Position Overview: The Director of Nursing (DON) assumes authority, responsibility, and accountability for the delivery of nursing services in the facility. In collaboration with facility administration, the DON allocates department resources in an efficient and economic manner to enable each patient to attain and maintain the highest practical physical, mental, and psychosocial well-being. The DON collaborates with other departments, medical professionals, consultants, and organizations - including government agencies and advocacy groups - to develop, support and coordinate patient care and related administrative functions, as well as to represent the interests of the facility.
• Exercises overall supervision of patient assessments and treatment plans as it applies to nursing services.
• Reviews 24-hour report from every unit daily to monitor and ensure timely and effective responses to significant changes in patient condition, transfers, discharges, use of restraints, unexplained injuries, falls, behavioral episodes, and medication errors.
• Collaborates with physicians, consultants, community agencies, and institutions to improve the quality of services and to resolve identified problems.
• Coordinates nursing services with all other departments.
• Oversees nursing schedules to assure they meet patient needs and regulatory and budgetary standards.
• Participates in the recruitment and selection of nursing personnel and assures that enough staff are hired.
• Establishes, implements, and monitors the infection control program designed to provide a safe, sanitary, and comfortable environment designed to prevent the development and transmission of disease and infection.
• Coordinates and/or develops on-going QA activities for nursing services to monitor nursing compliance with standards and regulatory requirements through rounds, interviews, and record reviews. Compiles summary of findings for the Quality Assurance committee.
• Responsible for ordering, maintaining and ensuring proper disposal of house stock medications, including controlled substances.
• Responsible for ordering medical and laboratory supplies.
• Monitors the pharmacy charges to ensure proper authorization.
• Participates in budget development for the nursing department, and for medical, nursing, and central supplies. Assures nursing staff properly charges out ancillaries used.
• Helps the facility administrators prepare staff for inspection surveys, instructing staff on matters of conduct and disclosure, being interviewed by inspectors, immediate corrections of problems noted by surveyors, etc. Reviews and reinforces important standards previously cited.
• Communicates directly with patients, families, medical staff, nursing staff, interdisciplinary team members, and department heads to coordinate care and services, promote participation in treatment planning, and maintain a high quality of care for patients.
• On a daily basis, monitors facility incidents and complaints to identify those defined as unusual occurrences by state policy and promptly reports such occurrences to the CEO for appropriate action. On a daily basis, monitors complaint reports for allegations of potential abuse or neglect, or the loss or misappropriation of patient property, and participates in these investigations.