Assistant Director of Nursing

Job Title: Assistant Director of Nursing (ADON)

Department: Nursing/MBH

Reports To: Director of Nursing (DON)

Position Summary:

The RN/LPN is responsible and accountable for the overall health status of the residents including assessment, evaluation, plan of care, monitoring and reporting changes to the physician and family. The RN may delegate selected nursing activities to other health care workers but retains accountability and responsibility for the overall nursing care. Supervising staff along with the continuous evaluation of resident care needs and implementation of plan of care by direct care or supervision of the LPN, CNA and/or Nursing Coordinator.

Qualifications and Requirements:

1. License and Certifications Required:
   • Must be a Registered Nurse in good standing and currently licensed by the State of North Dakota
   • CPR within one year of hire
2. Educational Requirements:

• Graduate of an accredited school of nursing
• Must be able to read, write, understand, and communicate in English with residents, staff, vendors, consultants, and support agencies and specifically be able to understand and instruct nursing services personnel and follow written and oral directions.

1. Experience Requirements:

• Must be at least 18 years of age.
• Supervisory experience.

1. Special Skills or Training:

• Must be knowledgeable of nursing and medical practices, procedures and laws, regulations and guidelines governing long-term care.
  • Positive attitude toward the elderly and coworkers
  • Good organizational and interpersonal skills

1. Physical Requirements:
   • Lifting: up to 80 pounds
   • Standing: 7 or more hours per shift
   • Walking: 7 or more hours per shift
   • Reaching: 5 or more hours per shift
   • Grasping: 7 or more hours per shift
   • Hand Coordination: 7 or more hours per shift
   • Pushing & Pulling: 6 or more hours per shift
   • Ability to Distinguish Smells, Tastes, and Temperatures
   • Ability to See Call Lights and Hear and Respond to Pages
   • Ability to Remain Calm Under Stress

Essential Duties and Responsibilities:

1. Act as the DON when DON is unavailable.
2. Be available to work an on-call rotation.
3. Ensure resident safety while performing all duties and responsibilities.
4. Assess residents; assist and participate in developing and evaluating plan of care. Communicate plan of care to staff, residents and family.
5. Record all necessary charting entries on the computer.
6. Notify physicians and family of changes in resident's condition.
7. Document/transcribe information accurately.
8. Implement resident care as ordered by the provider, including administration of medications and treatments.
9. Ensure narcotic records are accurate and notify supervisor of all drug and narcotic discrepancies noted on the shift.
10. Manage and delegate appropriately including disciplining staff and handling complaints from residents and their families.
11. Report all accidents and incidents appropriately.
12. Know and comply with Residents' Rights rules; promptly report all resident complaints appropriately.
13. In times of short staffing, the ADON will be expected to take over the med cart, and treatment cart.
14. Promote independence and choices. Understanding of and appropriate communication with the cognitively impaired.
15. Ensure that residents are free from abuse, mistreatment, and neglect; be responsible for reporting on any such instance appropriately.
16. Be an advocate for the well-being of each resident.
17. Manage the MBH nursing and Basic Care schedule.
18. Participate in ensuring adequate staffing, including ensuring replacement staff are obtained as able in event of illness or absence; make necessary decisions concerning OT and changes in staff assignments to best meet residents' needs.
19. Ensure that established Universal Precautions, Infection Control, Isolation, Fire, Safety, Sanitation and other facility policies and procedures are maintained and followed.
20. Attend and participate in orientation, training, mandatory education, in-services, staff meetings, and education
21. courses as instructed to further improve knowledge and skills.
22. Maintain Resident and Patient Confidentiality.
23. Treat Residents, Visitors and Co-workers with kindness, dignity and respect at all times.
24. Promote teamwork; encourage others to work to the best of their ability; assist with training of new co-workers, if needed.
25. Have a positive attitude; be willing to accept change; follow facility rules, regulations and job assignments; accept suggestions well for work improvement; perform well with minimum supervision; do what is requested without complaint; cooperate with supervisors and show respect at all times; speak well of company and job.
26. Lack of absences and tardiness; request changes to schedule infrequently; give timely notice of absences; take allowed time for breaks; willingly come in when called.
27. Follow company dress code.