POSITION DESCRIPTION: Assistant Director of Nurses Registered Nurse (RN) is a licensed professional nurse immediately under the Director of Nurses. The Assistant Director of Nurses is to assist the Director as instructed and has the authority of the Director of carrying out given tasks or areas of supervision in the Director’s absence. QUALIFICATIONS •Current nursing licensure as a nurse in the State in which practicing. • A minimum of two year’s experience in supervision. • Possession of good mental and physical health. •Demonstrates leadership ability and capability to work effectively with all levels of personnel. •Ability to communicate effectively in English through both speech and writing. •Administrative ability with evidence of professional competence and flexibility. •Working knowledge of federal, state, and county laws governing skilled care nursing facilities. GENERAL DUTIES AND RESPONSIBILITIES: GENERAL • Assist the Director of Nurses as she/he instructs in areas of personnel, orientation, supervision, and staffing. • Periodically checks residents’ records and reports. • Keeps the Director informed of potential problems or problem areas within the nursing department with accurate reporting. • Reviews physician’s orders, transfer and admission information for completeness. • Review transcriptions of physician’s orders to resident charts, with medication and treatment sheets to assure that they are accurate and current. • Assist in admitting, transferring and discharging residents. • Make weekly skin assessment rounds with the Treatment Nurse. • Make Licensed Nurses’ monthly schedule. • Work with the consultants as necessary and implement recommended changes as directed by the Director of Nurses. • Review, update, and revise resident Plans of Care for appropriate resident goals, problems and approaches to assure that appropriate nursing care is being rendered. • Assure that nursing personnel follow established infection control and aseptic techniques when isolation procedures become necessary. • Review resident charts for completeness and appropriateness of treatment and medication orders. • Review restraint assessments, pain assessments, oral assessments, psychotropic assessments, and bowel and bladder assessments for completeness. • Check completeness and accuracy of Intake and Output documentation. • Participate in Weight Variance and Pressure Ulcer committee meetings. • Attend staff meetings and in-service classes. • Review monthly recapped physician’s orders with medication sheet, one week before the end of each month to ensure the accuracy in the transcription of physician’s orders. • Others as may become necessary and appropriate or as may be directed by the Director of Nurses or the Administrator. SUPERVISION • Supervises: All licensed staff, Certified and non-certified Nursing Assistants and Restorative Nursing Assistants • Is alert to efficient functioning of nursing department with other facility departments. • Periodically makes nursing rounds. • Assure that nursing personnel are providing adequate nursing care in accordance with established nursing service procedure. • Follow up on correction of findings and deficiencies of Department of Health Services, Consultants, and Quality Assurance Team. • Review and evaluate nursing personnel and make recommendations to the Director of Nurses. • Assist in orientation of newly assigned personnel as well as supervise and instruct other nursing personnel. • Assist in supervision and direction of nursing personnel. • Assist in investigation of unusual occurrence or alleged abuse and promptly notify the Director of Nurses. CONSUMER SERVICE • Presents professional image to consumers through dress, behavior, and speech. • Adheres to Company standards for resolving consumer concerns. • Ensures that all resident rights are protected.
A Certified Nursing Assistant (CNA) is responsible for providing routine nursing care in accordance with established policies and procedures and as may be directed by the Charge Nurse, RN Supervisor, Director of Nurses or Administrator, to assure that the highest degree of quality resident care can be maintained at all times. Certified Nursing Assistant (CNA) QUALIFICATIONS • Currently enrolled in a school for nursing assistants or have a license as a certified nursing assistant. • A minimum of 6 months experience as a certified nursing assistant or clinical experience while enrolled in a nursing assistant certification class. • Must possess a sincere desire to serve the ill, aged and infirm. • Ability to read, write and speak the English language. • Possess the ability to deal tactfully with personnel, residents, family members, visitors, and the general public. • Willingness to work harmoniously with other personnel. • Must have patience, tact, cheerful disposition and enthusiasm, as well as be willing to handle residents based on whatever maturity level they are currently functioning. • Must be in good general health and demonstrate emotional stability. • Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Certified Nursing Assistant (CNA) GENERAL DUTIES AND RESPONSIBILITIES: GENERAL • Perform all duties as assigned and in accordance with facility’s established policies and procedures, nursing care procedures and safety rules and regulations. • Make resident rounds at the beginning of each shift and every two hours thereafter to administer quality nursing care. • Verify the identification of a resident before administering nursing care or serving food, to assure that appropriate care is being provided to the correct resident. Report missing ID bands to admission coordinator immediately. • Make beds, clean bedside and overbed tables. • Serve drinking water as required. Assure that water pitchers are cleaned, filled with fresh drinking water and within the resident’s reach. Pass water pitcher as per established policy and procedure. • Dress residents neatly and in their own clothing. Assist residents in dressing as necessary. • Assist in preparing residents for meals (taking to/from dining room, serving trays, placing bibs, assisting in feeding or cutting food, removal of trays, supervision in dining room, etc.). • Serve nourishment in accordance with established facility procedures. • Feed residents who cannot feed themselves. • Assure that resident’s food is accessible and self-help devices are available as needed. • Prepare residents for therapy, activities, physician visits, religious services, etc., to include transporting residents to/from such activities. • Keep incontinent residents clean and dry as possible at all times. Change bed linens, diapers and clothing as often as necessary. • Do not permit residents to smoke in bed. • Assure that the nurse’s call system is attached to the bed and within easy reach at all times when residents are bedfast. • Answer residents’ call lights promptly. • Check for food in residents’ room. Ensure that food is kept in a sealed container. • Report all complaints to the Charge Nurse. • Report any resident abuse immediately (ie., harsh/abusive language, unnecessary roughness, etc.) • Report any medication found in the resident’s room. Take to the Charge Nurse immediately. • Report all hazardous conditions and faulty equipment to the Charge Nurse immediately. • Report any bruise, skin tears, incidents or accidents to the Charge Nurse immediately. • Attend in-service educational programs, on the job training programs and meetings as directed. • Other related duties as may become necessary or as directed by the Charge Nurse, RN Supervisor, Director of Nurses, or Administrator. Certified Nursing Assistant (CNA) CLINICAL • Wash hands before and after caring for each resident. • Place residents in correct and comfortable position. Head of bed elevated at 30° for all residents on enteral feeding. • Assist residents with dental and mouth care. Clean dentures after each meal. Keep dentures clean and soaked with Efferdent after dinner. • Record resident’s food and nourishment intake as directed. • Perform after meal care as required – cleaning resident’s hands, face, clothing, dentures, etc. • Assist residents to/from bathroom. Offer bedfast residents bedpans and urinals. Clean and store such equipment after each use (document Intake and Output as directed). • Check and document bowel movements and character of stools every shift. • Bathe residents as assigned and in accordance with established facility procedures (encourage showers and other self-help measures/activities). • Comb and brush resident’s hair daily. Shampoo hair on shower days. • Clip and trim fingernails. • Shave male residents daily or as needed. • Keep hair under arms and face on female residents clean-shaven as necessary or instructed. Trim hair in nose and ears as needed. • Observe and report the presence of reddened areas on bony prominences. • Keep drainage bag off the floor when resident is in bed or in wheelchair. • Apply Vaseline or A & D ointment to dry skin in accordance with established policies. • Move and turn bedfast residents at least every two hours and record such information on CNA notes. • Observe disoriented and comatose residents and notify Charge Nurse immediately. • Apply postural support properly. Check with Charge Nurse for type of restraint to be used. • Apply hand roll or splint to residents with contractures as outlined within the facility’s established policies and procedures. • Follow infection control procedures in accordance with established facility policy when isolation techniques are necessary. • Chart required information every shift. • Complete Intake and Output documentation on all residents with orders before the end of each shift. • Other related duties as may become necessary or as directed by the Charge Nurse, RN Supervisor, Director of Nurses, or Administrator. Certified Nursing Assistant (CNA) CONSUMER SERVICE • Presents professional image to consumers through dress, behavior and speech. • Adheres to Company Standards for resolving consumer concerns. • Ensures that all consumer/resident rights are protected.
