Director of Nursing - Arkadelphia, United States - LongTerm Healthcare Facility
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Description
Purpose of Your Job PositionThe primary purpose of your job position is to plan, organize, develop, and direct the overall operation of our Nursing Department in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be required by the Administrator and Medical Director, to ensure that the highest degree of quality care is maintained at all times.
Delegation of AuthorityAs
Director of Nursing Services
you are delegated the administrative authority, responsibility, and ac- countability necessary for carrying out your assigned duties.
In the absence of the Medical Director, you are charged with carrying out the patient-care policies established by this facility.
Job FunctionsEvery effort has been made to identify the essential functions of this position.
However, it in no way states or implies that these are the only duties you will be required to perform.
The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an es- sential function of the position.
Duties and ResponsibilitiesAdministrative Functions
Plan, develop, organize, implement, evaluate, and direct the nursing services department as well as its programs and activities.
Maintain written policies and procedures that govern the day-to-day functions of the nursing service department and ensure that personnel comply with such policies and
Make written and oral reports/recommendations to the Administrator as necessary/required, concern- ing the operation of the nursing service department.
Assist in developing methods for coordinating nursing services with other patient services to ensure the continuity of the patients' total regimen of care.
Participate in the 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
Periodically review the patient's written discharge plan. Participate in the planning of the patient's writ- ten discharge plan as required.
Meet with the nursing staff, as well as support personnel, in planning the department's services, pro- grams, and
Interpret the department's policies and procedures to personnel, patients, visitors, and government agencies as required.
Perform administrative duties such as admitting, discharging, and transferring patients, completing medical forms, reports, evaluations, studies, charting, including I & A forms, , as necessary.
Serve on various committees and attend meetings of the facility (i.e., Infection Control, Policy Advi- sory, Pharmaceutical, Quality Assessment, ) as required.
Provide information to the Quality Assurance and Assessment Committee as
Participate in developing the agenda for the Care Plan Committee meetings as
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
Implement recommendations from established committees as instructed by the
Personnel Functions
Determine the staffing needs, and ensure that a sufficient number of licensed practical nurses and certi- fied nursing assistants are available for all shifts to ensure that quality care is
Develop work assignments, and scheduling for the nursing
Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing
Ensure that established policies and procedures, including dress codes, are followed by all departmental
Review complaints and grievances made or filed by department personnel. Make appropriate reports to the Administrator as required or as may be
Develop and maintain a good working rapport with inter-department personnel, as well as other depart- ments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the patients.
Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.
Ensure that departmental disciplinary action is administered
Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and
Interview prospective employees, hire new employees, maintain and carry out disciplinary programs, monitor attendance and job performance, carry out suspensions, and execute employment terminations for nursing department personnel.
Participate in the interviewing and selection of new patients, including PASARR screenings, providing the Administrator with a Nursing Assessment of the patient, and the department's ability to meet his
Greet newly admitted patients upon Escort them to their rooms as necessary.
Make rounds a minimum of twice
Ensure that attending physicians record and sign progress notes, physicians' orders, etc., on a timely basis and in accordance with current
Consult with the patient, his/her family, and the patient's physician in planning the patient's care, treat- ment, rehabilitation, etc., as
Review nurses' notes to ensure that they are informative and descriptive of the nursing care being pro- vided, that they reflect the patient's response to the care, and that such care is provided in accordance with the patient's
Provide direct nursing care as
Authorize the use of restraints when ordered by a physician as necessary and in accordance with our facilities policies and procedures.
Meet with patients, and/or family members, as
Staff Development Functions
Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on "how to do the job," ensure a well-educated nursing service department, and meet OSHA guidelines for required annual in-services.
Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current
Safety and Sanitation Functions
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
Ensure that personnel follow established procedures for the use and disposal of personal protective equipment, and established safety regulations in the use of equipment and
Ensure that all nursing service personnel comply with established departmental policies and
Ensure that nursing service work areas (i.e., nurses' stations, medicine preparation rooms, ) and patient care rooms, treatment areas, etc., are maintained in a clean and sanitary manner.
Ensure that nursing service personnel participate in and conduct all fire safety and disaster prepared- ness drills in a safe and professional manner.
Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary.
Participate in the development, implementation and maintenance of the procedures for reporting haz- ardous conditions or equipment.
Report missing/illegible labels and MSDSs to the safety officer or other designated
Equipment and Supply Functions
Recommend to the Administrator the equipment and supply needs of the
Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to meet the needs of the patient, and that supplies are used efficiently to avoid
Ensure that only trained and authorized personnel operate the nursing service department's equip- ment, and that they do so in a safe
Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service depart-
Care Plan and Assessment Functions
Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each patient that identifies the problems/needs of the patient, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care as
Encourage the patient to participate in the development and review of his/her care
Review patient care plans for appropriate patient goals, problems, approaches, and revisions based on nursing
Ensure that all personnel involved in providing care to the patient are aware of the patient's care
Ensure that nursing personnel refer to the patient's care plan prior to administering daily care to the
Review nurses' notes to determine if the care plan is being
Assist the Patient Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and
Review patient's medical and nursing treatments to ensure that they are provided in accordance with the patient's care plan and
Budget and Planning Functions
Adhere to departmental budget as
Suggest budget/planning changes to Administrator for the
Patient Rights Functions
Maintain the
confidentiality
of all patient care
Monitor nursing care to ensure that all patients are treated fairly, and with kindness, dignity, and re-
Ensure that all nursing care is provided in privacy and that nursing service personnel
knock
before entering the patient's room.
Ensure that all nursing service personnel are knowledgeable of the patients' responsibilities and rights including the right to refuse treatment, and adhere to all facility patient rights and privacy policies and procedures .
Review complaints and grievances made by the patient and make a written/oral report to the Director indicating what action(s) were taken to resolve the complaint or Follow facility's established procedures.
of patient property.
Ensure that nursing staff personnel honor the patient's refusal of treatment request, and that such requests are in accordance with the facility's policies governing advance directives.
Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses' sta- tions, patient rooms, etc.).
Is subject to frequent interruptions from patients, personnel, visitors, government agencies/ personnel, , under all conditions and circumstances.
Is subject to hostile and emotionally upset patients, family members, personnel, and
Communicates with the medical staff, nursing personnel, and other department
Works beyond normal working hours and on weekends and holidays when necessary, and is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, ).
Attends and participates in continuing educational
Is subject to injury from falls, burns from equipment, odors, , throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
TB, Covid variants, AIDS
and
Hepatitis B
viruses.
Maintains a liaison with the patients, their families, support departments, etc., to adequately plan for the patients' needs.
Education
A four-year Nursing Degree from an accredited college or university is
Experience
Must have experience as a supervisor in a hospital, long-term care facility, or other related health care
Must have training in rehabilitative and restorative nursing
Specific Requirements
Must possess a current, unencumbered, active license to practice as an RN in
Must work full-time hours of 40-hours per week minimum as required by state and federal
Must be able to read, write, speak, and understand the English
Must possess the ability to make independent decisions when circumstances warrant such
Must possess the ability to deal patiently, tactfully, with a cheerful disposition and enthusiasm with personnel, patients, family members, visitors, government agencies/personnel, and the general pub- lic based on whatever maturity level at which they are currently functioning.
Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.
Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, , that are necessary for providing quality care.
Must not pose a direct threat to the health or safety of other individuals in the
Must be willing to follow all company, state and regulatory policies related to Infection Control and Vaccination requirements.
Physical and Sensory Requirements
(With or Without the Aid of Mechanical Devices)
Must be able to move intermittently throughout the
Must be able to speak and write the English language in an understandable
Must be able to cope with the mental and emotional stress of the position due to relating to and working with the ill, disabled, elderly, emotionally upset, and, at times, hostile
Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully
Must function independently, and have flexibility, personal integrity, and the ability to work effectively with patients, personnel, and support agencies.
Must be able to push, pull, move, and/or lift a reasonable minimum of pounds to a reasonable height and be able to push, pull, move, and/or carry such weight a reasonable
May be necessary to assist in the evacuation of patients during emergency
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