DON – Winters Rehab & Healthcare

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Director of Nursing – Winters Rehab & Healthcare

Summary

The Director of Nursing (“DON”) is responsible for effective overall management of the Nursing Department and coordination with other disciplines to provide quality care to all patients/residents. She/he supports and practices the philosophy, objectives and standards of the Department of Nursing and participates in the revision of these as necessary to ensure quality care to all patients/residents. She/he also monitors the outcomes of nursing service activity by evaluating the performance of nursing staff, ensuring compliance with all facility and regulatory agency standards, policies and procedures, coordinating facility committees and monitoring the effective and efficient use of budgeted resources (personnel, supplies, equipment).

Essential Job Duties and Responsibilities

1. Ensures that nursing interventions meet the personal, physical and cognitive needs of each patient/resident as well as maximize his/her self-care capacities, identity, independence, choice and opportunity for social interaction.

2. Monitors the outcomes of nursing service activity by evaluating the performance of nursing staff, ensuring compliance with all facility and regulatory agency standards, policies and procedures, coordinating facility committees and monitoring the effective and efficient use of budgeted resources (personnel, supplies, equipment).

3. 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.

4. Develops short and long-range plans for the nursing department that are compatible with those of the facility.

5. Assists in recruiting and selects nursing service employees appropriate to facility need and budgetary guidelines.

6. Works in establishing and facilitating effective employer/employee relations.

7. Maintains adequate staffing ratios and levels of preparation to meet the needs of patients/residents.

8. Participates in the selection of patients/residents to be admitted by evaluating the level and amount of care required by prospective patients/residents in relation to existing nursing capabilities.

9. Actively maintains cohesive public and professional relationships with patients/residents, families, physicians and the community.

10. incorporates nursing philosophy, standards and objectives into the evaluation process for staff and nursing services and ensures that the philosophy, objectives and standards of the nursing department are an integral part of the orientation and education of nursing service personnel.

11. Coordinates requirements and cooperates with all other departments in providing a favorable physical, social and emotional environment for all patients/residents.

12. Serves on Quality Improvement and Safety Committees that include Patient/Resident Standards of Care, Pharmaceutical Services, Infection Control, Safety and Utilization Review/PPS.

13. Meets with committee members to evaluate activities within the facility and to identify opportunities for continuous improvement in nursing operations

Other Duties

19. The Registered Nurse interacts with customers, families, visitors, facility, and corporate personnel.

20. Carries out other tasks as requested in situations where hands-on intervention/participation may be required.

21. May be required to work rotating shifts, holidays weekends, to work in different units and positions, and to work overtime as facility needs require.

22. Must practice good personal hygiene and follow required dress code.

23. Must provide annual verification of a negative TB skin test.

Qualifications

24. This position requires a current valid Registered Nurse license issues in the state where the person will practice, and the candidate must be a graduate of an approved school of nursing.

25. Up-to-date physical assessment skills and comprehensive knowledge of nursing principles are required.

26. Recent experience in geriatric or rehabilitative nursing and experience in supervisory capacity are preferred.

Key Competencies

Command Skills: Relishes leading: takes unpopular stands if necessary; encourages direct and tough debate but isn’t afraid to end it and move on; is looked to for direction in a crisis; faces adversity head-on; energized by tough challengers.

Composure: Is cool under pressure; does not become defensive or irritated when times are tough; is considered mature; can be counted on to hold things together during tough times; can handle stress; is not knocked off balance by the unexpected; doesn’t show frustration when resisted or blocked; is a settling influence in a crisis.

Conflict Management: Steps up to conflicts, seeing them as opportunities; reads situations quickly; good at focused listening; can hammer out tough agreements and settle disputes equitably; can find common ground and get cooperation with minimum noise.

Customer Focus: Is dedicated to meeting the expectations and requirements of internal and external customers; gets first-hand customer information and uses it for improvements in products and services; acts with customers in mind; establishes and maintains effective relationships with customers and gains their trust and respect.

Timely Decision Making: Makes decisions in a timely manner; sometimes with incomplete information and under tight deadlines and pressure; able to make a quick decision.

Decision Quality: Makes good decisions (without considering how much time it takes) based upon a mixture of analysis, wisdom, experience, and judgment; most of his/her solutions and suggestions turn out to be correct and accurate when judged over time; sought out by others for advice and solutions.

Directing Others: Is good at establishing clear directions; sets stretching objectives; distributes the workload appropriately; lays out work in a well-planned and organized manner; maintains two-way dialogue with others on work and results; brings out the best in people; is a clear communicator.

Integrity and Trust: Is widely trusted; is seen as a direct, truthful individual; can present the unvarnished truth in an appropriate and helpful manner; keeps confidences; admits mistakes; doesn’t misrepresent him/herself for personal gain.

Managerial Courage: Doesn’t hold back anything that needs to be said; provides current, direct, complete, and “actionable” positive and corrective feedback to others; lets people know where they stand; faces up to people problems on any person or situation (not including direct reports) quickly and directly; is not afraid to take negative action when necessary.

Motivating Others: Creates a climate in which people want to do their best; can motivate many kinds of direct reports and team or project members; can assess each person’s hot button and use it to get the best out of him/her; pushes tasks and decisions down; empowers others; invites input from each person and shares ownership and visibility; makes each individual feel his/her work is important; is someone people like working for and with.

Problem Solving: Uses rigorous logic and methods to solve difficult problems with effective solutions; probes all fruitful sources for answers; can see hidden problems; is excellent at honest analysis; looks beyond the obvious and doesn’t stop at the first answers.

Drive for Results: Can be counted on to exceed goals successfully; is constantly and consistently one of the top performers; very bottom-line oriented; steadfastly pushes self and others for results.
Sizing up People: Is a good judge of talent; after reasonable exposure, can articulate the strengths and limitations of people inside or outside the organization; can accurately project what people are likely to do across a variety of situations.

Language Skills

1. Ability to read, write, speak, and understand English including the ability to make oral presentations to individuals and groups.

2. Ability to relate positively, effectively and appropriately with patients, families, community members, volunteers and other hospital staff on a daily basis. Possess special interest in, and a positive attitude about, working with long-term care patients and the elderly.

Physical Capabilities: Percent (%) of Time

Lifting/Carrying
1-10 lbs: FREQUENTLY (31-60%)
11-25 lbs: FREQUENTLY (31-60%)
26-50 lbs: OCCASIONALLY (1-30%)

Pushing/Pulling
20-50 lbs: FREQUENTLY (31-60%)
Over 50 lbs: OCCASIONALLY (1-30%)

Climbing/Balancing: FREQUENTLY (31-60%)
Stooping/Bending: FREQUENTLY (31-60%)
Standing:Sitting: CONTINUOSLY (61-100%)
Walking: FREQUENTLY (31-60%)
Travel: FREQUENTLY (31-60%)
Overtime: OCCASIONALLY (1-30%)
Hearing: Y
Vision: Y
Speaking: Y
Color Vision: Y

WORK ENVIRONMENT DEMANDS:

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

ENVIRONMENT: Percent (%) of Time Inside / Percent (%) of Time Outside

Cold: OCCASIONALLY (1-30%)
Hot: FREQUENTLY (31-60%)
Humid: OCCASIONALLY (1-30%)
Wet: OCCASIONALLY (1-30%)
Dry: FREQUENTLY (31-60%)
Dust: OCCASIONALLY (1-30%)
Noise: FREQUENTLY (31-60%)
Fumes: OCCASIONALLY (1-30%)
Odors: CONTINOUSLY (61-100%)
Chemical Exposures: OCCASIONALLY (1-30%)
Infections: OCCASIONALLY (1-30%)
Video Display Terminals: FREQUENTLY (31-60%)
Mechanical/Electrical Hazards (Possible Exposure to): FREQUENTLY (31-60%)
Gloves Necessary: OCCASIONALLY (1-30%)

If you have questions please contact Jackie Miller, Human Resource Director
Phone: 325-754-1500 Ext. 523
Fax: 325-754-4337
Email: jmiller@nrhd.org