TYPICAL DUTIES DIRECT CARE STAFF
OF ICF/DD-H AND ICF/DD-N FACILITIES

The following are typical of the duties faced by Direct Care Staff. This is simply provided as a general guide of what Staff may expect but is by no means all inclusive nor an exact specification and will vary greatly from facility to facility

The direct care staff on the ICF/DD-H and ICF/DD-N facilities are responsible for providing care and training to the clients in the facility. Direct Care Staff reports to and are supervised by the House leader.
The Direct Care Staff work as a team to meet the needs of the clients over the course of a twenty four (24) hour day. The duties of the Direct Care Staff are assigned by shift. However it is expected that shifts will work together in a cooperative effort to meet the needs of the clients and the facility.

MORINING (A.M.) SHIFT

DAILY JOB DUTIES:

 

CLIENT CARE

  1. Read the communication book at the beginning of your shift.
  2. Get clients up: bathe, wash hair, shave per schedule, dress, groom.
  3. Serve breakfast and supervise meal.
  4. Prepare clients for day program in or out of the facility; toilet, wash hands and face, brush teeth, brush hair, etc.
  5. Provide special care as needed for each assigned client.
  6. Pass medications and complete treatments as assigned.
  7. On school/program days, supervise bus loading. Aids must be with clients until they are loaded on the bus.

PROGRAMMING

  1. Conduct the training program per ISP objectives.
  2. Follow program schedule for the day's activities.
  3. Supervise clients at all times. Aids must be with their assigned client while on duty! When leaving for breaks make sure that another staff person is with your assignee group. NEVER LEAVE CLIENTS ALONE!

STANDARDS FOR DIRECT CARE STAFF OF ICF/DD-H AND ICF/DD-N FACILITIES:

HOUSEKEEPING:

1. Clean the kitchen/dining area after breakfast/lunch as follows:
  • Clear and wipe tables
  • Rinse dishes
  • Load and run dishwasher
  • Hand wash pots and pans
  • Wipe counters, stove top microwave
  • Sweep and mop floor
  • Empty and wash trash cans
  • Fill paper towel, hand soap dispensers as needed
  • Unload dishwasher if cycle is completed.
2. Clean living room/program area and hallways as follows:
  • Sweep and mop or vacuum floors
  • Wipe/dust furniture
  • Pick up and store equipment, supplies, client belongings, miscellaneous items.
3. Clean bedrooms as follows:
  • Make bedsChange linens as needed but at least weekly
  • Change or clean mattress pad and mattress as needed
  • Pick up and store clothing, toys, equipment, miscellaneous items
  • Wipe/ dust furnitureSweep and mop or vacuum floorsEmpty trash cansClean mirrors.
4. Clean bathrooms as follows:
  • Clean and disinfect toilet, shower/tub, curtain, sink, potty chair, toilet seat, shower chairs
  • Sweep and mop floorsPick up clothing and towels; empty trash and wash trash cans
  • Straighten and store client care kits; clean mirrors
  • Fill paper towel, soap and toilet paper dispensers.
5. Clean laundry room/area as follows:
  • Washer and dryerClean lint filtersSweep and mop floor.
6. Clean storage area as follows:
  • Straighten linen, programming and supply storage area.
7. Clean outside area as follows:
  • Sweep porches, walks and patios
  • Pick up equipment, supplies, client belongings and store
  • Straighten furniture.

STANDARDS FOR DIRECT CARE STAFF OF ICF/DD-H AND ICF/DD-N FACILITIES:

DIETARY

  1. Prepare/serve breakfast; prepare/serve lunch for client at home
  2. Prepare food items for dinner meal where directed.
  3. Note food substitutions on the posted menu.

LAUNDRY

  1. Gather laundry from client rooms. Transport in covered container.
  2. Wash and dry clothing and linens.
  3. Fold laundry and store if drying is completed by the end of shift.

RECORD KEEPING

  1. Chart BM's observations, seizures, incidents and programming.

WEEKLY JOB DUTIES:

HOUSEKEEPING

  • Wash outdoor trash cans.
  • Change bed linens.<
  • Clean client closets and drawers.
  • Wipe all door frames, doors, woodwork in bedrooms.
  • Check draperies; attach to/replace hooks as needed.
  • Wipe shelves and floor in storage areas.
  • Hose patio, porch walkways outdoor furniture.

MONTLY JOB DUTIES:

HOUSEKEEPING

1. In bedrooms:
  • Disinfect washable mattresses
  • Clean walls; clean inside windows
  • Wash and replace blankets and bedspreads
  • Clean light and vent covers.

2. In bathrooms that are accessible only through client bedrooms, clean light and vent covers. (Other vents done by NOC shift).

AFTERNOON (P.M.) SHIFT

DAILEY JOB DUTIES:

CLIENT CARE

  1. Read the communication book at the beginning of your shift.
  2. Supervise bus unloading. DCS must go out to the buses as they arrive and accompany clients into the facility.
  3. Toilet clients per schedule. Change clothes as needed.
  4. Service scheduled snacks and dinner meal and supervise clients.
  5. Prepare clients for afternoon and evening programming.
  6. Prepare clients for bed; bathe and wash hair per schedule, brush teeth, dress in night clothes, put to bed.
  7. Wipe off wheelchairs and equipment after meals, snacks, programming and bed time.
  8. Pass medications and complete treatments as assigned.

PROGRAMMING

  1. Conduct the training program per ISP objectives.
  2. Follow program schedule for the day's activities.
  3. Supervise clients at all times. Aids must be with their assigned clients while on duty. When leaving for breaks be sure that another staff persons with your assigned group. NEVER LEAVE CLIENTS ALONE!

HOUSEKEEPING

1. Clean the kitchen/dining area as follows:
  • Unload dishwasher from AM as needed after dinner, clear and wipe tables
  • Rnse dishes
  • Load and run dishwasher
  • Wipe counters and stove
  • Hand wash pots and pans
  • Sweep floor.
(Note: kitchen clean up should be done with clients where it is part of their program or after clients are in bed, at the end of the shift. It cannot interfere with clients care and programming.)
2. Clean living room/program area as follows:
  • Wipe tables and sweep floors after meals and programming
  • Pickup and store equipment,client belongings, miscellaneous items.
3. Clean bathrooms as follows:
  1. After evening bathing rinse tub/shower and sink
  2. Clean potty chairs, toilet seats shower chairswipe up water from floor
  3. Clean and store client care kits
  4. Fill towel soap and toilet paper dispensers as needed.

4. Straighten bedroom as follows;
Pick up soiled towels and clothing and transport to he laundry in a covered container.

DIETARY

  1. Complete preparation of the evening meal and serve.
  2. Prepare and serve snacks as schedules.
  3. Note food substitutions on the posted menu.

LAUNDRY

  1. Complete and store laundry form the AM shift.
  2. Stock bathrooms with towels, washcloths, diapers and pads for evening baths.
  3. Load towels and clothing in washers and start laundry.
  4. Laundry is to be done after clients are in bed. If laundry facilities are away from the living unit and only one person is only on duty, laundry should be left for the AM shift. CLIENTS ARE NOT TO BE LEFT ALONE AT ANY TIME!

RECORD KEEPING

  1. Chart BM's. observations, seizures, incidents and programming.

NIGHT (NOC) SHIFT

DAILEY DUTIES:

CLIENT CARE

  1. Read the communication book at the beginning of your shift.
  2. Toilet clients and change diapers as scheduled through the night.
  3. Make nightly rounds to check all clients every two (20 hours or as directed.
  4. Get clients up per schedule and follow the duties of AM shift until the end of the scheduled NOC shift.

PROGRAMMING

  1. Follow the duties of the AM shift for programming when working with the clients.

HOUSEKEEPING

1. Clean the kitchen/dining area as follows:
  • Complete kitchen clean up from dinner as neededunload dishwasher and store dishes and utensils.
  • Wipe large and small appliances.
  • Straighten refrigerator freezer, cupboards and pantrycover and label foods as needed.
  • Wipe of counters and stove top after food preparation.
  • Scour sink.
  • Discard spoiled food.
  • Wash tables and chairsmop floorempty trash cans.
2. Clean living room/program area and hallways as follows:
  • Wipe/dust furniture; sweep/mop floor and vacuumscrub floor twice weekly if equipment is available
  • Wipe window sills
  • Check draperies and reattach or place hooks as needed.
3. Clean bathrooms as follows:
  • For bathrooms accessible during sleeping hours, clean toilet, sink, tub/shower, potty chair, toilet seat, shower chairs and curtains.
  • Sweep and mop floors.
  • Pick up clothing and towels as needed.
  • Empty trash and wash trash cans.
  • Check client care kits and restock and mark or remark all item with client's name as needed.
  • Clean mirrors; fill paper towel soap and toilet paper dispensers as needed.
5. Clean laundry as follows:>
  • Wipe counterswipe inside and outside of washer and dryer.
  • Clean filters.
  • Sweep and mop floor.
  • Store supplies.
  • Empty trash.
  • Wipe out clothes carts/bins or change disposable liners.
6. Clean storage as follows:
  • Organize and straighten supplies and equipment.
  • Unpack and store new supplies (e.g. diapers, pads, cleaning supplies, client personal care items).
7. Follow housekeeping duties for AM shift until the end of the scheduled NOC shift.

DIETARY

  1. Prepare menu items to include baked goods, desserts, molded or non-lettuce salads, casseroles (prepare so they are ready to bake at lunch or dinner time) and miscellaneous menu items as directed.
  2. Prepare breakfast meal.
  3. Prepare sack lunches on school/program days.
  4. Note food substations on posted menu.

LAUNDRY

  1. Complete PM laundryfold clothesstore linens.
  2. When clients wake up in the morning take clothing to bedrooms.
  3. Stock bathrooms with towels and washcloths for AM bathing.
  4. Iron clothing as needed.

RECORD KEEPING

  1. Chart BM's observations, seizures incidents and programming as directed.

PHYSICAL PLANT/EQUIPMENT

  1. Check for needed repairs and complete maintenance request forms.
  2. Check light bulbs and replace as necessary.
  3. Wash all client wheel chairs walkers and other equipment.

WEEKLY JOB DUTIES:

HOUSEKEEPING

  1. Disinfect counter tops; clean stove top, hood, microwave.
  2. Clean out and wash inside of refrigerator including drawers and ice trays.
  3. Wipe baseboards; wash cabinets, inside and out; clean and wipe out drawers.
  4. Wipe off doors handles, door frames.
  5. Dust draperies and rods, replace hooks.
  6. Wash floors and shelves in storage areas.

MONTHLY JOB DUTIES:

  1. Clean light covers and vents.
  2. Clean oven and broiler.
  3. Clean out, wash and (if necessary) defrost freezer.
  4. Clean inside of windows (except in bedrooms where clients are asleep. These are done on AM shift.)

QUARTLEY JOB DUTIES:

HOUSEKEEPING

  1. Strip, clean and re-wax floors.