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The Director of Nursing (DON) assumes authority, responsibility, and accountability of the delivery of nursing services for the Critical Access Hospital and outpatient surgery suite at South Big Horn County Hospital District. Manages employees in the provision of care and services according to professional standards of nursing practice, consistent with facility policy of care and state and federal laws and regulations. Develops and implements policies and procedures consistent with current law. In collaboration with administration, allocates department resources in an efficient and economic manner to enable each resident/patient to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing. Collaborates with other departments, professionals, consultants, and organizations, including government agencies and advocacy groups, to develop support and coordination of resident/patient care, related administrative functions and to represent the interests of the facilities.
Essential Job Functions
• Create, implement and maintain
essential programs within the critical access hospital, including but not
limited to; the trauma program and swing bed program.
• Provide nursing leadership to CEO,
Medical Director, Department Heads and Governing Body to formulate operational
strategies and achieve facility objectives within planned budgets and
schedules. Provides direction to nursing staff to execute tasks necessary to
implement operational objectives.
• Develop nursing policies and
procedures that reflect current clinical practice, professional standards and
facility philosophy of care. Able to establish criteria to assure that services
provided meet established standards of quality.
• Perform personnel functions
including interviewing prospective staff members, conducting performance
evaluations and carrying out disciplinary actions when appropriate. Able to
apply personnel policies to facts concerning job actions without regard to
race, sex, age, national origin, religion or disability.
• Conduct daily rounding with
hospital staff to optimize patient health, safety and satisfaction and promote
employee satisfaction and confidence.
• In conjunction with the Infection
Control Professional, implements infection control program designed to provide
a safe, sanitary and comfortable environment and to prevent the development and
transmission of disease and infection.
• Monitors the provision of care and
services on all shifts and evaluates regulatory compliance efforts through
rounds to observe care on units, to review records and to interview staff
members, residents, patients, families and other interested parties as
situations dictate. Evaluates the findings of compliance rounds conducted by
designated facility staff. Designs, implements and evaluates actions to
continuously improve quality.
• Conducts quality assessment and
performance improvement activities, including regulatory compliance rounds, in
all departments to monitor performance and to continuously improve quality.
Develops programs to gather and analyze data for trends and to institute
actions to resolve problems promptly and evaluates actions for effectiveness.
• Reviews and evaluates swingbed
referrals for appropriateness of care in the facility and assist in
coordinating transfer to facility when referrals are accepted. Creates,
implements and monitors policies and procedures for the swingbed program.
• Participates as a member of
Quality Assurance Performance Improvement Committee (QAPI). Reports and makes
recommendations to QAPI.
• Supervises the development of
in-service education programs designed to equip nursing staff with sufficient
knowledge and skills for nursing related services.
• Prepares and participates in
surveys and audits of facility. Actively participates in survey process by
instructing staff in matters of conduct and disclosure, maintaining a presence
at all times surveyors are on-site and directing the timely collection of
information required by the survey
team. Demonstrates concern for
identified problems and undertakes corrective action while survey is in
progress if appropriate. • Gathers and presents supplemental documentation to
avoid potential deficiencies. Collaborates with CEO to develop responses to
survey as needed.
• Collaborates with physicians,
consultants, community agencies and institutions to improve quality of services
and to resolve identified problems.
• Consults with CEO about
resident/patient census, status, budget, personnel and other relevant issues.
• Participates in the development of
the department budget. Provides relevant financial information to CEO and CFO
regarding department financial needs and status.
• Develops staffing plans that
assure sufficient numbers of qualified, competent nursing staff to meet direct
care needs, conduct assessments as required, develop plans of care, evaluate
responses to interventions and document clinical records effectively in
compliance with state and federal requirements.
• Hires and retains qualified
competent nursing staff to provide nursing and nursing related services.
Conducts interviews, provides regular performance reviews, takes appropriate
job actions, reviews job actions taken by subordinates to assure that staff
meet qualification and performance standards and can perform all essential
functions of the job.
• Work collaboratively with the
Nursing Home DON and NHA to ensure the appropriate coverage of staff in
clinical areas and ensure staff are fully trained in skill and education.
• In conjunction with the contracted
pharmacist, ensures pharmacy services meet the needs of the facility and are
compliant with established rules and regulations.
• Adhere to South Big Horn County
Hospital District’s policies and procedures, compliance program, quality
programs and Federal and State regulations.
• Able to carry out the essential
functions of this job (with or without reasonable accommodation) without posing
specific, current risk of substantial harm to health and safety of self and
others.
NOTE: The essential functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent’s immediate manager.
Minimum Qualifications
Education
• Graduate
of an accredited school of nursing. Bachelors’ Degree required, Masters’ Degree
preferred.
Experience
• Five years’ experience in a manager/supervisor position and two years’ experience in a critical access hospital setting.
Certifications and Licenses
• Current and Active Wyoming
Registered Nurse license.
• Current BLS, ACLS, PALS, TNCC
Apply Here: Three Rivers Health - Careers