Northern Nevada State Veterans Home is seeking an Assistant Director of Nursing ( ADON) to come join our team!

Our home cares for Veterans in need that require 24/7 care. Fabulous place to work!

Summary/Objective:

Assists the Director of Nursing Services in planning, organizing, developing and directing
the day-to-day functions of the Nursing Services Department in accordance with current federal, state and local
standards governing long-term care facilities, and as may directed by the Administrator, to ensure that the highest
degree of quality care can be provided to the residents at all times. In the absence of the Director of Nursing,
assumes responsibility for the nursing department.

Essential Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential
functions.

• Administrative Functions:

Assist the Director of Nursing in planning, developing, organizing, implementing, evaluating, and
directing the day-to-day functions of the Nursing Unit, its programs and activities; participate in
developing, maintaining and periodically updating written nursing policies, procedures, reference

materials, 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.

Ensure that all nursing services personnel are performing their respective duties; participate in
developing, implementing and maintaining a quality assurance program; assist in planning,
developing, implementing and maintaining 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 Director of Nursing Services and Administrator concerning operations of the
department.

Responsible to provide Clinical Supervision for all residents as "day supervisor".

Work collaboratively with Risk Management to identify potential customer service breakdowns and

recovery strategies.

Assure all new staff to unit receive appropriate orientation job as per job description.

Assess all staff ability to perform their job tasks by resident care rounding, paperwork (e.g., flow

sheet, nurses' notes, etc.), staff evaluation process, etc.; provide in-service to nursing staff, as needed.

Responsible for the provision of CNA and Charge/Staff Nurse assignments for all three shifts as

assigned by the Director of Nursing.

Is a member of the resident interdisciplinary care planning committee.

Responsible for all In-service Coordination/Educational needs of all departments. Will maintain in-

service records.

Responsible for accident/unusual occurrence tracking/trending monitoring systems as assigned.

Assistant Director of Nursing with pressure sore and infection control monitoring.

Responsible for rounding on all facility residents at least twice a day.

• Nursing Care Functions:

o Participate in interviewing and screening residents for admission to the facility.
o Inform personnel of new admissions, ensure rooms are ready, greet new admissions and escort to
rooms.
o Conduct a minimum of two 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, medications and conditions.
o Ensure proper recordkeeping 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:
o Assist in recruiting, interviewing, hiring, counseling, evaluating, disciplining and terminating nursing
services personnel; document and coordinate personnel actions with the Personnel Manager or
Administrator.
o Assist in scheduling department work hours; delegate administrative authority, responsibility and
accountability to nursing services supervisory personnel as deemed necessary to perform assigned
duties.
o 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.
o Review personnel complain

ts and grievances and ensure that all personnel are treated consistent with
policies and applicable laws.

• Staff Development Functions:

o Participate in developing, planning, implementing, conducting and scheduling orientation, training
and in-service educational activities for nursing services personnel; assist other departments with
developing, implementing and coordinating training programs that relate to nursing services.
o 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.
o Ability to understand and apply training from in-service education and ability to instruct personnel
during training education and staff meetings
o 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):
o Implement and review the facility's infection prevention program to include assisting 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.
o Utilization of existing standards and guidelines related to infection control of applicable professional
organizations and regulatory agencies.
o Collect and analyze data related to infections and antibiotic usage, monitoring for trends and
increasing resistance.
o Dissemination of infection prevention information, including surveillance data and policy decisions.
o Direction, management and operation of the infection prevention program, including the education of
facility staff and independent practitioners.
o Ensure that nursing services personnel follow established infection control procedures when isolation
precautions become necessary.
o Consult with county and state health departments, as needed.
o Resource for facility staff regarding infection prevention issues, including the management of
infectious residents and other infection prevention concerns.
o Monitor and track employee illness to identify trends and determine necessary interventions and/or
work restrictions.
o ensure that all nursing services personnel understand and follow departmental policies and
procedures, Standard Precautions, established safety rules, and fire and disaster procedures.
o Ensure cleanliness of nursing services work areas, stations, preparations rooms, treatment areas and
resident care rooms.

• Supervision:

o Supervise Registered Nurses, Licensed Nurses, Certified Nursing Assistants and other personnel.
Coach, counsel and assign Certified Nursing Assistants and other Nurses to provide quality
resident care.
o Independently evaluate the job skills and work performance of the Certified Nursing Assistants
and other Nurses through the formal performance evaluation process. Appropriately discipline or
participate in the discipline of Certified Nursing Assistants and other Nurses for violations of
work rules, policies or poor performance, including the recommendation of suspensions and
terminations.
o Recognize Certified Nursing Assistants and other Nurses for exceptional care and job
performance on a regular basis and as part of their formal performance evaluation.
o Assign Nurses and Certified Nursing Assistants specific duties for resident care and direct their
work. Ensure proper staffing by calling in replacement employees for Certified Nursing
Assistants and other Nurses not reporting for work and by transferring or reassigning Certified
Nursing Assistants and other Nurses to ensure adequate staffing levels. Revise work schedules of
Nurses and Certified Nursing Assistants as necessary.
o Attend and participate in supervisory meetings. Support and follow through with management
team goals.

• Care Plan and Assessment Functions:

o Assist and participate 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.
o Encourage residents and their families to participate in the development and review of care plans.
o 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,
o Review nurses' notes and monitor residents to determine if the care plans are being followed and if
each residents' needs are being met.
o Participate in assessing, reviewing and revising care plans as required.
• Planning and Inventory Functions
o Recommend to the Director of Nursing Services and Administrator the equipment and supply of
needs of the Nursing Services Department.
o Assist in developing and monitoring adequate and cost-effective inventory control procedures.
o Make periodic inspections of supplies and equipment to ensure that adequate levels are maintained
and that equipment is available and working properly.
o Develop and implement procedures to ensure that trained and authorized personnel operate nursing
services equipment in a safe manner.
o Assist in preparing and planning the Nursing Services Department's budget for equipment,
supplies and labor to submit to the Director of Nursing Services and Administrator.

• Customer Service:

o Provide compassionate resident care services.
o Establish and maintain positive interactions with internal and external customers, including co-
workers and direct reports.
o Promptly respond to call lights.
o Take responsibility for resolving Certified Nursing Assistant, Nurse, and other customers' issues
and concerns striving for a win-win outcome. Customers include residents, families, vendors and
other employees.

• Resident's Rights:

o Knows Resident Rights. Helps the residents/residents exercise and/or protect their rights.
o Maintains confidentiality of resident/resident information.
o Understand, comply with and promote all rules and regulations regarding residents' rights.
o Support resident autonomy and choice.
o Promptly report to the Administrator and maintain written records of all resident complaints
and grievances.
o Monitor nursing services to ensure that resident's needs and rights are met.

• HIPAA:
o Follows and adheres to Facility's policies and procedures implementing HIPAA requirements for
the privacy and security of protected health information.
o Uses and/or discloses only minimum amount of Protected Health Information necessary to
complete assigned tasks.
o Reports all suspected violation of company's HIPAA policies or procedures to Facility Privacy
Designee.

• Continuing Education:

o Participate in facility/department in-services and quality improvement activities.
o Attend continuing education programs.
o Attend facility/department/staff meetings as required.

• Safety:

o Knows and follows all Company policies, regulations and requirements
o Demonstrate safe practices in regard to resident's comfort and safety by applying knowledge of
proper body alignment for self and resident.
o Practice and promote adherence to institutional safety codes.
o Follows facility dress and hygiene policies.
o Demonstrates proper use of equipment. Reports equipment needs or repairs.
o Follows facility smoking policies.
o Reports and documents any incidents or accidents of residents, staff or visitors to the appropriate
facility personnel.
o Reports all hazardous conditions/equipment to Supervisor.
o Performs duties, which may include transportation of residents, as assigned in Facility Disaster
Plan.
o Uses required protective equipment.
o Follows infection control standards, policies and procedures.

Competencies
• Initiative
• Leadership
• Time Management
• Decision Making
• Communication Proficiency
• Organizational Skills

Supervisory Responsibility
This position manages employees of the department and is responsible for the performance management of the
employees within that department.
Other Responsibilities
• Must adhere to Code of Conduct and Business Ethics policy, including documentation and reporting
responsibilities.
• In the absence of the Director of Nursing Services and as directed, attend and participate in various
committees and meetings of the facility; participate in the development, maintenance, implementation and
updating of policies and procedures for the storage, administration and control of medications and
supplies; and, evaluate and implement recommendations pertaining to nursing services.

Work Environment:

This job operates in a professional office environment. This role routinely uses standard office equipment such as
computers, phones, photocopiers, filing cabinets and fax machines.

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.
The responsibilities of this position involve significant physical activities including standing, lifting (up to 50
pounds unassisted), bending, stooping, pushing, pulling and twisting. All employees of skilled nursing facilities
may be required to provide lifting and transfer assistance to residents. Lifting and/or transferring some residents
will require use of a lifting device and /or assistance of other staff. While performing the duties of this job, the
employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to
finger, handle or feel; and reach with hands and arms.

Required Education and Experience
• Current RN license with the State.
• Previous experience in a hospital, long-term care facility, or other healthcare related facility.
• Previous supervisory experience.
• Ability to adapt to a flexible work schedule.
• Ability to relate positively, effectively and appropriately with residents, families, community members,
volunteers and other facility staff.
• Possess special interest in, and a positive attitude about, working with long-term care residents and the
elderly.
• Ability to read, write, speak and understand English.
• Meet all health requirements, as required by law.
• Demonstrate basic computer knowledge and ability with an aptitude to learn company applications.
• Demonstrate understanding of State and Federal rules and regulations that govern the practices within
long-term care.
Preferred Education and Experience
• Experience in a fast-paced environment.
Other Duties
This job description is not designed to cover or contain a comprehensive listing of activities, duties or
responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at
any time with or without notice