Director of Nursing Services-RN

Immediate Hire-Registered Nurse-RN-R.N
Great Pay and Great Benefits
General Description
Responsible for the overall management of resident care 24 hours a day, seven days per
week. Functions include: performing a variety of duties to provide quality nursing care to
residents and to coordinate total nursing care for residents; implementing specific
procedures and programs; participating with the Assistant Director of Nursing Services
and providing guidance to the Nurse Manager in establishing specific goals; determining
work procedures and expediting work flow; complying with operating policies and
procedures, state requirements, Department of Health regulations, and Federal Health
Care Administration regulations; communicating with and supervising appropriate
personnel; providing daily reports and other periodic reports; performing all the duties of
an RN, LPN, and certified nursing assistant when required. In the absence of the
Executive Director, assumes responsibility for the Facility.
Essential Duties
1. Perform various duties to provide quality nursing care to residents to maintain or
attain the highest practical level of functioning and to coordinate total nursing care for
the residents as illustrated by the following:
a. Ensures that a sufficient number of qualified supervisory and supportive
nursing personnel are assigned for each unit/shift to meet the resident
b. Assists the ADNS in the planning of staff development programs that will
enhance staff knowledge of quality resident care.
c. Makes focused rounds daily with supervisors and charge nurses as
d. Participates in coordination of resident services through departmental and
appropriate staff committee meetings, according to the Resident Care
Policies and Procedures Manual.
e. Conducts periodic review to verify that the nursing requirements of each
resident admitted to the Facility are reviewed and that the physician is
consulted in planning resident care.
f. Maintains and evaluates statistics for: pressure sores, resident Accident
and Incidents, number N/G tubes, number of justified Foley catheters,
resident census, and resident and employee infections.
g. Reviews closed charts of expired residents for the presence of appropriate
documentation and discharge orders.
h. Conducts periodic reviews of Care Plans to verify they are
interdisciplinary and updated by the Charge Nurse as changes occur.
i. Checks periodically for documentation for residents on 24-Hour Report.
j. Checks periodically for skilled documentation for Medicare services.
k. Checks on each unit for completed MARS, TARS, and flow forms
l. Reviews Accidents and Incidents (A/I) and develops an appropriate plan
to prevent future accidents and incidents. Conducts periodic reviews of
documentation for inconsistencies on each unit.
m. Reviews medical record documentation on referrals and advises Executive
Director on whether nursing requirements can be met.
n. Reviews change of condition/24-Hour Report daily and deletes residents
from the report as needed.
2. Establishes and maintains resident care systems per standardized procedure that are
consistent throughout the Facility. These include:
a. Unit Management System for group assignments and nursing assistant
b. Restraint Reduction System to verify restraints are at a minimum, and that
restraints are released at least every two hours, or per Care Plan. Restraint
releases are to occur on the unit at the same time or per Care Plan, and be
observed by a licensed staff member.
c. Turning and Positioning System to verify schedules are followed every
two hours or per Care Plan.
d. Resident Ambulation System to verify effectiveness and adherence to
resident ambulation program.
e. Scheduling System to verify scheduling for nurses and cna's is completed
in a fair and consistent manner.
f. Nourishment/Supplements System to verify nourishments/supplements are
passed according to developed schedule.
g. Cleanliness System to verify that environment is clean, orderly and
organized. Reviews written cleaning schedules.
h. Infection Control System to verify residents are not at risk for infection.
i. Pharmacy System to verify correct meds are received timely, meds are
discarded timely and properly and costs are appropriate for resident payer
sources; and med room and med carts are monitored for policy
j. Lab System to verify labs are drawn timely, and in accordance with
doctors orders.
3. Conducts periodic review of appropriate staff to ensure nursing personnel have valid
and current licenses.
4. Audits specific resident care issues on a daily basis. Devises a Monthly Planning
Calendar as a minimum guideline for reviewing care issues. The calendar will reflect
weekend and night shift reviews as well as day shift reviews.
5. Observes Stage III and IV pressure sores and significant skin issues on a weekly basis,
evaluating documentation and treatments.
Standard Requirements
1. Supports the Mission, Values and Vision of the Facility.
2. Is knowledgeable of resident rights and supports an atmosphere which allows for
the privacy, dignity and well-being of all residents in a safe, secure environment.
3. Supports, cooperates with, and implements specific procedures and programs for:
OSHA and safety, including standard precautions and safe work practices,
established fire/safety/disaster plans, risk management, and security, report and/or
correct unsafe working conditions, equipment repair and maintenance needs.
4. Adheres to:
a. Confidentiality of all data, including resident, employee and operations
b. HIPAA regulations
c. Quality Assurance requirements and compliance with regulatory
d. Compliance with current law and policy to provide a work environment
free from sexual harassment and illegal and discriminatory behavior.
e. Code of Conduct and Compliance Programs when performing job
5. Supports and participates in common teamwork:
a. Cooperates and works together with all co-workers; plans and completes
job duties with minimal supervisory direction, including appropriate
b. Uses tactful, appropriate communications in sensitive and emotional
c. Follows up as appropriate with supervisor, co-workers or residents
regarding reported complaints, problems and concerns.
d. Promotes positive public relations with residents, family members and
e. Completes requirements for in-service training, acceptable attendance,
uniform and dress codes including personal hygiene, and other work
duties as assigned.
f. Participates as assigned in the orientation of new staff and demonstrates a
positive, helpful, and enthusiastic attitude.
6. Immediately reports incidents of alleged resident abuse or neglect or alleged
violations of residents' rights to Executive Director.
7. Knowledgeable of age specific developmental factors specific to adult and
geriatric residents (i.e. physical, cognitive and socialization factors) in planning
delivery of care.
8. Maintains current practice standards or changes by participating in educational
opportunities provided by the Facility and outside resources.
Other Duties
Provides hands on nursing care to residents as needed as a registered professional nurse,
consistent with the state's Nurse Practice Act.
Perform tasks which are supportive in nature to the essential functions of the job, but
which may be altered or redesigned depending upon individual circumstances. Performs
other work duties as assigned.
Education/Training: Maintains a current, valid license as a registered professional
nurse in good standing (RN). Must have current CPR certification.
A.D.A ((Americans with Disabilities Act)(as amended)) REQUIREMENTS: Must be
able to bend, stoop, push, pull, and walk and stand for most of the working day. Requires
manual dexterity sufficient to provide hands-on care to residents as well as to operate
standard office machines such as fax, telephone, etc. Requires normal range of hearing
and vision. Must be free from communicable diseases that pose a "direct threat" to the
health or safety of others and which cannot be eliminated by a reasonable
accommodation. Must be able to lift a minimum of 50 pounds, and transfer and transport
residents. Must be able to carry and transport supplies. Must be able to pass a post-offer,
pre-employment physical health examination as a condition of employment. Must be
capable of performing the essential functions of the job, with or without reasonable
Skill(s): Proficient reading, writing, grammar, and mathematics skills; proficient
interpersonal relations and communicative skills; knowledge of drug interactions, side
effects, and incompatibilities; decision-making skill; proficient assessment skills; basic
computer skills; able to operate various medical and office equipment; auditory and
visual skills. Must be able to communicate in English, both verbally and in writing, and
possess sufficient communication skills to perform the tasks required.
Experience: A minimum of five year's experience in nursing service administration
preferred. Additional education or experience in such areas as rehabilitative or geriatric
nursing is preferred.

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