About This Role
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
- 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.