." While changes in technology have contributed to a quantum leap in the quality of respiratory care, Scicolone believes that the profession faces severe challenges. "Survival is a great concern for respiratory therapists today," he says. "As in many healthcare-related professions, we must constantly prove our value by instilling the confidence in our customer base that we can do our job better than anyone else." Still, he is enthusiastic about his job." I love the people with whom I work and immensely enjoy my job. What I would share with my fellow RTs is that I hope they could all have the job satisfaction I enjoy." William M. Scicolone, RRT, RCP, earned a degree as a Respiratory Care Advanced Practitioner from the Biosystems Institute, Tempe, Arizona and took coursework in Business Management at Kent State University, Kent, Ohio. He holds licensure as a Respiratory Care Professional from Ohio and is a Registered Respiratory Therapist and a Certified Respiratory Therapy Technician. He is a member of the American Association for Respiratory Care and the Ohio Society for Respiratory Care, serving the latter as a district representative and in several other capacities. He is also a member of the Respiratory Care Managers Association. Bettijane Eisenpreis is a freelance writer based in New York City. She is on the editorial staff of NEWS-Line for Respiratory Care Professionals.

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