Assistant Director of Nursing

Supervisory Responsibilities:

• The Assistant Director of Nursing Services is delegated the administrative authority,

responsibility, and accountability necessary for carrying out assigned duties. In the absence
of the Director of Nursing, the ADON is responsible for carrying out the resident care policies
established by this facility.

• Supervises the Nursing Department
• Has the ability to hire, discipline, assign, and apprise employees.

CUSTOMER SERVICE

• Demonstrates positive customer service when performing the role of the Assistant Director of

Nursing, with residents, family members, facility staff and medical staff.

• Displays flexibility, team spirit, compassion. respect honesty, politeness and accountability

when dealing with residents, family members and facility staff.

• Demonstrates an awareness of and sensitivity for resident's rights in all interfaces with

residents and family members.

• Communicates effectively via open, straightforward communication, including use of listening

skills and by accessing the appropriate chain of command.

• Seeks validation of knowledge base, quality, decision-making and skill level by actively

questioning when necessary.

• Participates in interdisciplinary communication activities; actively listens and actively

contributes.

Administrative Functions:

• Plan, develop, organize, implement evaluate, and direct the nursing service department, as

well as its programs and activities, in accordance with current rules, regulations, and
guidelines that govern the long-term care facility.

• Educate nursing staff on 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.

• Develop methods for coordination of nursing services with other resident services to ensure

the continuity of the residents' total regimen of care.

• Develop, implement and maintain an ongoing quality assurance program for the nursing

service department.

• Participate in facility surveys (inspections) made by authorized government agencies.
• Assist the Quality Assessment & Assurance Committee in developing and implementing

appropriate plans of action to correct identified deficiencies.

• Assist the resident and Discharge Planning Coordinator in planning the nursing service

portion of the resident's discharge plan.

• Perform administrative duties such as completing medical forms, reports, evaluations,

studies, charting, etc., as necessary.

Committee Functions:

• Serve on, participate in, and attend various committees of the facility (i.e., Infection Control, ,

Pharmaceutical, Quality Assessment and Assurance, 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

storage, and control of medications and supplies.

• 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 necessary.

• Evaluate and implement recommendations from established committees as they may pertain

to nursing services.

Personnel Functions:

• Determine the staffing needs of the nursing service department necessary to meet the total

nursing needs of the residents.

• Recommend the number and level of nursing personnel to be employed.
• Assist the Administrator and/or the Personnel Director in the recruitment and selection of

nursing service personnel.

• Assign a sufficient number of licensed practical and/or registered nurses for each day to

ensure that quality care is maintained.

• Assign a sufficient number of certified nursing assistants for each day to ensure that routine

nursing care is provided to meet the daily nursing care needs of each resident.

• Ensure 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.

• 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
standards.

• Monitor absenteeism to ensure that an adequate number of nursing care personnel are on

duty at all times.

• Complete CDC Infection Preventionist Certificate within 90 days of hire.
• 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.

• Ensure background checks on Nursing Service personnel are completed in accordance with

established procedures.

• Verify nursing license through Board of Nursing.
• Ensure that all CNA's credentials are verified through the State Nurse Aide Registry.
• Ensure that appropriate adverse personnel actions relative to CNA's employment criteria are

reported to the State Nurse Aide Registry.

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.
• Greet newly admitted residents upon admission. Escort to room as necessary.
• Make rounds with physicians as necessary. Schedule physician visits as necessary .
• Encourage attending physicians to record and sign progress notes, physicians' orders, etc.,

on a timely basis and in accordance with current regulations.

• Ensure that direct nursing care is provided by a licensed nurse, a CNA, and/or a nurse aide

trainee qualified to perform the procedure.

• Review progress notes to ensure that they are informative and descriptive of the nursing care

being provided, that they reflect

• the residents' response to the care and that such care is provided in accordance with the

resident's wishes.

• Monitor medication passes and treatment schedules to ensure that medications are being

administered as ordered and that treatments are provided as scheduled.

• Provide direct nursing care as necessary.
• Ensure that residents who are unable to call for help are checked frequently.

Staff Development

• 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 ensure a well-educated
nursing service 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 Nurse Supervisors/Charge Nurses.

• 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.
Care Plan and Assessment Functions:

• Assist in the development of 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.

• Encourage the resident and his/her family to participate in the development and review of the

residents' plan of care.

• Assist the Resident Assessment/Care Plan Coordinator 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 are aware of the resident's

care plan. Ensure that nursing personnel refer to the resident's care plan prior to
administering daily care to the resident.

• Review nurses' notes to determine if the care plan is being followed.
• Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising

the MDS, including the implementation of RAPs and Triggers.

• 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.

• Ensure that medical and nursing care is administered in accordance with the resident's

wishes, including the implementation of advance directives.

RESIDENT RIGHTS

• Maintain the confidentiality of all resident care information.
• Monitor nursing care to ensure 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 knock

before entering the resident's room.

• Ensure that all nursing service personnel are knowledgeable of the residents' responsibilities

and rights including the right to refuse treatment

• 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.
Follow facility's established procedures.

• Ensure that appropriate notices are given to residents before their room or roommate is

changed.

• Report and investigate all allegations of resident abuse and/or misappropriation of resident

property.

• Ensure that nursing staff personnel honor the resident's refusal of treatment request Ensure

that such requests are in accordance with the facility's policies governing advance directives.

• Ensure that the facility's policies and procedures governing advance directives are reviewed

with the resident and/or representative.

Education and Experience:

• Must possess, as a minimum, a Nursing Degree from an accredited college or university.
• A minimum, 1 years of experience as a supervisor in a hospital, long-term care facility, or

other related health care facility preferred.

• Must possess a current, unencumbered, active license to practice as a Registered Nurse in

this state.

• Must be able to read, write, speak, and understand the English language.
• Must possess the ability to make independent decisions when circumstances warrant such

action.

• Must possess the ability to deal tactfully with personnel, residents, family members, visitors,

government agencies/personnel, and the general public.

• Must be knowledgeable of nursing and medical practices and procedures, as well as laws,

regulations, and guidelines that pertain to long-term care.

• 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, etc., that are necessary for providing quality care.

• Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to

handle difficult residents.

• Must be willing to seek out new methods and principles and be willing to incorporate them

into existing nursing practices.

• Must be able to relate information concerning a resident's condition.

Physical Requirements:

• Must be able to move intermittently throughout the workday.
• Must be able to speak and write the English language in an understandable manner.
• Must be able to cope with the mental and emotional stress of the position.
• 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 met

• Must function independently, and have flexibility, personal integrity, and the ability to work

effectively with residents, personnel, and support agencies.

• Must meet the general health requirements set forth by the policies of this facility, which

include a medical and physical examination.

• Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at

times hostile people within the facility.

• Must be able to push, pull, move, and/or lift a minimum of 40 pounds to a minimum height of

waist height and be able to push, pull, move, and/or carry such weight a minimum distance of
20 feet

• Must be able to administer medications, treatments and resident care as needed.
• May be necessary to assist in the evacuation of residents during emergency situations.