Assistant Director of Nursing

POSITION SUMMARY

The Assistant Director of Nursing assists the Director of Nursing with the management and training of the nursing services staff and the overall management of resident care. The person holding this position is held accountable for carrying out and the decision making of the assigned duties and responsibilities in accordance with current existing federal and state regulations and established company policies and procedures. ESSENTIAL JOB FUNCTIONS:

A.Role Responsibilities – Job Knowledge/Duties:

1.Demonstrates knowledge of age specific developmental factors specific to adult and geriatricresidents (i.e. physical, cognitive, and socialization factors) in planning delivery of care

2.Demonstrates knowledge, skills and techniques necessary to care for residents with the followingneeds: therapeutic, neuro & dementia, dialysis, IV therapy, infectious disease and wound care, ifapplicable

3.Attends all mandatory in-services by employee’s anniversary date

4.Acts appropriately under the direction of the Director of Nursing and acts as an active member ofthe interdisciplinary team

5.Demonstrates ability to adjust to changes in unit/shift assignments to meet resident and facilityneeds

6.Successfully completes facility-conducted orientation of specialized dementia unit, as appropriate

7.Communicates and observes the Corporate Compliance Program effectively and complies withCode of Conduct when performing work functions

8.Other duties as assigned by the Director of Nursing or Administrator

B.Role Responsibilities – Administrative Duties:

1.Ensures that a sufficient number of qualified supervisory and supportive nursing personnel areassigned for each unit/shift to meet the residents’ needs. Assesses ability of facility to meetresidents’ needs

2.Assists in supervising, evaluating, counseling, and disciplining inter-departmental personnel

3.Assists in the recruitment, interviewing, and selection and termination of nursing personnel

4.Participates in coordination of resident services through departmental and appropriate staffcommittee meetings ( i.e. Quarterly Quality Assurance and Assessment, Pharmacy Services,Therapy Services, Infection Control and Resident Care policy and procedure meeting)

5.Conducts periodic review to ensure all documentation is informative and descriptive of nursing careand of the resident’s response to that care

6.Participates in planning and budgeting for nursing services

7.Conducts periodic reviews to ensure that the nursing requirements of each resident admitted to thefacility are reviewed and that the physician is consulted in planning resident care

8.Maintains professional competence through continuing education

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9.Conducts periodic review of appropriate staff to ensure nursing personnel have valid and currentlicenses

10.Demonstrates knowledge of current State Department of Health and Department of Public Aiddirectives and ensures that directive are implemented by staff

11.Conducts periodic review of the nursing department and nursing personnel to ensure they are incompliance with State Code Requirements

12.Demonstrates availability to be on-call 24 hours a day for nursing emergencies

13.Makes rounds upon entering the building each day. Checks each nursing unit for staffing, census, unstable residents, accidents and incidents, etc. Ensures grooming is 100% each day and implements plans to correct grooming concerns, if necessary

14. Reviews all Accidents and Incidents (A/I) daily and develops an appropriate plan to prevent future accidents and incidents, if necessary. Conducts periodic reviews of documentation for inconsistencies of A/I on each unit

15.Audits specific resident care issues on a daily basis, such as skin, ambulation, etc. Devises a Monthly Planning Calendar as a minimum guideline for auditing care issues, including day, weekend and night-shift audits

16.Makes focused rounds at least one time per week with supervisors and charge nurses to review resident care issues, as appropriate

17.Approves the staffing schedule according to budgeted levels and checks daily for the number of staff available for the week (especially weekends). Documents approved vacation/time off for nursing department

18.Observes all pressure sores on a weekly basis, evaluating documentation and treatments (i.e. Physician orders, initial assessments, nursing care plan, etc.)

19.Introduces self to new admissions within 48 hours. Checks for documentation initiation (i.e. Physician orders, initial assessments, nursing care plan, etc.)

20. Is responsible for ensuring that Nursing staff are aware of their job duties and the facility’s expectations for resident care

21.Meets with Nursing Assistants on a formal basis once each month; Charge Nurses every other week; and all licensed staff monthly to review nursing and facility issues. Ensures plans are in place to correct employee concerns.Role Responsibilities – Nursing Systems:

1.Ensure that systems are established and consistent throughout the facility. These include but are not limited to (as per standardized procedure):

a) Develops unit management system for group assignments and Nursing Assistant responsibilities

b)Achieves goal of reducing restraints to a minimum and ensures restraints are released at least every 2 hours according to established Care Plan. All restraint release are to occur on the unit at the same time or per Care Plan, and be observed by a licensed staff member

c)Conducts periodic review to ensure that all residents are out of bed by noon, or per Care Plan, unless a specific physician order indicates bed rest

d)Ensures turning and positioning schedules are followed every two hours (or per Care Plan).Ensures turning and positioning system can be easily monitored (i.e. all face the door at the same time)

e)Ensures that resident ambulation occurs as an observed system (i.e. before the meal period in the dining room)

f)Oversees scheduling of nurses for employee meals or breaks, ensuring that breaks are not taken while residents are dining

g)Conducts periodic reviews to ensure supplements are passed according to developed schedule

h)Conducts periodic review to ensure that environment is clean, orderly, and organized. Ensures that cleaning schedules are in writing and audited daily. Reviews and implements infection control and exposure control plans according to Resident Care Policies and Procedures

i)Completes Change of Condition/24-Hour Report daily and only the Director of Nursing or designee may delete a resident from the report

j) Demonstrates ability to perform all physical and mental job Functions of a Certified Nursing Assistant, Licensed Practical Nurse, and Registered. Role Responsibilities – Nursing Documentation

1.Ensures that nursing documentation meets the following standards:

a.Care Plans match monthly summaries, Nursing Assistant Care Sheets, Nursing Assistant worksheets, treatment sheets.

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b. maintains and evaluates statistics for; pressure sores, resident Accidents and Incidents, number/G or G tubes, number of justified foley catheters, resident census, resident and employee infections

c.Reviews all closed charts of expired residents and ensures appropriate documentation by nursing during the last 48 hours and discharge orders by physicians are enclosed (to contain how and where discharge, i.e. to funeral home via stretcher). Reviews discharge summaries of all residents

d. Conducts periodic reviews of Care Plans to ensure they are interdisciplinary and updated by the Charge Nurse daily as change occur

e. Ensures all communication to nursing by other disciplines are flagged and the Charge Nurse irresponsible for implementing the changes on all forms

E. Role Responsibilities – Interpersonal Skills:1. Is aware of, and adheres to, Resident’s Bill of Rights and Confidentiality of Resident Information

2.Interacts with residents and family members, co-workers, clinical and ancillary staff in non-judgmental, supportive and calm manner

3.Addresses family satisfaction issues immediately and assists in resolving the matter in a professional manner

4.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

5.Is aware of Resident Abuse Reporting Law

6.Participates as assigned in the orientation of new staff and demonstrates a positive, helpful andenthusiastic attitude

7.Creates and maintain an atmosphere of warmth, personal interest, and positive emphasis as well as a calm environment throughout the facility

8.Maintains a productive working relationship with other department directors

F.Role Responsibilities - Safety:

1.Demonstrates ability to locate emergency equipment (i.e. fire extinguisher, emergency oxygen tanks ,etc.)

2.Understands and can demonstrate knowledge of role in Fire and Disaster drills

3.Demonstrates ability to identify and respond appropriately to potential behavioral outbursts

4.Uses facility equipment safely

5.Recognizes, removes and/or reports potential hazards

6.Ensures that nursing personnel follow established safety regulations in the use of equipment and supplies at all times

G.Role Responsibilities – Infection Control:

1.Demonstrates proper hand washing techniques and ensures all nursing personnel follow established hand-washing procedures

2.Disposes of waste properly and ensures that nursing personnel follow established policies governing the use/disposal of personal protective equipment and disposal of infectious wastes

3.Understands and maintains nursing sanitation procedures, when necessary

4.Reports occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with facility and governmental policies and procedures governing accidents and incidents

5.Ensures all personnel performing tasks that involve potential exposure to blood, body fluids, or hazardous chemicals participate in appropriate in-service training programs prior to performing such tasks

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H.Role Responsibilities – Resident Care/Dignity:

1.Addresses residents in a respectful manner

2.Maintains confidentiality and discusses confidential resident information in appropriate areas only

3.Knocks on door prior to entering resident rooms, and maintains resident privacy and dignity when providing treatments or other resident care

4.Ensures nursing personnel comply with residents’ personal and property rights

EDUCATION/EXPERIENCE:

1.Maintains a current, valid State RN license, in good standing2.Possesses a minimum one (1) year of experience in nursing service administration. Additional education or experience in such areas as rehabilitative or geriatric nursing is preferred3.Possesses strong knowledge of state, federal and local regulations as they pertain to long term care4.Is employed full-time and serves only one facility in such capacity5.Maintains rapport with outside medical professionals6.Successfully completes facility conducted orientation, mandatory training and in-service programs7.Must meet health assessment requirements, including two stage Mantoux skin test8.Must be capable of performing the essential functions of the job, with or without reasonable accommodations9.Must be able to communicate in English, both verbally and in writing, and possess sufficient communication skills to perform the tasks required

PHYSICAL REQUIREMENTS & WORKING CONDITIONS:

“Occasionally” equals approximately 1% to 33% of the workday, “Frequently” equals approximately 34% to 66% of the workday, and “Continuously” equals approximately 67% to 100% of the workday.

1.Job Requirements:

Hours Per Day:

a)Sit

2 to 3 hours

b)Stand

3 to 4 hours

c)Walk

3 to 4 hours

2.Movements:

Frequency:

a)Bend/Stoop

Occasionally

b)Squat/Crouch/Kneel

Occasionally

c)Crawl

Not at all

d)Reaching

Occasionally

e)Balancing

Occasionally

f)Pushing/Pulling

Occasionally

g)Climbing

Occasionally

3.Weight Carried/Lifted:

Frequency:

a)Up to 34 pounds

Frequently

b)35 to 50 pounds

Occasionally

c)51 to 100 pounds

Occasionally with assistance*

d)100 + pounds

Occasionally with assistance*

5.Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.)

6.Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants.

7.Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses

8.May be subject to the handling of and exposure to hazardous chemicals

9.May be necessary to assist in the evacuation of residents during emergency situations

*Assistance can include mechanical devices, equipment or human assistance.