I work as a nurse consultant with clients that have developmental disabilities. My clients are all adults over 18 y/o. I am the nurse consultant for 3 -16 bed group homes and 2 8 bed CILAs . These homes are located across the southern part of Illinois. Many of my clients are duelly diagnosised. I am on call 24-hours a day we rotated every 6th weekend on call. It is challenging, fun and rewarding. The direct care staff pass medication on my license. This can be very unsettling at times. The background for positions like this is wide open. It is part Med/Surg, Psych, Rehab and LTC. One of the biggest challenges is to find inpatient psychiatric services when needed. Because many places will not take people that have a psychiatric problems and who are developementally disabled as well.