Assistant Director of Nursing
Company: Summit LTC
Location: Kingsland
Posted on: May 16, 2022
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Job Description:
Description:
POSITION SUMMARYWe are looking for an experienced Assistant
Director of Nursing to become a part of our facility's
compassionate care-giving team. The successful candidate will be
responsible for assuming responsibility and accountability for
assigned programs to ensure quality resident care and management of
the Nursing Department under the direction of the Director of
Nursing. We're looking for a highly competent and well-organized
professional who values safety, security and patient wellness above
all else. We focus on providing the best care possible while
ensuring patient satisfaction in every interaction. The Assistant
Director of Nursing is responsible for making sure those values are
reflected in his or her staff at all times.ESSENTIAL DUTIES AND
RESPONSIBILITIES include the following. Other duties may be
assigned.Assists with the day-to-day functions of the nursing
personnel in accordance with current rules, regulations, and
guidelines that govern the long-term care facility.Ensure that all
nursing personnel comply with the written policies and procedures
established by this facility.Periodically review the department's
policies, procedure manuals, job descriptions, etc. Make
recommendations for revisions.Meet with your nursing personnel, as
well as support personnel, in planning the shifts' services,
programs, and activities.Ensure that the nursing service personnel
comply with the company policies and procedures.Make written and
oral reports/recommendations concerning the activities of your
shift as required.Cooperate with other resident services when
coordinating nursing services to ensure that the resident's total
regimen of care is maintained.Ensure that all nursing service
personnel are in compliance with their respective job
descriptions.Participate in surveys (inspections) made by
authorized government agencies as may be requested.Periodically
review the resident's written discharge plan. Participate in the
updating of the resident's written discharge plan as
required.Assist in planning the nursing services portion of the
resident's discharge plan as necessary.Interpret the department's
policies and procedures to personnel, residents, visitors, and
government agencies as required.Admit, transfer, and discharge
residents as required per policies and procedures.Complete
accident/incident reports as necessary per policies and
procedures.Perform administrative duties such as completing medical
forms, reports, evaluations, studies, charting, etc., as
necessary.Complete and file required recordkeeping forms/charts
upon the resident's admission, transfer, and/or discharge.Encourage
attending physicians to review treatment plans, record and sign
their orders, progress notes, etc., in accordance with established
policies.Receive telephone orders from physicians and record on the
Physicians' Order Form.Transcribe physician's orders to resident
charts, medication cards, treatment/care plans, as required.Chart
nurses' notes in an informative and descriptive manner that
reflects the care provided to the resident, as well as the
resident's response to care.Record new/changed diet orders. Forward
information to the Dietary Department.Report all discrepancies
noted concerning physician's orders, diet change, charting error,
etc., to the Director of Nursing.Ensure that appropriate
documentation concerning unauthorized discharges is entered in the
resident's medical record in accordance with established
procedures.Perform routine charting duties as required and in
accordance with established charting and documentation policies and
procedures.Sign and date all entries made in the resident's medical
record.Ensure that an adequate supply of floor stock medications,
supplies, and equipment is on hand to meet the nursing needs of the
residents. Report needs to the Nurse Supervisor.Order prescribed
medications, supplies, and equipment as necessary, and in
accordance with established policies.Ensure that narcotic records
are accurate for your shift.Notify the Director of Nursing of all
drug and narcotic discrepancies noted in your shift.Review
medication cards for completeness of information, accuracy in the
transcription of the physician's order, and adherence to stop order
policies.Notify the attending physician of automatic stop orders
prior to the last dosage being administered.Dispose of drugs and
narcotics as required, and in accordance with established
procedures.Participate in employee performance evaluations,
determining your shift's staffing requirements, and making
recommendations to the Director of Nursing concerning employee
dismissals, transfers, etc.Inform the Director of Nursing of
staffing needs when assigned personnel fail to report to
work.Report absentee call-ins to the Director of Nursing.Review and
evaluate your department's work force and make recommendations to
the Director of Nursing.Develop work assignments and/or assist in
completing and performing such assignments.Provide leadership to
nursing personnel assigned to your unit/shift.Make daily rounds of
your unit/shift to ensure that nursing service personnel are
performing their work assignments in accordance with acceptable
nursing standards. Report problem areas to the Director of
Nursing.Meet with your shift's nursing personnel, on a regularly
scheduled basis, to assist in identifying and correcting problem
areas, and/or to improve services.Ensure that department personnel,
residents, and visitors follow the department's established
policies and procedures at all times.Develop and maintain a good
working rapport with inter-departmental personnel, as well as other
departments within the facility to ensure that nursing services and
activities can be adequately maintained to meet the needs of the
residents.Create and maintain an atmosphere of warmth, personal
interest and positive emphasis, as well as a calm environment
throughout the unit and shift.Turn in complaints and grievances to
Social Services Director.Ensure that disciplinary action is
administered fairly and without regard to race, color, creed,
national origin, age, sex, religion, handicap, or marital
status.Receive/give the nursing report upon reporting in and ending
shift duty hours.Inform appropriate 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.Participate
in the orientation of new residents/family members to the
facility.Make rounds with physicians as necessary.Requisition and
arrange for diagnostic and therapeutic services, as ordered by the
physician, and in accordance with our established
procedures.Consult with the resident's physician in providing the
resident's care, treatment, rehabilitation, etc., as
necessary.Review the resident's chart for specific treatments,
medication orders, diets, etc., as necessary.Make periodic checks
to ensure that prescribed treatments are being properly
administered by certified nursing assistants and to evaluate the
resident's physical and emotional status.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.Cooperate with and coordinate social and activity
programs with nursing service schedules.Notify the resident's
attending physician and next-of-kin when there is a change in the
resident's condition/death.Carry out restorative and rehabilitative
programs, to include self-help and care.Inspect the nursing service
treatment areas daily to ensure that they are maintained in a clean
and safe manner.Administer professional services such as;
catheterization, tube feedings, suction, applying and changing
dressings/bandages, packs, colostomy, and drainage bags,
glueometers, giving massages and range of motion exercises, care
for the dead/dying, etc.Obtain sputum, urine and other specimens
for lab tests as ordered.Take and record TPRs, blood pressures,
etc., as necessary.Monitor seriously ill residents as
necessary.Ensure that personnel providing direct care to residents
are providing such care in accordance with the resident's care plan
and wishes.Ensure that residents who are unable to call for help
are checked frequently.Meet with residents, and/or family members,
as necessary. Report problem areas to the Director of
Nursing.Assist in arranging transportation for discharged residents
as necessary.Ensure that discharged residents are escorted to the
pick-up area.Call funeral homes when requested by the family.
Ensure that established post-mortem procedures are followed.Assist
in standardizing the methods in which work will be
accomplished.Assist in training department personnel in identifying
tasks that involve potential exposure to blood/body fluids.Monitor
your assigned personnel to ensure that they are following
established safety regulations in the use of equipment and
supplies.Ensure that established departmental policies and
procedures, including dress codes, are followed by your assigned
nursing personnel.Assist the Director 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 an adequate supply of
personal protective equipment are on hand and are readily available
to personnel who perform procedures that involve exposure to blood
or body fluids.Ensure that your assigned work areas (i.e., nurse's
stations, medicine preparation rooms, etc.) are maintained in a
clean and sanitary manner.Ensure that your unit's resident care
rooms, treatment areas, etc., are maintained in a clean, safe, and
sanitary manner.Ensure that your assigned personnel follow
established hand-washing techniques in the administering of nursing
care procedures.Ensure that your assigned personnel participate in
and conduct all fire safety and disaster preparedness drills in a
safe and professional manner.Participate in the development,
implementation, and maintenance of the infection control program
for monitoring communicable and/or infectious diseases among the
residents and personnel.Ensure that your assigned personnel follow
established infection control procedures when isolation precautions
become necessary.Ensure that nursing personnel follow established
procedures in the use and disposal of personal protective
equipment.Participate in the development, implementation and
maintenance of the procedures for reporting hazardous conditions or
equipment.Ensure that all personnel wear and/or use safety
equipment and supplies (e.g., back brace, lifter, etc.) when
lifting or moving residents.Recommend to the Director of Nursing
the equipment and supply needs of your unit/shift.Ensure that an
adequate stock level of medications, medical supplies, equipment,
etc., is maintained on your unit/shift at all times to meet the
needs of the residents.Participate in the development and
implementation of the procedures for the safe operation of all
nursing service equipment.Ensure that only trained and authorized
personnel operate your unit/shift's equipment.Ensure that all
personnel operate nursing service equipment in a safe
manner.Monitor nursing procedures to ensure that nursing service
supplies are used in an efficient manner to avoid waste.Review care
plans daily to ensure that appropriate care is being
rendered.Inform the Director of Nursing of any changes that need to
be made on the care plan.Ensure that your nurses' notes reflect
that the care plan is being followed when administering nursing
care or treatment.Review resident care plans for appropriate
resident goals, problems, approaches, and revisions based on
nursing needs.Ensure that your assigned certified nursing
assistants (CNAs) are aware of the resident care plans. Ensure that
the CNAs refer to the resident's care plan prior to administering
daily care to the resident.Maintain the confidentiality of all
resident care information.Monitor nursing care to ensure that all
residents are treated fairly, and with kindness, dignity, and
respect.Ensure that all nursing care is provided in privacy and
that nursing service personnel knock before entering the resident's
room.Ensure that all nursing service personnel are knowledgeable of
the residents' responsibilities and rights including the right to
refuse treatment.Review complaints and grievances made by the
resident and make a written/oral report to the Director of Nursing
indicating what action(s) were taken to resolve the complaint or
grievance.Follow the facility's established procedures.Report and
investigate all allegations of resident abuse and/or
misappropriation of resident property.Ensure that nursing staff
personnel honor the resident's refusal of treatment request. Ensure
that such requests are in accordance with the facility's policies
governing advance directives.Must attend Care Plan meetings as
scheduled for residents.PM21.
Requirements:
QUALIFICATIONSTo perform this job successfully, an individual must
be able to perform each essential duty satisfactorily. The
requirements listed below are representative of the knowledge,
skill, and/or ability required. Reasonable accommodations may be
made to enable individuals with disabilities to perform the
essential functions.EDUCATION and/or EXPERIENCEHigh school diploma
or relevant qualification.Must possess, as a minimum, a Nursing
Degree from an accredited college or university, or be a graduate
of an approved LVN/RN program.Possession of a current valid Texas
driver's license or regular means of transportation to and from
work.One (1) year of experience as a nursing assistant in a skilled
rehabilitation, skilled nursing or Long-Term Care (LTC) environment
preferred.Experience with electronic medical records
preferred.KNOWLEDGE, SKILLS AND ABILITIESMust be capable of
operating a personal computer to enter resident data as required by
regulation and facility policy.Ability to read and comprehend
simple instructions, short correspondence, and memos.Ability to
apply common sense understanding to carry out instructions
furnished in written, oral, or diagram form.Ability to communicate
orally and in written form effectively with all levels of
employees, patients, families, and vendors.Ability to present
information in one-on-one and small group situations to employees,
patients, families, and vendors.Must be knowledgeable of nursing
and medical practices and procedures, as well as laws, regulations,
and guidelines that pertain to long-term care.Good understanding of
medical and pharmacological terminology.Ability to add and subtract
two digit numbers and to multiply and divide with 10's and 100's.
Ability to perform these operations using weight measurement,
volume, and distance.Excellent problem solving/analysis/judgment
skills and high level of attention to detail and accuracyBuilds and
maintains cooperative working relationshipsMust possess leadership
and supervisory ability and the willingness to work harmoniously
with professional and non-professional personnel.Establish and
maintain effective working relationships with clients, supervisors,
County employees, elected officials, law enforcement, other
agencies, and the public.Resourceful, dependable and
accountableAble to work a flexible schedule including evenings,
weekends, and holidays.CERTIFICATES, LICENSES, REGISTRATIONSMust
possess a current and active license to practice as an RN or LVN in
this state.PHYSICAL DEMANDS/ WORK ENVIRONMENTThe physical demands
described here are representative of those that must be met by an
employee to successfully perform the essential functions of this
job. Reasonable accommodations may be made to enable individuals
with disabilities to perform the essential functions.Physical
Requirements:Work requires physical activity including extended
periods of walking and standing with occasional climbing, reaching,
carrying, balancing, kneeling, crouching and bending.Must have the
ability to frequently lift and/or carry equipment, files, and other
materials weighing up to 50 pounds as well as push/pull up to 50
pounds of force with grip strength of 65 pounds.Ability to
transfer, and reposition a resident to or from a bed, wheelchair,
and use a mechanical lift, toilet, tub, shower, occasionally
varying degrees of pushing, pulling and lifting due to the
differences in resident weights.Must be able to assist in the
evacuation of residents during emergency situations.Must be able to
continuously perform simple manipulative dexterity tasks such as
the equipment listed above as well as safety pin buckles and tie
strings. Occasionally perform difficult manipulative tasks.Must be
able to detect the smell of smoke, spoiled food, soiled linen,
etc.The employee must be able to continuously hear normal sounds
and voice patterns with some background noise. Must have adequate
verbal instructions. Must be able to hear audible emergency
signals, alarms, call, light indicators and to be able to answer
the phone.Specific vision abilities required by this job include:
Must be able to continuously notice a change in the resident
(breathing, color, skin breakdown, etc.) Ability to focus and read
a thermometer.Visual abilities, correctable to normal ranges,
include close, distance and color vision, depth perception, and the
ability to adjust focus.The work environment characteristics
described here are representative of those employee encounters
while performing functions of this job. Reasonable accommodations
may be made to enable individuals with disabilities to perform the
essential functions.Work Environment:Work is performed indoors in a
health care facility.Work is performed during assigned shift;
however, hours will occasionally include varied days, hours,
holidays, weekends, and overtime as needed.The noise level in the
work environment is usually moderate, but can occasionally be loud.
Subject to frequent interruptions.Incumbents in this position may
be exposed to infectious/communicable diseases, blood borne
pathogens, and potential risk of injury from distraught
individuals.Frequent exposure to chemical compounds of medication
and treatments.Frequent exposure to microbial bacteria and other
infectious agents inherent to care of ill residents.Continuous
exposure to latex, Tyvex, plastic and/or materials which are used
for personal protective equipment.Stress of working with sick
residents and their families, combined with the resident who may be
confused, irrational, highly agitate mood swings.
(Frequently)Subject to involvement with personnel, visitors, state
and federal agency personnel and residents.Summit LTC is an equal
opportunity employer. All applicants will be considered for
employment without attention to race, color, religion, sex, sexual
orientation, gender identity, national origin, veteran or
disability status.PI177823610
Keywords: Summit LTC, Austin , Assistant Director of Nursing, Executive , Kingsland, Texas
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