Continuous Visual Rounds
- Visual Accountability Checks — Conduct resident checks ongoing depending on assigned safety level.
- Approach each room quietly, visually confirm resident presence, breathing, and general condition without waking or disturbing them.
- Document each round immediately in the EHR or rounding software, noting location, behavior, level of consciousness, and any environmental concerns.
- Intervene when residents are in restricted areas, exhibiting agitation, isolating excessively, or showing signs of withdrawal or intoxication. Use deescalation if needed.
- Report any missed resident, suspicious behavior, or environmental hazard to nursing staff or clinical staff/ administration immediately.
Environment of Care Inspections
- Safety Sweep Protocols — Conduct scheduled safety sweeps of bedrooms, bathrooms, hallways, dayrooms, laundry areas, and exterior grounds.
- Check for unsecured cleaning chemicals, broken furniture, exposed wiring, water leaks, or blocked emergency exits.
- Ensure sharps containers are locked, fire extinguishers are accessible, and first‑aid kits are stocked.
- Verify that cameras, alarms, and door sensors are functioning and report malfunctions.
- Remove items that pose ligature risks or could be used for self‑harm.
Contraband Searches
- Search Procedures — Perform admission luggage searches using a standardized checklist.
- Inspect clothing seams, toiletry bottles, electronics, chargers, pockets, and shoes for hidden substances or paraphernalia.
- Conduct random room searches or post‑outing searches, documenting findings and maintaining chain‑of‑custody for confiscated items. Client must be present when doing room check of their area
- Search bedding, drawers, vents, trash cans, and personal hygiene items. (As Needed)
- Maintain professionalism and respect for resident dignity throughout the process.
2. Behavioral Observations & EHR Documentation
Behavior Shifts
- Behavioral Monitoring — Observe residents during groups, meals, recreation, and downtime.
- Identify early signs of relapse behavior (isolation, irritability, excessive sleeping, pacing, peer conflict).
- Monitor withdrawal symptoms such as tremors, sweating, nausea, confusion, or changes in gait.
- Track peer dynamics—bullying, codependent behavior, romantic involvement, or escalating arguments.
- Document objective observations (e.g., “Resident pacing for 20 minutes,” not “Resident seemed anxious”).
Electronic Health Records (EHR)
- EHR Documentation — Enter shift logs, incident reports, and point‑of‑care notes before shift end.
- Include time‑stamped observations, interventions performed, resident responses, and any escalation to nursing or clinical staff.
- Document refusals of care, missed groups, meal intake concerns, or medication non‑compliance.
- Ensure all documentation meets HIPAA and LDH standards.
Clinical Team Handovers
- Shift Handover Protocols — Provide structured verbal reports to incoming staff.
- Highlight residents on detox protocols, suicide watch, behavioral contracts, or medical monitoring.
- Communicate unresolved conflicts, facility emergencies, or pending transports.
- Review any residents requiring additional observation during the next shift.
3. Patient Care Assistance & Activity Support
Activities of Daily Living (ADLs)
- ADL Support — Prompt residents to shower, brush teeth, change clothes, and maintain room cleanliness.
- Assist residents with laundry, bed‑making, and organizing personal belongings.
- Provide hygiene supplies and reinforce infection‑control practices.
- Encourage residents struggling with depression or withdrawal to complete basic self‑care tasks.
Program Schedule Enforcement
- Program Flow — Ensure residents attend all scheduled groups, therapies, and recreational activities.
- Knock on doors, wake residents, and escort them to group rooms.
- Track attendance and report refusals or tardiness to clinical staff.
- Maintain structure by transitioning residents promptly between activities.
Meal Coordination
- Meal Monitoring — Oversee meal distribution and ensure residents follow dietary restrictions.
- Monitor for bingeing, purging, hoarding food, or refusing meals.
- Document food and fluid intake for residents on medical or detox protocols.
- Maintain order in the dining area and intervene in conflicts.
First 2 Hours — Handovers & Intake
- Review safety levels, detox statuses, medical alerts, and behavioral concerns.
- Check overnight incident reports and unresolved issues.
- Greet new admissions, complete searches, collect signatures, issue linens, and orient them to rules.
- Conduct initial visual rounds and update the whiteboard or tracking system.
Mid‑Shift — Routine Management & Transport
- Wake residents, ensure hygiene routines, and escort them to breakfast.
- Lead transitions to morning groups, therapy sessions, and recreation.
- Complete scheduled visual rounds and document immediately.
- Transport residents to medical appointments or meetings using facility vehicles.
- Monitor group rooms for disruptive behavior, escalating conflict, or withdrawal symptoms.
- Provide crisis de‑escalation using trauma‑informed techniques.
End of Shift — Reporting & Sanitization
- Complete all EHR documentation, including incident reports and shift summaries.
- Sanitize dayrooms, dining areas, bathrooms, and high‑touch surfaces.
- Restock PPE, hygiene supplies, and cleaning materials.
- Ensure emergency exits are clear and doors are secured.
- Deliver structured verbal and written handoff to incoming staff.
Pay: $10.00 - $12.00 per hour
Benefits:
Work Location: In person
