Assistant Director of Nursing - RN

DUTIES AND KEY RESPONSIBILITIES:

Administrative Services:

• Responsible for overall supervision of the Resident Services Department in the absence of the Director of Wellness
• The Assistant Director of Wellness will cross cover responsibility for the overall supervision of Wellness and Reflections
• Must be familiar with and able to implement emergency procedures as outlined in the Emergency and Disaster Plan.
• Responds to all requests for information and all other activities as directed by the Executive Director, Director of Wellness, and/or the Vice President of Clinical Services.
• Responsible for the 24-hour, 7 days a week operation of the Wellness / Reflections Unit when the Director of Wellness is absent/unavailable:
• Monitor proper scheduling and assignment of staff for Wellness and Reflections Program in accordance with company policy and State Health Department regulations
• Work collaboratively to find adequate coverage as needed in Wellness and Reflections
• Available and responsive to staff and/or Management and/or Resident’s families/providers for immediate consultation 24/7
• Maintains on-going infection control surveillance, OSHA standards, universal precautions and basic sanitation and safety in Wellness Office and the Reflections Unit inclusive of the Resident’s apartments.
• Assures the accuracy of Resident records and documentation in adherence with company policies as well as regulations of the State Department of Health.
• Reviews electronic health records dashboard throughout shift to ensure compliance with company policies.
• Assures the medication management system adheres to State and local Department of Health laws and regulations and company policies, as well as Memory Care requirements:
• Assures thorough reviews of Medication Administration Records to include “chart to cart” audits and monitoring of electronic record dashboard.
• Addresses all findings as a result of the review and develops appropriate training strategies to address such findings
• Follows the company policies and procedures related to incident reporting and notifications as well as State Department of Health Regulations including informing Director of Wellness and Executive Director of incidents.
• Maintain active community and professional relationships to support positive promotion of the company.
• Develop contacts with community agencies serving senior citizens and clergy and refers residents where/when appropriate.
• Maintain a liaison with facility and the community nursing homes, hospitals and assisted living facilities.
• Conducts daily observational walk-through of the Main Dining Room/Reflections Dining Room to assure Residents are appropriately groomed and dressed
• Performs other duties as assigned by the Director of Wellness, the Executive Director, and Vice President of Clinical Services.
• Monitor and maintain documentation on the Emergency Response System to ensure compliance, reporting findings to the ED as required

Resident Supervision:

• Acts as Resident advocate
• Visits with Residents to evaluate their concerns
• Refers all Resident complaints and/or concerns to the Director of Wellness and/or Executive Director for immediate investigation and resolution
• Provides oversight to the admission process of the Resident to include:
• Conducts pre move in evaluations
• Reviews appropriateness and accuracy of the Resident’s physician evaluation for sign off on same
• Conducts (or delegates as appropriate) Initial Level of Care Evaluation of Resident prior to admission into the community and follow-up evaluation as per company policy and State Department of Health regulations.
• Provide initial and ongoing orientation to facility for new Residents.
• Acclimate Resident and introduces them to other Residents.
• Encourage Residents to participate in social activities.
• Inform ED, Director of Wellness and Department Heads of the general well-being or Residents as well as their ability to live in the Assisted Living setting.
• If delegated by ED or Director of Wellness, communicates change in Resident status to the Resident’s Representative and appropriate Administrative/Home Office Business Staff.
• Monitor the Wellness and Reflections Communication Logs daily for any unusual occurrences or changes in resident’s status and records and insures interventional strategies appropriately.
• Ensure all corporate policies and procedures and State Department of Health Regulations for Assisted Living Residences, Special Needs Program are followed and maintained.
• Supervise Wellness and Reflections Unit staff to ensure that Residents receive appropriate care and services.
• Coordinate care with the Department Heads, Resident’s physician, and other third-party providers:
• Collaborate with the Director of Wellness and Director of Case Management to assist residents with referrals to pertinent agencies when needed; i.e., Long Term Care insurance forms, nursing homes, social services agencies, Able Ride, etc.
• Assist with hospital, skilled nursing facility, rehab centers, et al, with transfers and discharges and liaises external staff and discharge planner to determine suitability of Resident to return to facility:
• Conduct off site visits as indicated/requested by ED/ Director of Wellness.
• Act as a liaison with Resident’s personal physician and other healthcare providers.
• Refer Resident service problems to the appropriate Department Managers and Director of Wellness and Administration as necessary.
• Develop and keep accurate Resident records in compliance with company policy and regulatory rule:
• Collaborate in the development of the Resident service/care plans with multidisciplinary team, healthcare providers, third party providers (particularly home health) and the Resident’s family/Legal Representative.
• Review and revise resident service plans every six months and when a change in resident status warrants.
• Document necessary social, recreational, physical, emotional, mental / behavioral health findings, needed and ordered interventions, and eventual outcomes
• Review visiting and outside physician and provider notes and implement any changes in prescribed management as ordered by physician,
• Assure annual physician evaluations are completed.
• Oversee and document review of Residents who are self-administering medications to ensure continued competency and report all findings to ED, Director of Wellness, Resident’s physicians and Representatives – follow up as needed and indicated;
• Conduct skin observations on Residents, documenting findings to maintain compliance, and report findings for follow up.

Staff Education, Development, Supervision and Evaluation:

• At the request of the ED and/or Director of Wellness:
• Interview, recommend for hire and promotion, train, supervise, evaluate, coach, discipline, and refer to ED and Director of Wellness for termination:
• Supervise care staff
• Conduct and/or schedule staff in-services to improve the quality of care to respond to both individual and global staff identified needs
• Follow company in-service schedules to meet State Department of Health requirements as well as company policy
• Assure in-service training, competency observations
• Assure Medication Aides are in compliance with all State Department of Health training and ongoing in-services requirements
• Conduct periodic health seminars for the Residents and/or Residents’ families in collaboration and coordination with the Director of Recreation.
• Provide oversight of the staff audit process as delegated by the Director of Wellness
• Conduct and monitor staff completion of audits including but not limited to: ERS, Controlled Substances, Medication Administration Records, Medication Carts, Resident medical files and Resident care
• Report findings of the audits to the Director of Wellness
• Assist ED and Director of Wellness with plans of corrections based on findings; follow ups as required to ensure staff and findings are in compliance
• Follow all workplace injury procedures, including completion of reports for timely reporting and issuing corrective action when necessary.
• Adhere to and uphold company policies and procedures.