Clinical Responsibilities
- Provides ongoing monitoring of consumers and completes documentation related to monitoring/observations appropriately and in a timely manner in accordance with MD orders
- Engages consumers to ensure their safety, needs are met, and participation in planned activities is occurring (list is not all inclusive)
- Assists consumer with personal hygiene issues (bathing, toileting, and other personal care), medical appointments, chores, recreational activities and safety issues
- Provides support to teachers during class time which may include assisting consumers with class assignments, keeping consumers on task, and intervening when necessary.
- Ensures unit schedules are followed and encourages consumers to actively participate in planned activities
- Performs hand-off communication at shift change
- Provides training on Basic Living Skills (BLS) according to the consumer’s’ treatment goals as identified by the treatment team and completes the related documentation.
- Leads the program groups and activities to actively engage consumers in treatment.
- Completes Environment of Care (EOC) unit checklists and reports findings to supervisor
- Ensures consumers receive meals and confirms information on the meal count sheet
- Works collaboratively with the nursing staff, therapy staff, recreation therapy staff to ensure effective milieu management.
- Responds to crisis situations throughout facility using proper interventions
- Ensures units, rooms, and common areas remain neat, tidy and in good operation condition. Encourages consumer to support the effort
- Effectively collaborates and accurately communicates with treatment team members regarding consumers’ progress, regression interactions, moods, attitudes, issues, crisis, etc
- Shows discretion when discussing consumers’ information with others
- Responsible for reporting consumer/staff problems to supervisor in a timely manner
- Demonstrates willingness to work on any unit at BayPointe based on facility needs as directed
- Effectively models appropriate behavior including, but not limited to, good communication skills, grooming habits, manners, emotional maturity, etc.
- If a driving position, transports consumer to prescribed locations or goes on unit errands as directed.
- Follows curriculum as outlined by supervisor.
- Conducts groups and all consumer engagement in a timely manner and consistently follows outlined schedule.
- Manage assigned unit to ensure that consumers are in groups, meals and completing hygiene as scheduled
- Follows the program schedule to maximize consumer engagement and quality of care.
- Demonstrates the ability to recognize the elements of a crisis state and knows how to deescalate or resolve the situation.
- Applies seclusion and restraint according to Policy and Procedures.
- Effectively collaborates with the treatment team members and outside sources in the delivery of clinical services
- Effectively demonstrates the application of child/adolescent specific competencies
- Meets Altapointe productivity standards
Clinical Record Keeping
- Documents in a timely fashion per AltaPointe Policy
- Documents appropriate, complete and comprehensive notes.
- Documents legibly with attention to spelling, grammar and content.
Supervision and consultation
- Seeks clinical supervision and consultation as needed
- Accepts and employs suggestions for improvement
- Actively works to enhance clinical and leadership skills
Courteous and respectful attitudes towards consumers, visitors and co-workers
- Treats consumers with care, dignity and compassion
- Respects consumer’s privacy and confidentiality
- Is pleasant and cooperative with others
- Assists consumers and visitors as needed
- Personal values don’t inhibit ability to relate and care for others
- Is sensitive to the consumer’s needs, expectations and individual differences
- Is gentle and calm to consumers and families
Administrative and Other Related Duties as assigned:
- Actively participates in Performance Improvement activities
- Completes all task in a timely manner
- Follows policies and procedures