Assistant Director of Nursing (ADON)

POSITION TITLE: Assistant Director of Nursing Services

QUALIFICATION STANDARDS:

• Knowledge, Skills and Abilities: Must be knowledgeable in and demonstrate the ability to provide a safe environment, emotional, physical and psychological support to residents. Must demonstrate knowledge and skills in filing systems, telephone techniques, typing reports and other correspondence. Must be at least 18 years of age.
  
  
  

Typical Physical Demand: Requires full range of body motion, manual and finger dexterity and hand-eye coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 75 pounds. Requires frequent bending, stooping or stretching, and sitting. Requires corrected vision and hearing to normal range. Requires working under stressful conditions or working irregular hours. Effective oral and written communication skills are required.

• Education: Graduate of an accredited school of nursing.
• Experience: Minimum of two (2) years clinical experience in a supervisory role in a long term care facility is preferred.
• Certificate/Licenses: (1) Pennsylvania RN license, (2) CPR or First Aide certification ideal and (3) Valid Pennsylvania driver’s license.
  
  
  

ESSENTIAL JOB FUNCTIONS: The employee must be able to perform, including but not limited to, these essential functions with or without a reasonable accommodation by the employer and without posing a direct threat to himself/herself or to others.

JOB DESCRIPTION EVALUATION:

• Assist the Director of Nursing Services in planning, developing, organizing, implementing, evaluating, and directing the day-to-day functions of the Nursing Department, in accordance with current rules, regulations, and guidelines that govern the long term care facility.
• Participate in developing, maintaining, and updating our written policies and procedures that govern the day-to-day functions of the Nursing Department.
• Ensure that all Nursing personnel are following their respective job descriptions. Participate in developing, maintaining, and periodically updating the written job descriptions for each
  
  
  

level of Nursing personnel in accordance with pertinent laws and regulations.

• Participate in facility surveys (inspections) from regulatory agencies as requested by the Administrator or Director of Nursing.
• Review all new admission charts to ensure all assessments are complete and correct; all medications and treatments are correct per physician orders including appropriate diagnoses; the resident care plan is initiated; the Nursing Assistant documentation is initiated.
• Create mandating schedule for nurses and nursing assistants.
• Review nursing assignment sheets for each nursing unit; ensure nursing staff are following assignments.
• Maintain the confidentiality of all resident care information, and ensure the respect of all residents’ privacy.
• Maintain the RN Report Sheet; ensure all information on the report is correct.
• Complete reports and audits timely: 802/672 (matrix and census and condition); Infection Control Log; Oxygen Log; Psychotropic Medication Log, Hospital Transfer Log, etc.
• Ensure all resident Event Reports are completed timely and signed by the Medical Director and log if necessary.
• Ensure quarterly assessments/recaps and other Charge Nurse assignments are completed timely.
• Review resident Hydration Book/Weight Book; ensure areas are complete and the physicians are notified when necessary.
• Review MARs/TARs and CNA books monthly for errors, blanks, etc. and address any discrepancies.
• Update Nursing schedules as necessary.
• Assistant in educating/disciplining Nursing personnel when necessary.
• Review Narcotic Shift to Shift books and Narcotic Reconciliation sheets for blanks and address as necessary.
• Prepare disciplinary notices for Nursing Department when necessary.
• Be able to organize work and prioritize.
• Attend necessary meetings, including mandatory inservices.
• Practice safe work habits.
• Perform LPN Charge Nurse or CNA functions as needed or directed.
• Problem solve all Nursing issues/concerns with Supervisors, Charge Nurses, Nursing Assistants. Notify the Director of Nursing of the concern and what you did to correct it
• Accountable for 24 hours of nursing care for a specific unit. Delegate tasks professionally and follow through with what was delegated.
• Maintain a professional manner with all residents, families, and coworkers.
• Ensure resident call bells are answered timely and Call Bell Audits are completed and submitted daily.
• Environmental Daily Rounds: resident appearance, infection control standards being followed, MARs not left open when unattended, med rooms are clean and organized, nurses’ station clean and organized, audits completed timely, Nurse Aide documentation completed correctly, all consults and recommendations are read and followed up with, labs are reviewed and on the chart.
• Dining Experience: all residents are positioned properly for meals, staff sitting to assist residents with meals, staff conversing with residents and not other staff, residents at the same table are served at the same time.
• Attend weekly Medicare Meetings, Care Plan Meetings, etc.
• Prepare all information needed to report to Corporate for any unplanned hospital transfers for Medicare residents and DOH reportables: face sheet, diagnosis sheet,physician orders, nurses’notes-past week, recent lab work, care plan.