Speech Language Pathology & Audiology Spring 2017

Speech Language Pathology & Audiology Spring 2017 Student Academic Service-Learning Internship Packet

Staten Island Sites Carmel Richmond Healthcare and Rehabilitation Center (For speech pathology students)

88 Old Town RD Staten Island, NY 10304

Agency Contact Please email [email protected] to schedule your service with Carmel Richmond Healthcare.

Yessenia Gonzalez, VISA Office [email protected] 718.390.4189

Site Contact: Vera Cicero: Director of Therapeutic Recreation Main Line: 718.979.5000 [email protected] (Please e-mail first)

Nature and Purpose of Agency The mission of ArchCare is to foster and provide faith based holistic care to frail and elderly people unable to fully care for themselves. Through shared commitments, ArchCare seeks to improve the quality of the lives of those individuals and their families.

Tasks Available for Students All volunteers are welcome to participate in activities that provide our residents with companionship and stimulating conversation. Students will be transporting residents to Rehabilitation sessions. During those sessions clients will be working with speech pathologists and occupational therapists, etc.

Time Requirements Students must complete 15 hours of service, which can be scheduled in 3 hour service for 5 weeks for either of these sessions:

Session #1: week of February 6, February 13, February 20, February 27, and March 6

Session #2: week of March 13, March 20, March 27, April 3, and April 10

Student Awareness/Special Instructions  The Office of Academic-Service Learning will schedule an orientation with Carmel Richmond prior to the students beginning their service. Please sign up for a tour an orientation on either Wednesday, January 25th or Wednesday, February 1st at 11:00. The session will be around an hour.  Students should bring the following to the orientation: o Attached application and cover page completed and signed o Copy of your medical records indicating a current PPD test. You may pick up your medical records in the nurse’s office in Campus Center, B17, free of charge. Please bring the attached release of medical records form to the nurse in the Campus Center, B17. Copy of your medical records will be provided free of charge o Proof of current flu shot. If you did not get a flu shot, you will be given a mask at the Center to wear during your time serving there. g in the library room 101.  Dress code: No tank tops, no ripped jeans, no open toe shoes.  Students must be informed that there is to be NO FOOD and NO FLUIDS given to any resident at any time. Also, if students are not sure of any situation at anytime during the visit to reach out to the nurse or administrator at the home

Agency Directions

Public Transportation Go south on Howard toward Park Ln, turn left onto Park Ln, keep moving ahead on Oakland Ter, Keep moving ahead on Laurel Ave, turn right onto Gordon St, turn left onto OSGOOD Ave, turn right onto Vanderbilt Ave and take S76. You will be on it for 12 stops and get off at Richmond Rd-Dellwood Rd. Start out going southwest on Richmond Rd towards Dellwood Rd, turn left onto Old Town Rd Go south on Howard toward Park Ln, turn left onto Park Ln, keep moving ahead on Oakland Ter, turn left onto VanDuzer St and take S74. You will be on it for 14 stops and get off at Richmond Rd-Dellwood Rd. Start out going southwest on Richmond Rd towards Dellwood Rd, turn left onto Old Town Rd

Driving Directions Head southwest on Howard Ave toward Park Ln, turn right to stay on Howard Ave, turn left onto Clove Rd, turn left to stay on Clove Rd, continue straight to stay on Clove Rd, slight right to stay on Clover Rd, take the 1st right onto Richmond Rd, slight right to stay on Richmond Rd, turn left onto Old Town Rd

Updated 1.17.17 LS VOLUNTEER REQUIREMENTS

Please fill out the Application and Health Assessment Form.

Read the HIPAA booklet regarding Privacy & Confidentiality. Sign and date the HIPAA Privacy Certification Form.

Volunteers born after 1957, are required to provide proof of immunizations for MMR - Measles, Mumps & Rubella. You must have a current PPD and a TB test completed in the current year. This is required annually.

Volunteers born prior to 1957, are required to have a current PPD test completed in the current year. This is required annually. You must also provide An MMR titer from your physician.

Please call or e-mail Elvira Cicero to make an appointment for an interview as well as a tour of the Facility.

Please note the following:

- PLEASE DO NOT LEAVE YOUR APPLICATION AT THE FRONT DESK.

- BEFORE YOU SUBMIT YOUR APPLICATION, PLEASE CALL ELVIRA CICERO FOR AN APPOINTMENT THEN A TOUR OF THE FACILITY CAN BE PROVIDED.

- YOU CANNOT VOLUNTEER UNLESS ALL PROOF OF IMMUNIZATIONS ARE SUBMITTED.

Thank you for your cooperation

Elvira Cicero, Director of Volunteers Phone #: (718)–668-8509 e-mail: [email protected] Carmel Richmond HC & RC APPLICATION FOR VOLUNTEER SERVICE

Name:______Date:______Address:______Telephone:______Age:____ Date Of Birth:_____ Sex:______Marital Status:______Emergency Contact: ______Phone:______Relationship to you? ______

Education: Grade School ______High School ______College ______Special Training _____ For Students - School ______

Occupation Student______High School ______College _____ Other ______

Currently Employed? _____ Name of Employer ______

Address ______Your Position ____

May we inquire of your employer? ______

Do you have any relations or friends working here ______Names: ______

Experience and Special Skills

Have you worked with elderly people? ______In what capacity? ______

Have you done volunteer work before? ______What type? ______Where? ______

Have you had any experience in group leadership? ______Explain Briefly ______

Do you know any foreign languages? ______Which ______

Do you play any musical instruments? ______Which ______

Hours of Service

How many hours do you wish to work per week? Fill in the days and hours you prefer: Morning Afternoon Evening Sunday ______Monday ______Tuesday ______Wednesday ______Thursday ______Friday ______Saturday ______Sunday ______SAFETY PRECAUTIONS

Elevator Instructions

There are ways in which everyone (residents and staff) can expedite the service and increase safety. When you wish to use the elevator, push the button only in the direction you want to go. Pushing both buttons makes the elevator work harder and wastes time.

Repeatedly pressing the button does not hasten the elevator, it wears out the mechanism.

The elevator doors are set to remain open to give you sufficient time to enter or leave without the door closing. When approaching an elevator and the door is already open, do not rush to get on. Instead push the “up” or “down” button (depending on the direction you wish to go) outside the elevator before entering. This will reset the timer so that the door will stay open that much longer.

If you are already in the elevator and see another passenger approaching, please push and hold the “door open” button until the passenger has entered the elevator.

There are electric eyes (about ankle and hip high) which reopen the door when the beam is broken and reset the timer to give sufficient time to board.

In addition to the periodic inspection of the elevators, by the city inspector and our authorized elevator service man, there is another service man who devotes many hours each week to maintain the efficiency of their elevators.

Fire Procedures:

Volunteers are assigned to a floor will remain on their assigned floor and receive instructions from the floor captain.

Volunteers on the ground level and first floor will proceed to Lourdes Hall.

Wheelchair Safety:

Make sure nothing is tangled in the wheels. (Seat Belts, Clothes, etc.). Make sure the Resident is sitting properly with buttocks against the back of the seat.

Push chair slowly and smoothly so Resident feels secure.

Make sure there is enough room to maneuver chair when turning, moving through doors, or moving around tables etc.

Carmel Richmond HC & RC Title: Adult/Junior Volunteer

Supervisor: Director of Volunteers

General Statement of Duties and Responsibilities:

An adult volunteer should provide assistance to the Carmelite Sisters and Carmel Richmond Nursing Home in the apostolate of the care of the aged and infirm through the Volunteer Program. Duties assigned are typical of those performed by Adult Volunteers in a medical or nursing home setting. Specifics vary in accordance with assignment.

Requirements:

All Volunteers Should:

1. Complete an application for Voluntary service, and interview and general orientation with the Director of Volunteers before assignment.

2. Be flexible regarding duties.

3. Sign in the Volunteer office before duty, and sign out upon completion.

4. Adult females may wear pink Volunteer smocks. All Volunteers must wear name tags for the purpose of identification while on duty. Smocks may be purchased then kept in the Volunteers possession and worn for each assignment.

5. Be in the building no more then ten minutes before and after specific assignment.

6. Attend Volunteer orientation and in-service training programs.

7. Observe fire and general safety rules, parking regulations, and luncheon privleges as outlined by Administration.

8. Politely refuse to accept any gift, gratuity, payment or bribe for services rendered, or to be rendered to Residents.

9. Notify the Director of Volunteers of absence or lateness as far in advance as possible.

10. Communicate, if necessary, with other departments through the Director of Volunteers, or through the head of the department where assigned.

11. Communicate, if necessary, with relatives of Residents through the Unit Manager or Nurse in charge of the unit. Or through the Director of Volunteers.

I have read and understand the above duties:______Lifestyles for the Disabled- On Campus (Speech Pathology students)

300 Howard Avenue Staten Island NY, 10301

Agency Contact Please email Yessenia Gonzalez at [email protected] to schedule your service.

Nature and Purpose of Agency The mission of Lifestyles has always been to provide quality learning experiences that will enable all program participants, regardless of their disability, to become productive members of society and live their lives with dignity and as independently as possible. At Lifestyles, we focus on the abilities of each individual, rather than their disability. Adapted from http://www.lfdsi.org/programs

Tasks Available for Students Clients aged 21 and over will come to campus every Wednesday. They will have lunch on campus, participate in recreational games, and research projects (as directed by Lifestyles).

Time Requirements Wednesdays from 11:00am - 1:30 pm; no service will be scheduled for February 10th (Ash Wednesday) and February 24th (spring break).

Agency Directions Staten Island Campus, DaSilva 110

Lynn 1.22.16