Director of Nursing:
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 Service 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 the Medical Director, to make certain that the highest degree of quality care is always maintained.
Delegation of Authority: As 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 Medical Director, you are charged with carrying out the resident care policies established by this facility.
- Graduation from an accredited school of nursing
- BSN or Master’s in Nursing is preferred
- ACLS Certification
- Must have, as a minimum, three (3) years of experience as a supervisor in a hospital, nursing care facility, or other related health care facility.
- Plan develop organize, implement, evaluate, and direct the nursing department as well as program and activities
- Maintain written policies and procedures that govern the day-to-day functions of the nursing service department
- Make written and oral reports/recommendations to the Administrator, as necessary/required, concerning the operation of the nursing service department.
- Actively participate in an ongoing Quality Assurance and Performance Improvement Program for the nursing service department.
- Participate in facility surveys (inspections) made by authorized government agencies as necessary or as may be directed.
- Responsible for the clinical program Quality Assessment & Performance Improvement Committee in tracking and trending critical outcomes and developing and implementing appropriate plans of action to correct identified problem areas.
- Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.
- Monitor the facility’s Quality Measures, and survey reports. Assist in developing plans of action to correct potential or identified problem areas.
- Assist in the development, implementation and maintenance of an ongoing risk management program for the nursing service department
- Responsible to assist in development, implementation and periodically appropriate action plans to correct potential or identified risk problem areas.
- Actively participate or delegate responsibility in calculating the number of direct nursing care personnel on duty each shift. Report such information to the Administrator or his/her designee to ensure that accurate staffing information is posted and budgetary measures are met.
- Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.
- Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to the Administrator.
- Report any known or suspected unauthorized attempt to access facility’s information system.
- Serve on, participate in, and attend various committees of the facility as appointed by the Administrator.
- Evaluate and implement recommendations from established committees as they may pertain to nursing services.
- Follow the Pharmaceutical Services written policies and procedures for the administration, storage, and control of medications and supplies.
- Schedule, attend, and participate in developing the agenda for 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 necessary.
- Review the staffing needs of the nursing service department with the Administrator when necessary to meet the daily nursing needs of the residents.
- Recommend to the Administrator, the number and level of nursing personnel to be employed.
- Assist the Administrator and/or the HR Director in the recruitment and selection of nursing service personnel.
- Responsible for or delegate to appropriate staff members to schedule enough licensed practical and/or registered nurses for each tour of duty to ascertain that quality care is maintained.
- Responsible for or assign delegate to appropriate staff member to schedule a sufficient number of certified nursing assistants for each shift to ascertain that routine nursing care is provided to meet the daily nursing care needs of each resident.
- Make certain that all nurse aide trainees are under the direct supervision of a licensed nurse.
- 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.
- Complete performance evaluation per policy and timely. ((e.g., RNs, LPNs, CNAs, medication aides, etc.).
- Make daily rounds of the nursing service department to determine that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards.
- Review complaints and grievances made or filed by department personnel.
- Provide complaint/grievance reports to the Administrator as required or as may be necessary.
- Responsible that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.
- Assist the Infection Control Coordinator in establishing a TB management program for employees.
- Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility’s policies and procedures governing accidents and incidents.
- Terminate employment of personnel when necessary, documenting and coordinating such actions with the HR Director and/or Administrator.
- Report known or suspected incidents of fraud to the Administrator.
- Monitor that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines.
Nursing Care Functions:
- Participate in the interviewing and selection of residents for admission to the facility, including PASARR screenings.
- Provide the Administrator with information relative to the nursing needs of the resident and 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.
- Make rounds with physicians as necessary. Schedule physician visits as necessary and according to regulatory requirements.
- Encourage attending physicians to record and sign progress notes, physicians’ orders, etc., on a timely basis and in accordance with current regulations.
- Responsible to make certain that direct nursing care be provided by a licensed nurse, a CNA, and/or a nurse aide trainee qualified to perform the procedure.
- Periodically audit random 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 in accordance with the resident’s request.
- Monitor medication passes and treatment schedules to make certain that medications are being administered as ordered and that treatments are provided as scheduled.
- Provide direct nursing care as necessary.
- Delegate responsibility to supervisory nursing staff that residents who are unable to call for help are checked frequently.
- Develop and participate in the planning, conducting, and scheduling of timely in-service training classes that provide instructions on “how to do the job,” and maintain a well-educated nursing service department.
- Develop, implement, and maintain an effective orientation program that orients the new employee to the department, 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 the nursing supervisory staff to attend and participate in outside training programs. Schedule times as appropriate.
- Assist the Administrator in developing and revising the nursing assistant training curriculum if used by the facility. Submit to state agency for approval as required.
- Assist the In-service Director/Educator in developing annual facility in-service training programs (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.).
- 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 and/or are responsible for the development of in-service training programs for the nursing staff. Make certain that these programs meet the continuing education requirements that allow licensed personnel (e.g., RNs, LPNs, CNAs, etc.) to keep their licenses on an active status.
- Attend and participate in continuing educational programs designed to keep you abreast of changes in your profession, as well as to maintain your license current.