Job Box

Department: Nursing

Reports To: Administrator

Supervisor: Administrator

Requirements:

• ¬ Must be a graduate of an accredited educational institution (school of nursing)
• ¬ Must hold a current license in the state of Oklahoma as a registered nurse in good standing.
• ¬ Registered with the Oklahoma Professional Board of Nursing.
• ¬ At least two full years of nursing experience, preferably as a DON in long-term care with proven leadership and management skills.
• ¬ Have a sincere passion for geriatric nursing
• ¬ Possess leadership kills, understanding, competence, and be a visionary

Job Knowledge:

• ¬ Working knowledge of nursing services, rehabilitation, therapy, administration, supervision, resident care, etc.
• ¬ Comprehensive knowledge of general nursing theory and practice with knowledge of principles and methods involved in instruction of nursing and auxiliary personnel.
• ¬ Ability to assess resident’s needs
• ¬ Familiarity with nursing facility policies, regulations, and procedures
• ¬ Knowledge of application of principles of personnel administration in assigning, supervising, and evaluating activities of staff
• ¬ Knowledge and application of techniques and methods of resident care
• ¬ Awareness of special diets and their observance
• ¬ Use of medical nursing equipment
• ¬ Knowledge of medications and their effects

Essential Duties and Responsibilities include the following.

Other duties may be assigned.

• ¬ Develop and maintain the nursing-service objectives, standards of nursing practice, nursing policy and procedures manuals, written job descriptions for each level of nursing personnel; make daily rounds, coordinate nursing services with other resident services; staff the recommended number and levels of nursing personnel to be employed; and staff development.
• ¬ Participate in planning, budgeting, and the development and implementation of resident-care policies; plan and coordinate orientation programs for personnel; conduct scheduled in-service training for all direct resident-care personnel; participate in New Employee Orientation; participate in medical reviews as necessary. 
• ¬ The person holding this position is delegated the responsibility for carrying out the assigned duties and responsibilities in accordance with current existing federal and state regulations and established company policies and procedures.
• ¬ Ensure that nursing personnel provide treatments, medications, rehabilitative nursing care, and

activities of daily living as stated in care plans to make certain optimum comfort and care              

provided.

• ¬ Conduct regularly scheduled conferences with care plan team, social service director,

                     dietary services supervisor, and other professionals to review and update resident assessment,   

   MDS, and comprehensive care plan and other services needed by residents.

• ¬ Conduct conferences with residents and/or family members as necessary.
• ¬ Refer residents and family members to social services and / or proper community agencies if

                     necessary.

• ¬ Conduct daily rounds of residents to update knowledge of resident’s physical and emotional conditions and assure that staff is providing proper and adequate care.
• ¬ Oversee and review controlled substances to assure proper count and documentation.
• ¬ Complete chart audits to assure proper charting and documentation of care.
• ¬ Assure facility is receiving correct payment for level of care administered and for services and

                    supplies. 

• ¬ Attend Quality Assessment and Assurance Committee meetings and assist in maintaining quality

                    assurance data and preparing reports.

• ¬ Assure nursing department staff knows lines of authority of the organizational chart.
• ¬ Oversee, develop, and maintain nursing service goals and objectives, standards of nursing practice, content of nursing policy and procedure manuals.
• ¬ Provide required staff, in accordance with federal, state, and local laws, to assure uninterrupted

                    service to residents.

• ¬ Periodically evaluate work of each employee in nursing department and discuss each evaluation    

                    with respective employees.

• ¬ Based upon employees’ merits, award promotions when vacancies or new positions occur, and

                   grant pay increases as merited by employees.

• ¬ Coordinate admissions, room assignments, and discharges of residents.
• ¬ Supervise nursing activities and promote improvement in nursing care.
• ¬ Coordinate nursing service with other departments.
• ¬ Maintain accurate reporting and recording according to policies and procedures set forth, and

                    evaluate and make recommendations for improvements for the welfare of residents.

• ¬ Maintain a comfortable and pleasant environment free of hazards.
• ¬ Receive updated reports from charge nurse(s) on shifts and work closely with them to insure maximum total care.
• ¬ Where applicable, assure a registered nurse screens residents for goal-directed therapy soon after

                      admission or re-admission according to procedure.

• ¬ Assign skilled personnel according to resident’s needs.
• ¬ Assure that personnel are familiar with fire drill regulations, procedures, and the disaster plan.
• ¬ Assist in interpreting the goals and objectives of the facility to nursing service personnel.
• ¬ Review time worked as reported on time sheets.
• ¬ Promote effective working relationships with the administrator, medical staff, personnel, volunteers and agencies affiliated with the facility.
• ¬ Delegate responsibility and authority.
• ¬ Be accountable for nursing compliance, excellence, and delivery of resident-care services in

                    adherence with federal, state, and local regulations.

• ¬ Review and ensure proper resident charting and procedure documentation.

• ¬ Develop and implement resident care plans in coordination with physician, medical director,

                   consultants, staff, and therapist.

• ¬ Ensure that adequate and proper equipment and supplies are available to the staff.
• ¬ Maintain Infection Control Policies, Tracking & Training
• ¬ Ensure PASSRR’s are completed upon admission and/or if needed
• ¬ Review Pharmacy reports and follow through with any changes needed
• ¬ Review Dietician Report and follow through with any changes needed.
• ¬ Review Weight reports and follow through with any changes needed
• ¬ Conduct interviews with potential new staff
• ¬ Complete and submit any / all resident reports to the state.
• ¬ Total wound care and documentation.
• ¬ Complete Assisted Living admission paperwork (Charge Nurse can assist)
• ¬ Run monthly infection reports
• ¬ Infection preventionist (IP)
• ¬ Medication Regimen Review (MRR) Pharmacy Review

Competencies

To perform the job successfully, an individual should demonstrate the following competencies:

Analytical – Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs workflows and procedures.

Problem Solving – Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.

Project Management – Develops project plans; Coordinates projects; Communicates changes and progress; Completes projects on time and budget; Manages project team activities.

Technical Skills – Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.

Customer Service – Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.

Interpersonal Skills – Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others’ ideas and tries new things.

Oral Communication – Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.

Written Communication – Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.

Teamwork – Balances team and individual responsibilities; Exhibits objectivity and openness to others’ views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone’s efforts to succeed.

Visionary Leadership – Displays passion and optimism; Inspires respect and trust.

Mobilizes others to fulfill their vision; Provides vision and inspiration to peers and subordinates.

Change Management – Develops workable implementation plans; Communicates changes effectively; Builds    commitment and overcomes resistance; Prepares and supports those affected by change; Monitors transition and evaluates results.

Delegation – Delegates work assignments; Matches the responsibility to the person; Gives authority to work independently; Sets expectations and monitors delegated activities; Provides recognition for results.

Leadership – Exhibits confidence in self and others; Inspires and motivates others to perform well; Effectively influences actions and opinions of others; Accepts feedback from others; Gives appropriate recognition to others.

Managing People – Includes staff in planning, decision-making, facilitating and process improvement; Takes responsibility for subordinates’ activities; Makes self-available to staff; Provides regular performance feedback; Develops subordinates’ skills and encourages growth; Solicits and applies customer feedback (internal and external); Fosters quality focus in others; Improves processes, products and services.; Continually works to improve supervisory skills.

Quality Management – Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.

Business Acumen – Understands business implications of decisions; Demonstrates knowledge of market and competition.

Cost consciousness – Works within approved budget; Develops and implements cost saving measures.

Diversity – Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.

Ethics – Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.

Organizational Support – Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization’s goals and values; Benefits organization through outside activities; Supports affirmative action and respects diversity.

Strategic Thinking – Develops strategies to achieve organizational goals; Understands organization’s strengths & weaknesses; Analyzes market and competition; Identifies external threats and opportunities; Adapts strategy to changing conditions.

Judgement – Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.

Motivation – Sets and achieves challenging goals; Demonstrates persistence and overcomes obstacles; Measures self against standard of excellence; Takes calculated risks to accomplish goals.

Planning/Organizing – Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives; Organizes or schedules other people and their tasks; Develops realistic action plans.

Professionalism – Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status

or position; Accepts responsibility for own actions; Follows through on commitments.

Quality – Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.

Quantity – Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly.

Safety and Security – Observes safety and security procedures; Determines appropriate action beyond guidelines; Reports potentially unsafe conditions; Uses equipment and materials properly.

Adaptability – Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.

Attendance/Punctuality – Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.

Dependability – Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.

Initiative – Volunteers readily; Undertakes self-development activities; Seeks increased responsibilities; Takes independent actions and calculated risks; Looks for and takes advantage of opportunities; Asks for and offers help when needed.

Innovation – Displays original thinking and creativity; Meets challenges with resourcefulness; Generates suggestions for improving work; Develops innovative approaches and ideas; Presents ideas and information in a manner that gets others’ attention.

Qualifications: To 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.

Language Skills

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the public.

Reasoning Ability

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Computer Skills

To perform this job successfully, an individual must be willing to learn Point Click Care Internet software.

Certificates, Licenses, Registrations

Graduate of an approved school of nursing, or graduate of an approved course in practical nursing, and licensed to practice in this state. The license must be in good standing and stay current and in good standing.

Required Personnel Specifications

1. Must be a U.S. citizen or have proof of right to work in the U.S.
2. Must pass OSBI criminal arrest check.
3. Sincere desire to work with the geriatric resident.
4. Pleasant, cheerful, tactful, courteous when assisting resident and/or relatives.
5. Well-groomed with a high degree of personal cleanliness and hygiene.
6. Must pass drug test.

Other Skills and Abilities

Good mental and physical health, sound judgement and high moral standards, and a sincere desire to work with the aged and those with limited capacity for self-care. Patience and compassion are essential.

Physical Demands The 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.

While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to stand, walk; stoop, kneel, crouch, or crawl and taste or smell. The employee must regularly lift and /or move more than 100 pounds, frequently lift and/or move up to TOO pounds and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is frequently exposed to moving mechanical parts and the risk of electrical shock. The employee is occasionally exposed to fumes or airborne particles and vibration. The noise level in the work environment is usually moderate.

A. Associate Degree in Nursing with a current license to practice nursing in Oklahoma. Bachelor of Science Degree preferred.
B. Three years of supervisory and leadership experience in a hospital or long term care facility with a specialization in geriatrics. Previous experience as a Director of Nursing in long term care preferred.

Supervisory Controls:
Is responsible to the Nursing Home Administrator.

Major Responsibility:
Has administrative authority, responsibility and accountability for the functions, activities,
orientation and in-service education of the nursing staff.

Clinical Administration
1. Is responsible for the development and maintenance or nursing service objectives,
standards of nursing practice, nursing policy and procedure manuals.
2. Perform pre-admission nursing assessment for prospective residents. Obtain current
history and physical for all admissions to Health Care Center.
3. Assess current residents/tenants when determination for continued stay or possible
transfer is needed.
4. Serve as member of Facility Admissions Committee.
5. Initiate, design and implement nursing care plan for all residents.

6. Assess and assure proper treatment of all wounds and skin problems. Report at least
quarterly on results of skin management efforts.
7. Administer bowel and bladder training program for all residents who can benefit.
8. Administer facility infection control program; identify problems, initiate corrective
actions, report results, evaluate effectiveness. Report infection incidence at weekly staff
meeting and quarterly Quality Assurance.
9. Provide input at all weekly rehabilitation meetings and periodic rehab rounds. Assure
coordination of rehab rounds. Assure care plans are updated consistent with resident
needs. Measure and track wound healing in facility.
10. Responsible for QM tracking

Human Resources Management:
1. Function as employee health nurse for on-the-job incidents; treat and refer, appropriate
to scope of practice under Oklahoma Law.

Nursing Services:
1. Recommend number and levels of nursing personnel to be employed. Establish and
maintain appropriate schedules for all nursing staff.
2. Hire and evaluate all nursing staff for Health Care. Take appropriate action to assure
staff meet acceptable standards of practice.
3. Administer Nursing payroll, including calculation and review of time cards, preparation
of forms. Resolution of disagreements regarding hours of pay.
4. Assure all nursing staff have current job descriptions and performances evaluations are
done annually per policy.
5. Provide regular program of in-service education to licensed and certified staff.
6. Keep facility compliant in the EMR by checking infection reports, bowel and bladder
assessment, Braden scale, command center.
7. Sign electronically MDS care plans.
8. Do weekly wound assessments in EMR.
9. Conduct weight meetings.
10. Address Pharmacy recommendations.
11. Review all reports for falls and injuries.
12. Review all current infections and follow the facility policy and procedure on tracking and
trending.
13. Conduct a weekly meeting with care coordinators to review pertinent issues.
14. Tracking of Physician progress notes to ensure compliance with State and Federal
guidelines.
15. Random medication/treatment cart audits.

Accounting/Financial Management:
1. Establish recommendation for annual budget for nursing labor, supplies, contractors,
and charges for services rendered.
2. Review financial results monthly and make adjustments as needed to maintain
compliance with budget. Manage wheelchair inventory. Determine ongoing needs and
recommend acquisition strategies.
3. Respond to periodic third-party insurance inquiries pertaining to coverage of residents.

Ancillary Services:
1. Maintain ongoing consultation with Medical Director on wide range of clinical and
administrative matters. Monitor quality of attending physician involvement with
residents and assist Medical Director in resolution of care related issues.
2. Administer facility Medical Records of RCC and RA per regulatory guidelines.

General Administrative:
1. Assumes temporary authority for leadership of facility in the absence of Nursing Home
Administrator.