Constant Observer, Per Diem, Variable shift
Adventist Health
The Dalles, OR, United States Posted October 28, 2026
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Job Description
In the heart of The Dalles, Oregon, Adventist Health Columbia Gorge has served the Columbia River Gorge community since 1901. We are comprised of a 49-bed hospital, various medical offices, home health, a birthing center and a vast scope of services located throughout The Dalles and the surrounding areas. The Dalles is known for its picturesque views of the Columbia River, local charm and delicious downtown restaurants and bakeries.
There is something for everyone in this scenic community.
Job Summary
Provides direct behavioral support to patients at risk of harm to self or others, due to a mental illness or inability to care for self, under the direction and supervision of a registered nurse (RN) and leadership. Maintains proper supervision of patients in line of sight, as a room sitter, or one-on-one. Identifies behavior and statements that require intervention by the psychiatric staff.
Job Requirements
Education and Work Experience:
High School Education/GED or equivalent:
Preferred Bachelor’s Degree or equivalent combination of education/related experience:
Preferred Experience in direct patient supervision:
Preferred Licenses/Certifications:
Certified Nursing Assistant (CNA) certification:
Preferred Essential Functions:
- Monitors patients on involuntary holds initiated by law enforcement or court order and patients deemed a suicide risk, as determined by the provider.
- Monitors patients who need fall protection, are in a state of confusion and/or agitations and at risk of self-harm e.g., wandering.
- Monitors patients who are deemed at risk of hurting themselves by interference of therapeutic equipment.
- Assist patient with activities of daily living within their scope of practice.
- Monitors any changes in behavior and report the RN or provider.
- Follows safety protocols and infection control policies.
- Performs other job-related duties as assigned.
Organizational Requirements
- Adventist Health is committed to the safety and wellbeing of our associates and patients.
- Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable.
- Medical and religious exemptions may apply.
- Adventist Health participates in E-Verify.
- Visit for more information about E-Verify.
- By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
Required Skills
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