Assistant Director of Nursing - Quality CARE- Miller

The Miller Healthcare Assistant Director of Nursing
- Quality Care Assists the Director of Nursing in design, implementation and evaluation of nursing systems that ensure consistent delivery of a high standard of quality care and promotes a positive patient experience. Serves as role model, team builder, mentor and geriatric nurse specialist. Promotes a positive, calm, effective work environment. Facilitates an atmosphere of open communication and problem solving.

• Ensures staff has equipment and supplies to perform their responsibilities- storeroom, equipment.
• Initiates 'huddle' for all incidents/accidents and assists with documentation in Verge.
• Meets with parties and initiates, manages the implementation of process changes needed to resolve patient, family, physician issues/concerns.
• Documents and reports to DON, administrator.
• Demonstrates knowledge of infection control- communication and surveillance with infection control practices and implementation, trends in illnesses, exposure with DON and Administrator.
• Oversight of staff:
  Assure implementation of care plan- restorative- walking, ROM, bathing/linen changes, grooming/hygiene, weights, VS, dining room.
• Conducts investigation
  - Initiates/documents/administers coaching, oral and written disciplinary action immediately upon discovery.
• Assists in providing evaluation of staff performance- ongoing and annual review.
• Provide surveillance to identify hazards and initiates immediate corrective action. Reports to Administrator.
• Liaison with pharmacy- investigates delays, incomplete scripts, clarification with physicians, etc.
• Provides oversight/hand-on assistance with IV administration
  - Starts, IV tubing changes, site observation, dressing changes/documentation, lab draws discontinuation.
• Observe medication pass
  - Cart and med room checks for outdated meds, pharmacy returns, and narcotic count/destruction accountability.
• Resource nurse for discharges- documentation complete, take out of Vision.
• Assist staffing coordinator in determining staffing needs- acuity, placement of patients, IVO Resource to staff:
  Orientation- oversight of transition to unit- evaluates and provides orientee with progress reports on performance/competency at touch points during orientation period
  - Assists educator with 'Just in time' training of employees in new policies, new equipment, processes.
• Rounding with
  
  Purpose:
  
  Patient/family- assist in resolving concerns; provide education, care plan conferences liaison, behaviors, restraint compliance.
• Physician/NP
  - Round with MD/NP, Prepare for and make rounds with Dr. Amare monthly.
• Staff
  - Ensure they have equipment and supplies, JIT educational needs, patient condition changes.
• Complex Care Team- round/report on progress.

Responsibilities

Required Licensure/Education

• Graduate from an approved School of Nursing
• Current registration with the Illinois Board of Examiners and the Illinois Department of Professional Regulation and Education.
• Current CPR certification required

Preferred Education

• BSN preferred

Exposure/Sensory Requirements

Exposure to:

• Chemicals:
  Copy machine toner, fax machine toner, household cleaners.
• Video Display Terminals:
  Extreme
• Blood and Body Fluids:
  Some potential due to vomit, coughing, but the use of Universal Precautions and protection reduces risk.
• TB or Airborne Pathogens:
  Exposure to patients.

Sensory Requirements (speech, Vision, Smell, Hearing, Touch)

• Speech:
  Needed for presentations/training, telephone communication, facilitate meetings.
• Vision:
  Needed to read memos and literature.
• Hearing:
  Needed for telephone communications, meetings, and listening to employee concerns.
• Touch:
  Need to write, do computer entry, filing.

Activity/Lifting Requirements

Percentage of time during the normal workday the employee is required to:

• Sit: 80%
• Twist: 0%
• Stand: 10%
• Walk: 5%
• Kneel: 0%
• Lift: 2%
• Drive: 0%
• Squat: 1%
• Climb: 0%
• Reach above shoulders: 1%

The weight required to be lifted each normal workday according to the continuum described below:

• Up to 10 lbs:
  Occasionally
• Up to 20 lbs:
  Occasionally
• Up to 35 lbs:
  Occasionally
• Up to 50 lbs:
  Occasionally
• Up to 75 lbs:
  Not Required
• Up to 100 lbs:
  Not Required
• Over 100 lbs:
  Not Required

Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.):
Carry charts from file cabinets to exam room or desk; stock rooms with supplies, carry supplies from med room to patient room. Place supplies in cabinets, move chairs and boxes.

Maximum consecutive time (minutes) during the normal workday for each activity:

• Sit: 10
• Twist: 1
• Stand: 10
• Walk: 3
• Kneel: 0
• Lift: 1
• Drive: 0
• Squat: 1
• Climb: 0
• Reach above shoulders: 2

Repetitive Use Of Hands (Frequency Indicated)

• Simple grasp up to 10 lbs. Normal weight: 70%
• Pushing & pulling Normal weight: 50-200#
• Fine Manipulation:
  Writing, calculator, and computer keyboard.

Repetitive use of foot or feet in operating machine control:
Not Required