Assistant Director of Nursing

TITLE: Assistant Director of Nursing

DEPARTMENT: Nursing

SUPERVISION: Director of Nursing

POSITION GOAL: As a member of the nursing management team, the ADON provides support to the nursing staff and ensures that resident-centered quality care is provided. This position will support the efforts of maintaining compliance with State and Federal regulations and facility policies and procedures.

ENVIRONMENT: Geriatric care is provided in a one story facility to residents of Humphreys County Nursing.

ESSENTIAL FUNCTION & RESPONSIBILITIES:

1. Demonstrates Appropriate Knowledge and Skills Necessary to Plan, Coordinate, Organize, and Supervise Resident Care.

• Conduct chart reviews to check staff's work and documentation for accuracy and completeness. Discuss incomplete work with staff upon finding work not done. If incomplete work continues after discussions of incomplete work of more than 3 different occasions, then communicate with DON.
• Make daily rounds on residents. Coordinate with other managers. Observations to include: Follow-up with family issues, Medication Administration issues, Physician visits/outstanding orders, etc.
• Assist with Medication Administration as needed. Observes Med-Pass at least 2 times per month.
• Utilizes LTC consistently and accurately and serves as a resource person for staff.
• Ensures an admission note is written on all new admissions - Ensures care plan and point of care are established in LTC.
• Assist staff with entering Physician Orders in LTC.
• Ensures clinical staff completes orientation materials and required education and training expected by Facility policies and procedures.
• Works with staff to ensure Call Lights are answered within 5 minutes.
• Assist with feeding residents in dining room or resident room.
• Ensures daily skilled notes are completed correctly and quarterly assessments timely.
• Assist in Care Plan meetings when asked.
• Manages and directs the Restorative Program for appropriate care and documentation.
• Manages and directs the Bowel and Bladder Program for appropriate care and documentation.

2. Demonstrates Appropriate Knowledge and Skills to Function as a Leader and/or Supervisor

• Handles all problems and employees in a professional, consistent and fair manner.
• Maintains correct and professional communications with the public, residents, employees and other agencies, reflecting the mission of the facility.
• Ensures adequate staffing is available.
• Ensures incidents or medication error reports are completed before end of shift correctly with all information on checklist. Completes the section of investigation.
• Reviews 24 Hour nursing report for accuracy and completeness.
• Provides a brief written report to DON of any chart reviews for documentation and assessments, family or resident issues, employee issues, medication observations, any LTC issues at the end of each shift worked.
• Responds promptly to request from the Director of Nursing within the requested timeframe.
• Implements changes as expeditiously as possible, and monitors staff to ensure that the changes are being properly implemented.
• Manages programming needs in LTC as requested by the Director of Nursing.

3. Demonstrates Knowledge and Skills to Interpret and Communicate Federal and State Regulations.

• Ensures confidentiality of all non-public information and meets any HIPAA requirements of all records and files.
• Ensures rules and regulations are applied and communicated to staff.
• Utilizes policy and procedure manual effectively.
• Assist staff with interpretations of regulations when needed.
• Anticipates critical events related to workload and makes prior provisions to deal with them.
• Keeps DON informed of critical events and/or negative outcomes.
• Supports and maintains a culture of safety and quality of care that complies with State and Federal Regulations.
• Keeps up to date on regulations, policies and procedures and assist in communication to other staff members.
• Promotes Quality Assessment Performance Improvement and Participates in Performance improvement projects when requested.

SUPERVISION AND LEADERSHIP: Provides supervision to the nursing staff and serves as a resource for resident-centered care.

EDUCATION AND EXPERIENCE: College degree or equivalent from a two-year college or technical school and six months to one year experience in a long term care setting. Prefer supervisory and administrative experience.

CERTIFICATIONS, LICENSES, REGISTRATIONS REQUIRED TO PERFORM THE ESSENTIAL FUNCTIONS OF THIS JOB: Licensed nurse in the State of Tennesee, CPR Certification

SKILLS: Minimum of two (2) years experience in medical/surgical, rehabilitation nursing. Must be well motivated, organized and able to prioritize multiple tasks. Must be able to interact effectively with a wide variety of people. Excellent communication skills. Able to serve as an example to other employees.

WORKING CONDITIONS: Works in clean, well-lighted, heated and air-conditioned area. Exposure to unpleasant sights, smells and infectious disease possible. Work schedule is 72-84 hours every two weeks. May need to work overtime as need arises. Holiday and weekend work at times.

SKILLS REQUIRED TO SUCCESSFULLY ACCOMPLISH THE ESSENTIAL FUNCTIONS OF THIS JOB:

LANGUAGE SKILLS: Ability to read, analyze and interpret business periodicals, professional journals, technical procedures or governmental regulations. Ability to write reports, business correspondence and procedure manuals. Ability to effective present information and respond to questions from groups or managers, residents, and the general public.

MATHEMATICAL SKILLS: Ability to work with mathematical concepts, such as statistics. Ability to apply concepts such as fractions, percentages, ratios and proportions to practical solutions.

REASONING ABILITY: Ability to apply principles of logical or scientific thinking to a wide range of practical problems.

COMPUTER OPERATIONS: Basic computer skills.

PHYSICAL DEMANDS:

Stand: Up to 33% of the time.

Walk: 33-67% of the time.

Sit: Up to 33% of the time.

Use hands to handle, feel: 33-67% of the time.

Reach with arms and hands: Up to 33% of the time.

Climb or balance: None

Stoop, kneel, crouch, bend: 33-67% of the time

Talk or hear: 33-67% of the time

Taste or smell: 33-67% of the time

WEIGHT LIFTED/FORCE EXERTED:

Up to 10 pounds: Up to 33% of the time.

Up to 25 pounds: Up to 33% of the time.

Up to 50 pounds: Up to 33% of the time.

Up to 100 pounds: Up to 33% of the time.

More than 100 pounds: 33-67% of the time.

(Any lifting of 35 pounds or more requires the use of an assistive device and/or physical assistance.)

EXPOSURE CATEGORY:

1. Tasks that involve exposure to blood, body fluids or tissues. This includes all procedures or job related tasks that involve inherent potential for mucous membrane or skin contact with blood, body fluids or tissues, or potential spills or splashes of them.

2. Tasks that do not involve exposure to blood, body fluids or tissue, but exposure may be required as a condition of employment. Appropriate protective measures are readily available to these employees when needed.

Tasks that involve NO exposure to blood, body fluids or tissue and Category 1 tasks are not a condition of employment.