Director of Nursing

Full Time
Louisville, KY 40216
Posted
Job description

Landmark of Iroquois Park is looking for a dedicated leader for our clinical team! We want you to join us in making a difference in the lives of the residents in our community!

BENEFITS:

Quarterly Bonus Opportunity

Paid Time Off (Vacation, Sick, Holiday and Birthday Pay)

PTO Cash Out Option

Insurance (Medical, Dental, Vision and More)

401K

Wonderful Team to Work With!

Great Support from Regional Team

Tuition Reimbursement

POSITION SUMMARY:

Under the supervision of the Administrator, the Director of Nursing has the authority, responsibility, and accountability for the functions, activities, and training of the nursing services staff, in addition to the supervision of the Therapy Department and its’ functions within the facility. In the absence of the Administrator, the DON assumes responsibility for the facility. The DON is responsible for the overall management of resident care 24 hours a day, seven (7) days per week. The DON is delegated the responsibility for carrying out the assigned duties in accordance with current existing federal and state regulations and established company policies and procedures.

ESSENTIAL JOB FUNCTIONS:

Role Responsibilities – Job Knowledge/Duties:

Demonstrates knowledge of age specific developmental factors specific to adult and geriatric residents (i.e. physical, cognitive, and socialization factors) in planning delivery of care

Demonstrates knowledge, skills and techniques necessary to care for residents with the following needs: therapeutic, neuro and dementia, dialysis, IV therapy, infectious disease and wound care, if applicable

Acts appropriately under the direction of the Administrator and acts as an active member of the interdisciplinary team

Demonstrates ability to adjust to changes in shift assignments to meet resident and family needs

Ensures the residents receive skilled nursing and rehabilitation services, as needed

Communicates and observes the Corporate Compliance Program effectively and complies with Code of Conduct when performing work functions

Other duties as assigned by the Administrator

Role Responsibilities – Administrative Duties:

Develops and periodically updates statements of philosophy and objectives that define the type of nursing care the facility proposes to provide. Ensures that these are understood and implemented by nursing personnel

Supervises, evaluates, counsels, and disciplines inter-departmental personnel

Assists in the recruitment, interviewing, and selection and termination of nursing personnel

Ensures that a sufficient number of qualified supervisory and supportive nursing personnel are assigned for each unit/shift to meet the residents needs

Participates in all screening processes prior to admission. Assesses items needed by the facility to meet resident needs

Participates in coordination of resident services through departmental and appropriate staff committee meetings (i.e. Quarterly Quality Assurance and Assessment, Pharmacy Services, Therapy Services, Infection Control and Resident Care policy and procedure meeting)

Plans staff development programs that will enhance staff knowledge of quality resident care

Conducts periodic review to ensure all documentation is informative and descriptive of nursing care and of the resident’s response to that care

Participates in planning and budgeting for nursing services

Conducts periodic review to ensure that the nursing requirements of each resident admitted to the facility are reviewed and that the physician is consulted in planning resident care

Maintains professional competence through continuing education

Demonstrates knowledge of current Health Department Directives and ensures that directives are implemented by staff

Conducts periodic review that the facility and personnel are in compliance with State Code Requirements

Demonstrates availability to be on-call 24 hours a day for nursing emergencies

Makes rounds upon entering the building each day. Checks each nursing unit for staffing, census, unstable residents, accidents and incidents, etc. Ensures grooming is 100% each day and implements plans to correct grooming concerns, if necessary

Reviews all Accidents and Incidents (A/I) daily and develops an appropriate plan to prevent future accidents and incidents. Conducts periodic reviews of documentation for inconsistencies on each unit

Audits specific resident care issues on a daily basis such as skin, ambulation, etc. Devises a Monthly Planning Calendar as a minimum guideline for auditing care issues. The calendar will reflect weekend and night-shift audits as well as day shift audits

Makes frequent and focused rounds at least one time per week with supervisors and charge nurse as appropriate

Approves the staffing schedule according to budgeted levels and checks daily for the number of staff available for the week (especially weekends). Documents approved vacation/time off for nursing department

Observes all pressure sores on a weekly basis, evaluating documentation and treatments

Meets with Nursing Assistants, Charge Nurses and all licensed staff on a routine basis to review nursing and facility issues. Ensures plans are in place to correct employee concerns

Introduces self to new admissions within 48 hours. Checks for documentation initiation (i.e. physician orders, initial assessments, nursing care plan, etc.)

Role Responsibilities – Nursing Systems:

Ensures that systems are established and consistent throughout the facility. These include but are not limited to (as per standardized procedure):

  • Develops unit management system for group assignments and Nursing Assistant responsibilities
  • Achieves goal of reducing restraints to a minimum, and ensuring restraints are released at least every 2 hours, or per Care Plan. All restraint releases are to occur on the unit at the same time or per Care Plan, and be observed by a licensed staff member
  • Conducts periodic review to ensure that all residents are to be out of bed by noon, or per Care Plan, unless a specific physician order indicates bed rest
  • Ensures turning and positioning schedules are followed every two hours (or per Care Plan). Ensures turning and positioning system can be easily monitored (i.e. all face the door at the same time)
  • Ensures that resident ambulation occurs as an observed system (i.e. before the meal period in the dining room)
  • Oversees scheduling of nurses for employee meals or breaks
  • Conducts periodic reviews to ensure supplements are passed according to developed schedule
  • Conducts periodic review to ensure that environment is clean, orderly, and organized. Ensures cleaning schedules are in writing and audited daily. Reviews and implements infection control and exposure control plans according to policies and procedures
  • Reviews Change of Condition/24-Hour Report daily and deletes residents from the report as needed
  • Demonstrates ability to perform all physical and mental job functions of a certified nursing assistant, licensed practical nurse, and registered nurse

Role Responsibilities – Nursing Documentation:

Ensures that nursing documentation meets the following standards:

  • Care Plans are to match monthly summaries; Nursing Assistant Care Sheets, Nursing Assistant worksheets, treatment sheets and physician orders
  • Maintains and evaluates statistics for; pressure sores, resident Accidents and Incidents, number N/G or G tubes, number of justified foley catheters, resident census, resident and employee infections
  • Reviews all closed charts of expired residents and ensures appropriate documentation by nursing during the last 48 hours and discharge orders by physicians are enclosed (to contain how and where discharge, i.e. to funeral home via stretcher). Reviews discharge summaries of all residents
  • Conducts periodic reviews of Care Plans to ensure they are interdisciplinary and updated by the Charge Nurse daily as changes occur
  • Ensures all communication to nursing by other disciplines are flagged and the Charge Nurse is responsible for implementing the changes on all forms

EDUCATION/EXPERIENCE:

Maintains a current, valid Nursing License as a registered professional nurse, in good standing in the state of Kentucky

Possesses strong knowledge of state, federal and local regulations as they pertain to long term care

Must be capable of performing the essential functions of the job, with or without reasonable accommodations

Must be able to communicate in English, both verbally and in writing, and possess sufficient communication skills to perform the tasks required

Our company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, our company complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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