Assistant DIRECTOR OF NURSING SERVICES
JOB DESCRIPTION
Universal Precautions Apply
NAME: DATE OF HIRE:
DEPARTMENT ASSIGNED: SUPERVISOR:
SHIFT ASSIGNMENT: DUTY HOURS:
PURPOSE OF YOUR JOB POSITION
The primary purpose of your job position is to plan, organize, develop and direct the overall operation of our
Nursing Services Department in accordance with current Federal, State, and local standards, guidelines, and regulations that govern our facility, and as may be directed by the Administrator and Medical Director, to ensure that the highest degree of quality care is maintained at all times.
DELEGATION OF AUTHORITY
As the Assistant Director of Nursing Services, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. In the absence of the Director of Nursing , you are charged with carrying out the resident care policies established by this facility.
JOB FUNCTIONS
Every effort has been made to keep your job description as complete as possible. However, it in no way states or implies that they 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 a logical assignment to the position
MAJOR DUTIES AND RESPONSIBILITIES
ADMINISTRATIVE FUNCTIONS
Plan, develop, organize, implement, evaluate, and direct the Nursing Services Department, as well as its programs and activities, in accordance with current rules, regulations, and guidelines that govern the long-term care facility.
Develop, maintain, and periodically update written policies and procedures that govern the day-to-day functions of the nursing service department.
Develop, maintain, and periodically update the Nursing Service Procedures Manual.
Develop methods for coordination of nursing services with other resident services to ensure the continuity of the residents’ total regimen of care.
Develop, maintain, and periodically update written job descriptions for each level of nursing personnel.
Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.
Maintain a reference library of written nursing material (i.e., PDR’s, Federal and State Regulations, etc.,) that will assist the nursing service department in meeting the day-to-day needs of the residents.
Participate in ongoing quality assurance program for the nursing service department.
Assist the Administrator and Discharge Planning Coordinator in developing, implementing and periodically updating the written procedures for the Discharge Planning Program.
Assist the Discharge Planning Coordinator in planning the nursing services portion of the resident’s discharge plan.
Participate in survey (inspections) made by authorized government agencies.
Make written and oral reports/recommendations to the Administrator, as necessary/required concerning the operation of the Nursing Services Department
COMMITTEE FUNCTIONS
Serve on, participate in, and attend various committees of the facility (i.e., Infection Control, Policy Advisory,
Pharmaceutical, Budget, etc.,) as required, and as appointed by the Administrator.
Provide written and/or oral reports of the nursing service programs and activities as required, or as may be directed by such committee(s).
Assist the Pharmaceutical Services Committee in developing, maintaining, implementing and periodically updating written policies and procedures for the administration, storage, and control of medications and supplies.
Participate in regular scheduled reviews of the Discharge Plans and make such plans available to the Utilization Review
Committee as required or as may be necessary
Attend and participate in the Utilization Review Committee functions as required or as may be necessary
Evaluate and implement recommendations from established committees as they may pertain to nursing services.
Attend department and staff meetings.
Participate in the Interdisciplinary Care Planning Committee
PERSONNEL FUNCTIONS
Determine the staffing needs of the nursing services department necessary to meet the total nursing needs of the residents.
Recommend the number and level of nursing personnel to be employed.
Assign a sufficient number of nursing assistants for each tour of duty to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident.
Develop work assignments and schedule duty hours, and/or assist nursing supervisory staff in completing and performing such tasks.
Delegate to nursing service supervisory personnel the administrative authority, responsibility, and accountability necessary to perform their assigned duties.
Develop, maintain, and periodically update the written procedure for ensuring that professional nursing personnel, including private duty nurses, have valid and current licenses as required by this State.
Make daily rounds of the nursing services department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards.
Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times.
Recruits, interviews and selects nursing service personnel.
Counsel/discipline nursing personnel as necessary.
Terminate employees when necessary, documenting and coordinating such action with the Administrator.
Review complaints and grievances made or filed by department personnel.
Make appropriate reports to the Administrator as required or as may be necessary.
Ensure that disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.
NURSING CARE FUNCTIONS
Participate in the interviewing and selection of residents for admission to the facility.
Provide the Administrator with information relative to the nursing needs of the resident and the nursing services department’s ability to meet those needs.
Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc.
Greet newly admitted residents upon admissions.
Review nurses’ notes to ensure that they are informative and descriptive of the nursing care being provided and that they reflect the resident’s response to the care.
Make rounds with physicians as necessary.
Encourage attending physicians to record and sign progress notes, physicians’ orders, etc., on a timely basis and in accordance with current regulations.
Schedule daily rounds to observe residents and to determine if nursing needs are being met.
Monitor medication passes and treatment schedules to assure that medications are being administered as ordered and that treatments are provided as schedules.
Provide direct nursing care as necessary.
Authorize the use of restraints when necessary and in accordance with our established policies and procedures.
STAFF DEVELOPMENT
Develop and participate in the planning, conducting, and scheduling of timely in-service training classes that provides instructions on “how to do the job”, and ensures a well-educated nursing services 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 Charge/Staff
Nurses.
Encourage the nursing supervisory staff to attend and participate in outside training programs. Schedule times as appropriate.
Assist support services in developing, implementing, and conducting in-service training programs that relate to the nursing services department.
Attend and participate in continuing educational programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.
SAFETY AND SANITATION
Monitor nursing service personnel to assure 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.
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 and isolation techniques.
Develop, implement and maintain a program for monitoring communicable and/or infectious diseases among the residents and personnel.
Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary.
Develop, implement, and maintain a procedure for reporting hazardous conditions or equipment.
Ensure that nursing service personnel follow Universal Precautions.
EQUIPMENT AND SUPPLY FUNCTIONS
Recommend to the Administrator the equipment and supply needs of the department.
Assure that a stock level of medications, medical supplies, equipment, etc., is maintained on the premises at all times to adequately meet the needs of the residents.
Develop and implement procedures for the safe operation of all nursing service equipment.
Ensure that only trained and authorized personnel operate the department’s equipment.
Ensure that all personnel operate nursing service equipment in a safe manner.
Develop and implement procedures that ensure nursing service supplies are used in an efficient manner to avoid waste.
CARE PLAN AND ASSESSMENT FUNCTIONS
Develop preliminary and comprehensive assessments of the nursing needs of each resident.
Develop a written plan of care (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care.
Insofar as practical, encourage the resident to participate in the development and review of his/her plan of care.
Assist in the scheduling of care plans and assessments to be presented and discussed at each committee meeting.
Ensure that all personnel involved in providing care to the resident is aware of the care plan and that care plans are used in administering daily care to the resident.
Review nurses’ notes to determine if the care plan is being followed.
Review and revise care plans and assessments as necessary, but at least quarterly.
Develop and maintain a good rapport with all services involved with the care plan to ensure that a team effort is achieved in developing a comprehensive plan of care.
BUDGET AND PLANNING FUNCTIONS
Participates in the planning of the Nursing Department’s budget.
Keep abreast of economic conditions/situations, and recommend to the Administrator adjustments in nursing services that ensure the continued ability to provide quality care.
Recommend to the Administrator the equipment needs of the nursing service department.
RESIDENTS’ RIGHTS FUNCTIONS
Maintains the confidentiality of all resident care information.
Monitors nursing care to assure 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 knocks before entering the resident’s room.
Ensure that all nursing service personnel are knowledgeable of the residents’ rights.
Review complaints and grievances made by the resident and make a written/oral report to the Administrator indicating what action(s) were taken to resolve the complaint or grievance.
Maintain a written record of the residents’ complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint.
ACKNOWLEDGEMENT
I have read this job description and fully understand the requirements set forth therein. I hereby accept the position of Director of Nursing Services and agree to abide by the requirements set forth and will perform all duties and responsibilities to the best of my ability. I understand that as a result of my employment, I may be exposed to the AIDS and Hepatitis B viruses.
I further understand that my employment is at-will, and thereby understand that my employment may be terminated at-will by the facility or myself with or without notice.
_______________________ __________________________________________
Date Signature – Director of Nursing Services
_______________________ __________________________________________
Date Signature - Administrator
Job Type: Full-time
Pay: $50,000.00 - $129,968.25 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
License/Certification:
Work Location: In person
