The purpose of this position is to assist the Director of Nursing in assessing resident care needs and implementing appropriate action. Implements nursing policies and procedures. Supervises staffing for the nursing department and supervises the quality of nursing care provided to residents.
Essential Duties and Responsibilities
Complexity of Duties
Must be able to make independent decisions about patient needs while following well defined policies, procedures, and established guidelines. Requires the ability to plan, coordinate activities, solve problems, assess situations, and develop appropriate resident case management. Must use judgment and initiative to maintain accuracy of work. Must be resourceful when responding to changing circumstances. Requires the ability to recognize unusual or difficult nursing care problems and utilize problem-solving skills to suggest constructive changes.
Works under the direct supervision of the Director of Nursing, reporting unusual circumstances or problems. Tsali Care Center Director of Nursing works in collaboration with CIHA Director of Nursing to address personnel issues as they arise.
At times, the incumbent of this position may be requested to act as the Tsali Care Center DON on a prn basis. Supervises the work of RN’s, LPN’s and CNA’s (approximately 35).
Responsibility for Accuracy
Requires a high degree of accuracy in reporting health abnormalities to the patient's primary RN, and in the documentation of services provided. Undetected errors could have minimal or life threatening results. Government regulations, compliance with strict resident guidelines and adherence to alt applicable Federal, State and Tribal rules and regulations must be strictly adhered to.
Contact with Others
Has frequent contact with residents, families, coworkers and other health care professionals where tact, courtesy, and diplomacy are required to maintain positive relationships. Requires good communication skills, both written and oral. Requires sensitivity to others dealing with residents and their families who may be under stress while dealing with issues of disease, old age, and poor health. Purpose of contacts is to exchange information, offer instruction, and work together to meet residents' goals.
The incumbent has access to highly confidential patient medical and personal information. The Privacy Act of 1974 mandates that the incumbent shall maintain complete confidentiality of all administrative, medical, and all other pertinent information that comes to his/her attention or knowledge. The Act carries both civil and criminal penalties for unlawful disclosure of records. Violations of such confidentiality shall be cause for adverse action. An above average degree of discretion is required while handling residents, facility and medical information.
Job duties can be mentally/emotionally stressful at times. Requires the ability to deal effectively with stress. Close mental concentration and attention to detail are required for most activities. Physical activities require the ability to walk, sit, reach, extensive bending, and heavy lifting white assisting residents to walk or turn, and when transferring residents. Must have visual acuity, manual dexterity, and the ability to speak and hear.
Works in a nursing home atmosphere and an office environment. May be exposed to hazardous materials such as biohazards, disease, etc. which require strict adherence to OSHA guidelines and protocol for aseptic techniques. While traveling in the field, there could be exposure to inclement weather and a wide range of temperatures.
Consistently demonstrates superior customer service skills to patients and customers by exhibiting the qualities of the Cherokee Indian Hospital Authority’s (CIHA) Mission, Vision and Values. Exemplifies CIHA’s Guiding Principles in their daily interactions with all patients and customers to ensure excellent customer service.