Assistant Director of Nursing

ESSENTIAL DUTIES & RESPONSIBILITIES:

• Supervises and is responsible for other nurse leaders, managers, supervisors, as

well as licensed professionals and para-professionals within the nursing
department. Ensure they follow established departmental policies and
procedures.

• Adheres to master staffing plan.
• Works as needed, schedule to be flexible, as approved by the Director of Nursing

and the Administrator.

• Assumes all responsibilities of the Director of Nursing in their absence.

Familiarity of these functions is achieved through close association and constant
communications regarding such responsibilities on a day to day basis with the
Director of Nursing.

• Directs and supervises the implementation of resident care policies.
• Plans, organizes, implements, evaluates, coordinates and directs an effective

infection control program in accordance with all policies and regulations, as
applicable per facility roles.

• Serves as Workers Compensation Coordinator, as applicable, per facility roles.
• Coordinates pharmacy services.
• Participates in MDS/CMI management.
• Issues appropriate preliminary disciplinary action to nursing staff as needed.
• Mediates family, visitor and staff concerns.
• Assumes role of shift supervisor in the absence of such.
• Maintains resident rights.
• Maintains HIPAA, privacy, security and confidentiality standards.
• Follows all established policies and procedures.
• Maintains Corporate Compliance standards and annual training.
• Follows safety procedures by keeping areas free of hazardous conditions.
• Is economical and careful with supplies and equipment.
• Attends all required in services/trainings.
• Comes to work as scheduled and consistently demonstrates dependability and

punctuality.

• Comes to work in neat, clean attire and consistently presents an appropriate

professional appearance.

• Performs any other necessary duties as assigned by the Director of Nursing or

Administrator.

• Continually exhibits and fosters a spirit of teamwork, positive attitude and conflict

resolution among co-workers.

• Performs duties with measured accuracy and timeliness.
• Sets high standards, seeking to “raise the bar”, exhibits commitment to strive for

and exceed expectations.

• Identifies actual or potential problems and devises an action plan for resolution,

implements solutions and monitors outcomes using judgement skills to choose
the best course of action.

• Effectively communicates, assists and cooperates with other personnel and

interdisciplinary teams. Exhibits an attitude of helpfulness, team spirit and
support to all team members.

• Acts as a source of direction to visitors, staff and external populations.
• Represents the organization professionally.
• Interacts positively with residents, family members and visitors under a variety of

conditions and circumstances.

• Promptly reports all needs and concerns to the Director of Nursing or

Administrator.
Regulatory Compliance:

• Reports all reportable diseases and rates of infection over threshold to the NYS

Department of Health as per policy/regulation.

• Participates in NYS Department of Health and Federal Surveys.

Care and Treatment of Residents:

• Reports to the Director of Nursing to convey resident status and other conditions

related to the nursing department.

• Reviews the 24-hour report. Obtains a report of resident’s condition from rounds

on the nursing units, and reports pertinent information to the Director of Nursing.

• Review all laboratory reports, making notation of all abnormal results and

assuring that the attending physician (provider) is to be notified.

• Initiates and compiles infection surveillance forms, as indicated by abnormal

culture and sensitivity reports to ensure treatment and resolution of said infection.

• Reviews all resident incident reports, giving recommendations for prevention and

other actions as deemed necessary.

• Monitors changes in resident’s condition and addresses any other circumstances

that warrant attention.

• Attends resident comprehensive care planning meeting as requested.
• Attends meetings as required or invited, ie: morning meeting, skin, A&I, antibiotic

stewardship, etc.

• Ensures that all infection control precautions and aseptic techniques are

practiced appropriately, taking corrective action when needed.

• Makes rounds to nursing units for purpose of case findings, review of sanitation

procedures and supervises isolation/precaution practices.

• Performs investigations of nosocomial infections. Traces possible sources of

infection in the facility. Institutes appropriate actions to confine infections, as
applicable per facility roles.

• Assists in developing and implementing guidelines for decontamination and

sterilization in the facility.

• Reviews and analyzes infectious disease laboratory reports and consults with

Director of Nursing to ensure appropriate techniques are being utilized.

• Personally, greets new admissions on the next business day following admission.

Quality Assurance Performance Improvement:

• Attends QAPI meetings as an active member.
• Prepares assigned reports for QAPI meetings.
• Contributes to facility Quality Assurance Performance Improvement initiatives.
• Provides leadership and commitment to improving the use of safe and

appropriate antibiotics in the facility (Antibiotic Stewardship).

• Assures the quality assessment and the utilization of acceptable surveillance

definitions and guidelines for infection monitoring and identifies situations where
antibiotics should not be used.

• Assures adherence to tracking and monitoring antibiotic prescribing.
• Provides educational resources and materials to clinical providers, nursing staff,

residents and families to learn about antibiotic resistance and opportunities for
improving antibiotic use.

• Maintains a written record of all nosocomial infections.
• Prepares monthly summaries of resident/personnel infections, corrective action

taken, and results of corrective action.

REQUIRED SKILLS & ABILITIES:

• Proficiency in various computer programs, applications, electronic

communications, electronic medical records.

• Must possess strong knowledge regarding state, federal and local regulations as

they pertain to long term care.

• Must be able to communicate in English, both verbally and in writing, and

possess sufficient communication skills to perform the tasks required.

• Excellent written and oral communication skills
• Strong leadership and mentoring skills
• Effective problem-solving skills
• Ability to promote a positive, conducive and efficient work environment
• Ability to interact and communicate in a professional and effective manner with

various levels of staff, professionals, agencies, family members