Director of Nursing (DON)

JOB SUMMARY:

To plan, organize, develop and direct the overall functions of the 49-bed SNF/ICF department of Kalakaua Gardens in accordance with current federal, state and local standards governing long-term care facilities, and as directed by the Administrator, to ensure that the highest degree of quality care is provided to the residents at all times.

Minimum Qualifications:

• Must be a Registered Nurse (RN) in good standing and currently licensed by the State of Hawaii.
• Previous experience in a hospital, long-term care facility, or other healthcare related facility.
• Must be knowledgeable of general, rehabilitative and restorative nursing and medical practices and procedures and laws, regulations and guidelines governing long-term care.
• Positive attitude toward the elderly.

Essential Job Functions

• Assist in developing for each resident a preliminary and comprehensive assessment and written care plan that identifies the nursing and medical problems and/or needs of the resident and the goals to be accomplished for each problem and/or need identified.
• Encourage residents and their families to participate in the development and review of care plans;
• Ensure that all nursing services personnel are aware of the care plan and that care plans are used in providing daily nursing services to the resident.
• Review nurses’ notes and monitor residents to determine if the care plans are being followed and if each residents’ needs are being met; and 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 of needs of the Nursing Services Department.
• Assist in developing and monitoring adequate and cost-effective inventory control procedures.
• Make periodic inspections of supplies and equipment to ensure that adequate levels are maintained and that equipment is available and working properly.
• Develop and implement procedures to ensure that trained and authorized personnel operate nursing services equipment in a safe manner.
• Assist in preparing and planning the Nursing Services Department’s budget for equipment, supplies and labor to submit to the Administrator.
• Attend and participate in various committees and meetings of the facility; provide written and/or oral reports of the Nursing Services Department; and, evaluate and implement recommendations pertaining to nursing services.
• 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 procedures for reporting hazardous conditions or equipment; ensure that nursing services personnel follow established infection control procedures when isolation precautions become necessary.
• Ensure that nursing services personnel understand and follow departmental policies and procedures, Standard Precautions, established safety rules, and fire and disaster procedures.
• Ensure cleanliness of Nursing services work areas, stations, preparation rooms, treatment areas and resident care rooms.

Other Functions and Responsibilities

Administrative Functions

• Plan, develop, organize, implement, evaluate, and direct the Nursing Services Department, its programs and activities; develop, maintain and periodically updating written nursing policies, procedures, manuals, objectives and philosophies.
• Assist in developing and implementing methods for coordinating nursing services with other resident services; implement plans of action to correct deficiencies; complete medical forms, reports, evaluations, studies, charts, etc.; develop, implement and maintain resident discharge procedures and plans.
• Assist in developing and implementing a nursing services organization structure; participate in surveys and inspections by government agencies; and, make reports and recommendations to the Administrator concerning operations of the department.
• Directly supervise nurse managers and Assistant Director of Nursing.
• Maintain facility compliance with state and federal regulations.
• Maintain facility compliance with standards of professional practice.
• Act as liaison to nursing with other disciplines (dietary, social services activities, physical therapy, and occupational therapy).
• Deal with outside contract resources including: laboratory, pharmacy, x-ray, dental and Podiatry.
• Responsible for Quality Assurance Activities including: skin integration monitoring system, infection control log system, accident/incident monitoring, weight and visual signs log, fall preventions program, in-service tracking system, quality assurance logs and quality assurance audits.
• Responsible for reviewing indicator logbooks completed by the units.
• Responsible for rounding on all facility residents at least once daily.
• Responsible for rounding on all resident common areas at least once weekly.
• Family liaison (nurse managers advise the Director of Nursing when a family member is concerned).

Nursing Care Functions

• Must perform duties inside the state nurse practice act.
• Participate in interviewing and screening residents for admission to the facility; inform personnel of new admissions, ensure rooms are ready, greet new admissions and escort to rooms.
• Schedule daily rounds and monitor residents’ treatment and medications to ensure residents are receiving proper care; review nurses’ notes to ensure proper documentation is maintained relating to residents’ treatment, medication and conditions.
• Ensure proper record keeping by physicians; report problem areas to the Director of Nursing Services and assist in developing and implementing corrective actions; and, provide direct nursing care as necessary.

Personnel Functions

• Assist in recruiting, interviewing, hiring, counseling, evaluating, disciplining and terminating nursing services personnel; document and coordinate personnel actions with the Personnel Manager or Administrator.
• Assist in scheduling department work hours; delegate administrative authority, responsibility and accountability to nursing services supervisory personnel as deemed necessary to perform assigned duties.
• Ensure that all nursing services personnel have valid and current licenses and are performing duties in accordance with acceptable nursing standards; interpret the department’s policies and procedures to personnel, residents, families, visitors and government agencies as necessary.
• Review personnel complaints and grievances and ensure that all personnel are treated consistent with policies and applicable laws.

Staff Development Functions

• Develop and participate in planning, implementing, conducting and scheduling orientation, training and in-service educational activities for nursing services personnel within scope of practice; assist other departments with developing, implementing and coordinating training programs that relate to nursing services.
• Maintain professional competence, as well as current licenses, through participation in continuing education programs, seminars and training programs; provide leadership and encourage nursing services supervisory personnel to attend and participate in outside training programs.
• Assist in ensuring that all nursing services personnel attend and participate in Hazardous Communication and Standard Precautions training programs prior to reporting for work assignments.

Infection Control (or Preventionist) Functions (if designated as Infection Preventionist or as assigned)

• Implement and review the facility’s infection prevention program
• Utilization of existing standards and guidelines related to infection control of applicable professional organizations and regulatory agencies
• Collect and analyze data related to infections and antibiotic usage, monitoring for trends and increasing resistance
• Dissemination of infection prevention information, including surveillance data and policy decisions
• Direction, management and operation of the infection prevention program, including the education of facility staff and independent practitioners
• Consult with county and state health departments, as needed
• Resource for facility staff regarding infection prevention issues, including the management of infectious residents and other infection prevention concerns
• Monitor and track employee illness to identify trends and determine necessary interventions and/or work restrictions

**COVID vaccination is not required. All employees must wear face masks.

Job Type: Full-time

Pay: $100,000.00 - $125,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Tuition reimbursement
• Vision insurance

Medical specialties:

• Geriatrics

Schedule:

• 8 hour shift
• On call
• Weekends as needed

Experience:

• Supervising experience: 1 year (Preferred)

License/Certification:

• RN (Required)

Work Location: In person