General Purpose:
To manage the overall operations of the Nursing Department in accordance with Company policies, standards of nursing practices and governmental regulations so as to maintain excellent care of all residents' needs.
Essential Job Functions:
This facility expects their employees to promote an atmosphere of teamwork with other employees and hospitality and comfort for its residents. Therefore, the following list of duties is not all-inclusive:
Administrative Functions
Participate in facility surveys (inspections) made by authorized governmental agencies
In the absence of the Administrator and Assistant Administrator (if applicable), assume responsibility of the facility
Oversee the employee health program in cooperation with the Medical Director and Staff Development Coordinator
Monitor the Level of Care Reports, Dietary Consultant Reports, and Pharmacy Consultant Reports and take appropriate actions
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
Assume administrative authority, responsibility and accountability for all functions, activities, and training of the nursing department
Organize, develop, and direct the administration and resident care of the nursing service department Meeting Functions
Participate in Department Supervisor Meetings, Resident Care Plan Meetings, Budget Committee Meetings, Safety Committee Meetings, Quality Assessment and Assurance Committee Meetings, In-service Education, Family Council and any other meeting as directed by the Administrator
Meet monthly with staff on each shift
Meet daily with Director of Admissions/Marketing, Business Office Manager, and Administrator regarding admission and placement of proposed residents. Evaluate prospective residents in terms of the nursing service they need and the capability of the facility to supply the needed service
Participate in coordination of resident services through departmental and appropriate staff committee meetings
Meet monthly with nursing staff regarding Chart Audit and Physician's orders. Review audit with Medical Records prior to submitting to Administration Personnel Functions
Interview, orient, train, evaluate and supervise nursing department personnel
Delegate to nursing service supervisory personnel the administrative authority, responsibility, and accountability necessary to perform their assigned duties
Make daily rounds of the nursing department to verify that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards
Provide that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, disability, or marital status
Cooperate with the ADON to determine staffing requirements based on current needs and State and Federal guidelines
Provide appropriate departmental in-service education programs in compliance with Corporate, State and Federal guidelines
Work closely with Administrator in resolving grievances with nursing staff, family members, and residents Nursing Care Functions
Perform nursing services and deliver resident care services in compliance with Corporate policies and State and Federal regulations
Inform state of any reportable incidents within appropriate time frames. Complete investigative analysis as required
Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc
Greet newly admitted residents upon admission. Escort to room as necessary
Make rounds with physicians as necessary. Schedule physician visits as necessary
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 verify that medications are being administered as ordered and that treatments are provided as scheduled
Provide direct nursing care, as necessary
Regularly inspect the facility and nursing practices for compliance with federal, state, and local standards and regulations
Study Infection Control Reports, Medication Incident Reports and Resident Incident Reports for corrective action
Keep Administrator informed on a daily basis of nursing department functions, recommending changes in techniques or procedures for a more efficient operation
Promote favorable working conditions and relationships with administration, medical staff, consultants, other departments, residents, family members, volunteers, agencies, and any other individual or group affiliated with the facility
Review discharge summaries on a timely basis Safety and Sanitation
Monitor nursing service personnel to verify that they are following established safety regulations in the use of equipment and supplies
Provide that all nursing service personnel follow established departmental policies and procedures, including appropriate dress codes
Be on call for emergencies that supervisory personnel cannot handle
Assure proper handling and emergency care of residents, personnel, and visitors while on the job or in the building
Assure residents a comfortable, clean, orderly and safe environment
Comply with, support and enforce Company policies involving all safety and infection control procedures to include the proper use of mechanical lifts and gait belts Equipment and Supply Functions
Monitor stock level of medications, medical supplies, equipment, etc., to verify they are maintained on premises at all times to adequately meet the needs of the resident
Create and implement procedures for department equipment to be operated only by trained, authorized personnel in a safe manner
Develop and implement procedures for nursing supplies to be used in an efficient manner to avoid waste
Work closely with Central Supply to be sure changes are made on a timely basis and that inventory is current and medical-nursing supplies are adequate on the nursing stations Care Plan and Assessment Functions, Documentation
Verify that medical and nursing care is administered in accordance with the resident's wishes, including the implementation of advance directives
Assist with development of and approve final version of the Interdisciplinary Plan of Care for each resident in coordination with the physician, Medical Director, nursing staff, and outside consultants (i.e., nursing, dietary, pharmacy, therapists, etc.) and in accordance with corporate, state and federal guidelines
Confirm accurate completion of forms/reports for the admission, transfer and/or discharge of each resident including, but not limited to, the nursing portion of the PAE, Initial Nursing Assessment, Minimum Data Set (MDS), Resident Care Plan, and the Annual MDS
Review and verify that documentation procedures for nursing are met according to corporate, state and federal guidelines
Review nurses notes to confirm 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
Review Quality Indicator reports and submit to Vice President of Clinical Services on a monthly basis Budget and Planning Functions
Assist in preparing and planning the nursing service department's budget and submit to the Administrator for his/her review, recommendations, and/or approval
Recommend to the Administrator the equipment and supply needs of the nursing department
Be conscious of cost and attempt to provide quality staff for the nursing department within budgetary constraints Minimum Qualifications:
Registered nurse in good standing with required current state license
Significant technical experience and demonstrated leadership/management skills
Minimum two (2) years experience in geriatrics/long-term care
Restorative care philosophy, excellent professional skills (both assessment and hands-on), and good communication and organizational skills
Working knowledge of long-term care regulations
Relate positively and favorably to residents, families, and government regulators, and to work cooperatively with other employees at all levels
Relate to and work with the ill, disabled, elderly, emotionally upset, and at times hostile people within the facility
Basic computer knowledge and ability to learn computer software
Function independently, and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies
Perform the essential job functions of this job, with or without reasonable accommodation