Northwest Children’s Home is focused on implementing practices based on Trauma Informed Care (TIC). Trauma Informed Care is an organizational structure and treatment framework that involves understanding, recognizing, and responding to the effects of all types of trauma. The vast majority of kids we serve have been severely traumatized at some point in their lives. The TIC model views maladaptive behavior as a coping mechanism – the best they have available at the time – and seeks to heal with patience, teaching and understanding.
We are looking for talented employees who want to make a positive difference in the lives of youth who truly need it most.
- Full-time with benefits – Swing and Overnight shifts available
- Part-time flex schedules also available
- Starting pay: $10.00 with an increase to at least $10.50 after successfully completing a 90-day introductory period. Flex employees are not eligible for the 90-day pay increase.
- At Northwest Children’s Home, we have developed a career ladder, allowing the employee to have control over their advancement in the organization.
QUALIFICATIONS: State licensure requires that Residential Treatment Specialists must be at least 21 years of age and must have a high school diploma or equivalent. Bachelor’s degree in relevant human services field is preferred. Paid experience in dealing with children/youths in groups is desirable. Must have a desire to work with emotionally reactive population.
- Completion of an initial 25 hour training in policies and procedures, including emergency procedures, child safety, child abuse and neglect reporting, and applicable licensing requirements.
- Completion of a total of 80 hours direct supervision by another staff member. During the 80-hour supervisory period, another staff member must be present during supervision of residents.
- Within two months of hire date, completion of 38 hours of in-service training, including First Aid/CPR, Mandt System, medication certification, fire safety, Hepatitis B Virus, infection control, AIDS training, seclusion training, QPR, PREA, and PDT.
- Maintenance of current status in all mandatory trainings throughout employment.
- For driving either agency or personal vehicles while on agency business: minimum of 21 years of age and valid driver’s license.
EXAMPLES OF ESSENTIAL FUNCTIONS OF THE JOB: (for illustrative purposes only)
- Provide for all basic needs and rights of clients.
- Know and follow written agency policies and procedures. Be familiar with the milieu program and implement treatment techniques as outlined in agency policies and procedures. Be familiar with each resident’s treatment plan and objectives and facilitate implementation.
- Maintain continuity in the daily schedule of activities and tasks. Assure safety of residents and know the whereabouts of assigned residents at all times.
- Set and enforce consistent behavioral limits to establish appropriate behaviors, skills, and attitudes. Consult with team members and assist in crisis situations, taking constructive actions to protect clients from danger to self, others or environment.
- Review and initial the log at the beginning of each shift. Write clear and concise documentation for each client during each shift. Communicate significant issues to appropriate staff members.
- Help residents cultivate appropriate social, behavioral, interpersonal skills and attitudes useful in community living. Develop appropriate, positive and professional relationships with residents. Serve as an appropriate role model for residents through dress, demeanor, conversation and attitude.
- After completion of the three-month introductory period, the RTS may serve as an advocate for assigned residents, including writing treatment plan/assessment reviews and may attend formal reviews for residents, as assigned.
- The RTS may conduct various groups as directed by their supervisor.
- The RTS is to be current in their mandatory training at all times at two months after hire. The RTS will attend training related to the operation of assigned treatment unit. The RTS is required to attend weekly Treatment Team meetings, unless excused in advance by their Program Manager.
- If assigned driving responsibilities, the RTS must have a valid driver’s license.
- As assigned complete daily tasks such as meal/snack count, medication dispensation and med count, large muscle activity (LMA) log and structured planned activity schedule (SPAS).
SUPERVISORY RELATIONSHIP: The Residential Treatment Specialist reports to the Team Leader.
Part-time, non-exempt position. 3pm – 7pm 5-days per week plus rotating on-call duties. Days of week are negotiable.
QUALIFICATIONS: BSN preferred, AD or diploma with current Idaho licensure with commensurate experience in related field. Nursing in psychiatric or pediatric inpatient unit with exposure to troubled adolescents or children. Background in health assessment skills such as doctor’s office or public health preferred.
RESPONSIBILITIES: Under the supervision of the Nursing Supervisor, and working with medical and psychiatric consultants, the nurse is responsible for administering a system of health services delivery for emotionally and behaviorally disturbed children and adolescents.
This position also requires cooperation and interrelation with other members of the multidisciplinary treatment team to facilitate continuum of treatment.
EXAMPLES OF ESSENTIAL FUNCTIONS OF THE JOB: (for illustrative purposes only)
- At admission, compile comprehensive medical history for assigned residents, including relevant family medical history, birth and motor development, previous medical treatment, including medications or diagnostic procedures, immunization status, and audiogram.
- Perform a Nursing Assessment and dietary screening to be used to determine what other examinations and tests are indicated and make referrals to consulting professionals, including physical, vision, and dental exams, dietary consult, and public health department, within guidelines of policies and procedures.
- Initiate contact and ensure provision of direct nursing care services ordered by consulting physicians.
- Maintain documentation of medical billing, allergies, medications, and authorizations for emergency treatment and provide this information to residential units, activities and education departments as necessary.
- Maintain documentation, utilizing medication record and progress notes as directed by behavior of resident.
- Perform on-going nursing audit on the medical portion of the chart.
- Be involved in all treatment plans related to medical issues.
- Respond timely to requests from residential units, therapists, and program managers to assist in emergency or acute psychiatric care.
- Respond timely to requests from residential units, therapists, and program managers to assist in emergency or planned hospitalization of residents.
- Respond timely to requests for assessments ore examinations relative to resident illness or injury.
- Participate in an on-call nursing rotation and respond to requests for assistance after hours. On-site response is required for serious illness or injury such as the possibility of fractures or paralysis. When weighing thee determinations, consideration must be given to those issues where failure to respond may be considered medical neglect, thus incurring liability for the agency.
- Maintain an on-going inventory of medical supplies and equipment and inform the Nursing Supervisor when supplies should be ordered.
- As necessary, set up medications to be administered by non-medical personnel in the residential, activities and education programs.
- Monitor and document responses to medications, including side effects, vital signs, behavior changes, and treatment reporting to appropriate team members as indicated, and involving physicians as needed.
- Retain written authorizations as needed for psychopharmacological medication regimen from parents/guardians.
- Attend unit meetings when necessary to inform staff of treatment issues that have medical implications and to provide or accept feedback when necessary to the rest of the treatment team.
- Assess all residents who are administered emergency medication.
- Provide on-call coverage to campus as assigned by the Nursing Supervisor.
- Coordinate nursing concerns, medication orders, and appropriate written reports for all new admissions, transfers, and off-campus passes.
- Attend nursing meetings, contribute issues and formulate plans for resolving problems; assist in follow-up as directed by the Nursing Supervisor.
How to Apply
419 22nd Ave
Lewiston, ID 83501
phone: 208.743.9404 ext 203
Why I work at Northwest Children's Home
Unfortunately I cannot describe my passion for NCH in one encompassing statement. To truly understand the benefits NCH has on children and staff you must truly experience it for yourself, simply put, words cannot do it justice. Many people pursue a career that involves climbing the corporate ladder where success is measured by the amount of commas in your annual earnings. For many this way of life leaves a lot to be desired. While money is an important aspect to most humans, what often gets overlooked is quality of life. Being able to walk away from work at the end of the day knowing that you made a difference in a child’s life, especially a child who has experienced as much trauma as our kids have, satisfies me more than any dollar amount ever could.
Kenny Robertson, Director of Quality Assurance
In 1997, my mom was hired in the kitchen at the Northwest Children’s Home, I was in junior high. She had us fill out volunteer forms and we volunteered in the kitchen to work as a family on Christmas, Easter and other family holidays. It became clear to me that I came from a life of privilege. When I first applied to work in the programs at the Children’s Home, I had a very low self-image and did not consider myself as someone who could be a role model. I started out working as an overnight in 2006, and my willingness to work any shift at any program, as well as my work ethic and attention to detail. gained me staff appreciations and boosted my confidence. Within a year I moved to the Jewett Swing shift as an RTS and although initially I felt like a fish out of water (everything was much more fast paced and action packed), I also found my niche at NCH. It was beautiful and inspiring to play a direct role in major emotional and social development gains by the youth in care. I was filled with admiration for the teams I worked with; their skills and willingness to come back from a hard day with commitment and a positive attitude. For the first time I started to view myself as a role model and even though I could not relate with these youths trauma and abuse histories, I could be a beacon and advocate for hope. Hope that they can change and lead a life following dreams, passions, and contribute to their communities. Hope that they could transcend their trauma and heal. With this mission, I worked as a direct care staff as a RTS, Team Leader and Shift Supervisor for ten years. I am forever changed and improved as a human being, as this community at the Northwest Children’s Home has developed and shaped me. I am privileged to be a part of the transformation these adolescents make and am inspired by them daily.
Valerie Allen, Trauma Informed Care Coordinator