Director of Nursing Surgery Center

Fresenius Medical Care•Baton Rouge, LA

About The Position

The Director of Nursing works with the Facility Manager, facility staff, and physicians to coordinate facility operations and patient procedures, ensuring quality daily patient care in accordance with organizational policies, procedures, and training. The role provides nursing support to patients and staff and helps manage staffing, training, equipment, physician and patient relations, cost containment, supplies, medical records, billing, OSHA requirements, and company, state, and federal compliance. The Director supports organizational quality standards and regulatory compliance, drives continuous quality improvement, oversees patient care and staff performance, and coordinates care from admission through discharge. The role may provide direct patient care, administer medications and IV conscious sedation as directed, manage emergency response, maintain accurate records, oversee medications and equipment, and participate in regulatory surveys, accreditation, and governing body and CQI activities. The position may act as Facility Manager when required and maintain the facility’s CLIA license in coordination with the Facility Administrator. Work includes desk and computer tasks, interaction with patients, staff, and physicians, and travel between assigned facilities and other locations. The work environment is that of a healthcare facility, with controlled air temperature and moderate noise; exposure to infectious and contagious diseases or materials may occur. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Requirements

  • Graduate of an accredited School of Nursing (R.N.).
  • Current appropriate state licensure.
  • Current ACLS certification; BLS and ACLS course certifications must be successfully completed.
  • Minimum of three years’ experience is preferred in an Ambulatory Surgical Center/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 necessary to lead and supervise facility personnel and ensure maximum-quality patient care.
  • Good verbal and written communication skills.
  • Ability to travel between assigned facilities and locations in the community; travel to regional, Business Unit, and Corporate meetings may be required.

Nice To Haves

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

Responsibilities

  • Support organizational quality standards, regulatory requirements, and continuous quality improvement activities, including use of organizational CQI tools.
  • Work with quality and organization management to ensure policies and procedures are followed and address adverse events and action thresholds.
  • Complete data collection and audits, and maintain the integrity of medical records and operational and administrative records.
  • Supervise and direct facility staff in providing safe and effective vascular access procedures in accordance with facility policies and applicable regulations.
  • Assign and delegate tasks to direct patient-care staff, including Staff RNs, Radiology Technologists, and Front Desk Coordinators.
  • Manage daily staffing schedules, including breaks, and ensure adequate coverage.
  • Assess daily patient needs and develop and distribute patient-care assignments.
  • Monitor patient-care techniques and adherence to facility policies and procedures, and assist staff as needed.
  • Recommend and initiate disciplinary action with the Facility Manager; assist with staff performance evaluations.
  • Participate in staff selection, orientation, and training as assigned; provide in-services about equipment, supplies, and clinical topics.
  • Coordinate patient care with appropriate staff from admission through discharge and educate patients and families 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 complete and accurate documentation of patient treatments; confirm orders, consents, and laboratory work are completed and documented according to policy.
  • Prepare laboratory requisitions, arrange delivery to appropriate laboratories, and report and forward results to the appropriate physician.
  • Take primary responsibility in 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; assist with agendas, meeting materials, data gathering, and assigned reports.
  • 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.
  • Address blood spills promptly according to organizational Bloodborne Pathogen Control Policies.
  • Participate in cost-control initiatives and ensure efficient use of 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 meetings as required.
  • Manage medications, including ordering, receiving, inventory control, expiration checks, controlled-substance records, usage logs, and drug-disposal records.
  • Communicate with the pharmacist to ensure medication accuracy and appropriate controlled-substance records.
  • Ensure medical records are accurate, complete, and compliant before patient discharge; perform regular chart audits.
  • Participate in regulatory and accreditation surveys and develop or support action plans addressing identified deficiencies.
  • Verify that records for implanted devices are accurate, timely, and maintained according to records-management guidelines.
  • Act as Facility Manager when the manager is absent or when directed by organization management.
  • Assume primary responsibility for appointed Governing Body positions or oversee staff delegated to those positions.
  • Comply with HIPAA policies and standards concerning patient information and medical records.
  • Maintain the CLIA license with the Facility Administrator.
  • Perform other duties within the scope of practice and state regulations; responsibilities may include one or more departments or locations.
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