Director of Nursing Services/Wellness Director

CareOne•Brookline, MA

13d

About The Position

Position Summary The Director of Nursing is responsible for the day to day coordination and oversight of all aspects of the Nursing Department in accordance with current Federal, State and local regulations. Reports to The Director of Nursing directly reports to the Administrator of the facility where providing Nursing Services to coordinate nursing specific and clinical programs. The Director of Nurses has a dotted line reporting responsibility to the Clinical Services Coordinator assigned to the facility. Supervises Supervises administratively all licensed nursing staff, C.N.A.’s, staffing coordinator, medical records coordinator and all staff of his/her respective discipline. Supervision follows all accepted state and federal guidelines for the respective discipline. The DON assumes the role of the Administrator in their absence. Director of Nursing Essential Duties and Responsibilities The DON is responsible to coordinate, organize, implement, evaluate and direct the nursing service department as well as its programs and activities in accordance with current rules and regulations and guidelines that govern the nursing care facilities. Maintain a reference library and periodically update to assist the nursing service department in meeting the day to day needs of the residents. Develop and maintain methods for coordinating nursing services with other resident services to ensure the continuity of the resident’s total regimen of care Participate in facility surveys made by authorized government agencies as necessary or as directed. Maintain a cooperative and productive relationship with the assigned Clinical Services Coordinator; follow-up and ensure resolution to all identified issues. Develop action plan for systems issues and quality indicators over threshold and submit to CSC for review Collect, review and analyze clinical outcome data and determine trends Attend and provide clinical outcome data trends at the QA and A committee meeting monthly. Participate in the QA and A Committee in developing and implementing appropriate plans of action to correct identified deficiencies. Assist in planning for resident admissions and discharges. Serve on, participate in and attend various committees of the facility as appointed by the Administrator Determine and monitor the staffing needs of the nursing department and ensure the assignment of appropriate and adequate numbers of nursing staff daily for each shift to ensure that the needs of the residents are met. Review annually at a minimum, all nursing services policies and procedures. Participate in the interviewing process and select, with the Administrator’s approval, all Nurses and Certified Nursing Assistants. Ensure yearly written performance evaluation of all nursing staff Assist support services in developing, implementing, and conducting in service training programs that relate to the nursing department. Ensure that there are adequate supplies for resident care. Ensure that medical and nursing care is administered in accordance with the resident’s wishes and per the individualized care plan. In coordination with the Administrator, prepare, plan and adhere to the nursing services budget. Maintain the confidentiality of all resident care information Ensure residents are treated with dignity and respect and resident rights are maintained Maintains a liaison with the residents, their families and support departments to adequately plan for the resident’s needs

Responsibilities

Coordinate, organize, implement, evaluate and direct the nursing service department as well as its programs and activities in accordance with current rules and regulations and guidelines that govern the nursing care facilities.
Maintain a reference library and periodically update to assist the nursing service department in meeting the day to day needs of the residents.
Develop and maintain methods for coordinating nursing services with other resident services to ensure the continuity of the resident’s total regimen of care
Participate in facility surveys made by authorized government agencies as necessary or as directed.
Maintain a cooperative and productive relationship with the assigned Clinical Services Coordinator; follow-up and ensure resolution to all identified issues.
Develop action plan for systems issues and quality indicators over threshold and submit to CSC for review
Collect, review and analyze clinical outcome data and determine trends
Attend and provide clinical outcome data trends at the QA and A committee meeting monthly.
Participate in the QA and A Committee in developing and implementing appropriate plans of action to correct identified deficiencies.
Assist in planning for resident admissions and discharges.
Serve on, participate in and attend various committees of the facility as appointed by the Administrator
Determine and monitor the staffing needs of the nursing department and ensure the assignment of appropriate and adequate numbers of nursing staff daily for each shift to ensure that the needs of the residents are met.
Review annually at a minimum, all nursing services policies and procedures.
Participate in the interviewing process and select, with the Administrator’s approval, all Nurses and Certified Nursing Assistants.
Ensure yearly written performance evaluation of all nursing staff
Assist support services in developing, implementing, and conducting in service training programs that relate to the nursing department.
Ensure that there are adequate supplies for resident care.
Ensure that medical and nursing care is administered in accordance with the resident’s wishes and per the individualized care plan.
In coordination with the Administrator, prepare, plan and adhere to the nursing services budget.
Maintain the confidentiality of all resident care information
Ensure residents are treated with dignity and respect and resident rights are maintained
Maintains a liaison with the residents, their families and support departments to adequately plan for the resident’s needs
Attend daily department head and facilitate clinical meeting; lead and focus nursing management staff in resolving identified resident care and services concerns
Conduct nursing unit rounds at least twice daily during tour of duty; assign licensed nurse to resolve any observed/identified issues.
Ensure adequate staffing is maintained per budgeted parameters
Review any and all resident/staff events and grievances, ensure investigations are conducted as indicated and protocols are followed
Promptly review resident referrals for admission as they arise during the day
Assist in the admission and discharge process.
Manage the daily resident and family concerns as required for the Nursing department
Ensure physician and family notification, care plan review and revision is accomplished for all identified resident changes in condition
Assume Administrative duties in the absence of the Administrator
Report weekly key quality indicators to assigned regional Clinical Services Coordinator or regional representative.
Ensure that resident “At Risk” meetings are being conducted; attend periodically to ensure process is followed and appropriate plan for resolution is attained.
Attend care planning meetings to ensure that all team members are participating, reviewing resident care issues and needs and appropriate plan for resolution is attained.
Meet with nursing management staff and communicate necessary focus of attention as identified by observations during unit rounds, meeting attendance and reported resident care issues.
Plan strategies and set goals for the week.
Review all Consultant reports and recommendations and ensure follow-up to identified issues.
Develop and work action plan to resolve identified issues by CSC.
Visit with all new admissions and if possible their families.
Review with Medical Director all resident incidents/accidents, ensure signature on reports.
Review all other resident care issues with Medical Director as indicated.
Attend various meetings, PPS, Department Head, care planning, discharge, unit meetings, etc
Attend wound care rounds at least weekly with the Wound Nurse of the facility.
Interview and hire appropriate nursing personnel as needed
Maintain established nursing budget
Participate in and report clinical outcome data trends and plan of action for resolution at the QA and A Committee meeting
Attend Safety committee
Attend and participate in the Administrator/Director of Nursing meetings scheduled by the regional team.
Conduct nursing staff meetings on each shift and communicate all pertinent information
Participate in the “Night Owl” program, week end manager program and all other customer service programs.
Review all Nursing policy and procedures and ensure review and approval by the Medical Director and Administrator
Complete and provide written evaluations for all nursing staff.
Participate in the annual business planning for your center