Assistant Director Of Nursing

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 which may include:

a. Verifies that a sufficient number of qualified supervisory and supportive

nursing personnel are assigned for each unit/shift to meet the resident

needs.

b. Assists the DNS 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

appropriate.

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, N/G tubes, 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 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 periodically 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

responsibilities.

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

compliance.

j. Lab System to verify labs are drawn timely, and in accordance to doctors

orders.