This night-shift post on the cardiac ward pairs patient care with mentoring new nurses.
Responsibilities
Support a young adult woman at home and in the community
Cover personal care routine (bathing, dressing, toileting), health monitoring, and community outings
Carry out a person-centered behavior support plan written by her BCBA
Perform toileting and hygiene care, bath with skin check, skin care and dressing
Strip and remake the bed
Prepare breakfast with aspiration precautions
Finish care notes before the shift ends
Work independently, without step by step direction
Run the morning routine, including personal care, health monitoring, carrying out the behavior support plan, driving and community outings, and making judgment calls
Know when something needs to be escalated to the BCBA or her family
Give full physical assistance with bathing using a handheld sprayer: wash, rinse and dry completely, with extra attention to skin folds
Apply creams and lotions as directed, paying close attention to skin folds and areas exposed to moisture
Give full physical assistance with dressing for the day and for the weather
Prompt to use the toilet on a regular schedule during the shift and stand by during transfers
Give full physical assistance with perineal hygiene care after toileting, including changing briefs
Strip and remake the bed every morning, and also any time it is soiled, with a clean mattress cover, washable pads and sheets
Make breakfast or snacks in minced and moist texture with thin liquids and stay with her the whole time she eats
Protect privacy during all personal care, explain each step before doing it and go at her pace
Do a skin check during bathing and toileting. Record and report redness, rashes, irritation or breakdown the same day
Follow aspiration and choking precautions at every meal and snack: correct food texture and liquid consistency, sitting fully upright and close observation the whole time
Track food and fluid intake during the shift
Watch breathing, color, energy level and alertness, and report any change in condition right away
When showing signs of illness, check and record vital signs, including oxygen saturation (O2), and report readings to family right away
Follow infection control practices: hand hygiene, gloves, and clean handling of soiled linens and briefs
Know which changes need a same day report and which need emergency help, and act on them
Drive in your sedan to outings such as errands, appointments and regular community activities
Fold her manual wheelchair, lift it into the trunk and take it back out. Push her in the wheelchair during longer activities
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Help her get into and out of the car safely, and keep her seated safely while driving, as set out in her behavior support plan
Pace each outing to her energy level and watch for signs of fatigue
Stay with her the whole time during community outings
Follow her behavior support plan and the training her BCBA provides
Prompt calmly, give time and choices, and avoid power struggles if she takes time to leave the house or start personal care
If she becomes distressed, stay with her, respond calmly and keep the space around her safe
Record behavior data in the format the BCBA sets up
Take part in BCBA training and supervision, and put the feedback into practice
Learn how she communicates, as her speech is limited
Write daily care notes in a clear, objective, clinical style: food and fluid intake, skin checks, vital signs when taken, behavior data, the outing and any change in condition
Report illness, injury, incidents or changes in her health or behavior to her family and the BCBA the same day
Clock in and out every shift using the electronic timekeeping system
Arrive on time every shift and give as much notice as possible if unable to make it
Keep personal and health information confidential and maintain professional boundaries
Requirements
One of the following three levels, each with hands-on behavioral experience. Memory care experience with combative behavior counts as behavioral experience. Active licensure is not required:
Mid level ABA clinical supervisor or equivalent: moved past the behavior technician level, trained or overseen other staff, carried out BCBA-written behavior support plans independently, and collected and reviewed behavior data. Supervisory experience in memory care, long-term care facilities, group homes, supported living, day programs or community programs counts as equivalent
Nurse (LVN or RN), current or retired, or equivalent: nursing-level clinical skills, including close observation, charting, infection control and recognizing changes in condition, and experience supporting people with behavioral needs
Psychiatric Technician, current or retired: holds or has held a California Psychiatric Technician license and has experience supporting people with developmental disabilities and behavioral needs
A work history that shows progressive experience, with increasing responsibility and more independent job duties over time
Able to work independently and make sound decisions without step by step direction
Valid California driver
Clean driving record and current auto insurance
Your own sedan in good working condition, available every shift
Able to pass a background check
Nice to have:
At least one year of paid experience giving personal care to adults with developmental disabilities, including bathing, incontinence care and transfers
Experience supporting people with Down syndrome
Comfortable doing skin checks, taking vital signs including oxygen saturation, and writing clear, objective care notes
Benefits
Mileage reimbursed at the IRS standard mileage rate
Training and ongoing support from her BCBA
Retirement plan
Important Details
Position type: part time, 20 hours per week, with the option to move to full time
Shift: Monday to Friday, 8:00 AM to 12:00 PM
Vehicle: your own sedan is required
Mileage: miles driven during the shift are reimbursed at the IRS standard mileage rate, currently 76 cents per mile (effective July 1, 2026)
About the Company
This position supports a young adult woman at home and in the community.