Assistant Director of Nursing (ADON), RN – Skilled Nursing

Sunrise Senior Living•Charlottesville, VA

18h•Onsite

About The Position

The Assistant Director of Nursing Services (ADNS) is responsible for providing assistance and supervision of the clinical care and services to our guests/residents in the skilled nursing center in accordance with federal, state, and local standards and Sunrise Senior Living policies in promotion of the highest degree of quality care and services to our guests/residents. Sunrise Senior Living was again certified as a Great Place to Work® by Activated Insights. This is the 8th time Sunrise has received this top culture and workplace designation, highlighting the special place Sunrise is to be a part of.

Requirements

Graduate of accredited college/school of nursing.
Maintains a current state/province license as a Registered Nurse (RN) per state/province regulations.
One (1) year supervisory and nurse management experience including hiring staff, coaching, performance management, daily operations supervision, discipline, and counseling in a nursing environment.
Demonstrates knowledge of nursing practices, techniques, and methods as applied to skilled nursing.
Demonstrates knowledge of federal, state/provincial, and local long term care regulations.
Competent in the Resident Assessment Instrument (RAI).
Demonstrates proficiency in computer skills, Microsoft Office (Windows, Outlook, Excel) and Sunrise applications with the ability to learn new applications.
As applicable, all Sunrise team members who drive a Sunrise vehicle must review and sign the Driver job description.
Ability to work weekends, evenings and flexible hours, and be available for our customers.
Completed specialized training in infection prevention and control.

Nice To Haves

Ability to handle multiple priorities.
Ability to delegate assignments to the appropriate individuals based on their skills, roles, and interests.
Possesses written and verbal skills for effective communication and the ability to facilitate small group presentations.
Competent in organizational and time management skills.
Demonstrates good judgment, problem solving, and decision-making skills.

Responsibilities

Provides assistance in clinical care ensuring consistent delivery of quality guest/resident services.
Assists the Director of Nursing Services (DNS) in maintaining the skilled nursing budget to include but not limited to labor/labour expense, medical supplies, census.
Participates in the Care Planning process, attends meetings, updates care plans, other duties as directed.
Understands and assists with the Resident Assessment Instrument (RAI) process.
Reviews and assists in case management of both Medicare & non-Medicare guests/residents.
Ensures interdisciplinary notes reflect the care provided through daily random audits.
Ensures timely and accurate documentation in guests/residents charts.
Participates and provides leadership in the Clinical At-Risk meetings and the daily Prospective Payment System (PPS) meetings to obtain information for admissions and discharges.
Reviews and monitors the medication records and administration.
Conducts effective visits/rounds at a minimum twice a day in the skilled nursing center and as necessary with the physicians.
Researches and documents all incidents of abuse, neglect, and misappropriation of funds assigned by the DNS, Executive Director (ED), or Skilled Nursing Administrator (SNA).
Partners with community team to ensure community is in compliance with OSHA requirements and promotion of Risk Management programs and policies and in adherence to safety rules and regulations.
Practices safety procedures at all times including Personal Protective Equipment (PPE), fire extinguishers, Safety Data Sheets (SDS), and Lockout Tagout procedures.
Leads and demonstrates infection control practices.
Provides training as needed to support infection control practices.
Understands and practices the proper method of attending to and disposing of and the possibility of exposure to blood borne pathogens, bodily fluids, infectious waste, sharp sticks, and hazardous materials.
Reports occupational exposures to blood, body fluids, infectious materials, sharp sticks, and hazardous chemicals immediately.
Ensures oxygen tanks are stored safely, exchanges guest/residents tanks when empty, and monitors to make sure liters of oxygen are at prescribed levels.
Strives for excellent quality care and service delivery and institutes follow up measures on corrective actions in a timely manner.
Reviews guest/resident and team member incident and accident reports pertaining to health safety issues with essential team members to analyze, develop, and implement a plan of correction if necessary to increase safety for both guests/residents and team members.
Demonstrates, leads, and is competent in the following key quality improvement areas: Skilled nursing and Resident Centered Care Model, Sunrise and Federal Quality Indicators.
Provides analysis of Quality Indicator and assists with development plans for Quality Indicators above the Sunrise threshold.
Demonstrates, leads, and is competent in the following key regulations: All Federal, State/Provincial and Local resident care nursing regulations, Resident Rights, Resident Assessment Instrument process.
Participates in Federal, State/Provincial, Local surveys.
Provides leadership in the implementation of Plan of Correction for state/provincial surveys.
Follows through on mock survey process.
Trains and monitors the Designated Nursing Assistants (DNA, C.N.A) in the Restorative program.
Evaluates the documentation for the Restorative program.
Evaluates and reviews for resident decline and improvement.
Refers guest/resident to restorative nursing as indicated.
Leads and demonstrates Sunrise practices and guidelines for care and services surrounding guest/resident’s skin, nutrition, behavior, falls, and bowel/bladder.
Provides leadership in implementation, training, and monitoring of documentation related to clinical systems weekly.
Consults with physician as appropriate.
Ensures guest/resident changes, concerns, and/or solutions are relayed to Director of Nursing Services as appropriate.
Monitors each resident’s medication and treatment profile and medication pass process to ensure each medication and treatment is administered as ordered and documented accurately.
Reviews for accuracy and compliance all physician orders at time of move in and monthly thereafter.
Acts as liaison with pharmacy to ensure effective services for the residents.
Ensures pharmacy follows state/province regulations for labeling, distribution, and identification of medications.
Provides leadership and follows Sunrise and nursing standards for taking orders from physicians and administering medications.
Audits MAR/TAR each month.
Monitors the Medication Room, med carts, and treatment carts, for cleanliness, availability of medications, and removal of expired medications.
Assists Director of Nursing in ensuring proper protocol for destruction and/or removal of controlled medications.
Responds to guest/resident and family visitor’s request in a timely, professional, and warm manner.
Communicates with families regarding the guest/resident medical care and seek new methods to incorporate guest/resident requests into existing nursing standards.
Coordinates and utilizes available health care resources.
Maintains confidentiality of all guest/resident information.
Assists in the presentation and value of Sunrise’s products and services for our residents, families, and team members and targeted referral sources.
Understands and manages the department budget to include labor/labour and other expenses and its impact on the community’s bottom line.
Coordinates with the community team to achieve maximum staff economies and cross training when applicable.
Understands the internal cost associated with all Sunrise resident care programs.
Assists Director of Nursing with overall management of the department, including but not limited to: recruiting, hiring, training, coaching, and disciplining.
Partners in the delivery and participation in Sunrise University Training and self-study programs during the required timeframe.
Develops a working knowledge of state/provincial regulations and ensures compliance through supervising and coaching team members.
Assists in achieving the Team Member Engagement goals.
Completes team member staffing and scheduling according to operational and budgetary guidelines.
Reviews timekeeping practices and payroll reports daily to ensure all hours worked are recorded and appropriately paid.
Holds team accountable, corrects actions when necessary, and documents any corrective action.
Attends regular meetings; Stand Up, Cross Over, Department Head Meetings, Town Hall, Quality Improvement, and others as directed by the Executive Director.
Keeps abreast of professional developments in the field by reading and attending conferences and training sessions.
Maintain compliance in assigned required training and all training required by state/province or other regulating authorities as applicable to this role to ensure that Sunrise standards are always met.
Performs other duties as assigned.