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State of Washington Classified Job Specification


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Class Code: 347R
Category: Social Services

Class Series Concept

See Forensic Care Associate 1.


Positions perform professional level patient care of mentally ill patients in a state hospital or community residential treatment facility.

Distinguishing Characteristics

Under the general supervision of a Registered Nurse, positions at this level are required to perform routine complex patient care, patient therapeutic interaction, activities of daily living, escorting, transporting, monitoring, de-escalation, and patient activities. Position assignments follow established guidelines, policies, procedures, and work methods. Work is reviewed for compliance with guidelines, policies, and procedure.

Typical Work

Performs rounds (census) in intervals determined by patient population, physician’s order, or operational need;

Constantly monitors patient behavior and movements and encourages compliance with treatment plan;

Monitors patients who are on danger-to-self, danger-to-others, or other protocols as assigned by nursing or medical staff;

Responds to emergent conditions on other wards/living units (codes);

Keeps the patient living environment clean and orderly;

Monitors patient meal times and assist food service staff as needed;

Escorts patients as needed to outside appointments;

Participates in training drills (fire, CPR, etc.);

Performs other related work as required.

Knowledge and Abilities

Knowledge of: hospital or facility procedures and processes; de-escalation processes; blood-borne pathogen protocols, CPR, non-violent crisis intervention, seclusion/restraint procedures, patient rights, trauma-informed care principles, preventing patient abuse/neglect, computer skills.

Ability to: interact therapeutically with patients and professionally and respectfully with co-workers at all times, work collaboratively with other team members; respectfully provide direction to other staff; take direction from Registered Nurses; exhibit resilience and be willing to interact with verbally and physically aggressive patients; observe multiple patients and teammates the entire work shift to ensure the work environment remains safe; work closely with members of the ward/living unit team to effectively move patients towards their treatment goals; listen to patients and develop creative ways to help them move towards their treatment goals; be flexible in moving quickly from one task to another; have compassion and concern for patients and treat patients and staff with respect, kindness and consideration.

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.

Positions in this job classification require a current, unincumbered Washington State Nurse Assistant Registration.

Persons legally authorized to work in the U.S. under federal law, including Deferred Action for Childhood Arrivals recipients, are eligible for employment unless prohibited by other state or federal law.

Desirable Qualifications

High school graduation or equivalent.


Two years' experience in a psychiatric or mental health setting or completion of a Forensic Care Associate 1 in-training plan.


A Nursing Assistant Registration or Certified Nursing Assistant certificate or Medical Assistant Certification.

Class Specification History

New class: adopted June 22, 2023, effective July 1, 2023

Revised Legal Requirements; effective June 6, 2024, due to adopted legislative action.