POSITION CLASSIFICATION:  Assistant Director of Nursing (ADON) 

SUPERVISED BY:  HSA, DON  

SUPERVISES:  Nursing Staff  GENERAL 

DUTIES:  

A.  Manages and evaluates nursing care delivery in accordance with PCM  policies and procedures.  Ensures that nursing practice complies with established nursing standards.    

B.  Acts as liaison between nursing staff, PCM administration and facility  administration.  

QUALIFICATIONS:  

A.  Bachelor’s degree in nursing preferred, previous education and experience  may be substituted.  

B.  Graduate of an accredited nursing school.    

C.  Licensed to practice as a nurse in the state in which the facility is located.  

D.  Previous supervisory experience preferred.  

E.  Decision making ability required.  

F.  Ability to communicate effectively required.  

G.  Leadership / management ability required.  

H.  Ability to function independently required.  

I.  Demonstrate clinical competency.  

RESPONSIBILITIES:  

Administrative:  

A.  Report to and meet with HSA and DON on a regular basis.  

B.  Prepare reports as required.  

C.  Maintain a professional nursing attitude at all times.  

D.  Maintain a professional working relationship with facility staff, unit staff,  contracted providers, outside service providers and Corporate Staff.  

E.  Is tactful and diplomatic at all times.  Functions as a role model for nursing  staff.  

F.  Make use of established Corporate and Facility policies and procedures in  decision-making.  Must use factual data and sound independent judgment  in meeting the responsibilities and performing the duties of this position.   

G.  Interpret and ensure compliance with established standards of PCM and  NCCHC/ACA.  

H.  Orient, supervise and evaluate performance of nursing personnel.  

I.  Assign and direct nursing staff.  Develop and monitor work schedules and  provide coverage with appropriate staff to maintain adequate staffing levels.  

J.  Counsel and discipline employees who violate established policies/procedures of PCM or the facility.  Each phase of the disciplinary process must be approved by the HSA prior to implementing.  

K.  Ensure that the proper flow of relevant information (policies, procedures, in-services, problems) is disseminated to supervisor and supervised personnel.  

L.  Prepare and submit required reports according to need.  

M.  Audit medical records per Quality Assurance audit criteria and report deficiencies to QA Committee.  

N.  Regularly monitor and evaluate nursing services to avoid the inappropriate use and/or duplication of services.  Advise HSA and DON if these situations arise.  

O.  Monitor, evaluate and recommend methods to improve operational efficiency and cost containment effectiveness.  

P.  Monitor and ensure strict compliance to all applicable pharmacy regulations.  

Q.  Monitor stock inventories and requests for needed supplies and equipment  from HSA or DON.  

R.  Monitor and evaluate physical safety requirements for inmates/patients and  staff to ensure a safe working environment.   

S.  Assist HSA and DON in coordinating and/or providing in-service programs  which are aligned with the medical program (at least monthly).  

T.  Attend scheduled meeting and provide minutes as well as follow up to  identified problem areas.  

U.  Assist HSA and DON to coordinate and/or conduct monthly health care  staff meetings.  

V.  Maintain unit nursing operations at all times to meet NCCHC/ACA  Accreditation Standards.  

W.  Attend seminars, workshops, and conferences at the direction of PCM.  

X.  Flexibility in work schedule is required.  Unpredictable circumstances may  warrant additional work hours and overnight travel to other facilities.  

Y.  May be required to relocate (temporarily) to meet the needs of PCM.  

Z.  Adhere to established PCM and facility policies and procedures.  

AA. Is operationally responsible and accountable for the nursing functions of the  medical unit.  

BB. Recruit replacement personnel for all vacant positions.  

CC. Provide other services and perform other duties as assigned by Corporate  Staff and/or HSA and DON.  

Benefits: PrimeCare believes in offering a competitive compensation and benefits package to their employees. Standard benefits for full-time employees include Medical, Dental, and Vision plans (Single and Family plans are both available). We also offer Life Insurance and Disability options, Generous PTO, Sick and Safe Leave Accrual, Floating Holidays, 401k with match, and a tuition reimbursement program.

Additional Compensation: In addition to the hourly pay rate PrimeCare Medical also offers Overtime Pay, Shift Differential and Weekend Differential compensation, Premium Holiday Pay, as well an Employee Referral Bonus opportunity.

 Clinical Responsibilities:  

A. Maintain accurate records of all controlled substances, narcotics, and sharps in accordance with applicable state and federal laws.  

B.  Provide health counseling to inmates/patients.  

C.  Conduct sick call for inmates/patients and provide provisional and treatment for selected minor illness and injuries defined by written protocol.  Refer all cases not covered by written protocol that do not respond to treatment to an appropriate provider.  

D.  Receive and give inter-shift report to ensure continuity of care and to disseminate pertinent information necessary to the functioning of the oncoming shift.  

E.  Observe, report, and document symptoms, reactions, and progress of inmates/patients and formulate a plan of nursing care.  

F. Review, evaluate and coordinate planning for future admissions, participates in pre-release planning with other members of the facility staff.  

G.  Collect complete on-going data to determine nursing care needs.  

H.  Monitor nursing care which promotes, maintains, and restores the wellbeing of inmates/patients.  

I.  Perform all aspects of general and specialized nursing care principles and techniques in the care and treatment of the ill inmate/patient within the facility.  

J.  Administer - immunizations, tuberculin testing, basic and advanced first aid, basic cardiopulmonary resuscitation, visual acuity and tele binocular examinations, and oxygen when indicated.  

K.  Perform twelve (12) lead electrocardiograms and assemble results for interpretation by a provider.  

L.  Conduct sanitation inspections in the absence of the HSA and DON.  

M.  Participate in the Quality Assurance program and is a member of the QA committee.  

N.  Record retrieve and file medical information in the inmate/patient medical  record.  

O.  Administer treatment prescribed by verbal or written orders from a PCM Physician.  

P.  Administer oral and parenteral medications prescribed by a provider.  

Q.  Gather clinical data from medical records to be included in various reports  and QA audits.  

R.  Conduct regularly scheduled QA audits.  

S.  Collect laboratory specimens by various methods, including venipuncture.  

T.  Assist providers during performance of physical examinations and  physician visits.  

U.  Perform initial inmate/patient physical assessment (intake screening)  according to established written protocol.  

V.  Accompany and assist providers during facility rounds.  

W.  Assist dentist and psychiatrist as needed.  

X.  Assign duties to PCM nursing staff, provide instruction(s) on methods and  techniques to provide care, review work in progress and collaborate with  HSA and DON.  

Y.  Maintain confidentiality at all times.  

Z.  Submit copy of professional license and other credentialing information to  the corporate office.  

AA. Any/all other duties and responsibilities as assigned or delegated.