Director of Nursing Surgery Center

Fresenius Medical Care•Baton Rouge, LA

About The Position

The Director of Nursing coordinates facility operations and patient procedures with the Facility Manager, facility staff, and physicians to provide quality daily patient care in accordance with organizational policies, procedures, and training. The role provides nursing support to patients and staff and assists with staffing, training, equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA compliance, and other company, state, and federal requirements. The Director supervises and directs facility staff, coordinates patient care from admission through discharge, monitors care quality and documentation, and supports safe and effective vascular access procedures. The position may provide direct patient care, administer medications and IV conscious sedation as ordered, and take primary responsibility during emergencies. It also supports continuous quality improvement, regulatory and accreditation activities, medication and supply management, equipment readiness, and facility safety. The Director acts as Facility Manager when needed and maintains the facility’s CLIA license with the Facility Administrator. The work includes desk and computer tasks and interaction with patients, staff, and physicians. Travel between assigned facilities and community locations is required; travel to regional, Business Unit, and Corporate meetings may also be required. The environment is a healthcare facility with controlled air temperature and moderate noise, with possible exposure to infectious or contagious diseases and materials.

Requirements

Graduate of an accredited School of Nursing (R.N.).
Current appropriate state licensure.
Current ACLS certification; the posting also specifies successful BLS and ACLS course certifications.
Minimum of three years’ experience is preferred in an Ambulatory Surgical Center or Vascular Access Lab, or a combination of ASC, surgical, Interventional Radiology, and ICU/CCU experience.
Proficiency with the Microsoft Office suite.
Experience with medical database software.
Demonstrated management skills to lead and supervise facility personnel and ensure high-quality patient care.
Good verbal and written communication skills.
Ability to meet the described physical and work-environment requirements, with reasonable accommodations available as stated.

Nice To Haves

ASC certification preferred.
Minimum of three years of Interventional Radiology and scrub experience preferred.
Supervisory or management experience in a medical or vascular access environment preferred.

Responsibilities

Support organizational quality standards and regulatory compliance through Continuous Quality Improvement (CQI) practices and tools.
Work with the Vice President of Quality and organization management to ensure policies and procedures are followed and patient care meets organizational quality goals.
Address adverse events and action thresholds.
Complete data collection and audits, and maintain the integrity of medical and administrative records.
Supervise and direct facility staff in providing safe and effective vascular access procedures in accordance with policies and applicable regulations.
Assign and delegate tasks to direct patient care staff, including Staff RNs, Radiology Technologists, and the Front Desk Coordinator.
Manage daily staff schedules, including breaks, to ensure adequate staffing.
Assess daily patient needs and develop and distribute patient care assignments.
Monitor patient care staff for appropriate techniques and adherence to policies and procedures, and assist as needed.
Recommend and initiate disciplinary action with the Facility Manager, and assist with staff performance evaluations.
Participate in staff selection, orientation, and training as assigned.
Set up and conduct staff in-services regarding equipment, supplies, and clinical matters.
Coordinate patient care with appropriate staff from admission through discharge.
Ensure patients and families receive education about pre- and post-procedure vascular access care.
Ensure procedures are scheduled promptly and facility capacity is used efficiently.
Assist with patient workflow and provide direct care and pre-, intra-, and post-procedure monitoring as needed.
Oversee accurate and complete documentation of patient treatments from admission through discharge.
Confirm written orders, consents, and laboratory work are completed and documented according to facility policies; prepare lab requisitions, arrange delivery to laboratories, and report and forward results to physicians.
Assume primary responsibility during emergencies, maintain competency in emergency procedures, and initiate CPR and other emergency measures as needed.
Administer medications and IV conscious sedation as directed by physician orders and in compliance with applicable regulations.
Attend and participate in Governing Body and CQI meetings with physicians, helping prepare agendas and materials and reporting on assigned topics.
Ensure proper operation of facility equipment and technology, including patient monitors, defibrillators, medical recording devices, and computers.
Maintain a clean, safe, and sanitary facility; inspect equipment and operating systems and report malfunctions or maintenance issues.
Ensure blood spills are promptly handled according to organizational Bloodborne Pathogen Control Policies.
Participate in cost-control initiatives and efficiently manage medications, laboratory resources, inventory, supplies, and equipment in accordance with organizational formularies and cost goals.
Assist with developing and revising facility policies and procedures to support continuous process improvement.
Initiate, document, and complete ongoing CQI activities, including monthly reports, and attend required meetings.
Manage medications, including ordering, receiving, inventory control, expiration checks, and required controlled-substance records.
Oversee medication usage logs, related documentation, and drug-disposal records.
Communicate with the pharmacist to ensure medication accuracy and proper controlled-substance records.
Ensure medical records are accurate, complete, and policy-compliant before patient discharge; perform regular chart audits.
Participate in regulatory and accreditation surveys and develop action plans to address identified deficiencies.
Verify that implanted-device records are accurate, timely, and maintained according to records-management guidelines.
Act as Facility Manager when the manager is absent or as directed by organization management.
Fulfill appointed Governing Body positions or oversee staff delegated to those positions.
Comply with HIPAA policies and standards for patient information and medical records.
Maintain the CLIA license with the Facility Administrator.
Perform other duties within the scope of practice and state regulations; additional duties may cover specific departments or locations.