Director of Nursing-Fayetteville Ambulatory Surgical Center

Position Title: Director of Nursing Position Purpose: The Director of Nursing is responsible for all aspects of nursing care delivery in the facility.
The DON is responsible for overseeing the Quality Improvement/Risk Management Programs and the Education Coordinator for the facility, as well.
Assumes some responsibility of the Administrator in his/her absence.
As a Registered Nurse, the DON is also responsible for assessing, planning, implementing and coordinating patient care from admission to discharge.
Position Reports to: Administrator Position Supervises: All nursing and other clinical personnel.
All TSG staff.
Degree of Supervision Provided to Position: Minimal and according to management guidance, must be self-directed and able to work independently.
Education, Experience, and Licensure: Has successfully completed the program at an accredited school of nursing with a current state nursing license.
OR experience is preferred.
Experience in ambulatory surgery nursing, at least two (2) to five (5) years of nursing and management experience in a hospital or ambulatory surgery center is desired.
Successful completion of Basic Life Support (BLS)/Basic Cardiac Life Support (BCLS) within 90 days of employment or documentation of current BLS/BCLS certification.
ACLS and PALS certification preferred.
Internal Relationships (Works Closely With): As a representative of Fayetteville Ambulatory Surgery Center, all comments, attitudes, actions, and behaviors have a direct effect on the Facility’s image and perceptions of quality service.
Interaction with patients, families, physicians, referral sources, affiliating schools, visitors, volunteers, co-workers, supervisors, vendors, etc.
must be in a manner that is friendly, supportive, courteous, respectful, cooperative, and professional.
This behavior should promote an atmosphere of teamwork, which is congruent with Facility standards and guidelines to promote positive relations.
Job Requirements: Skills and Abilities: Ability to correlate clinical data with patient’s medical and nursing care.
Ability to set priorities.
Ability to provide direction to others that is clear, concise and promotes efficiency throughout the clinical areas of the facility.
Ability to communicate well with patients, families, Teammates, physicians, other healthcare workers, etc.
Recognizes legal and policy limits of individual practice.
Clinical Quality: Assesses, plans, and evaluates and ensures the implementation of the patients care to achieve identified outcomes and delivers safe patient care according to facility policy and procedure.
Assesses patient status on admission and on an ongoing basis.
Implements appropriate standards of care based on assessment data and patient's own goals.
Goals are mutually set with the patient and the family.
Coordinates nursing interventions to enhance achievement of expected outcomes and to ensure readiness for discharge.
Ensures provision of patient care daily in an organized and timely manner.
Adheres to all facility policies and procedures when providing patient care.
Utilizes nursing care standards when planning and implementing patient care.
Demonstrates ability to direct and provide for patient care in emergency situations.
Assumes a leadership role in the provision of quality nursing care for patients receiving care.
Analyzes nursing care provided in the facility related to the established standards of care.
Interviews, selects and retains qualified staff to meet facility needs.
Also assures replacement of marginal staff members before he/she has negative impact on peer relationships or morale.
Responsible for direction, teaching and management growth of other clinical leaders Oversees and participates on Performance Improvement Committee to facilitate improvement of nursing care and achievement of mission of the facility.
Responsible for ongoing accreditation programs in areas of quality improvement, risk management, infection control, facility and fire safety.
Participate in the orientation of staff.
Responsible for interpretation, in-service education, implementation and compliance with OSHA guideline to assure minimal exposure for patients, staff, physicians and visitors.
Participates in developing standardized patient education programs as requested.
Demonstrates continued competence in assessing, treating, and caring for individuals based on age-specific needs utilizing developmental perspective.
Displays an understanding of each patient's cognitive, physical, emotional and chronological maturity in the assessment, treatment and care undertaken.
Appropriately modifies approach to the patient based upon patient age utilizing a developmental perspective.
Provides appropriate interventions related to safety issues.
Participates in the monitoring and evaluation of nursing care provided.
Demonstrates ability to coordinate the nursing care provided in the facility.
Assigns patient care responsibilities based on patient needs and abilities of staff.
Demonstrates appropriate and continued knowledge and competence of designated skills identified for position.
Supervises the smooth functioning of the center.
Assigns personnel according to clinical competence.
Assumes charge of cardiopulmonary emergency situations until physician arrives.
Interprets facility policies for personnel.
Supervises center personnel to assure maximum productivity and quality of patient care.
Staffing patterns are utilized.
Assists in the evaluations of assigned staff.
Teamwork/Accountability/Integrity: Utilizes time effectively.
Follows established facility policies and procedures with regard to attendance.
Maintains attendance according to guidelines and policy established by facility.
Adheres to tardiness policy.
Provides notification for unscheduled absences or tardiness in accordance with established departmental procedures as noted by supervisor.
Requests scheduled time off according to procedure as noted by supervisor.
Completes all documentation to ensure the availability of accurate and up to date information in accordance with established standards.
Maintains accurate records of controlled substances.
Documents nursing care and physicians orders according to facility policy and best practice guidelines.
Adheres to established facility safety requirements and procedures to ensure a safe working environment.
Demonstrates to competent usage of proper body mechanics in all activities.
Identifies potentially unsafe situations and notifies supervisor.
Completes all Teammate/patient event and Variance documentation in a thorough and timely manner, as required by policy.
Demonstrates complete understanding of established emergency procedures for facility.
Practices infection control, standard precautions and universal precautions as instructed or trained.
Maintains work area and equipment in a neat, organized manner.
Completes appropriate financial management responsibilities.
Provides input re: equipment needs/supply needs.
Completes patient charges in accordance with facility procedure and per facility policy.
Demonstrates sound cost containment techniques.
Assists with housekeeping tasks as necessary to provide a safe environment for patient’s, teammates, physicians, guests.
Performs all other duties as assigned by management.
Provides a 30-day notice upon resignation.
Continuous Improvement: Maintains and evaluates own clinical expertise and clinical practice.
Attends 50% of unit based staff meetings and demonstrates review of minutes for any meetings missed.
Provides in-services as requested by management Participates in scheduled performance appraisals and demonstrates dedication to ongoing performance improvement.
Responsibly demonstrates and the importance of continuing education to the performance of facility responsibilities and growth in profession.
Maintains and displays appropriate knowledge of professional developments through printed material or other sources.
Attends professional training seminars when appropriate for job development and shares information with other Teammates.
Attends and participates in all applicable facility training and development workshops scheduled by the facility Maintains work area and equipment in an organized and clean manner Maintains dress and appearance according to standards as observed by management Maintains up-to-date knowledge of job description, role, and responsibilities through continuing education activities Maintains certification requirements and submits required evidence of certification to facility management for teammate file Strives to be professional, courteous, helpful and cooperative.
Performs all other duties as assigned by management.
Compliance: Upholds and practices the principles and policies of the FASC Compliance program.
Demonstrates the safe operation of equipment and machinery and follows procedures for reporting and correcting an unsafe situation.
Service Excellence: Communicates patient information to assure confidentiality and continuity of care Documents all patient information according to established standards of care, policies and procedures Provides a report to oncoming personnel which is accurate, concise and pertinent to the Patient’s condition and response to care Provides pertinent patient information to the physician, family and other members of the multidisciplinary team Discusses patient information with other health team members in an appropriate environment Documents patient’s/significant other’s response to teaching interventions Interacts with all patients, families, visitors and fellow employees in a mature, responsible manner to ensure a positive and professional facility environment Displays a caring and responsive attitude and conducts all activities respecting patient, family and employee rights and expectations Maintains confidentiality of all facility and patient information as required by facility policy Fosters a positive and professional facility environment by interacting with all persons in a considerate, helpful and courteous manner and by participating as a team member Diffuses/resolves conflict by appropriately communicating with those involved Accepts constructive criticism and gives suggestions in a professional manner Considers age specific needs in communication Maintains dress and appearance according to standards as observed by management Demonstrates the safe operation of equipment and machinery and follows procedures for reporting and correcting an unsafe situation Strives to be professional, courteous, helpful and cooperative Financial Skill: Completes appropriate financial management responsibilities.
Provides input re: equipment needs/supply needs.
Completes patient costs in accordance with facility procedure/keep preference cards updated.
Demonstrates sound cost containment techniques.
Participates in periodic inventory count as assigned by leadership.
Proficiency or Productivity Standards ENVIRONMENTAL CONDITIONS: Indoors in climate controlled environment.
Patient care environment with potential exposure to unpleasant odors, to blood and body fluids which may carry infection, to infectious disease, and to chemical and electrical hazards.
Occasional exposure to outdoor climate.
PHYSICAL REQUIREMENTS: Good visual acuity, accurate color vision.
Ability to lift/transfer patients in excess of 100 pounds, which may require pushing, pulling and essentially utilizing a full range of body movement.
Ability to stand, walk, stoop, kneel, crouch and/or crawl.
Ability to reach, grasp, use fine finger movement and feel fine sensation to discern temperature, texture, size and shape.
Ability to speak and hear.
MACHINES/EQUIPMENT USED: Clinical equipment used for patient care, i.
e.
, suction machine, patient diagnostic equipment, patient monitoring equipment, office equipment: computer, Xerox machine, addressograph.