Director of Nursing
Company: Summit LTC
Location: La Grange
Posted on: August 7, 2022
POSITION SUMMARYWe are looking for an experience Director of
Nursing to become a part of our facility's compassionate
care-giving team. The successful candidate will be responsible for
managing all aspects of nursing responsibilities for the facility.
We're looking for a highly competent and well-organized
professional who values safety, security and patient wellness above
all else. We focus on providing the best care possible while
ensuring patient satisfaction in every interaction. The Director of
Nursing is responsible for making sure those values are reflected
in his or her staff at all times.ESSENTIAL DUTIES AND
RESPONSIBILITIES include the following. Other duties may be
- Direct the day-to-day functions of the nursing staff in
accordance with current rules, regulations, and guidelines that
govern the long-term care facility.
- Assumes full responsibility for the operation and management of
the facility in the temporary absence of the Facility Administrator
or as directed by the Administrator.
- Ensure that all nursing personnel assigned to you comply with
the written policies and procedures established by this
- Periodically review the department's policies, procedure
manuals, job descriptions, etc. Make recommendations for
- Meet with your assigned nursing staff, as well as support
personnel, in planning the shifts' services, programs, and
- Ensure that the nursing service personnel comply with the
company policies and procedures.
- Make written and oral reports/recommendations concerning the
activities of your shift as required.
- Cooperate with other resident services when coordinating
nursing services to ensure that the resident's total regimen of
care is maintained.
- Ensure that all nursing service personnel are in compliance
with their respective job descriptions.
- Participate in surveys (inspections) made by authorized
government agencies as may be requested.
- Periodically review the resident's written discharge plan.
Participate in the updating of the resident's written discharge
plan as required.
- Plan the nursing services portion of the resident's discharge
plan as necessary.
- Interpret the department's policies and procedures to
personnel, residents, visitors, and government agencies as
- Admit, transfer, and discharge residents as required per
policies and procedures.
- Complete accident/incident reports as necessary per policies
- Perform administrative duties such as completing medical forms,
reports, evaluations, studies, charting, etc., as necessary.
- Complete and file required recordkeeping forms/charts upon the
resident's admission, transfer, and/or discharge.
- Encourage attending physicians to review treatment plans,
record and sign their orders, progress notes, etc., in accordance
with established policies.
- Receive telephone orders from physicians and record on the
Physicians' Order Form.
- Transcribe physician's orders to resident charts, medication
cards, treatment/care plans, as required.
- Chart nurses' notes in an informative and descriptive manner
that reflects the care provided to the resident, as well as the
resident's response to care.
- Record new/changed diet orders. Forward information to the
- Report all discrepancies noted concerning physician's orders,
diet change, charting error, etc.
- Ensure that appropriate documentation concerning unauthorized
discharges is entered in the resident's medical record in
accordance with established procedures.
- Perform routine charting duties as required and in accordance
with established charting and documentation policies and
- Sign and date all entries made in the resident's medical
- Ensure that an adequate supply of floor stock medications,
supplies, and equipment is on hand to meet the nursing needs of the
- Order prescribed medications, supplies, and equipment as
necessary, and in accordance with established policies.
- Ensure that narcotic records are accurate and report all drug
and narcotic discrepancies.
- Review medication cards for completeness of information,
accuracy in the transcription of the physician's order, and
adherence to stop order policies.
- Notify the attending physician of automatic stop orders prior
to the last dosage being administered.
- Dispose of drugs and narcotics as required, and in accordance
with established procedures.
- Participate in employee performance evaluations, determining
your shift's staffing requirements, and making recommendations
concerning employee dismissals, transfers, etc.
- Review and evaluate your department's work force and make.
- Develop work assignments and/or assist in completing and
performing such assignments.
- Provide leadership to nursing personnel assigned.
- Make daily rounds of your unit/shift to ensure that nursing
service personnel are performing their work assignments in
accordance with acceptable nursing standards.
- Meet with your shift's nursing personnel, on a regularly
scheduled basis, to assist in identifying and correcting problem
areas, and/or to improve services.
- Ensure that department personnel, residents, and visitors
follow the department's established policies and procedures at all
- Develop and maintain a good working rapport with
inter-departmental personnel, as well as other departments within
the facility to ensure that nursing services and activities can be
adequately maintained to meet the needs of the residents.
- Create and maintain an atmosphere of warmth, personal interest
and positive emphasis, as well as a calm environment throughout the
unit and shift.
- Turn in complaints and grievances to Social Services
- Ensure that disciplinary action is administered fairly and
without regard to race, color, creed, national origin, age, sex,
religion, handicap, or marital status.
- Receive/give the nursing report upon reporting in and ending
shift duty hours.
- Inform appropriate 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.
- Participate in the orientation of new residents/family members
to the facility.
- Make rounds with physicians as necessary.
- Requisition and arrange for diagnostic and therapeutic
services, as ordered by the physician, and in accordance with our
- Consult with the resident's physician in providing the
resident's care, treatment, rehabilitation, etc., as
- Review the resident's chart for specific treatments, medication
orders, diets, etc., as necessary.
- Make periodic checks to ensure that prescribed treatments are
being properly administered by certified nursing assistants and to
evaluate the resident's physical and emotional status.
- 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.
- Cooperate with and coordinate social and activity programs with
nursing service schedules.
- Notify the resident's attending physician and next-of-kin when
there is a change in the resident's condition/death.
- Carry out restorative and rehabilitative programs, to include
self-help and care.
- Inspect the nursing service treatment areas daily to ensure
that they are maintained in a clean and safe manner.
- Administer professional services such as; catheterization, tube
feedings, suction, applying and changing dressings/bandages, packs,
colostomy, and drainage bags, glueometers, giving massages and
range of motion exercises, care for the dead/dying, etc.
- Obtain sputum, urine and other specimens for lab tests as
- Take and record TPRs, blood pressures, etc., as necessary.
- Monitor seriously ill residents as necessary.
- Ensure that personnel providing direct care to residents are
providing such care in accordance with the resident's care plan and
- Ensure that residents who are unable to call for help are
- Meet with residents, and/or family members, as necessary.
- Assist in arranging transportation for discharged residents as
- Ensure that discharged residents are escorted to the pick-up
- Call funeral homes when requested by the family. Ensure that
established post-mortem procedures are followed.
- Standardizing the methods in which work will be
- Training department personnel in identifying tasks that involve
potential exposure to blood/body fluids.
- Monitor your assigned personnel to ensure that they are
following established safety regulations in the use of equipment
- Ensure that established departmental policies and procedures,
including dress codes, are followed by your assigned nursing
- Identifying, evaluating, and classifying routine and
job-related functions to ensure that tasks in which there is
potential exposure to blood/body fluids are properly identified and
- Ensure that an adequate supply of personal protective equipment
are on hand and are readily available to personnel who perform
procedures that involve exposure to blood or body fluids.
- Ensure that your assigned work areas (i.e., nurse's stations,
medicine preparation rooms, etc.) are maintained in a clean and
- Ensure that your unit's resident care rooms, treatment areas,
etc., are maintained in a clean, safe, and sanitary manner.
- Ensure that your assigned personnel follow established
hand-washing techniques in the administering of nursing care
- Ensure that your assigned personnel participate in and conduct
all fire safety and disaster preparedness drills in a safe and
- Participate in the development, implementation, and maintenance
of the infection control program for monitoring communicable and/or
infectious diseases among the residents and personnel.
- Ensure that your assigned personnel follow established
infection control procedures when isolation precautions become
- Ensure that nursing personnel follow established procedures in
the use and disposal of personal protective equipment.
- Participate in the development, implementation and maintenance
of the procedures for reporting hazardous conditions or
- Ensure that all personnel wear and/or use safety equipment and
supplies (e.g., back brace, lifter, etc.) when lifting or moving
- Ensure that an adequate stock level of medications, medical
supplies, equipment, etc., is maintained on your unit/shift at all
times to meet the needs of the residents.
- Participate in the development and implementation of the
procedures for the safe operation of all nursing service
- Ensure that only trained and authorized personnel operate your
- Ensure that all personnel operate nursing service equipment in
a safe manner.
- Monitor nursing procedures to ensure that nursing service
supplies are used in an efficient manner to avoid waste.
- Review care plans daily to ensure that appropriate care is
- Ensure that your nurses' notes reflect that the care plan is
being followed when administering nursing care or treatment.
- Review resident care plans for appropriate resident goals,
problems, approaches, and revisions based on nursing needs.
- Ensure that your assigned certified nursing assistants (CNAs)
are aware of the resident care plans. Ensure that the CNAs refer to
the resident's care plan prior to administering daily care to the
- Maintain the confidentiality of all resident care
- 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
- Ensure that all nursing service personnel are knowledgeable of
the residents' responsibilities and rights including the right to
- Review complaints and grievances made by the resident and make
a written/oral report indicating what action(s) were taken to
resolve the complaint or grievance.
- Follow the facility's established procedures.
- Report and investigate all allegations of resident abuse and/or
misappropriation of resident property.
- Ensure that nursing staff personnel honor the resident's
refusal of treatment request. Ensure that such requests are in
accordance with the facility's policies governing advance
- Communicates changes in the Nurse Practice Act to nursing
- Communicates violation of the Nurse Practice Act to the State
Board of Nurse Examiners.
- Must attend Care Plan meetings as scheduled for
QUALIFICATIONSTo 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. Reasonable accommodations may be
made to enable individuals with disabilities to perform the
essential functions.EDUCATION and/or EXPERIENCEHigh school diploma
or relevant qualification.
- Must possess, as a minimum, a Nursing Degree from an accredited
college or university, or be a graduate of an approved RN
- Possession of a current valid Texas driver's license or regular
means of transportation to and from work.
- Three (3) years of experience as a Director of Nursing in a
skilled rehabilitation, skilled nursing or Long-Term Care (LTC)
- Experience with electronic medical records preferred.KNOWLEDGE,
SKILLS AND ABILITIES
- Must be capable of operating a personal computer to enter
resident data as required by regulation and facility policy.
- Ability to read and comprehend simple instructions, short
correspondence, and memos.
- Ability to apply common sense understanding to carry out
instructions furnished in written, oral, or diagram form.
- Ability to communicate orally and in written form effectively
with all levels of employees, patients, families, and vendors.
- Ability to present information in one-on-one and small group
situations to employees, patients, families, and vendors.
- Must be knowledgeable of nursing and medical practices and
procedures, as well as laws, regulations, and guidelines that
pertain to long-term care.
- Good understanding of medical and pharmacological
- Ability to add and subtract two digit numbers and to multiply
and divide with 10's and 100's. Ability to perform these operations
using weight measurement, volume, and distance.
- Excellent problem solving/analysis/judgment skills and high
level of attention to detail and accuracy
- Builds and maintains cooperative working relationships
- Must possess leadership and supervisory ability and the
willingness to work harmoniously with professional and
- Establish and maintain effective working relationships with
clients, supervisors, County employees, elected officials, law
enforcement, other agencies, and the public.
- Resourceful, dependable and accountable
- Able to work a flexible schedule including evenings, weekends,
and holidays.CERTIFICATES, LICENSES, REGISTRATIONSMust possess a
current and active license to practice as an RN in this
state.PHYSICAL DEMANDS/ WORK ENVIRONMENTThe physical demands
described here are representative of those that must be met by an
employee to successfully perform the essential functions of this
job. Reasonable accommodations may be made to enable individuals
with disabilities to perform the essential functions.Physical
- Work requires physical activity including extended periods of
walking and standing with occasional climbing, reaching, carrying,
balancing, kneeling, crouching and bending.
- Must have the ability to frequently lift and/or carry
equipment, files, and other materials weighing up to 50 pounds as
well as push/pull up to 50 pounds of force with grip strength of 65
- Ability to transfer, and reposition a resident to or from a
bed, wheelchair, and use a mechanical lift, toilet, tub, shower,
occasionally varying degrees of pushing, pulling and lifting due to
the differences in resident weights.
- Must be able to assist in the evacuation of residents during
- Must be able to continuously perform simple manipulative
dexterity tasks such as the equipment listed above as well as
safety pin buckles and tie strings. Occasionally perform difficult
- Must be able to detect the smell of smoke, spoiled food, soiled
- The employee must be able to continuously hear normal sounds
and voice patterns with some background noise. Must have adequate
verbal instructions. Must be able to hear audible emergency
signals, alarms, call, light indicators and to be able to answer
- Specific vision abilities required by this job include: Must be
able to continuously notice a change in the resident (breathing,
color, skin breakdown, etc.) Ability to focus and read a
- Visual abilities, correctable to normal ranges, include close,
distance and color vision, depth perception, and the ability to
adjust focus.The work environment characteristics described here
are representative of those employee encounters while performing
functions of this job. Reasonable accommodations may be made to
enable individuals with disabilities to perform the essential
- Work is performed indoors in a health care facility.
- Work is performed during assigned shift; however, hours will
occasionally include varied days, hours, holidays, weekends, and
overtime as needed.
- The noise level in the work environment is usually moderate,
but can occasionally be loud. Subject to frequent
- Incumbents in this position may be exposed to
infectious/communicable diseases, blood borne pathogens, and
potential risk of injury from distraught individuals.
- Frequent exposure to chemical compounds of medication and
- Frequent exposure to microbial bacteria and other infectious
agents inherent to care of ill residents.
- Continuous exposure to latex, Tyvex, plastic and/or materials
which are used for personal protective equipment.
- May be required to wear a face mask, gown, or gloves.
- Stress of working with sick residents and their families,
combined with the resident who may be confused, irrational, highly
agitate mood swings. (Frequently)
- Subject to involvement with personnel, visitors, state and
federal agency personnel and residents.Summit LTC is an equal
opportunity employer. All applicants will be considered for
employment without attention to race, color, religion, sex, sexual
orientation, gender ide
Keywords: Summit LTC, Bryan , Director of Nursing, Executive , La Grange, Texas
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