Assistant Director Of Nursing - Surrey Place

St Luke's Hospital of Chesterfield MO

  • Chesterfield, Missouri

  • Published : 2022-11-22
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Job Description



Posting Details



The primary purpose of your job position is to assist 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, guidelines, and regulations that govern our facility, and as may be directed by the Administrator, the Medical Director, and/or the Director of Nursing Services, to ensure that the highest degree of quality care is maintained at all times. Infection Control monitoring and reporting monthly, and as needed also is assigned to the role. Will perform duties and responsibilities in a manner consistent with our mission and values.

Principle Accountabilities % Of Time Spent

1.Assist the Director of Nursing Services in the planning, developing, organizing, implementing, evaluating, and directing the day-to-day function of the Nursing Services Department, in accordance with current rules, regulations, and guidelines that govern the long-term care facility. (1%)

2.Participates in the developing, maintaining, and updating of our written policies and procedures that govern the day-to day functions of the Nursing Service Department. (1%)

3.Ensure that the Nursing Service Procedures Manual is current at all times and reflects the day-to-day nursing care procedures used by this facility. (1%)

4.Develop and periodically update Nursing Service objectives and statements of philosophy. (1%)

5.Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents' total regimen of care. (1%)

6.Ensure that all nursing service personnel are following their respective job descriptions. Participates in developing, maintaining and periodically updating the written job descriptions for each level of nursing personnel. (1%)

7.Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary. (1%)

8.Responsible for Workman's Comprehensive Program supervision in conjunction with hospital representation. (1%)

9.Ensure that reference materials (i.e. PDR's, Federal and State Regulations, etc) are maintained at the nurses' stations is current. Recommend to the Director written material that will assist the Nursing Services Department in meeting the day-to-day needs of the resident. (1%)

10.Participates in the development, maintenance and implementation of the facility's Quality Assurance Program. Chairs the QA Committee. (1%)

11.Participates in the developing, implementing and periodically updating of the resident's MDS and care plan and provides MDS oversight/supervision and MDS education. (1%)

12.Participates in surveys (inspections) made by authorized government agencies. (1%)

13.Makes written and oral reports/recommendations to the Director as necessary/required, concerning the operation of the Nursing Service Department. (1%)

14.Periodically reviews the department's Policy & Procedure Manuals, job descriptions, etc., Make recommendations for revisions to the Director of Nursing Services. (1%)

15.Responsible to review and track incident reports, as well as other monitoring data and report to QA Committee. (1%)

16.In absence of the Director, serve on, participate in, and attend various committees of the facility, (i.e. Infection Control, Policy Advisory, Pharmaceutical, Budget, Quality Assurance and Assessment, etc.) (7%)

17.Assist the Director in preparing written and/or oral reports of the Nursing Service Programs and activities to submit to such committee(s). (1%)

18.Participates in the development, maintenance, implementation, updating of the written policies and procedures for the administration, storage, and control of medication and supplies. (1%)

19.Schedule, attend, and participate in developing the agenda for meetings as necessary. (1%)

20.Participates in the Utilization Review Committee functions as required or as may be necessary. (1%)

21.Evaluate and implement recommendations from established committees as they may pertain to nursing services. (1%)

22.Assist the Director in determining the staffing needs of the nursing department. (1%)

23.Recommend to the Director the number and level of nursing personnel to be employed. (1%)

24.Ensure that a sufficient number of licensed practical and/or registered nurses are available for each hour of duty to ensure that quality care is maintained. (1%)

25.Assist the Director in recruitment and selection of nursing service personnel. (1%)

26.Ensure that a sufficient number of nursing assistants are available for each hour of duty to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident. (1%)

27.Delegate to the Nurse Managers, Charge and Staff Nurses the administrative authority, responsibility and accountability necessary to perform their assigned duties. (1%)

28.Assist the Nursing Director in preparing performance evaluations as directed. (1%)

29.Responsible for scheduling restorative personnel and supervision of this program as well as the dining programs in conjunction with the PT and Dietary department heads. (1%) 30.Monitor the professional nurses licensing status to ensure that they remain current. Inform nurses at least 30 days in advance of their license expiration date. (1%)

31.Make daily rounds of the Nursing Services Department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards and in compliance with all regulatory aspects. (1%)

32.Monitor absenteeism to ensure that an adequate number of nursing personnel are on duty at all times. Report problem areas to the Director. (1%)

33.Review complaints and grievances made or filed. (1%) 34.Make appropriate reports to the Director as required or as may be necessary. (1%)

35.Ensure that disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. (1%)

36.Schedule work assignments and schedule duty hours for restorative. (1%)

37.Interpret the department's policies and procedures to personnel, residents, visitors and government agencies as necessary. (1%)

38.Participate in the interviewing and selection of residents for admission to the facility, including the MI/MR pre/annual screening. (1%)

39.Provide the Director with information relative to the nursing needs of the resident and Nursing Services Department's ability to meet those needs. (1%)

40.Review nurses notes to ensure that they are informative and descriptive of the nursing care being provided and that they reflect the resident's response to the care and in compliance. (1%)

41.Encourage attending physicians to record and sign progress notes, physicians' orders, etc., on a timely basis and in accordance with current regulations. (1%)

42.Schedule daily rounds to observe residents and to determine if nursing needs are being met and if all regulatory and care requirements are being met. (1%)

43.Monitor medication passes and treatment schedules to assure that medications are being administered as ordered and that treatments are provided as scheduled and as regulatory requirements demand. (1%)

44.Provide direct nursing care as necessary. (1%) 45.Report problem areas to the Director. Assist in developing and implementing corrective action. (1%)

46.Authorized the use of restraints when necessary and in accordance with our established policies and procedures. Serve on fall/restraint reduction team. (1%)

47.Provide leadership training that includes the administrative and supervisory principles essential for Charge/Staff Nurses. (1%)

48.Encourage Charge and Staff Nurses to attend and participate in outside training programs. (1%)

49.Assist support services in developing, implementing, and conducting inservice training programs that relate to the Nursing Services Department. (1%)

50.Attend and participate in Continuing Educational Programs designed to keep abreast of changes in the profession, as well as to maintain licensure on a current status. (1%)

51.Provide State, Federal (HCFA), OSHA, OBRA, JCAHO and other regulatory agency information and inservice on same as needed. (1%)

52.Assist the Safety Officer in developing safety standards for the Nursing Service Department. (1%)

53.Monitor nursing service personnel to assure that they are following established safety regulations in the use of equipment and supplies. (1%)

54.Ensure that nursing service work areas (i.e., nurses station, medicine preparation rooms, etc.)are maintained in a clean and sanitary manner. (1%)

55.Ensure that all resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. (1%)

56.Ensure that all nursing service personnel follow established departmental policies and procedures including appropriate dress code. (1%)

57.Ensure that nursing service personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. (1%)

58. Assist the Infection Control Committee in the development, implementation, and revision of written aseptic and isolation techniques. 1%

59. Participate in the development, implementation, and maintenance of the Infection Control Program for monitoring communicable and/or infectious disease among the residents and personnel. 1%

60. Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary. 1%

61. Participates in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment. 1%

62. Recommend to the Director the equipment and supply needs of the department. 1%

63. Assure that a stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to adequately meet the needs of the residents. 1%

64. Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing department's equipment and supplies in a safe and operable manner. 1%

65. Participates in the development and implementation of the procedures for the safe operation of all nursing service equipment. 1%

66. Ensure that only trained and authorized personnel operate the department's equipment. 1%

67. Ensure that all personnel operate nursing service equipment in a safe manner 1%

68. Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste. 1%

69. Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident. 1%

70. Participate in the development of a written plan of care (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care. 1%

71. Insofar as practical, encourage the residents to participate in the development and review of their plan of care. 1%

72. Assist in the scheduling of care plans and assessments to be presented and discussed at each OPOC meeting. 1%

73. Ensure that all personnel involved in providing care to the resident is aware of the care plan and that the care plan is used in administering daily care to the resident. 1%

74. Review nurse's notes to determine if the care plan is being followed. 1%

75. Review and revise care plans and assessments as necessary, but at least quarterly for all residents and as indicated for appropriate residents. 1%

76. Develop and maintain a good rapport with all services involved with OPOC to ensure that a team effort is achieved in developing the resident's comprehensive care plan. 1%

77. Participate in the preparation of and planning of the Nursing Services Department's budget and submit to the Director for his/her review, recommendations and/or approval. 1 %

79. Keep abreast of economic conditions/situations, and recommend to the Director adjustments in nursing services that ensure the continued ability to provide quality care. 1%

80. Recommend to the Director the equipment needs of the Nursing Services Department. 1%

81. Maintain the confidentiality of all resident care information. 1%

82. Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect. 1%

83. Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the residents' room. 1%

84. Ensure that all nursing service personnel are knowledgeable of the resident's rights and responsibilities. 1%

85. Review complaints and grievances made by the resident and make a written/oral report to the Director indicating what actions(s) are taken to resolve the complaint or grievance. 1%

86. Maintain a written record of the resident's complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint. 1%

87. Make sure that appropriate notices were received by the resident before his/her room or roommate is changed. 1%

88. Chair the Quality Assurance and Assessment Committee as directed. Schedule and organize the quarterly UR Committee. 1%

89. Participate in the development and implementation of performance evaluations for the Nursing Service Department. 1%

90. Assist the Director and/or the Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure the tasks in which potential exposure of blood/body fluids are properly identified and recorded. 1%

91. Assure that appropriate personal protective equipment is accessible to personnel. 1%

92. Organizes, monitors, and evaluates weekly wound/skin rounds. 1%

93. Data collected, compiled, monitored and reported for facility infection control. 1%

94. Performs other work duties as assigned. 1%


Must possess, as a minimum, a Nursing Degree from an accredited college or University.


Must have, as a minimum, one (1) year experience as a supervisor in a hospital, long-term care facility, or other related healthcare facility. Must have, as a minimum, six (6) months training experience in rehabilitative and restorative nursing practice. The assessment, care and treatment provided by the staff will be consistent with the specific age related needs of the patient. The staff is competent to care for patient age groups including the adult and geriatric patient.

Reporting Relationships (Text Only)

Job Relationships: Member of a comprehensive healthcare team, including other healthcare providers, the patient, the patient's family and significant others. Provides direction to: Nurse Managers, Restorative personnel, Nursing Staff Takes direction from: Executive Director, Director of Nursing Supervised by: DON

Working Conditions

Employee is required to sit (34-66 %) of the time. Stand and walk frequently (34-66% ) Employee must lift/carry light loads (34-66% of the time) Employee may be required to lift over 100 lbs. with assistance (1-33% of the time). Employee may be required to bend, squat, kneel and reach forward (1-33% of the time). For repetitive action, employee is required to perform simple grasping and pushing/pulling. Employee is occasionally exposed to electrical hazards and CRT terminal work. Employee is exposed to the following environmental conditions: Temperature changes, dust, noise, fumes, electrical hazards, and CRT terminal work occasionally. Employee may be exposed to blood-borne/air borne pathogens. The most significant of duties are included but this does not exclude occasional work assignments not mentioned or developmental duties.



Faithful to our Episcopal-Presbyterian heritage and its ministry of healing, St. Luke's is dedicated to improving the health of the communities we serve.Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence and respect for each other and those we serve.


As an independent healthcare network, we create healthy communities in the region through our commitment to high quality, safe and personalized services.

Core Values

Human DignityWe accept and treat all persons as being created in the image of God. CompassionWe respond with caring to the needs of others as if they were members of our family. JusticeWe honor each person's rights and responsibilities in light of the common good. ExcellenceWe set and strive to attain high standards of performance and continuous improvement. StewardshipWe use our talents and resources wisely, with honesty and integrity.

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