Head of Programme Management
Supported Independence Services of Oregon
Caregivers (DSP) Direct Support Professional
The primary purpose of the Direct Support Professional (DSP) position is to provide training and/or assistance for individuals we support in hygiene, nutrition, housekeeping, behavioral management, safety, healthcare, and other daily activities both within the home and the community; also to maintain the home/property in a safe and sanitary manner.
Essential Position Functions
Hygiene: bathing, tooth brushing, shaving, hair care, nail care, etc.
Toileting, dressing, nutritional management, physical management/including prosthetic devices, behavioral management, safety, housekeeping, money management, recreation, health care, and community integration.
Administer medications, maintain medication records— including MAR form, TAR form, med count sheets, and all the aspects of medication administration systems.
Perform assigned registered nurse delegated/trained medical tasks which may include but are not limited to: medication administration via G‑tube, diabetic procedure and other medical duties as assigned. Complete the appropriate documentation as necessary.
Provide support for individuals by maintaining the observation skills necessary to identify behavioral/health changes or needs and immediately report to Program manager, administrative director, clinical director or RN.
Document information relevant to the individuals health and welfare. Aiding health professionals and the program in understanding the individuals history, as well as, providing for current and future needs.
Perform general interior and exterior housekeeping and basic repairs including but not limited to: laundry, vacuuming, grounds upkeep, meal preparation, food handling, and storage, maintenance of prosthetic and positioning equipment, cleaning bathrooms, light painting, doorknob replacement, etc.
Participate in meetings and attend mandatory training as required/assigned.
Maintain a safe environment. Report any concerns to the Program Manager. Participate in emergency evacuation/safety checks. Follow proper nutrition management, physical management, and behavioral intervention techniques and principals as trained.
Follow established policies, procedures, and guidelines.
Perform other duties as assigned.
Working Conditions
Works in a home environment staffed seven days a week/24 hours per day. Schedules can vary on start times and length of shift. The shifts break down in the following way: Day shift 0600‑1400 (6am‑2pm), Swing shift 1400‑2200 (2pm‑10pm), Awake Noc Shift 2200‑0600 (10pm‑6am). We also have a flex shift that start at different times depending on the house and client needs (example 1200‑2000).
Authority
Decides and reports any special problems that occur to supervisors and brings any medical/behavioral concerns to supervisor. Decisions are generally situational and could not only impact the health and safety of individuals supported, but could also impact housemates, employees, and/or people within the community.
Basic health decisions may involve: identifying and taking action in the event of illness and/or injury, PRN medication administration, etc.
Basic safety decisions may involve: evaluating the need for assistance, behavior intervention, change in environment, evacuation, activating safety locks and/or alarms, defensive driving techniques, increased supervision, etc.
Contacts
Will have contact with Physicians, Consultants, Parents/Guardians, Public Persons, Program Manager, Service Coordinators, Administrative Director, Clinical Director for the purpose of exchanging medical and/or other client related information on a daily or as needed basis.
Position Requirements
Must be at least 18 years of age
High school Diploma or equivalent
Be able to pass a background check
Must be able to read and write proficiently and legibly in English
Oregon Intervention System Certification (provided if hired)
CPR/First Aid certification (provided if hired)
Medication Administration (provided if hired)
Frequent daily lifting up to 50 lbs
Must be able to engage and maintain (OIS) approved PPI’s for up to 1 hour (training provided if hired)
Frequent daily squatting, bending, and stooping
Daily contact with individuals who are potentially argumentative, aggressive, destructive, harmful, offensive, and display dangerous behaviors to self or others
Daily exposure to household and sometimes industrial strength cleaning agents
Exposure to a variety of work settings both within the homes and community
Occasional exposure to inclement weather
Occasionally participate in water activities with the individuals as assigned
Must be able to work overtime as needed/required to provide necessary staffing and support for individuals—7 days a week/24 hours a day
Frequent daily transportation of individuals utilizing public transportation, buses, wheelchair accessible vehicles, passenger vans, mini vans and/or standard size cars. Driver’s license not required
Frequent contact with the public and other agency personnel
Driver preferred
Personal cell phone that can be reached during all working hours
High level of organizational skills
Basic computer skills
Function well in a high‑stress environment while still meeting deadlines set by the Directors, OAR, or County Case Managers
Personnel Management and Supervision
May work across all three shifts to supervise a team of Direct Support Professionals (DSP) who provide personal care, training, and support to individuals.
Supervises, coaches, and provides guidance to DSP. Assigns work, monitors work performed, evaluates performance levels, and contributes to performance appraisals. Works closely with the Associate Director and Agency Director on QA matters and to ensure that the entire team is effectively meeting the needs of supported individuals.
Helps to conduct weekly, bi‑monthly or monthly staff meetings to communicate policies/procedures, training opportunities, and client program changes, resolve house issues, and promote teamwork.
Monitors overtime and works with staff to develop alternative schedules or explore options for decreasing overtime while meeting the objectives of the program.
Ensures that all staff are trained appropriately, and that all necessary training is completed as required (e.g., house specific, ISP, etc.).
Support Quality Assurance Manager in meeting all state licensing requirements and ensure that policies, procedures, and necessary forms are updated and implemented as required by additions or modifications to OARs.
Works with other Program Managers to interview, and select new employees. Supports the organization’s affirmative action efforts and demonstrates a compliment to valuing diversity.
Completes employees unassisted and 90‑day core competency training.
Completes 801 injury forms and contacts the Associate Director/Agency Director to report employee injuries, vehicle accidents, or other safety issues. Investigates and documents job‑related injuries and recommends changes to improve safety.
Client Program Management
When unable to meet the standards of an OAR, leads team discussion around the issues and suggest ideas to the Associate Director and/or Agency Director.
Maintains all individuals’ records in such a way to ensure confidentiality and maintains all documentation (i.e., physician’s orders, current medical conditions, physician visits, personal property records, etc.) per SISO policy.
Works with physicians, pharmacists, dentists, health care consultants, health care representatives and other service providers, as needed, to promote individuals’ health and well‑being. Schedules appointments and arranges for clients to keep the appointments, including attending client appointments. Coordinates the nurse/client’s relationship when an individual’s health care needs warrant it. Obtains medical cards and coordinates healthcare through the Oregon Health Plan.
Researches and accesses community resources and services as needed.
Review’s staff’s documentation on the Medication Administration Record (MAR) daily to ensure documentation is accurate and kept current and that staff are following all medical protocols.
Reviews General Event Reports (GER), and return to the DSP for corrections within two (2) working days of the incident using Therap. After the initial review, and prior to final approval of the GER, the Program Manager reviews trends and identifies training needs, system problems and safety concerns, and initiates appropriate corrective action.
Household Management
Reads, understands and consistently follows SISO and DHS policies, and OARs that address 24 Hour Services for Adults with Developmental Disabilities requirements.
Arranges for well‑balanced meals to be prepared by staff from menus that provide variety for seasonal changes and meets individual diet needs. Works with staff to ensure physician’s diet orders are followed and substitutions are documented on the menus. Grocery shop as needed. Menus will continue to be provided. Program manager will inform the Dietary Consultant of diet/texture changes that need to be made.
Assigns household duties to maintain a clean, sanitary, safe, and welcoming environment, establishes cleaning and laundry schedules, and coordinates repairs. Schedules monthly safety check, reviews reports, corrects deficiencies, and addresses safety issues with staff and provides a copy of the report to the Safety Coordinator.
Ensures all staff and individuals are trained on evacuation procedures by conducting unscheduled or unannounced drills and maintains the reports.
Prepares a contingency plan for emergencies, updates it as needed and ensures that staff is trained.
Manages petty cash fund by ensuring that receipts and ledger match researching discrepancies, making corrections, and verifying accuracy by signing ledger.
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