Director of Nursing

CALDWELL MEDICAL CENTERJOB DESCRIPTIONJOB TITLE: Director of NursingDEPARTMENT: NursingREPORTS TO: CEOSUPERVISES: Medical/Surgical and Emergency DepartmentsPOSITION SUMMARY:Responsible for establishing a culture of clinical excellence, zero-harm patient safety, and professional accountability. Works in close partnership with the Medical Staff and Executive Leadership to elevate bedside clinical standards and drive continuous quality improvement across the Medical Surgical and Emergency Departments. The Director of Nursing will participate as a member of the hospital's Leadership team in planning, policy formulation, and administrative decision making with attention to the role, functions, and operations of the hospital's nursing services. The position is responsible for patient care, management, resource management, and fiscal management.POSITION RESPONSIBILITIESESSENTIAL FUNCTIONS:Initiates the development of policies and procedures that govern nursing services and other services under his or her supervision.Verifies employee credentials under his or her position supervision.Collaborates with other departments and agencies regarding resources and services for improved patient care and staff development.Plans, develops, and implements a budget process for staffing and services rendered.Actively participates, and leads nursing services, in the hospital’s Quality Assurance and Performance Improvement (QAPI) program. Designs, monitors, and analyzer key clinical quality indicators.Champions a culture of safety by establishing non-punitive event reporting mechanisms; assists with the conduction of Root Cause Analyses (RCA) and Failure Mode and Effects Analyses (FMEA) for all sentinel events, near-misses, and adverse clinical occurrences, ensuring immediate corrective action plans are executed.Ensures continuous survey readiness and strict compliance with CMS Critical Access Hospital Conditions of Participation (CoPs), State Department for Public Health regulations, and applicable accrediting bodies.Ensures, in coordination with the Education Coordinators, rigorous annual clinical competency assessments and skills fairs tailored to rural acute and emergency care (e.g., rapid triage, trauma stabilization, pediatric emergencies, critical drip titration, and pre-transfer stabilization).Ensure effective implementation of objective clinical auditing tools (such as chart audits, bedside shift-report compliance, and direct-observation care rounds); conducts timely performance evaluations and executes progressive coaching or disciplinary actions when standards of practice or safety protocols are breached.Identifies clinical skill gaps across Med/Surg and ED nursing staff; designs and implements structured specialty training, onboarding pathways, preceptor programs, and continuing education initiatives to elevate nursing critical-thinking and scope of practice.Partners closely with the Chief of Staff, Medical Director, and attending medical providers to establish, update, and standardize evidence-based clinical protocols, order sets, and transfer criteria.Participates actively in Medical Staff Committees as necessary, including but not limited to, Pharmacy & Therapeutics (P&T), and interdisciplinary clinical review meetings; serves as the nursing liaison to resolve operational, communication, or clinical practice issues between medical providers and nursing staff.Facilitates seamless bedside communication (such as standardized SBAR handoffs and interdisciplinary patient rounds) between nursing personnel, hospitalists, emergency physicians, Advanced Practice Providers (NPs/PAs), and swing-bed coordinators.Oversees emergency department clinical readiness, ensuring robust EMTALA compliance, streamlined inter-facility transfer processes and agreements as necessary, and rapid stabilization protocols for high-acuity patients requiring transfer to tertiary centers.Coordinates nursing care models for acute inpatient and Swing Bed rehabilitation programs, ensuring patient progression, documentation compliance, and safe discharge planning.Serves as a spokesperson for nursing matters and represents the hospital with professional nursing and related organizations.Actively participates and leads meetings and committees as required.Performs other duties as assigned.ENVIRONMENTAL CONDITIONSSubject to temperature changes from hot to cold. Subject to hazardous conditions where there is a danger to life, body and/or health.WORKING CONDITIONSMay be exposed to infectious and contagious diseases.Regularly exposed to the risk of bloodborne diseases.Occasionally exposed to radiation hazards.Exposed to a variety of electro-mechanical hazards.Exposed to odorous chemicals, specimens and patient related odors.Exposed to housekeeping/cleaning agents/chemicals.May be exposed to toxic chemicals.Subject to hazards of flammable/explosive gases.Subject to burns and ‘sharps’ related injuries.Subject to injury from moving parts of equipment.Occasional exposure to unpleasant elements.Contact with patients and patient families under a wide variety of circumstances.Subject to varying and unpredictable situations.Handles emergency or crisis situations.Performs emergency care.Subject to many interruptions.Occasionally subject to long irregular hours.Frequent pressure due to multiple calls, inquiries, questions and requests.Requires judgment and action which could result in death of a patient.Performs both standardized and non-standardized duties that require independent judgment and initiative on an ongoing basis.REQUIRED PROTECTIVE CLOTHINGEye protection, face protection, gown, lab coat or apron, mask, sterile and non-sterile medical gloves, utility gloves at times. Respiratory protective-type device on occasion (N-95; Purified Air filtration System).EXPECTATIONSProficiency in this position should be reached in 3-5 months.Must maintain CEUS as established by the KBN.Must be willing to take specialty courses and other educational offerings as indicated.Must be honest and trustworthyMust be skillful in written and oral communication.Demonstrates moderate to advanced problem solving and time management skills.Demonstrates moderate to advanced critical thinking skills.Must have knowledge and skills required to deliver high-quality nursing care utilizing sound nursing judgment.Must demonstrate the ability to direct personnel in a positive/professional/constructive fashion.Must demonstrate the ability to work independently and to appropriately delegate tasks to other members of the nursing staff.Demonstrates the ability to deal with issues and personnel in an unbiased/objective/professional manner without favoritism or biasMust be able to recognize deficiencies/short comings in self and others and to take construction action toward correction.Effectively respond to challenges in a positive and professional manner to maintain morale and a high degree of cooperation. Must have the ability to interact appropriately with others in a number of settings including those that may be highly stressful, emotional and intense.Must be able to define problems, collect data/information, establish facts and draw valid conclusions.Must maintain certification in BLS, ACLS and PALS.PHYSICAL DEMANDSProlonged, extensive standing, walking. Occasional sittingLifts, positions and transfers patients as neededLifts supplies and equipment with weight requirements of approximately 50lbs*Manual dexterity and mobility, reach with hands and arms, stooping, bending, kneeling and crouching, push/pull, use hands and fingers to touch & feel*Seek assistance if the weight requirement for the performance of a job or task requires greater than 50lbs of effort/forceLANGUAGE SKILLS/READING SKILLS/HEARINGAbility to talk/converse with and be understood by others.Ability to read, analyze and interpret written information (journal articles, financial reports, records, data, etc)Ability to respond to common inquiries or complaints from customers, regulatory agencies, etcAbility to effectively present information to others (individually or in groups)Ability to hear alarms on equipment, patient call bell, instructions from physicians and conversations with othersVISIONFar acuity: ability to see clearly at 20 feet or moreMust be able to visually identify, assess, and complete job-related tasks safely and accurately, with or without reasonable accommodation.SKILLS – ADMINISTRATIVE LISTINGAnswers and converses on the telephoneBalances figuresCompile StatisticsCompose Letters & MemorandumsPlan, Coordinate & Conduct EventsPlan, Coordinate and Conduct Meetings (Staff Meetings, New employee Orientation, etc)Establish & Maintain Filing SystemsInput Data into and Extract Date from Computer ProgramsInterviews and Hires New EmployeesPlan, Document & Conduct Employee Performance & Disciplinary ActionsCreate and maintain various reports, records and logs – both electronically and in paper formatSKILLS – MACHINE LISTINGComputers (Desktop, Portable and Handheld Devices)PrintersCopy MachineFax MachineTelephones – Desk and PortableCalculatorsPulse Oximetry DevicesIV PumpsEnteral Feeding PumpsThermometersVital Sign MachinesDefibrillatorsCardiac Monitors (Central Stations, Portable Units, Telemetry Units)Fetal/Vascular DopplerPatient BedsFingerstick glucose monitorsK-PadBed scalesChair ScalesStanding ScalesPCA PumpsSCD MachinesBlood WarmerNurse Call SystemPatient liftsOther patient safety/patient related equipmentCOMPLIANCEActs in accordance with the compliance policies set forth in the compliance plan and to report violations of these policies.DISCLAIMER STATEMENTThe above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.POSITION QUALIFICATIONSMINIMUM EDUCATIONBachelor Science of Nursing licensed to practice in the State of Kentucky with an unencumbered nursing licenseMINIMUM EXPERIENCEFive years of nursing management experienceCertified Nurse Leader (CNL), Certified Emergency Nurse (CEN), or Certified Professional in Healthcare Quality (CPHQ) preferred. #J-18808-Ljbffr Caldwell County Hospital Inc