Assist Director Nursing

Assistant Director Of Nursing

ADON Duties:

Provides management and oversight coverage.

Completes Quality Assurance Audits on an ongoing basis.

Supervises and evaluates staff work performance in terms of care, staff relations and efficiency of service.

Directs nursing service activities and instructs nursing personnel in the Health Services Center, SCC and Terrace as proactively and reactively as indicated and as needed, assigns duties to nursing personnel based on residents' needs and available staff.

Identifies and studies nursing service problems and assists in their solution.

Makes frequent unit rounds.

Provides and/or assists in orientation of new personnel.

Presides over department personnel meetings to discuss resident care needs.

Effectively disciplines nursing personnel for significant infractions of professional conduct or Knollwood policies.

Interacts with families to promote management visibility and problem solving.

Communicates any relevant problems/concerns to the appropriate personnel.

Informs the family or responsible party in the event of a change in a resident's status (e.g. illness or death)

Infection Control Preventionist: manages, develops and coordinates infection prevention and control program throughout the facility. Maintains certifications.

Interacts with Department managers, supervisors, nurses, physicians and other professional staff members to provide resource information, resolve infection control and clinical safety problems and identify new opportunities to improve service.

Clinical Specialists Collaboration to effect Successful Quality Measures and Outcomes

In collaboration with wound care specialist and other specialist/professionals, such as hospice, pharmacists, and psychiatry monitor the progress of clinical care such as wounds and make recommendations for changes as appropriate.

Coordinate and supervise skin care and ulcer improvement progress in keeping with facility policies and procedures.

Clinical indicators and Quality Measure oversight.

Antibiotic stewardship and pain management.

Admission process.

Assumes the role of resident advocate by guiding, teaching, and supporting the resident in matters pertaining to his/her health through the nursing process. Encourages residents to remain as independent as possible for as long as possible with an emphasis on self-responsibility.

Assists residents to carry out the therapeutic plan prescribed by the physicians and/or therapist by working as part of the health care team.

Insures that physician's orders are carried out.

Monitor staffing during the shift as needed.

Maintains a safe environment for the residents.

Completes chart audits with analysis and recommendations.

Attends meetings of the professional staff to discuss department operation and staff training needs relating to responsibility and accountability and to formulate programs to improve the department and health care services to residents.

Admissions

Serve as Management resources to determine appropriateness of admissions, level of care and continued stay.

Communicate daily with admissions and business office personnel admissions and discharges.

Review paperwork to ensure residents get the right/appropriate treatment from the resources available at Knollwood.

Make decisions based on the condition of the resident, the cost of care and what is in the best interest of the resident and facility.

Complete follow up phone calls/emails in a timely manner to facilitate referrals.

Infection Control

Received certification in infection control for long term care facility from Beacon Institute.

Manages, develops and coordinates infection prevention and control throughout the facility.

Conducts staff in-services annually, for new hire and as needed.

Interacts with department managers, supervisors, nurses, physicians and other professional staff members to provide resource information, resolve infection control problems and identify opportunities to improve service.

Collect and analyze data on infections, produce reports, plan and implement changes for to prevent and improve infections.

Coordinate/communicate with DOH, CDC via NHSN and other regulatory entities and submit data as required.

Billing

Review nursing treatment and ancillary service of all residents in HSC/SCS/AL/IL.

Calculate and prepare monthly billing report on each resident for which ancillary charges are due (oversees timeliness and accuracy).

Produce spreadsheet/documentation outlining each charge, reason for charges and accumulative amount due.

Answer queries, emails telephone calls relating to nursing charges from families, POA, residents and staff.

Other

Assist with organizing services to affect optimal resident outcomes, achieve continuity of care and reduce costs.

Audit and analyze resident records to ensure quality care and appropriateness of services.

Provide input in the QAPI program for improvement of care and services.

Participate in team meetings with physicians, caregivers, residents, family and departmental team members to proactively develop and implement safe care.

Supervisory Responsibilities

Works under the direction of the Director of Nursing Services.

Directly supervises employees in the Nursing department. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

Graduate of an accredited RN School of Nursing, BSN preferred

Advanced preparation in the Geriatric Clinical Specialty, Dementia, Ward Management and Principles of Supervision is preferred.

Familiarity with written guidelines, Federal and District regulations.

Certificates, Licenses, Registrations

Registered Nurse with current license to practice in the District of Columbia.

CPR Certification.

Language Skills

Ability to read and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee frequently is required to stand, walk, and sit. The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl; and taste or smell. The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

Motor coordination and manual dexterity required to coordinate hands, eyes, and fingers to administer medications and treatments, using clinical instruments and handling residents.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. 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.

Note

Persons who have been found guilty by a court of law of abusing, neglecting or mistreating individuals in a health care related setting are ineligible for employment in this position. Freedom from illegal use of drugs, and freedom from use and effects of use of drugs and alcohol in the workplace.