Asst. Director of Nursing

ArchCare•Rhinebeck, NY

About The Position

The Assistant Director of Nursing supports the Director of Nursing (DON) in carrying out assigned duties and responsibilities, and helps ensure compliance with facility policies, procedures, standards of care, and state and federal regulations. The role oversees clinic operations and supports resident care, quality assurance, infection control, employee health, staffing, and nursing policies and procedures. The Assistant Director of Nursing also serves as Nursing Supervisor or covers a nursing unit when needed, keeps the DON informed of significant events and issues, and participates in facility committees and staff meetings. The position includes on-call coverage for the DON at least two weekends per month and during the DON’s vacation, holiday, or sick leave. The role has physical demands that include standing and walking during the shift, lifting and carrying equipment, assisting residents with equipment and movement, reading instructions and charts, observing residents during treatments, adjusting equipment, and positioning residents. The position may involve exposure to infections, odors, and behavioral changes or reactions among older adults.

Requirements

NYS Registered Nurse (RN) license.
3–5 years of related work experience in a skilled nursing facility (SNF).

Responsibilities

Assist with the general duties and responsibilities of the Director of Nursing as assigned.
Interpret facility policies and procedures and help ensure compliance with them, the facility’s philosophy of care, and state and federal regulations.
Provide on-call coverage for the DON at least two weekends per month and when the DON is on vacation, holiday, or sick leave.
Interview, select, and assist with assigning new Certified Nursing Assistants and Nursing Assistant trainees.
Oversee the clinic, including Central Supply, Podiatry, Dental, Optometry, Radiology, and Audiology; manage daily operations, staff scheduling and evaluation, quality assurance audits and reporting, and bi-annual Dutchess County x-ray inspections.
Coordinate infection-control activities when the Infection Control Nurse is absent.
Coordinate and oversee scheduling of resident out-trips and in-house consultations, and follow up with primary physicians regarding consultations.
Conduct ongoing audits of nursing staff attendance, overtime, mandatory assignments, and retention.
Coordinate and track Employee Health as necessary.
Collect discontinued resident medications and ensure their proper disposition or destruction; collect discontinued medications for pharmacy credit and discontinued controlled substances for recording, storage, and destruction according to policy and regulations.
Perform other quality assurance activities as assigned, including audits of resident care, admissions, resident expiration, MAR/TAR omissions, psychotropic usage, restraint usage, and Foley catheter usage.
Participate in the Nursing Policy and Procedure Committee and assist in formulating, reviewing, revising, and implementing nursing policies and procedures.
Keep the DON informed of important events, feedback, problems, and other relevant matters.
Function as Nursing Supervisor as needed and cover the nursing unit in the absence of Nurse Managers.
Participate in nursing home committees and conduct nursing staff meetings as assigned.
Prepare and adhere to an annual budget for all clinic areas.
Ensure care delivery meets facility and regulatory agency standards.
Assist the DON in planning, developing, implementing, and evaluating the scope of professional practices, standards, and resident care outcomes.
Maintain a professional appearance in dress, grooming, attitude, and skills.