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NYCOEM - Legionnaires’ Disease Frequently Asked Questions


What is Legionnaires’ disease?
Legionnaires’ disease (or Legionellosis) is a type of pneumonia. It is caused by a type of bacteria (Legionella) that grows in warm water.

Is the disease contagious?
No. Legionnaires’ disease is not spread from person to person. People only get sick by breathing in water vapor containing the bacteria (for example, by inhaling contaminated mist from faucets, showers, whirlpools or cooling towers). People who are sick cannot make others sick.

Who is at risk?
Groups at high risk include people who are middle-aged or older—especially cigarette smokers—people with chronic lung disease or weakened immune systems and people who take medicines that weaken their immune systems (immunosuppressive drugs).

What are the symptoms of Legionnaires’ Disease?
Symptoms resemble other types of pneumonia and can include fever, chills, muscle aches and cough. Some people may also have headaches, fatigue, loss of appetite, confusion or diarrhea.

What should I do if I think I have Legionnaires’ disease?
If you have symptoms such as fever, chills and cough, call a doctor and get checked for pneumonia. If you have a medical condition that affects your breathing, like emphysema, or if you are a smoker, ask your doctor about testing for Legionnaires’ disease.

What is the treatment for Legionnaires’ disease?
The disease is treated with antibiotics. Most people get better with early treatment, although they may need to be hospitalized. In rare cases, people may get very sick or even die from complications of the disease.

What is the difference between a water tank and a cooling tower?
A cooling tower contains water and is used by some buildings as part of their air conditioning, ventilation and/or heating systems.
A water tank is a totally separate system. Some taller buildings use a water tank to store water used for drinking, washing dishes and/or showering. No water tanks are associated with the current South Bronx outbreak.

Is the tap water in the South Bronx safe to drink, wash and bathe with?
Yes. It is safe to drink, wash and bathe with the tap water in the South Bronx and throughout the city.

What has the Health Department done at the South Bronx buildings with cooling towers that tested positive for Legionella?
There are five South Bronx buildings with cooling towers that tested positive for Legionella. These buildings have completed short-term cleaning and disinfection. The Health Department remains in constant contact with management at all five buildings and is working very closely with management on long-term procedures to keep those cooling towers free of Legionella.

Is it safe for people to remain in the five buildings that tested positive for Legionella, especially if they continue to run their air conditioning systems?
Yes. All cooling towers have been disinfected. That process immediately reduces or eliminates the likelihood of Legionella being released.

Will the Health Commissioner issue an order for the entire South Bronx or the entire City requiring all buildings with cooling towers to disinfect and clean their cooling towers, regardless of whether the towers were inspected/tested for Legionella?
The City is evaluating whether a wide-scale cleaning and disinfection program would be appropriate. Currently, only five buildings have tested positive for Legionella. All five have undergone rapid disinfection and cleaning. We will continue to monitor the outbreak and evaluate whether additional steps are necessary.
About Us
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Human Resources & Careers
Job Vacancies at Atlantic Dialysis
Purchasing Manager
Expanding Queens based medical facility, specializing in dialysis services, is seeking an experienced Purchasing Manager to complement its management team.

General responsibilities include: procurement of supplies and materials, price negotiation, planning, inventory control, and quality control. Identify and order materials and services as pre-negotiated and appropriately approved, review quotes and maintain procurement files.

Essential Duties & Responsibilities
  • Utilize inventory and quality control programs and policies to achieve targeted inventory levels and turns.
    • Recommend product selection, addition and/or elimination based on contracts, availability, usage, and/or formulary management/clinical initiatives.
    • Recognize product trends and adjust inventory levels accordingly.
    • May facilitate conversions of brand to generic products.

  • Ensure the uninterrupted flow of products to assigned dialysis center and business office locations through appropriate purchasing procedures

  • Review the inventory and purchasing needs on a daily basis with the Center Administrator or Business Manager

  • Coordinate resolution of all inventory order problems (i.e. back orders, manufacturer outs).
  • Prepare, coordinate, participate in and monitor accuracy of all physical inventories.
  • Periodically coordinate review of inventory for expired, damaged, or overstocked medications.
  • Process all recall notices, including coordinating removal of product from shelves and/or retrieval from patients, separates for proper return, and orders replacement/alternate products as indicated. Informs Pharmacy Director/Manager and CQI/PI team.
  • Other duties as assigned;

Education & Experience

  • Bachelor’s Degree in Business, Accounting or related field. Degrees in other areas will be considered

  • At least five years’ experience in purchasing at a management level for a mid-sized facility

  • Previous experience in a health care or hospital setting required, - dialysis or renal care industry preferred

  • Reliable transportation required in order to go to various sites periodically as needed.

  • Strong computer skills, including excel, word, etc.

  • Strong organization skills

  • Strong negotiation skills and ability to negotiate prices and contracts

  • Excellent communication skills
Job Location(s): Queens,
Clinical Care Coordinator
The Clinical Care Coordinator is responsible and accountable for the Dialysis Center on a daily basis.

The Clinical Care Coordinator manages the clinical unit activities in the Dialysis Center in order to provide quality patient care. Must be a Registered Nurse who has responsibility and accountability for the dialysis center on a daily basis. Apply Here
Job Location(s): Queens,
Nurse Educator
The Nurse Educator provides ongoing education and training to new and established employees, patients, and various external clients. Acts as independent auditor for all units. Administers high quality program opportunities in a variety of settings that promote the health of patients, staff, and the reputation of Atlantic Dialysis Management Services and its affiliates. Is an expert in the field of dialysis and offers expert opinion for all aspects of dialysis. Apply Here
Job Location(s): Queens,
Dialysis Social Worker
The Renal Social Worker is responsible for psychosocial evaluation of all renal patients at the onset of treatment including assessment of suitability for all treatment modalities. Provides counseling and referral services to all renal patients. Maintains a working relationship with patients and their families to maximize their adjustments to the chronic illness. Works collaboratively with the multidisciplinary treatment team to render direct services to renal patients and their families in coping with the emotional and psychological impact of the diagnosis and treatment of the End Stage Renal Disease. Assists patients in families in managing processes associated with insurance and any available financial assistance. Apply Here
Job Location(s): Queens, Bronx, Brooklyn, Long Island, Manhattan,
Renal Dietitian
Job responsibilities includes the completion of comprehensive initial and annual assessments, diet instruction, education endeavors, care planning, monthly lab reviews, diet counseling and documentation and bone disease management to renal, transplant, and pre-dialysis patients. The Renal Dietitian is responsible for assessing the nutritional needs of each patient, recommending therapeutic diets, counseling patients and their families on prescribed diets, monitoring adherence and response to diet, and following MD approved protocols. Apply Here
Job Location(s): Queens,
Patient Care Technicians
A patient care dialysis technician performs the procedure of hemodialysis under the supervision of a qualified registered nurse. Assist in the care of stable adult and geriatric patient requiring hemodialysis and under direction, can initiate, monitor and terminate the dialysis procedure. Is able to recognize and report any complications or unusual occurrences related to the hemodialysis procedure and is able to initiate primary measures to correct situations. Performs other related duties as assigned.

Previous experience in healthcare preferred.
Certification in hemodialysis preferred. If not certified at the time of hire, employee must be willing and able to receive certification with 18 months of hire to maintain job.

Apply Here
Job Location(s): Queens, Bronx, Brooklyn, Long Island, Manhattan,
Registered Nurse
Responsible for the direct and indirect nursing care provided for a primarily adult/geriatric patient population. Utilizes nursing process to assess individual patient needs, determine and implement plan of care, evaluate and revise plan according to changing patient care needs. Initiates and provides on-going patient and family education and includes patient/family in care planning, using appropriate forms to document care provided. Coordinates the efforts of members of the interdisciplinary team to ensure continuity of care for each patient. Responsible for maintaining standards of professional nursing practice and delegating tasks appropriately. Apply Here
Job Location(s): Queens,
Licensed Practical Nurse
Provides nursing care to renal dialysis patients under the supervision of a Registered Professional Nurse. Implements, monitors and documents patient care based on established criteria. Works closely with other members of the care team to ensure that appropriate overall care is administered in a manner conducive to effective maintenance of patient conditions. Apply Here

Job Location(s): Queens, Bronx,

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