Position / Title: Director of Nursing
The Director of Nursing reports to and receives general direction from the Chief Administrative officer and is responsible for compliance with current applicable federal, state, and local standards, guidelines, regulations that govern long-term care facilities, and established policies and procedures to enhance the quality of life of our residents by planning, organizing, developing and directing the overall operations of the Nursing Department. The Director of Nursing provides leadership with regard to clinical practice, team development, quality assurance, and strategic input to assure each resident receives the necessary nursing, medical, and psychosocial services to attain and maintain the highest possible mental and physical functional status.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Supervision of Nursing Staff in fulfillment of department programs and activities within budget, with high quality and on schedule.
- Supervise nursing staff with direct and indirect responsibilities for interviewing, selection, training, motivating, wage and salary recommendations, and performance appraisals.
- Review nursing department punch detail reports on a daily basis. Promptly research and submit missed punch forms, PTO requests, etc. as needed to correct daily punches. Sign all punch detail reports, missed punch forms, and PTO requests to authorize payment.
- Enhance company posture on EEO/ADA by making a good faith effort to recruit, select, develop, and retain protected class employees.
- Assure all nursing staff attends required training.
- Complete and maintain a staffing schedule which ensures the provision of quality care within established budgetary guidelines.
- Determine appropriate staffing levels and approve PTO requests for all direct reports.
- Orient and train staff in proper work practices upon hire.
- Conduct and evaluate retraining and refresher training for all nursing staff, as needed.
- Monitor department staff to assure that they are following established safety and infection control policies and procedures.
- Monitor nursing staff’s adherence to Employee Handbook policies and procedures. Provide appropriate counseling and discipline as needed.
- Ensure the nursing staff actively participants in fire, safety and disaster preparedness drills.
- Maintain safe working conditions and practices throughout the department.
- Interpret and explain the facility’s policies and procedures to employees, residents, family members, visitors, government agencies, etc. as necessary.
- Promote an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment, throughout the facility.
- Represent the facility at, and participate in, community events.
- Maintain good public relations that serve the best interest of both the facility and the community.
- Maintain positive relations with residents, their families, and support staff to assure that residents’ needs are continually met.
- Assist Chief Administrative Officer with overseeing daily operations of the facility. Serve as acting Administrator in the absence of the Chief Administrative Officer.
- Oversee the nursing process by verifying appropriate assessment, planning, implementation, and evaluation of the resident’s care. Actively participate in the assessment, planning, implementation and evaluation, when necessary.
- Monitor the assessments of residents for accuracy and completeness.
- Ensure that priorities for nursing action are set in a logical sequence according to the resident’s needs and formulate a plan of care by the appropriate selection of Nurse Practice Standards.
- Ensure the Plan of Care is initiated on resident admission based on all aspects of the initial assessment. Ensure the plan includes physiological, psychosocial, and environmental factors.
- Perform ongoing assessments. Review and monitor the revised plan of care based on new data and the resident’s condition.
- Communicate with physicians regarding resident needs, the nursing assessments, and recommendations as needed. Collaborate with other nurses and nursing department staff to ensure the resident’s well being.
- Oversee development and implementation of nursing care plans and assessments. Develop and implement care plans and assessments, when necessary.
- Oversee resident’s changes to ensure that avoidable decline is prevented and changes in condition are recorded.
- Observe conditions which indicate possible need for restorative nursing programs and notify appropriate staff of the need for evaluation.
- Ensure the physician and responsible party is notified of changes in condition.
- Ensure all nursing notes convey specific care provided and the resident’s response or lack of response to the care provided.
- Perform all nursing services in accordance with the individualized care plan.
- Honor the resident’s refusal of treatment request. Document such requests.
- Oversee the development of preliminary and comprehensive assessments of the nursing needs of each resident.
- Oversee the development of written plans of care that identify the nursing needs of the resident and the goals to be accomplished for each nursing need identified.
- Ensure that all nursing personnel are aware of the care plans and that care plans are used in providing daily nursing services to the residents.
- Review nurses notes and monitor residents to ensure the care plans are being followed and that residents’ needs are being met.
- Review and revise care plans and assessments as necessary.
- Ensure nursing involvement in quality improvement initiatives and health/safety programs.
- Lead nursing participation in the development of facility-wide quality improvement processes and procedures.
- Lead nursing participation in processes relating to health and safety issues.
- Support quality improvement training and development for nursing staff. Encourage wide participation in activities and projects.
- Implement and oversee comprehensive clinical audit programs.
- Oversee and maintain a comprehensive, organized clinical documentation system.
- Ensure appropriate protocols and clinical practice guidelines and documents and regularly reviewed.
- Serve on and/or chair various committees within the facility (e.g. High Risk, Quality Assurance) and provide written/oral reports as directed or as necessary.
- Perform direct patient care utilizing established procedures, policies and standards, when necessary.
- Administer medications, IV’s, treatments and procedures in accordance with physician’s orders.
- Observe and document resident’s response to medications and treatments.
- Ensure proper disposal of all drugs and medications.
- Ensure adequate levels of medication, supplies and equipment is available at all time.
- Maintain the comfort, privacy, and dignity of each resident in the delivery of services.
- Interact with residents in a manner that displays warmth and promotes a caring environment.
- Comprehensive understanding and adherence to all aspects of residents’ rights, including the right to be free of restraints and free of abuse.
- Promptly report to Chief Administrative Officer all incidents or evidence of resident abuse or violation of residents’ rights.
- Assure residents have call lights at hand and answer resident’s call lights promptly and courteously.
- Assist with orienting residents and their families to the nursing facility upon admission.
- Receive the nursing report upon reporting for duty each shift. Give the nursing report to relief personnel before departing at the end of each shift.
- Communicate and interact effectively, courteously, and tactfully with residents, visitors, family members, peers, and supervisors.
- Thoroughly wash hands before and after performing any service for the resident.
- Make rounds frequently and check each resident routinely to ensure his/her nursing care needs are being met.
- Respond to inquiries or requests from residents and family members in a prompt and courteous manner.
- Promote positive public relations with residents, family members and guests.
- Maintain the confidentiality of all resident care information.
- Respond to emergencies; assess the condition of the resident; decide on type of medical attention; call appropriate ambulance service if needed.
- Admit, transfer, or discharge residents as necessary.
- Notify family when resident is transferred or admitted to the hospital.
- Supervise certified nursing assistants and nurses. Determine work procedures, prepare work schedules, expedite workflow, evaluate, and counsel as appropriate.
- Insure that certified nursing assistants and nurses adhere to standard job requirements.
- Review the missing treatments report prior to the end of each shift. Take appropriate corrective action to ensure missing treatments are given and documented; and that any treatments not given are properly documented including reason.
- Perform duties in a safe manner in accordance with established policies and procedures.
- Practice careful, efficient, and no-waste use of supplies and linens in accordance with established policies and procedures.
- Perform all job responsibilities in accordance with prescribed safety and infection control procedures including thorough hand washing, use of disposable gloves where indicated, and proper disposal of soiled materials.
- Actively participate in fire, safety and disaster preparedness drills
- Maintain safe working conditions and practices and follow established safety regulations in the use of equipment and supplies.
- Timely and accurately record nursing notes in an informative and description manner.
- Record all entries on notes, charts, etc. in an informative and descriptive manner.
- Use only authorized abbreviations established by the facility when recording information.
- Properly document all care, responses to care, vitals, changes in condition, etc. in accordance with established policies and procedures.
- Prepare an annual operating budget for approval by the Chief Administrative Officer and allocate the resources to carry out programs and activities of the facility.
- Assist in preparing and planning the Nursing Department’s budget for equipment, supplies and labor.
- Review and interpret monthly financial statements and take appropriate corrective action in response to variances and trends.
- Maintain current written records of department expenditures and assure that adequate financial records and cost reports are submitted as necessary.
DEGREE OF SUPERVISION:
The Director of Nursing reports to and receives general direction from the Chief Administrative Officer.
- Graduate of an accredited school of Nursing
- Must possess a current, unencumbered Registered Nurse License issued by the State.
- Minimum of 5 years related experience in a hospital, long-term care facility or other related health care facility, preferred.
PHYSICAL AND MENTAL DEMANDS:
- Must be able to push, pull, move and/or lift a minimum of 50 pounds.
- Must be able to stand and walk for long periods of time.
- Must be able to reach, stoop, kneel, bend, lift and move intermittently throughout the work day throughout the facility.
- Must be able to work outside of normal work hours including nights, holidays, and weekends as needed to meet facility and position demands. On call 24 hours per day, 7 days a week.
- Must be free of diseases that may be transmitted in the performance of job responsibilities during the stage of communicability.
- Must be able to relate to and work with ill, disabled, elderly, emotionally upset and at times hostile people within the facility.