Alpine is a small memory care home with a census of around 40. This role combines MDS with leadership as Assistant Director of Nursing. Your hours will be split leading the clinical department as ADON and doing MDS. This is a small building and a great opportunity for leadership.
Purpose of Position
Assist the Director of Nursing in the overall management of the Department of Nursing. Responsible for the RAI process for each resident from start to end.
Supervisor Responsibilities
Receive administrative direction from the Director of Nursing.
Exercises administrative and functional supervision over nursing personnel as directed by the Director of Nursing.
Essential Job Functions
Assist the Director of Nursing Services in planning, developing, organizing, implementing, evaluating, and directing the day-to-day functions of the nursing service department, in accordance with current rules, regulations, and guidelines that govern the long-term care facility.
Participate in developing, maintaining, and updating our written policies and procedures that govern the day-to-day functions of the nursing service department.
Ensure that reference material (i.e., PDR'S, Federal and State Regulations, etc.) maintained at the nurses' stations is current. Recommend to the Director written material that will assist the nursing service department in meeting the day-to-day needs of residents.
Ensure that the Nursing Service Procedures Manual is current at all times and reflects the day-to-day nursing care procedures used by this facility.
Develop and periodically update nursing service objectives and statements of philosophy.
Assist in developing and implementing a nursing service organization structure.
Make written and oral reports/recommendations to the Director as necessary/ required, concerning the operation of the nursing service department.
Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions of policies, procedures, etc., to the Director of Nursing Services.
Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents' total regimen of care.
Ensure that all nursing service personnel are following their respective job descriptions. Participate in developing, maintaining, and periodically updating the written job descriptions for each level of nursing personnel in accordance with the Americans with Disabilities Act, OSHA, and other pertinent laws and regulations.
Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department.
Participate in facility surveys (inspections) made by authorized government agencies as requested by the administrator or director of nursing services.
Participate in developing, implementing, and periodically updating the resident's written discharge plan.
Assist the resident and Discharge Planning Coordinator in planning the nursing services portion of the resident's discharge plan.
Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.
In the absence of the Director, serve on, participate in, and attend various committees of the facility (i.e., Infection Control, Policy Advisory, Pharmaceutical, Budget, Quality Assurance & Assessment, etc.).
Serve on the Quality Assurance and Assessment Committee as directed.
Assist the Director in preparing written and/or oral reports of the nursing service programs and activities to submit to such committee(s).
Participate in the development, maintenance, implementation, and updating of the written policies and procedures for the administration, storage, and control of medications and supplies.
Schedule, attend, and participate in developing the agenda for the Care Plan Committee meetings as necessary.
Participate in regularly scheduled reviews of the discharge plans and make such plans available to the Care Plan Committee as required or as may be necessary.
Evaluate and implement recommendations from established committees as they may pertain to nursing services.
Assist the Director in determining the staffing needs of the nursing service department.
Recommend to the Director the number and level of nursing personnel to be employed.
Assist the Director in the recruitment and selection of nursing service personnel.
Ensure that a sufficient number of licensed practical and/or registered nurses are available for each tour of duty to ensure that quality care is maintained.
Ensure that a sufficient number of certified nursing assistants are available for each tour of duty to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident.
Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program.
Develop work assignments and schedule duty hours, and/or assist nursing supervisory staff in completing and performing such tasks.
Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse.
Schedule work assignments and duty hours.
Delegate to the Charge Nurses and Nurse Supervisors the administrative authority, responsibility, and accountability necessary to perform their assigned duties.
Assist the Director in preparing performance evaluations as directed.
Participate in the development and implementation of performance evaluations for the nursing service department.
Make routine rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report findings to the Director.
Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times. Report problem areas to the Director.
Monitor the professional nurses' licensing status to ensure that they remain current. Inform nurses at least 30 days in advance of their license expiration date.
Review complaints and grievances made or filed by department personnel. Make appropriate reports to the Director as required or as may be necessary.
Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.
Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as necessary.
Ensure that all nursing personnel participate in the facility's TB testing program.
Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accident and incidents.
Participate in the interviewing and selection of residents for admission to the facility, including the PASARR screenings.
Provide the Director with information relative to the nursing needs of the resident and to the nursing service department's ability to meet those needs.
Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc.
Ensure that rooms are ready for new admissions.
Greet newly admitted residents upon admission. Escort them to their rooms as necessary.
Make rounds with physicians as necessary.
Inform the Director when physician visits are not made in a timely manner.
Encourage attending physicians to record and sign progress notes, physicians' orders, etc., on a timely basis and in accordance with current regulations.
Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure.
Review nurses' notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident's response to the care, and that such care is provided in accordance with the resident's wishes.
Schedule daily rounds to observe residents and to determine if nursing needs are being met.
Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled.
Report medication errors to the Director.
Provide direct nursing care as necessary.
Report problem areas to the Director. Assist in developing and implementing corrective action.
Authorize the use of restraints when necessary and in accordance with our established policies and procedures.
Ensure that residents who are unable to call for help are checked frequently.
Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on "how to do the job," and ensure a well-educated nursing service department.
Develop, implement, and maintain an effective orientation program that orients the new employee to the facility, its policies and procedures, and to his/her job position and duties.
Provide leadership training that includes the administrative and supervisory principles essential for Nurse Supervisors/Charge Nurses.
Encourage Nurse Supervisors/Charge Nurses to attend and participate in outside training programs. Schedule times as appropriate.
Assist the Director in developing and revising the nursing assistant training curriculum used by the facility.
Assist the Director in planning and conducting universal precautions in-service training.
Assist the In-service Director/Educator in developing annual OSHA and CDC in-service training programs for hazard communication, TB management, and blood borne pathogens standard.
Assist the In-service Director/Educator in developing advance directive in-service training programs for the staff and community.
Assist support services in developing, implementing, and conducting in-service training programs that relate to the nursing service department.
Assist the In-service Director/Educator in the development of in-service training programs for the nursing staff. Ensure that these programs meet the continuing education requirements, which allow licensed personnel (e.g., RNs, LPNs, CNAs, etc.) to keep their license on an active status.
Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as wellas to maintain your license on a current status.
Assist the Safety Officer in developing safety standards for the nursing service department.
Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.
Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks.
Ensure that an adequate supply of personal protective equipment is on hand and readily available to personnel who perform procedures that involve exposure to blood or body fluids.
Monitor nursing service personnel to ensure that they are following established safety regulations in the use of equipment and supplies.
Ensure that nursing service work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner.
Ensure that all resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner.
Ensure that all nursing service personnel follow established departmental policies and procedures, including appropriate dress codes.
Ensure that nursing service personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner.
Assist the Infection Control Committee in the development, implementation, and revising of written aseptic…
