What are the responsibilities and job description for the Director of Nursing position at Coffman Nursing Home?
Director of Nursing - DON
Monday - Friday 8:00 a.m. - 4:30 p.m.
Salaried Exempt Position
Salary is Negotiable
**MUST BE A REGISTERED NURSE**
SUMMARY:
The primary purpose of this position is to plan, organize, develop, and direct the overall operation of the nursing services department in accordance with current federal, state, and local standards, guidelines, and regulations that govern the facility and as directed by the Administrator and the Medical Director to ensure that the highest degree of quality care is maintained at all times.
DELEGATION OF AUTHORITY:
As the Director of Nursing, you are delegated the administrative authority, responsibilities, and accountability necessary for carrying out your assigned duties.
EMPLOYMENT AT WILL:
Employment with Fahrney-Keedy is “at will.” Either the associate or Fahrney-Keedy may terminate the employment relationship for any reason at any time without notice, regardless of the length of employment or the granting of benefits of any kind, including but not limited to benefits which provide for vesting based on length of service.
CONFIDENTILITY:
Fahrney-Keedy associates recognize that Fahrney-Keedy has and will have information regarding financial, personal, and medical affairs and other vital information (collectively, “information”) which are valuable, special, and unique assets of Fahrney-Keedy. Associates agree that they will not at any time or in any manner solicit, collect, or divulge any Information to any third party without the prior written consent of Fahrney-Keedy. This information is Company property which may not be disclosed outside the facility unless properly released for publication. Associates will protect the Information and treat it as strictly confidential. Associates should not discuss Fahrney-Keedy affairs with others
JOB FUNCTION:
Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.
ESSENTIAL DUTIES & RESPONSIBILITIES:
RATINGS:
3 = Exceeds Expectations
2 = Meets Expectations
1 = Needs Improvement
ANNUAL EVALUATION
DATE:
____/____/____
NOTES
ADMINISTRATIVE FUNCTIONS
Collaborates with other health care professionals including consultants, government agencies and advocacy groups in the development and support of resident care, administrative functions, and facility mission.
Develops and maintains nursing policies and procedures that conform to current standards of nursing practice, facility mission, and state and federal regulations.
Maintains knowledge of all current state and federal regulations and facility policies.
Provides fiscal oversight and management of the nursing department.
Provides direct nursing care as necessary including clinical care and resident assessments.
Assigns enough GNA's for each shift to ensure that routing nursing care is provided to meet the daily nursing care needs of each resident.
Assists Human Resources in developing performance evaluation schedules, criteria, and annual reviews for the nursing services department.
Develops and implements a nursing services organizational structure.
Develops methods for coordinating nursing services with other resident services to ensure the continuity of resident care.
Develops, maintains, and periodically updates written job descriptions for each level of nursing staff in accordance with pertinent laws and regulations.
Develops, maintains, and periodically updates written facility policies and procedures that govern the day-to-day functions of the nursing services department.
Reviews facility policies at least annually.
Maintains a reference library of written nursing material (Physician's Desk Reference (PDR), regulations, standards of practice, etc. that will assist nursing services in meeting the day-to-day needs of the resident.
Participates in facility surveys (inspections) made by authorized government agencies.
Performs administrative duties such as completing forms, compiling reports, producing, and approving evaluations, studies, etc.
Oversees and monitors facility's abuse prevention program.
Plans, develops, organizes, implements, evaluates, and directs the nursing services department as well as its programs and activities in accordance with current rules, regulations, and guidelines that govern nursing care facilities.
Participates in team meetings as directed such as Care Plan Committee meetings, QAPI Committee, Risk Management and Safety Committee, etc.
NURSING CARE FUNCTIONS
Ensures residents receive individualized care that is culturally competent and based on resident preferences.
Assigns sufficient Geriatric Nursing Assistants (GNA's) for each shift to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident.
Ensures nursing staffs' performance evaluations are completed on time.
Determines the staffing needs of the Nursing department necessary to meet the total nursing needs of the resident population including specific skills identified in the facility assessment.
Develops work assignments and schedule staff hours; ensures required staff ratio postings are completed.
Ensures that disciplinary actions involving GNA's and Nurses are reported to the State agencies indicated for incidents determined to substantiate abuse allegations.
Makes daily rounds of the nursing services department to ensure that all nursing services staff are performing their work assignments in accordance with acceptable nursing standards.
Reports occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents.
Reviews complaints and grievances made or filed by department staff; develops action plans, as necessary.
Attends continuing education programs to remain knowledgeable with current regulations and nursing best practices.
SAFETY & INFECTION CONTROL:
RATINGS:
3 = Exceeds Expectations
2 = Meets Expectations
1 = Needs Improvement
ANNUAL EVALUATION
DATE:
____/____/____
NOTES
Reports all accidents and incidents according to policies and procedures.
Follows established safety policies and procedures.
Reports any suspected conditions that may be communicable or infectious.
Ensures that the resident environment remains as free of accident hazards as much as possible and that residents receive adequate supervision and assistive devices to prevent accidents.
Ensures that nursing staff follow established infection prevention and control procedures.
Recommends to the Administrator the equipment and supply needs of the department to meet the needs of the resident population as identified in the annual facility assessment.
Prepares and plans the nursing services department's budget and submits to the Administrator for review, recommendations, and/or approval.
Recommends to the Administrator the equipment and supply needs of the nursing department.
WORKING ENVIRONMENT:
The work environment characteristics described here are representative of those an employee may encounter while performing the essential duties of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
I have read this job description and fully understand that the requirements set forth therein have been determined to be essential to this position. I hereby accept the position and agree to perform the tasks outlined in the job description in a safe manner and in accordance with the facility's established procedures. I understand that because of my employment, I may be exposed to blood, body fluids, infectious diseases, air contaminants and hazardous chemicals and that the facility will provide to me instructions on how to prevent and control such exposures. I further understand that I may also be exposed to the Hepatitis B Virus and that the facility will make available to me, free of charge, the Hepatitis B vaccination. I also understand I may not release/disclose protected health or facility information without proper authorization.
I understand that my employment is at-will, and thereby understand that my employment may be terminated at will either by the facility or myself, and that such termination can be made with or without notice.
Monday - Friday 8:00 a.m. - 4:30 p.m.
Salaried Exempt Position
Salary is Negotiable
**MUST BE A REGISTERED NURSE**
SUMMARY:
The primary purpose of this position is to plan, organize, develop, and direct the overall operation of the nursing services department in accordance with current federal, state, and local standards, guidelines, and regulations that govern the facility and as directed by the Administrator and the Medical Director to ensure that the highest degree of quality care is maintained at all times.
DELEGATION OF AUTHORITY:
As the Director of Nursing, you are delegated the administrative authority, responsibilities, and accountability necessary for carrying out your assigned duties.
EMPLOYMENT AT WILL:
Employment with Fahrney-Keedy is “at will.” Either the associate or Fahrney-Keedy may terminate the employment relationship for any reason at any time without notice, regardless of the length of employment or the granting of benefits of any kind, including but not limited to benefits which provide for vesting based on length of service.
CONFIDENTILITY:
Fahrney-Keedy associates recognize that Fahrney-Keedy has and will have information regarding financial, personal, and medical affairs and other vital information (collectively, “information”) which are valuable, special, and unique assets of Fahrney-Keedy. Associates agree that they will not at any time or in any manner solicit, collect, or divulge any Information to any third party without the prior written consent of Fahrney-Keedy. This information is Company property which may not be disclosed outside the facility unless properly released for publication. Associates will protect the Information and treat it as strictly confidential. Associates should not discuss Fahrney-Keedy affairs with others
JOB FUNCTION:
Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.
ESSENTIAL DUTIES & RESPONSIBILITIES:
RATINGS:
3 = Exceeds Expectations
2 = Meets Expectations
1 = Needs Improvement
ANNUAL EVALUATION
DATE:
____/____/____
NOTES
ADMINISTRATIVE FUNCTIONS
Collaborates with other health care professionals including consultants, government agencies and advocacy groups in the development and support of resident care, administrative functions, and facility mission.
Develops and maintains nursing policies and procedures that conform to current standards of nursing practice, facility mission, and state and federal regulations.
Maintains knowledge of all current state and federal regulations and facility policies.
Provides fiscal oversight and management of the nursing department.
Provides direct nursing care as necessary including clinical care and resident assessments.
Assigns enough GNA's for each shift to ensure that routing nursing care is provided to meet the daily nursing care needs of each resident.
Assists Human Resources in developing performance evaluation schedules, criteria, and annual reviews for the nursing services department.
Develops and implements a nursing services organizational structure.
Develops methods for coordinating nursing services with other resident services to ensure the continuity of resident care.
Develops, maintains, and periodically updates written job descriptions for each level of nursing staff in accordance with pertinent laws and regulations.
Develops, maintains, and periodically updates written facility policies and procedures that govern the day-to-day functions of the nursing services department.
Reviews facility policies at least annually.
Maintains a reference library of written nursing material (Physician's Desk Reference (PDR), regulations, standards of practice, etc. that will assist nursing services in meeting the day-to-day needs of the resident.
Participates in facility surveys (inspections) made by authorized government agencies.
Performs administrative duties such as completing forms, compiling reports, producing, and approving evaluations, studies, etc.
Oversees and monitors facility's abuse prevention program.
Plans, develops, organizes, implements, evaluates, and directs the nursing services department as well as its programs and activities in accordance with current rules, regulations, and guidelines that govern nursing care facilities.
Participates in team meetings as directed such as Care Plan Committee meetings, QAPI Committee, Risk Management and Safety Committee, etc.
NURSING CARE FUNCTIONS
Ensures residents receive individualized care that is culturally competent and based on resident preferences.
Assigns sufficient Geriatric Nursing Assistants (GNA's) for each shift to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident.
Ensures nursing staffs' performance evaluations are completed on time.
Determines the staffing needs of the Nursing department necessary to meet the total nursing needs of the resident population including specific skills identified in the facility assessment.
Develops work assignments and schedule staff hours; ensures required staff ratio postings are completed.
Ensures that disciplinary actions involving GNA's and Nurses are reported to the State agencies indicated for incidents determined to substantiate abuse allegations.
Makes daily rounds of the nursing services department to ensure that all nursing services staff are performing their work assignments in accordance with acceptable nursing standards.
Reports occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents.
Reviews complaints and grievances made or filed by department staff; develops action plans, as necessary.
Attends continuing education programs to remain knowledgeable with current regulations and nursing best practices.
SAFETY & INFECTION CONTROL:
RATINGS:
3 = Exceeds Expectations
2 = Meets Expectations
1 = Needs Improvement
ANNUAL EVALUATION
DATE:
____/____/____
NOTES
Reports all accidents and incidents according to policies and procedures.
Follows established safety policies and procedures.
Reports any suspected conditions that may be communicable or infectious.
Ensures that the resident environment remains as free of accident hazards as much as possible and that residents receive adequate supervision and assistive devices to prevent accidents.
Ensures that nursing staff follow established infection prevention and control procedures.
Recommends to the Administrator the equipment and supply needs of the department to meet the needs of the resident population as identified in the annual facility assessment.
Prepares and plans the nursing services department's budget and submits to the Administrator for review, recommendations, and/or approval.
Recommends to the Administrator the equipment and supply needs of the nursing department.
WORKING ENVIRONMENT:
The work environment characteristics described here are representative of those an employee may encounter while performing the essential duties of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
- Works in well-lighted/ventilated areas.
- Moves intermittently during working hours.
- Subject to frequent interruptions.
- Involved with employees, staff, residents, visitors, government agencies, etc. under all conditions and circumstances.
- Is subject to hostile and emotionally upset residents, family members, staff, and visitors.
- Communicates with all departments and employees.
- May work beyond normal working hours and on weekends and holidays when necessary and may work in other positions when necessary.
- Subject to call-back during emergency conditions (i.e., severe weather, evacuation, post disaster, etc.)
- Attends and participates in educational programs.
- Maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information.
- Ensure that you treat all residents fairly with kindness, dignity, and respect.
- Knock and wait for permission to enter all residents' rooms.
- Report all grievances and complaints made by the residents to the Director of Nursing.
- Report all allegations of resident abuse and/or misappropriation of resident property to the Fahrney-Keedy Abuse Coordinator.
- Must be able to read, write, speak, and understand the English language.
- Ability to calculate numbers and amounts such as rate of pay increases, decreases, percentages, etc.
- Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
- Ability to interpret a variety of instructions furnished in written, verbal, diagram, or schedule form.
- Must be a supportive team member, contribute to and be an example of teamwork and team concept.
- Must possess the ability to make independent decisions when circumstances warrant such action.
- Must possess the ability to deal tactfully with staff, residents, family members, visitors, vendors, government agencies, etc.
- Must possess the ability and willingness to work harmoniously with other employees.
- Must be able to follow oral and written instructions.
- Must maintain the care and use of supplies, equipment, the appearance of work areas, for safety and proper performance of assigned duties.
- Must have patience, tact, a cheerful disposition, and enthusiasm, as well as the ability to deescalate difficult employees.
- Must be willing to seek out new methods and principles and be willing to incorporate them into existing practices.
- Must not pose a direct threat to the health and safety of other individuals in the workplace.
- Must possess an unencumbered active license to practice as a Registered Nurse (RN) in the state of Maryland.
- Must have a minimum of five (5) years of experience as a supervisor in a nursing care facility, hospital, or other related health care facility.
- Must have, as a minimum, one (1) year of experience in rehabilitative and restorative nursing practices.
- Proficient with Microsoft Office Suite
- Proficient use of Internet applications
- Proficient use of social media
- Comfortable learning new software applications
- Creativity is a plus.
- 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 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, staff, 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 twenty-five pounds to a minimum height of five feet and be able to push, pull, move, and/or carry such weight a minimum distance of fifty feet.
- May be necessary to assist in the evacuation of residents during emergency situations.
I have read this job description and fully understand that the requirements set forth therein have been determined to be essential to this position. I hereby accept the position and agree to perform the tasks outlined in the job description in a safe manner and in accordance with the facility's established procedures. I understand that because of my employment, I may be exposed to blood, body fluids, infectious diseases, air contaminants and hazardous chemicals and that the facility will provide to me instructions on how to prevent and control such exposures. I further understand that I may also be exposed to the Hepatitis B Virus and that the facility will make available to me, free of charge, the Hepatitis B vaccination. I also understand I may not release/disclose protected health or facility information without proper authorization.
I understand that my employment is at-will, and thereby understand that my employment may be terminated at will either by the facility or myself, and that such termination can be made with or without notice.
