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State of Washington Classified Job Specification


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Class Code: 287D
Category: Health Care


Under general supervision of a Registered Nurse or Licensed Practical Nurse, employees provide direct and indirect patient care and treatment. Positions will deliver aid to residents in a home-like setting with a variety of activities of daily living, meal planning and preparation, leading therapeutic activities, completing housekeeping tasks, doing residents personal laundry, providing medical assistance, patient transportation and maintaining medical information in a computer based tracking system.

Distinguishing Characteristics

Positions work under general supervision on a 24/7 basis in an in-home setting with a kitchen, living room, dining room, restroom and den shared by all residents. They will be performing nursing assistant and therapeutic recreational activities for residents, preparing all of the resident’s meals, leading residents in group activities, performing light housekeeping, and maintaining resident’s personal laundry.

Typical Work

Actively participates in the resident’s care plan for the purpose of improving the life and maintaining the safety of each resident;

Supports and encourages the resident’s involvement in decision making regarding their daily activities;

Assists with therapeutic treatment under the direction of a Registered Nurse or Licensed Practical Nurse;

Perform hygienic related functions for residents such as: bathing, dressing, grooming, toileting, eating, assisting with monitoring/feeding of meals and nourishments;

Reposition residents; lift up to 60 pounds and reaching a minimum of 36”, for resident repositioning or access to supplies;

Assists the dietary manager with planning weekly menus with/for each resident, following safety and health regulation guidelines, while ensuring meals and snacks are prepared and served within resident therapeutic/special needs diets;

Applies external appliances such as braces, urosheaths, hearing aids and performs both active and passive range of motion;

Accurately obtains and records vital signs and other resident data; documents residents’ intake and output records, encourages intake of liquids, collects specimens for laboratory use;

Actively participates in therapeutic planning activities and seeks opportunities throughout the day to provide spontaneous activities that meet the interests/requirements of the residents and the household;

Maintains clean and sanitary spaces in the household including residences rooms and common spaces;

Complies with all Department of Health regulatory sanitation requirements;

Takes universal precautions to prevent transmission of disease through contamination;

Operates washing machines and dryers;

Receives, washes, dries, folds and returns resident’s personal laundry;

Enters medical information into computer tracking system and performs other duties as assigned;

Performs related duties as required.

Knowledge and Abilities

Knowledge of: methods and practices of basic nursing and restorative care, personal hygiene and sanitation methods, record keeping, report preparation, infection control procedures, and residents rights.

Ability to: maintain confidentiality at all times, speak, read, write and follow written and oral directions in the English language; show flexibility, dependability, teamwork, and proficient communication skills.

Lift up to 60 lbs.

Legal Requirement(s)

There may be instances where individual positions must have additional licenses or certification.  It is the employer’s responsibility to ensure the appropriate licenses/certifications are obtained for each position. Licenses or Certifications may include:

Current and valid Washington State Nursing Assistant Certification

Current active status on OBRA (Omnibus Budget Reconciliation Act) with no disqualifying findings or convictions.

Current and valid Washington State Food Handler’s Permit       

Note: A Washington State license to practice as a “Nursing Assistant - Certified” may be required.

Desirable Qualifications

High School Diploma or GED degree


Six months of experience with geriatrics, healthcare services, food preparation and safety, household cleaning and/or laundry activities.

Class Specification History

New class; adopted June 30, 2015; effective July 1, 2015.
Base salary adjustment adopted 6/13/2019, effective 7/1/2019; from range 34 to 38.