Direct Care Tech for Inpatient 3.5 LOC Women's Facility

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:

• Paid training

Work Location: In person

Salary : $10 - $12