Director of Nursing- Northgate
Company: Summit LTC
Location: San Antonio
Posted on: May 16, 2022
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Job Description:
Description:
POSITION SUMMARYWe are looking for an experience Director of
Nursing to become a part of our facility's compassionate
care-giving team. The successful candidate will be responsible for
managing all aspects of nursing responsibilities for the facility.
We're looking for a highly competent and well-organized
professional who values safety, security and patient wellness above
all else. We focus on providing the best care possible while
ensuring patient satisfaction in every interaction. The Director of
Nursing is responsible for making sure those values are reflected
in his or her staff at all times.ESSENTIAL DUTIES AND
RESPONSIBILITIES include the following. Other duties may be
assigned.Direct the day-to-day functions of the nursing staff in
accordance with current rules, regulations, and guidelines that
govern the long-term care facility.Assumes full responsibility for
the operation and management of the facility in the temporary
absence of the Facility Administrator or as directed by the
Administrator.Ensure that all nursing personnel assigned to you
comply with the written policies and procedures established by this
facility.Periodically review the department's policies, procedure
manuals, job descriptions, etc. Make recommendations for
revisions.Meet with your assigned nursing staff, as well as support
personnel, in planning the shifts' services, programs, and
activities.Ensure that the nursing service personnel comply with
the company policies and procedures.Make written and oral
reports/recommendations concerning the activities of your shift as
required.Cooperate with other resident services when coordinating
nursing services to ensure that the resident's total regimen of
care is maintained.Ensure that all nursing service personnel are in
compliance with their respective job descriptions.Participate in
surveys (inspections) made by authorized government agencies as may
be requested.Periodically review the resident's written discharge
plan. Participate in the updating of the resident's written
discharge plan as required.Plan the nursing services portion of the
resident's discharge plan as necessary.Interpret the department's
policies and procedures to personnel, residents, visitors, and
government agencies as required.Admit, transfer, and discharge
residents as required per policies and procedures.Complete
accident/incident reports as necessary per policies and
procedures.Perform administrative duties such as completing medical
forms, reports, evaluations, studies, charting, etc., as
necessary.Complete and file required recordkeeping forms/charts
upon the resident's admission, transfer, and/or discharge.Encourage
attending physicians to review treatment plans, record and sign
their orders, progress notes, etc., in accordance with established
policies.Receive telephone orders from physicians and record on the
Physicians' Order Form.Transcribe physician's orders to resident
charts, medication cards, treatment/care plans, as required.Chart
nurses' notes in an informative and descriptive manner that
reflects the care provided to the resident, as well as the
resident's response to care.Record new/changed diet orders. Forward
information to the Dietary Department.Report all discrepancies
noted concerning physician's orders, diet change, charting error,
etc.Ensure that appropriate documentation concerning unauthorized
discharges is entered in the resident's medical record in
accordance with established procedures.Perform routine charting
duties as required and in accordance with established charting and
documentation policies and procedures.Sign and date all entries
made in the resident's medical record.Ensure that an adequate
supply of floor stock medications, supplies, and equipment is on
hand to meet the nursing needs of the residents.Order prescribed
medications, supplies, and equipment as necessary, and in
accordance with established policies.Ensure that narcotic records
are accurate and report all drug and narcotic discrepancies.Review
medication cards for completeness of information, accuracy in the
transcription of the physician's order, and adherence to stop order
policies.Notify the attending physician of automatic stop orders
prior to the last dosage being administered.Dispose of drugs and
narcotics as required, and in accordance with established
procedures.Participate in employee performance evaluations,
determining your shift's staffing requirements, and making
recommendations concerning employee dismissals, transfers,
etc.Review and evaluate your department's work force and
make.Develop work assignments and/or assist in completing and
performing such assignments.Provide leadership to nursing personnel
assigned.Make daily rounds of your unit/shift to ensure that
nursing service personnel are performing their work assignments in
accordance with acceptable nursing standards.Meet with your shift's
nursing personnel, on a regularly scheduled basis, to assist in
identifying and correcting problem areas, and/or to improve
services.Ensure that department personnel, residents, and visitors
follow the department's established policies and procedures at all
times.Develop and maintain a good working rapport with
inter-departmental personnel, as well as other departments within
the facility to ensure that nursing services and activities can be
adequately maintained to meet the needs of the residents.Create and
maintain an atmosphere of warmth, personal interest and positive
emphasis, as well as a calm environment throughout the unit and
shift.Turn in complaints and grievances to Social Services
Director.Ensure that disciplinary action is administered fairly and
without regard to race, color, creed, national origin, age, sex,
religion, handicap, or marital status.Receive/give the nursing
report upon reporting in and ending shift duty hours.Inform
appropriate personnel of new admissions, their expected time of
arrival, room assignment, etc.Ensure that rooms are ready for new
admissions.Greet newly admitted residents upon admission. Escort
them to their rooms as necessary.Participate in the orientation of
new residents/family members to the facility.Make rounds with
physicians as necessary.Requisition and arrange for diagnostic and
therapeutic services, as ordered by the physician, and in
accordance with our established procedures.Consult with the
resident's physician in providing the resident's care, treatment,
rehabilitation, etc., as necessary.Review the resident's chart for
specific treatments, medication orders, diets, etc., as
necessary.Make periodic checks to ensure that prescribed treatments
are being properly administered by certified nursing assistants and
to evaluate the resident's physical and emotional status.Ensure
that direct nursing care be provided by a licensed nurse, a
certified nursing assistant, and/or a nurse aide trainee qualified
to perform the procedure.Cooperate with and coordinate social and
activity programs with nursing service schedules.Notify the
resident's attending physician and next-of-kin when there is a
change in the resident's condition/death.Carry out restorative and
rehabilitative programs, to include self-help and care.Inspect the
nursing service treatment areas daily to ensure that they are
maintained in a clean and safe manner.Administer professional
services such as; catheterization, tube feedings, suction, applying
and changing dressings/bandages, packs, colostomy, and drainage
bags, glueometers, giving massages and range of motion exercises,
care for the dead/dying, etc.Obtain sputum, urine and other
specimens for lab tests as ordered.Take and record TPRs, blood
pressures, etc., as necessary.Monitor seriously ill residents as
necessary.Ensure that personnel providing direct care to residents
are providing such care in accordance with the resident's care plan
and wishes.Ensure that residents who are unable to call for help
are checked frequently.Meet with residents, and/or family members,
as necessary.Assist in arranging transportation for discharged
residents as necessary.Ensure that discharged residents are
escorted to the pick-up area.Call funeral homes when requested by
the family. Ensure that established post-mortem procedures are
followed.Standardizing the methods in which work will be
accomplished.Training department personnel in identifying tasks
that involve potential exposure to blood/body fluids.Monitor your
assigned personnel to ensure that they are following established
safety regulations in the use of equipment and supplies.Ensure that
established departmental policies and procedures, including dress
codes, are followed by your assigned nursing personnel.Identifying,
evaluating, and classifying routine and job-related functions to
ensure that tasks in which there is potential exposure to
blood/body fluids are properly identified and recorded.Ensure that
an adequate supply of personal protective equipment are on hand and
are readily available to personnel who perform procedures that
involve exposure to blood or body fluids.Ensure that your assigned
work areas (i.e., nurse's stations, medicine preparation rooms,
etc.) are maintained in a clean and sanitary manner.Ensure that
your unit's resident care rooms, treatment areas, etc., are
maintained in a clean, safe, and sanitary manner.Ensure that your
assigned personnel follow established hand-washing techniques in
the administering of nursing care procedures.Ensure that your
assigned personnel participate in and conduct all fire safety and
disaster preparedness drills in a safe and professional
manner.Participate in the development, implementation, and
maintenance of the infection control program for monitoring
communicable and/or infectious diseases among the residents and
personnel.Ensure that your assigned personnel follow established
infection control procedures when isolation precautions become
necessary.Ensure that nursing personnel follow established
procedures in the use and disposal of personal protective
equipment.Participate in the development, implementation and
maintenance of the procedures for reporting hazardous conditions or
equipment.Ensure that all personnel wear and/or use safety
equipment and supplies (e.g., back brace, lifter, etc.) when
lifting or moving residents.Ensure that an adequate stock level of
medications, medical supplies, equipment, etc., is maintained on
your unit/shift at all times to meet the needs of the
residents.Participate in the development and implementation of the
procedures for the safe operation of all nursing service
equipment.Ensure that only trained and authorized personnel operate
your unit/shift's equipment.Ensure that all personnel operate
nursing service equipment in a safe manner.Monitor nursing
procedures to ensure that nursing service supplies are used in an
efficient manner to avoid waste.Review care plans daily to ensure
that appropriate care is being rendered.Ensure that your nurses'
notes reflect that the care plan is being followed when
administering nursing care or treatment.Review resident care plans
for appropriate resident goals, problems, approaches, and revisions
based on nursing needs.Ensure that your assigned certified nursing
assistants (CNAs) are aware of the resident care plans. Ensure that
the CNAs refer to the resident's care plan prior to administering
daily care to the resident.Maintain the confidentiality of all
resident care information.Monitor nursing care to ensure that all
residents are treated fairly, and with kindness, dignity, and
respect.Ensure that all nursing care is provided in privacy and
that nursing service personnel knock before entering the resident's
room.Ensure that all nursing service personnel are knowledgeable of
the residents' responsibilities and rights including the right to
refuse treatment.Review complaints and grievances made by the
resident and make a written/oral report indicating what action(s)
were taken to resolve the complaint or grievance.Follow the
facility's established procedures.Report and investigate all
allegations of resident abuse and/or misappropriation of resident
property.Ensure that nursing staff personnel honor the resident's
refusal of treatment request. Ensure that such requests are in
accordance with the facility's policies governing advance
directives.Communicates changes in the Nurse Practice Act to
nursing personnel.Communicates violation of the Nurse Practice Act
to the State Board of Nurse Examiners.Must attend Care Plan
meetings as scheduled for residents.pm21
Requirements:
QUALIFICATIONSTo perform this job successfully, an individual must
be able to perform each essential duty satisfactorily. The
requirements listed below are representative of the knowledge,
skill, and/or ability required. Reasonable accommodations may be
made to enable individuals with disabilities to perform the
essential functions.EDUCATION and/or EXPERIENCEHigh school diploma
or relevant qualification.Must possess, as a minimum, a Nursing
Degree from an accredited college or university, or be a graduate
of an approved RN program.Possession of a current valid Texas
driver's license or regular means of transportation to and from
work.Three (3) years of experience as a Director of Nursing in a
skilled rehabilitation, skilled nursing or Long-Term Care (LTC)
environment preferred.Experience with electronic medical records
preferred.KNOWLEDGE, SKILLS AND ABILITIESMust be capable of
operating a personal computer to enter resident data as required by
regulation and facility policy.Ability to read and comprehend
simple instructions, short correspondence, and memos.Ability to
apply common sense understanding to carry out instructions
furnished in written, oral, or diagram form.Ability to communicate
orally and in written form effectively with all levels of
employees, patients, families, and vendors.Ability to present
information in one-on-one and small group situations to employees,
patients, families, and vendors.Must be knowledgeable of nursing
and medical practices and procedures, as well as laws, regulations,
and guidelines that pertain to long-term care.Good understanding of
medical and pharmacological terminology.Ability to add and subtract
two digit numbers and to multiply and divide with 10's and 100's.
Ability to perform these operations using weight measurement,
volume, and distance.Excellent problem solving/analysis/judgment
skills and high level of attention to detail and accuracyBuilds and
maintains cooperative working relationshipsMust possess leadership
and supervisory ability and the willingness to work harmoniously
with professional and non-professional personnel.Establish and
maintain effective working relationships with clients, supervisors,
County employees, elected officials, law enforcement, other
agencies, and the public.Resourceful, dependable and
accountableAble to work a flexible schedule including evenings,
weekends, and holidays.CERTIFICATES, LICENSES, REGISTRATIONSMust
possess a current and active license to practice as an RN in this
state.PHYSICAL DEMANDS/ WORK ENVIRONMENTThe physical demands
described here are representative of those that must be met by an
employee to successfully perform the essential functions of this
job. Reasonable accommodations may be made to enable individuals
with disabilities to perform the essential functions.Physical
Requirements:Work requires physical activity including extended
periods of walking and standing with occasional climbing, reaching,
carrying, balancing, kneeling, crouching and bending.Must have the
ability to frequently lift and/or carry equipment, files, and other
materials weighing up to 50 pounds as well as push/pull up to 50
pounds of force with grip strength of 65 pounds.Ability to
transfer, and reposition a resident to or from a bed, wheelchair,
and use a mechanical lift, toilet, tub, shower, occasionally
varying degrees of pushing, pulling and lifting due to the
differences in resident weights.Must be able to assist in the
evacuation of residents during emergency situations.Must be able to
continuously perform simple manipulative dexterity tasks such as
the equipment listed above as well as safety pin buckles and tie
strings. Occasionally perform difficult manipulative tasks.Must be
able to detect the smell of smoke, spoiled food, soiled linen,
etc.The employee must be able to continuously hear normal sounds
and voice patterns with some background noise. Must have adequate
verbal instructions. Must be able to hear audible emergency
signals, alarms, call, light indicators and to be able to answer
the phone.Specific vision abilities required by this job include:
Must be able to continuously notice a change in the resident
(breathing, color, skin breakdown, etc.) Ability to focus and read
a thermometer.Visual abilities, correctable to normal ranges,
include close, distance and color vision, depth perception, and the
ability to adjust focus.The work environment characteristics
described here are representative of those employee encounters
while performing functions of this job. Reasonable accommodations
may be made to enable individuals with disabilities to perform the
essential functions.Work Environment:Work is performed indoors in a
health care facility.Work is performed during assigned shift;
however, hours will occasionally include varied days, hours,
holidays, weekends, and overtime as needed.The noise level in the
work environment is usually moderate, but can occasionally be loud.
Subject to frequent interruptions.Incumbents in this position may
be exposed to infectious/communicable diseases, blood borne
pathogens, and potential risk of injury from distraught
individuals.Frequent exposure to chemical compounds of medication
and treatments.Frequent exposure to microbial bacteria and other
infectious agents inherent to care of ill residents.Continuous
exposure to latex, Tyvex, plastic and/or materials which are used
for personal protective equipment.May be required to wear a face
mask, gown, or gloves.Stress of working with sick residents and
their families, combined with the resident who may be confused,
irrational, highly agitate mood swings. (Frequently)Subject to
involvement with personnel, visitors, state and federal agency
personnel and residents.Summit LTC is an equal opportunity
employer. All applicants will be considered for employment without
attention to race, color, religion, sex, sexual orientation, gender
identity, national origin, veteran or disability
status.PI177823732
Keywords: Summit LTC, San Antonio , Director of Nursing- Northgate, Executive , San Antonio, Texas
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