Assistant Director of Nursing (Resident Care Director/Educator) (3835)

Job DetailsJob Location: Orange, VA 22960Position Type: Full TimePOSITION SUMMARY Assists the Director of Nursing with the day-to-day operations, functions and activities of the nursing department, in accordance with all federal, state, and local standards, guidelines, and regulations that govern the facility.

ESSENTIAL FUNCTIONS Supports and participates in developing a cohesive nursing team throughout the facility by leading, motivating and supporting staff in daily operation.

Supports a positive and professional image through leadership activities that emulate the organization’s mission statement and encourages a spirit of cooperation and teamwork.

Ensures that a sufficient number of nursing personnel and/or Registered Nurses are available for each shift to ensure that quality care is maintained. Communicates staffing needs to the scheduling coordinator and Director of Nursing. Supervises and directs nursing department staff.

Initiates and executes constructive discipline and performance evaluations in accordance with established policies and procedures. Oversees staff education and in-service programs for the facility.

Oversees, monitors, tracks, and administers Tuberculosis Screening and/or TSTs and annual influenza vaccines for staff to ensure regulatory compliance. Ensures corrective action has been completed on medical record audits and consultant reports.

Completes routine rounds on all shifts to assess residents and to determine if their needs are being met in accordance with standards of care, resident requests, and resident rights and ensure nursing service personnel are performing their work assignments in accordance with acceptable nursing standards at all times.

Responsible for all resident care programs: Incident & Accident, Infection Control, Wound Care, Coumadin, QAPI, Safety, Incontinence, Restorative, Labs, Pharmacy Requisitions, TB, etc. Ensures that all admissions and re-admissions are processed in accordance with federal, state, local and facility guidelines and policies.

Reviews all Admissions Checklists for completeness and accuracy. Reviews unit 24 hour report daily and supervises/coordinates nursing services and care plan interventions.

Reviews resident medical records as directed to ensure compliance with state and federal regulations and to comply with company policies and procedures.

Randomly reviews nurses’ notes to ensure they are informative and descriptive of the nursing care being provided, that they reflect the residents’ response to the care provided, and that such care provided is in accordance with resident wishes.

Addresses clinical issues, goes on rounds and ensures Unit Manager follow up is complete.

Participates in the development of a written plan of care (initial, acute and comprehensive) for each resident from the MD orders that identify the problem/need of the resident; indicate the care to be given, goals to be accomplished and which professional service is responsible for each element of care.

Reviews individual care plans to ensure for appropriate patient problem statements, goals, interventions/approaches, and revisions based upon patient needs. Ensures that all personnel involved in providing care to the patients are aware of the patient’s care plan.

Ensures that nursing personnel refer to the plan of care prior to administering daily care to the residents. Serves as a contact for the patients/family to addresses any concerns, complaints, grievances the resident or their family may have; or elevate them to the appropriate level.

Spot checks that CNA documentation is accurate and complete; providing 1:1 education as appropriate. Ensures that all licensed Nurses comply with written procedures for the administration, storage and control of medications (including narcotics) and supplies.

Spot checks and observes medication pass, treatments and documentation to ensure compliance with applicable regulations and policies. Provides nursing support on the units and directs care as necessary.

Assists Unit Managers, House Supervisors and Charge Nurses in assessment of resident conditions and notifications as necessary. Provides direct care as necessary to cover absences, vacations, or other staffing challenges. Participates in the on-call rotations as directed.

Performs administrative duties such as completing medical reports and forms, evaluations, studies, charting, etc., as necessary and directed. Inspects the nursing service areas (stations, med rooms, supply rooms, etc.) to ensure that they are maintained in a clean, sanitary, organized and safe manner.

Attends mandatory in-services and facility/department meetings as required. Ensures that all OSHA and safety standards are followed in accordance with federal and state regulations, and facility policies and procedures.

Maintains safe and clean work area and adheres to location/company safety standards for the healthcare professional.

Complies with, and ensures that facility staff complies with all Infection Control, Universal Precautions and OSHA Standards for the healthcare professional in accordance with federal, state, local and facility regulations, policies and procedures.

Adheres to and ensures compliance to established HIPAA confidentiality standards of patient and client location information.

Actively develops and maintains good working relationships with all nursing facility staff and sets an example of positive feeling, calm and professionalism for staff members, patients and family members.

Assists in the oversight of the Nursing Policy and Procedure Manual with the Director of Nursing (writing new and revising old). Assists with Nursing Orientation.

Responsible for PPD monitoring of all new hires (ensuring 2 step process completed), annual testing of all staff, and reporting results to the Employee Relations Coordinator for tracking purposes. Manages medication Prior Authorizations. Acts as a liaison for staff with Remedi pharmacy.

Assists with the oversight of the QAPI committee with the Director of Nursing. Maintains 24 hour reports and reviews for matters needing resolution. Completes facility wide quality audits and in-services as assigned. Assists with the care planning process.

Clinical oversight of nursing as it relates to Best Practice, including constant presence on the units to observe care and documenting performance. Participates in on call rotation with the Director of Nursing (every other week).

MARGINAL FUNCTIONS Assists in providing information to staff regarding patient rights, facility policies, and changes to state, federal, OSHA, CDC, and other regulations as needed or requested. Participates as directed or as needed in the recruitment, interview and hire of nursing personnel.

Assists with monthly chart audits, MARS, and TARS as assigned. Assists with or completes performance counseling of staff when necessary. Attends and actively participates in charge nurse and CNA meetings.

Attends and participate in continuing education programs as identified or required in order to maintain professional competence and comply with federal, state, local or facility policies and regulations. Attends and participates in meetings, committees, or workgroups as directed or as assigned.

Oversees Relias with the assistance of the Scheduling Coordinator as needed. Other related duties as needed or assigned.

Qualifications

QUALIFICATIONS Education/Certifications: Current, un-restricted, valid licensure as a Registered Nurse issued by the Commonwealth of Virginia Department of Health Professions or enrolled in RN school. Current CPR certification (must be obtained within 30 days of hire if not already certified).

Experience: Three to five (3-5) years nursing experience, preferably in a long-term care facility. Six (6) months previous supervisory experience preferred. Working knowledge of Microsoft Office software, including Word, Excel, and Outlook. Previous experience with electronic medical records software preferred.

Skills: Ability to react calmly and professionally in complex or difficult situations. Ability to prioritize tasks, make decisions, delegate duties, and manage multiple objectives, projects, and deadlines while maintaining a professional demeanor.

Ability to communicate clearly and effectively, both verbally and in writing, with residents/patients, staff, family members, vendors, suppliers, and other contacts, both inside and outside the facility.

Must exhibit patience and a positive attitude towards the elderly population and a desire to provide a service to the community. PHYSICAL DEMANDS AND REQUIREMENTS Ability to stand, walk, sit, stoop, bend, and reach for extended periods.

Ability to lift up to 20 pounds frequently (up to 66% of the time spent in performance of duties) and up to 35 pounds occasionally (up to 33% of the time spent in performance of duties). Manual dexterity that allows grasping, carrying and holding equipment and supplies or for resident care as needed to perform tasks.

Ability to see, hear, and verbally communicate in the performance of duties. DISCLAIMER The above listing is a brief summary of the nature and scope of duties and is not intended to be a comprehensive listing of all tasks and responsibilities of the position described.

The Facility Administration reserves the right to add, change, delete, or otherwise modify this description, including Essential Functions, at its sole discretion without further permission or authority required.