ER, Hospitalization and Urgent Care Entry Form

***FORM UPDATE FY 25***

Some fields have been removed to shorten the form and streamline data collection.

If there are any questions, please let your IT dept. know. 

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K. Type of Report
N. Person Recommending the Visit
O. Was 911 used?
Q. When was the guardian notified?
R. Is there an Unusual Incident Report associated with this visit?
Z. Disposition from ER/Hospital
Please provide the following information in question "ZE":

1. What led up to the event described above?

2. What was the exact issue that caused the event?

3. What was staff's immediate response to the event?

4a. What testing was done?

4b. What was the results of the testing?

5. What treatment was ordered as a result of the testing?

6. Is there any follow-up needed related to this event?

Please give a brief, specific description that includes all requested information (see instruction above).

Transportation Driver 4224R (Joliet, IL)

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Are you looking for a position in an organization in which your work makes a difference in people’s lives? When you join Trinity Services, you become a member of a community that helps people with disabilities and mental illness flourish and live full and abundant lives.

Location: Joliet, IL

Department:  Net 6

Hours: Split Shift

Starting Salary: $19.50 hourly

Position Overview:

Provide safe, reliable transportation follow all policies and procedures regarding driving, and maintain a valid Illinois Driver’s License and pace certification. 

   Skills and Abilities:

  • The ability to utilize strong directional skills while operating a pace minivan
  • Strong verbal and open communication skills
  • Works well independently and with others
  • Knowledge of driving regulations and rules of the road
  • Works well with people with a range of disabilities

Qualifications:

  • An exceptional driving records
  • Must be at least 21 years of age
  • Current Driver’s License at least 3 years
  • Must be able to pass a pace physical and drug test.

If this opportunity is interesting to you, send your resume to Justina Nava at jobs@trinityservices.org You can learn more about Trinity Services by checking out our website at trinityservices.org.   

APPLY NOW