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Assistant Director of Nursing

Company: ArchCare
Location: Rhinebeck
Posted on: April 9, 2021

Job Description:

Company Description

Opened in 1973, ArchCare at Ferncliff Nursing Home is located on 36 beautiful acres of the former Astor family estate just outside the historic village of Rhinebeck. Our goal is to provide the best possible experience through holistic care that addresses not only the residents' physical needs, but their social, psychological, emotional and spiritual needs as well.

Job Description

  • Assist in carrying out the duties and responsibilities of the Director of Nursing (DON) as directed by the Director.
  • Covers for the DON in their absence.
  • Provides weekend, administrative on call coverage as scheduled by the Director of Nursing.
  • Participates in the development of nursing policies and procedures according to regulations.
  • Responsible for day-to-day oversight and operation all nursing units.
  • Responsible for the coordination and oversight of the electronic medical record system for all nursing units and functions.
  • Identify and formulate nursing staff educational needs and coordinates as needed.
  • Implements effective mechanisms for the supervision and performance appraisal of nursing personnel assigned to job responsibility
  • Participates in Committees and performs audits for reporting to these Committees including; Quality Assurance, Safety, Exposure Control, Admissions, Medical Staff, Pharmacy Meeting, Unit Meetings, and Department Head Meetings.
  • Monitors and evaluates the quality and appropriateness of nursing care on a daily basis.
  • Participates in professional activities within the Community including job fairs and other assigned events.
  • Performs ongoing audits regarding resident care under the direction of the DON including but not limited to: Admission & Discharge Records, Medical Documentation, psychotropic usage, quality indicator performance, MAR/TAR omissions, medication errors, falls and occurrence reports, wound care management, plans of correction, mock survey findings and corrections, abuse investigations, Resident CPR status, etc.
  • Under the direction of the DON, coordinates and oversees the incident/accident (occurrence) program and the Residents Safety Committee for all nursing units.
  • Oversees Restraint/Enabler Committee and assures proper usage and documentation throughout the facility
  • Functions as Infection Control Officer for entire facility, maintains nosocomial surveillance, immunizations, standards of care, compliance with precaution needs, coordination of outbreak control. Responsible for monthly reports to QA and DOH as needed.
  • Ensures maintenance of unit master lists, 802 forms, and other high risk diagnosis'/procedures. i.e fluid restrictions, Coumadin residents, dialysis, etc.
  • Coordinates and oversees the wandering development which includes maintaining current logs, lists of all room alerts and residents photos for established facility procedures and assigned nursing units. Incorporates this program and into the Safety Committee.
  • Responsible for the LAB Program which includes the monitoring /auditing of appropriate labs ordered for each resident such as labs, testing, sonograms, x-rays, and consults. Maintains the lab printer acts as the liaison with the LAB reports from unit computers to follow up with the physicians and monitors this is complete.
  • Acts as liaison with the Medical Director, Bioreference, Medfax, Long Term Solutions, Pharmscript, Rehab Therapy, and Morrison to coordinate quality services and effective communication
  • Performs audits for QA as directed by the DON/administrator on the monthly /quarterly basis and reports to the QA committee.
  • Responsible for the follow up on all pharmacy consultations and issues and pharmacy committee audits /follow up. Responsible for the prompt follow up of all of the Medication Regimen Reviews.
  • Keeps the DON informed of any/all important events, concerns, feed back, problems, in the nursing department.
  • Communicates daily with the administrator /DON to follow up on/relay any concerns issues, problems, and investigations.
  • Responsible for behavior management program development and ongoing monitoring and audits.
  • Assists in the preparation of the Health services operating and capital budget, monitors expenditures and prepares variance analysis.
  • Covers Nursing Unit in the absence of the Nurse Manager or Licensed Nurse
  • Follows up on Daily Nursing Report issues and resident/family concerns
  • Arranges for the coordination and return of medication to the pharmacy and the storage and destruction of medications as required.
  • Performs other duties as requested by the Administrator /DON.


    Experience: 5 years in LTC or Acute Care Setting

  • IV Therapy experience
  • CPR Certificate

    Experience Requirements

  • 5-7 years experience in a LTC facility.

    License Requirements

  • New York State Registered Nurse

    Skill Requirements

  • Progressive supervisory /managerial experience,

    Microsoft Office - Including Word, Excel, Power Point

  • Knowledge of LTC State and federal regulation's. Knowledge of MDS, Care Planning , infection control, Employee Health and Budget Process
  • Ability to communicate effectively
  • Strong knowledge of Electronic Medical Record Processes
  • Excellent Clinical Assessment Skills
  • Excellent Documentation Skills

    Additional Information

    Please apply online at

Keywords: ArchCare, Danbury , Assistant Director of Nursing, Executive , Rhinebeck, Connecticut

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