1000+ Best Management Jobs in North Carolina (October 2025) - page 11

SYLVA OPERATIONS LLC

ASSISTANT DIRECTOR OF NURSING (ADON)

4 months ago

Franklin

Job Description:\n\nDescription: The primary purpose of your job position is to assist the Director of Nursing in planning organizing, developing, and directing the day-to-day functions of the Nursing Department in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be directed by the Administrator, the Medical Director, and/or the Director of Nursing Services, to ensure that the highest degree of quality care is maintained at all times. Delegation of Authority As Assistant Director of Nursing Services, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. In the absence of the Director of Nursing Services, you are charged with carrying out the resident care policies established by this facility. Job Functions Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Duties and Responsibilities Administrative FunctionsAssist the Director of Nursing in planning, developing, organizing, implementing, evaluating, and directing the day-to-day functions of the nursing service department, in accordance with current rules, regulations, and guidelines that govern the long-term care facility.Participate in the implementation and monitoring of compliance with our written policies and procedures that govern the day-to-day functions of the nursing service departmentEnsure that reference material (i.e., PDR’S, regulations, professional standards of practice, etc.) maintained at the nurses’ stations is current. Recommend to the Director written material that will assist the nursing service department in meeting the day-to-day needs of residents.Ensure that the Nursing Service Procedures Manual is current at all times and reflects the day-to-day nursing care procedures used by this facility.Develop and periodically update nursing service objectives and statements of philosophy.Assist in developing and implementing a nursing service organization structure.Make written and oral reports/recommendations to the Director as necessary/ required, concerning the operation of the nursing service department.Periodically review the department’s policies, procedure manuals, job descriptions, etc. Make recommendations for revisions of policies, procedures, etc., to the Director of Nursing.Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents’ total regimen of care.Ensure that all nursing service personnel are following their respective job descriptions. Participate in developing, maintaining, and periodically updating the written job descriptions for each level of nursing personnel in accordance with pertinent laws and regulations.Participate in the development, maintenance, and implementation of the facility’s quality assurance program for the nursing service department.Participate in facility surveys (inspections) made by authorized government agencies as requested by the administrator or director of nursing services.Participate in developing, implementing, and periodically updating the resident’s written discharge plan.Assist the resident and Discharge Planning Coordinator in planning the nursing services portion of the resident’s discharge plan.Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.Monitor the facility’s QI, QM and survey reports and provide the Director with recommendations that will be helpful in eliminating problem areas.Assist the Director in obtaining staffing information that must be posted on a daily basis.Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to the Administrator.Report any known or suspected unauthorized attempt to access facility’s information system.Participate in the development, maintenance, implementation, and updating of the written policies and procedures for the administration, storage, and control of medications and supplies.And other duties as assigned. Committee FunctionsIn the absence of the Director, serve on, participate in, and attend various committees of the facility.Serve on the Quality Assurance and Assessment Committee as directed.Assist the Director in preparing written and/or oral reports of the nursing service programs and activities to submit to such committee(s).Schedule, attend, and participate in developing the agenda for the Care Plan Committee meetings as necessary.Participate in regularly scheduled reviews of the discharge plans and make such plans available to the Care Plan Committee as required or as may be necessary.And other duties as assigned. Personnel FunctionsAssist the Director in determining the staffing needs of the nursing service department.Recommend to the Director the number and level of nursing personnel to be employed.Assist the Director in the recruitment and selection of nursing service personnel.Ensure that a sufficient number of licensed practical and/or registered nurses are available for each tour of duty to ensure that quality care is maintained.Ensure that a sufficient number of certified nursing assistants are available for each tour of duty to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident.Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training programDevelop work assignments and schedule duty hours, and/or assist nursing supervisory staff in completing and performing such tasks.Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse.Schedule work assignments and duty hours.Delegate to the Charge Nurses and Nurse Supervisors the administrative authority, responsibility, and accountability necessary to perform their assigned duties.Assist the Director in preparing performance evaluations as directed.Participate in the development and implementation of performance evaluations for the nursing service department.Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report findings to the Director.Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times. Report problem areas to the Director.Monitor the professional nurses’ licensing status to ensure that they remain current. Inform nurses at least 30 days in advance of their license expiration dateReview complaints and grievances made or filed by department personnel. Make appropriate reports to the Director as required or as may be necessary.Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.Interpret the department’s policies and procedures to personnel, residents, visitors, and government agencies as necessary.Ensure that all nursing personnel participate in the facility’s TB testing program.Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility’s policies and procedures governing accident and incidents.Report known or suspected incidents of fraud to the Administrator.Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines. Nursing Care FunctionsParticipate in the interviewing and selection of residents for admission to the facility, including the PASARR screenings.Provide the Director with information relative to the nursing needs of the resident and to the nursing service department’s ability to meet those needs.Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc.Ensure that rooms are ready for new admissions.Greet newly admitted residents upon admission. Escort them to their rooms as necessary.Make rounds with physicians as necessary.Inform the Director when physician visits are not made in a timely manner.Encourage attending physicians to record and sign progress notes, physicians’ orders, etc., on a timely basis and in accordance with current regulations.Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure.Review nurses’ notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident’s response to the care, and that such care is provided in accordance with the resident’s wishes.Schedule daily rounds to observe residents and to determine if nursing needs are being metMonitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled.Report medication errors to the Director.Provide direct nursing care as necessary.Report problem areas to the Director. Assist in developing and implementing corrective action.Authorize the use of restraints when necessary and in accordance with our established policies and procedures.Ensure that residents who are unable to call for help are checked frequently.And other duties as assigned. Staff DevelopmentParticipate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on “how to do the job,” and ensure a well-educated nursing service department.Develop, implement, and maintain an effective orientation program that orients the new employee to the facility, its policies and procedures, and to his/her job position and duties.Provide leadership training that includes the administrative and supervisory principles essential for Nurse Supervisors/Charge Nurses.Encourage Nurse Supervisors/Charge Nurses to attend and participate in outside training programs. Schedule times as appropriate.Assist the Director in developing and revising the nursing assistant training curriculum used by the facility.Assist the Director in planning and conducting universal precautions in-service training.Assist the In-service Director/Educator in developing annual facility in-service training programs (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.).Assist the In-service Director/Educator in developing advance directive in-service training programs for the staff and community.Assist support services in developing, implementing, and conducting in-service training programs that relate to the nursing service department.Assist the In-service Director/Educator in the development of in-service training programs for the nursing staff. Ensure that these programs meet the continuing education requirements that allow licensed personnel (e.g., RNs, LPNs, CNAs, etc.) to keep their license on an active status.Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.And other duties as assigned. Care Plan and Assessment FunctionsParticipate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident.Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers.Participate in the development of a written care plan (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care.Encourage the resident and his/her family to participate in the development and review of the resident’s plan of care.Assist in the scheduling of care plans and assessments to be presented and discussed at each committee meeting.Ensure that all personnel involved in providing care to the resident are aware of the resident’s care plan. Ensure that nursing personnel refer to the resident’s care plan prior to administering daily care to the resident.Review nurses’ notes to determine if the care plan is being followed.Review and revise care plans and assessments as necessary, but at least quarterly.Develop and maintain a good rapport with all services involved with the care plan to ensure that a team effort is achieved in developing the resident’s comprehensive care plan.Be sure that staff members are providing care that reflects the wishes of the resident.And other duties as assigned. Budget and Planning FunctionsParticipate in the preparation of and planning of the nursing service department’s budget and submit to the Director for his/her review, recommendations, and/or approval.Keep abreast of economic conditions/situations, and recommend to the Director adjustments in nursing services that ensure the continued ability to provide quality care.Recommend to the Director the equipment needs of the nursing service department.Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc.And other duties as assigned. Resident RightsMaintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information.Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect.Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident’s room.Ensure that all nursing service personnel are knowledgeable of the residents’ responsibilities and rights including the right to refuse treatment.Review complaints and grievances made by the resident and make a written/oral report to the Director indicating what action(s) were taken to resolve the complaint or grievance. Follow facility’s established procedures.Maintain a written record of the resident’s complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint.Ensure that appropriate notices are received by the resident before his/her room or roommate is changed.Report and investigate all allegations of resident abuse and/or misappropriation of resident property.Ensure that nursing staff personnel honor the

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