Director of Nursing

Director Of Nursing

The purpose of the Director of Nursing position is to plan, direct and monitor all nursing activities for Pleasant View Nursing Home, establish goals for the nursing department and ensure healthcare policy is followed.

Essential duties and responsibilities including the following:

• Develop and update nursing philosophy, objectives, guidelines and standards of practice. Evaluate resident and nursing staff needs. Consult with nursing supervisors and staff regarding resident's condition and nursing staff concerns during daily rounds.
• Develop and implement nursing guidelines in compliance with State and Federal codes and regulations including developing information and guideline forms, nursing staff training and education, resident/family communication policy. Monitor or delegate monitoring of nursing guidelines through audits and on-site inspections.
• Maintain knowledge of current State, Federal and local laws, rules, regulations and ordinances regarding long-term nursing care.
• Review admissions to determine level of care required. Approve with administrator new resident admissions. Contact referring agency/individual for assessment. Analyze admission forms for accuracy and completeness. Notify Medical Director and/or administrator for potential problems/concerns. Assist social services in determining room assignments/transfers.
• Perform additional duties and responsibilities as may be assigned from time to time.

Supervisory responsibilities:

• Supervise nursing staff; including recruitment, interviewing potential employees and recommending hires. Coordinate continuing education with nursing supervisors. Evaluate nursing supervisors' job performance. Review all nursing staff performance evaluations. Oversee/authorize discipline/discharge, and transfers.
• Monitor staffing levels for compliance. Review time sheets. Review nursing staff incident/accident reports. Assign staff to light duty in consultation with administration and personnel. Coordinate nursing guidelines with other departments and services including social services, housekeeping, activities, various therapists, barbers and beauticians.
• Coordinate restraint and drug reduction for all residents.
• Review MDSs, quarterly reviews, risk assessments for developing resident problems. Participate in QA process in area of nursing services. Act as resource to staff conducting QA activities.
• Prepares agendas for weekly professional nursing staff meetings.
• Participate in State and Federal nursing home surveys and recommend and implement deficiencies correction.
• Participate in on-call for nursing management problems.
• Represent nursing staff in community and professional activities. Maintain communication with residents/families and community.
• Act as resident advocate.
• Develop long-range nursing service plan. Participate in developing nursing service budget and recommend equipment purchases.
• Oversee infection prevention program including antibiotic stewardship.
• Communicate and monitor ancillary medical providers including pharmacy.
• Ensure facility is up to date with changes in nursing standard best practices.

Qualifications:

To 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.

Education and/or experience:

• Associate degree or Bachelor's degree or diplomas in nursing, Wisconsin Registered Nurse license with seven years RN experience, including three in a supervisory capacity or any combination of education and experience that provides equivalent knowledge, skills, and abilities. Bachelor's degree and experience in long-term nursing preferred.
• An excellent attendance record is required.

Certificates, licenses, registrations:

• Wisconsin Registered Nurse license.

Language skills:

• Ability to decide the time, place and sequence of operations with a system or organizational framework, as well as the ability to oversee their execution. Ability to develop, analyze and categorize data and information using changing and established criteria, in order to define consequences and to consider and select alternatives. Ability to compare, differentiate, measure and/or sort data and information. Ability to classify, compute, tabulate, and categorize data.
• Ability to manage and direct a group of workers. Ability to counsel and mediate. Ability to persuade, convince and train others. Ability to advise and interpret on how to apply guidelines and standards to specific situations.
• Ability to use advisory and design data and information such as technical manuals, resident records, admission and discharge documents, physician's orders and reports, budget reports and summaries, nursing staff certification and licenses, payroll records, lab reports, drug reference manuals, incident/accident reports, medical charts, Bureau of Quality Assurance memos and audit reports, rules and regulations regarding long-term care, billing statements, resident care plans, restraint consent forms, nursing guidelines, infraction control manuals, County-union contracts, personnel guidelines, non-routine correspondence, professional nursing journals and periodicals, laws and educational curricula.
• Ability to communicate effectively with nursing personnel, PVNH departments heads, therapists, physicians, County Supervisors, nursing educators, hospital and clinic personnel, residents, residents' families, lab technicians, pharmacists, clergy, insurance company representatives, vendor representatives, Administrator, State and Federal health care regulators.
• Required to consistently communicate effectively and professionally with Green County citizens, clientele, employees, and officials.

Mathematical skills:

• Ability to calculate percentages, fractions and decimals; ability to calculate volume, ratios, and ability to interpret basic descriptive statistical reports.

Reasoning ability:

• Ability to use functional reasoning development in performing functions within influence systems such as associated with supervising, managing, leading, teaching, directing and controlling.
• Ability to apply situational reasoning ability by exercising judgment, decisiveness and creativity in situations involving the direction, control and planning of an entire program or set of programs.

Physical demands:

• Ability to coordinate eyes, hands, feet and limbs in performing semi-skilled movements involved in nursing practice.
• Ability to exert moderate physical stress in sedentary to light work, involving climbing and balancing. Ability to stoop, squat, bend, kneel, reach, twist, climb and balance approximately 1-33% and have hearing acuity, vision acuity far, vision acuity near, color vision and depth perception approximately 67-100% of the time working.
• Ability to use both right and left hands for repetitive actions such as grasping, grasping and turning, fine manipulation, speed work.
• Ability to operate equipment and machinery requiring simple, periodic adjustments. Ability to move and guide material using simple tools. Ability to operate mechanical lifts, stethoscope, sphygmomanometer, and thermometers.
• Ability to coordinate eyes, hands, feet and limbs in performing slightly skilled movements such as cutting, reading care plans, walking to assist residents.
• Ability to recognize and identify degrees of similarities or differences between characteristics of colors, forms, sounds, tastes, odors, textures etc. associated with objects, materials and ingredients.

Work environment:

• In regard to environment factors work under moderately safe and comfortable conditions with potential factors such as odors, smoke, potential violence, noise, disease.

Green County is an Equal Opportunity Employer.