Director of Nursing (DON)

• Plan, develop, organize, implement, evaluate, direct, and manage the nursing services department.
• Develop, maintain, and periodically update written nursing policies, procedures, manuals, objectives and philosophies, if necessary.
• Implement plans of action to correct deficiencies.
• Complete medical forms, reports, evaluations, studies, charts, etc.
• Maintain a Quality Assurance program.
• Participate in surveys and inspections by government agencies.
• Serve in executing administrative functions and decision-making in the absence of the facility’s Administrator.
• Coordinate nursing services with other services/departments.
• Direct the planning, implementing and evaluation of nursing care services for all residents on a 24-hour, 7 day a week basis.
• Participate in the interviewing and screening of residents for admission to the facility.
• Assure that each resident’s attending physician(s) and family or representative, are promptly notified of any significant change in the resident’s health status.
• Recruit, interview, hire, counsel, evaluate, discipline, and terminate nursing services personnel.
• Develop work assignments for nursing services personnel in keeping with specific nursing care needs of the residents.
• Advise the facility Administrator as to the number and qualifications of nursing personnel required to meet the residents’ needs.
• Assure that nursing services personnel are not required to perform any duties or functions outside of their scope of practice.
• Delegate administrative authority, responsibility, and accountability to nursing services supervisory personnel as deemed necessary to perform assigned duties.
• Maintain professional competence, as well as current licenses, through participation in continuing education programs, seminars, and training programs.
• Maintain resident confidentiality and privacy.
• Treat residents with kindness, dignity, and respect.
• Know and comply with and ensure that all nursing services personnel know and comply with Residents’ Rights.
• Monitor nursing services to ensure that Residents’ Rights and are honored.
• Promptly report to the Administrator all resident complaints and grievances.
• Assist in developing for each resident a preliminary and comprehensive assessment and written care plan that identifies the nursing and medical concern and/or needs of the resident and the goals to be accomplished for each concern and/or need identified.
• Ensure that all nursing services personnel are aware of the care plan and availability for use in providing daily nursing services to the resident.
• Monitor nurses’ notes and monitor residents to determine if the care plans, are being followed and if each residents’ needs are being met.
• Participate in assessing, reviewing and revising care plans as required.
• Develop and maintain rapport with all services to ensure that a team effort is achieved in developing comprehensive care plans for all residents.
• Recommend to the Administrator the equipment and supply needs of the nursing services department.
• Attend and participate in various committees and meetings of the facility.
• Assist in developing, implementing and maintaining safety standards, written aseptic and isolation techniques, programs for monitoring communicable and/or infectious diseases among residents and personnel and policies and procedures for reporting hazardous conditions or equipment.
• Confirm that nursing services personnel follow established infection control procedures when isolation precautions become necessary.
• Confirm that nursing services personnel understand and follow departmental policies and procedures, Universal Precautions, established safety rules and fire and disaster procedures.
• Collaborate with the Medical Director and attending physicians regarding resident care services and, when necessary, address specific resident care issues and concerns.
• Assist with developing and implementing methods for coordinating nursing services with other resident services.
• Assist in planning, developing, implementing and maintaining resident discharge procedures and plans.
• Monitor physician compliance in regard to required visits to the resident(s) in accordance with the time frames specified in Federal and State guidelines.
• Confirm that all nursing services personnel have valid and current licenses or certifications and are performing duties in accordance with acceptable nursing standards.
• Review personnel complaints and grievances and ensure that all personnel are treated consistently with policies and applicable laws.
• Participate in planning, implementing, conducting and scheduling orientation, training and in-service educational activities for nursing service personnel.
• Encourage residents and their families to participate in the development and review of care plans.
• Make periodic inspections of supplies and equipment to ensure that adequate levels are maintained and that equipment is available and working properly.
• Monitor to ensure that trained and authorized personnel operate nursing services equipment in a safe manner.
• Confirm cleanliness of nursing services work areas, stations, preparation rooms, treatment areas and resident care rooms.
• Other duties as assigned by the Administrator.

• Ability to read and write in English, ability to communicate with residents, families, personnel and support agencies and ability to remain calm under stress.
• Bending, lifting, walking, grasping, fine hand coordination, ability to distinguish smells, tastes and temperatures, ability to discern colors, ability to hear and respond to pages.

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