Direct Care Staff – Pediatric Medical Day Center | Hurst, TX

Viva Site · Hurst, TX Full Time
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Job Description

Join VIVA Pediatrics - Where Passion Meets Purpose! VIVA Pediatrics is a pediatric home health services agency with a specialty in private duty nursing, skills nursing visits, therapy and medical day centers for infants and children (ages birth through 20 years of age). Our dedicated staff works together as a team to provide high-quality care to medically fragile children. We are committed to providing each patient with an exceptional level of care. Here, you're not just a number, you're a valued member of our patient-centered community. Experience a work environment where quality care triumphs and your voice matters. We believe that offering a great culture leads to great care. Here is what our clients are saying: https://www.vivapeds.com/testimonials/ Hours: Monday- Friday 7:30am-5:30pm 1 | SUMMARY OF FUNCTIONS The Nurse Aide (Direct Care Staff) provides hands-on assistance to medically fragile children in a structured pediatric day center. The role includes supporting activities of daily living, monitoring health status, assisting with safety and care routines, and maintaining a therapeutic, safe, and developmentally appropriate environment. 2 | COMPETENCIES · Skilled in assisting with pediatric care routines · Dependability and punctuality · Strong observational and reporting skills · Adherence to infection control and safety standards · Clear and compassionate communication · Teamwork and flexibility in a multidisciplinary setting · Family-centered care approach 3 | MAJOR DUTIES AND RESPONSIBILITIES · Assist with hygiene, dressing, toileting, and other daily care needs · Support feeding routines, including oral and tube feeding as trained · Record and report vital signs and changes in condition to nursing staff · Provide mobility and transfer assistance (e.g., wheelchair, lifts) · Maintain a clean and safe care environment · Document care activities per center protocols · Support developmental activities and therapeutic play · Participate in training and demonstrate competency before delivering care · Follow center policies for infection control, safety, and emergency procedures · Communicate respectfully with families and staff · May assist with transportation or van support as needed · Assists with weekend marketing events as requested and approved · Performs other duties as required 4 | ORGANIZATIONAL RELATIONSHIPS · Reports to: Director of Nursing or Center Administrator · Works under the supervision of an RN or LVN · Collaborates with IDT therapy, nursing, and administrative staff · Interacts professionally with children, families, and transportation personnel 5 | SUPERVISORY RESPONSIBILITIES This position does not supervise other employees. 6 | WORK ENVIRONMENT · Pediatric day healthcare center with medically fragile children · Frequent standing, walking, lifting, bending, and physical care tasks · Exposure to infection risks, bodily fluids, and medical equipment · Indoor facility with structured activity areas and clinical care space 7| PHYSICAL DEMANDS · · Must be able to lift up to 50lbs and transfer pediatric patients safely · Frequent bending, reaching, and movement throughout

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Support roles in senior living — housekeeping, maintenance, activities, and social work — are far more resident-facing than similar positions in other industries. Housekeepers and maintenance staff interact with residents in their personal living spaces daily, which requires discretion, patience, and genuine respect for the people who live there. In Texas, even non-clinical staff must complete facility-specific training on topics like abuse prevention, infection control, and emergency procedures.

Activities coordinators and social workers play a direct role in resident well-being — isolation and depression are significant concerns in senior living, and programming that keeps residents socially engaged has measurable health outcomes. Maintenance staff in senior care need to understand life-safety systems (fire alarms, emergency generators, call systems) and are often the first responders for building emergencies. Background checks are required for all positions, and many facilities prefer candidates who have previous experience working with older adults.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the DFW area.

For housekeeping roles, the day follows a room-by-room schedule — cleaning resident rooms, sanitizing common areas, managing laundry, and responding to spill or accident cleanups as they happen. Infection control protocols are more rigorous than in hotels or commercial cleaning, especially during flu season or respiratory illness outbreaks.

Maintenance staff handle a daily work order queue — everything from changing light bulbs and fixing call buttons to HVAC maintenance and plumbing repairs. Life-safety equipment checks (fire extinguishers, exit lighting, generator testing) happen on set schedules. Activities professionals plan and lead group programming — exercise classes, crafts, music sessions, outings — and also provide one-on-one engagement for residents who cannot participate in group settings. Social workers manage care conferences, discharge planning, family mediation, and community resource referrals. Across all these roles, the common thread is that you become a familiar, trusted presence in residents' daily lives.

DFW Area Salary Data

According to the Bureau of Labor Statistics, Home Health and Personal Care Aide positions in the DFW metroplex area earn a median wage of $12.93/hr ($26,894/yr). The typical range is $11.12 – $14.51/hr (25th–75th percentile).

Entry Level (10th) $22,381/yr
DFW Median $26,894/yr
Experienced (90th) $36,005/yr
vs. National Median -24.9%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Dallas-Fort Worth-Arlington, TX Metro Area). Salary data provided by DFW Senior Living Guide.

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