Assistant Director of Nursing (ADON) - Nurse V - CMHHIP - Pueblo

• Rounds assigned units daily prioritizes time on units with critical incidents and higher acuity and splits the remaining time directly observing nursing care and providing just-in-time training/direction on all shifts.
  
• Attends morning report meetings daily for critical events to evaluate needs and follow up on action items.
  
• Uses judgment and knowledge of IC protocols and standards to conduct just-in-time training as pertinent topics of infection control emerge.
  
• Reaches out to the Staffing Office Nurse Manager when staffing needs are not met with current resources and the Unit Nurse Manager has exhausted all options.
  
• Communicates a plan to meet general nursing personnel needs to the Director of Nursing and Unit Nurse Manager.
  
• Is responsible for oversight of nursing care (both psychiatric and medical) provided on assigned units or when covering or supervising other units.
  
• Ensures and maintains nursing standards of care. Directs the implementation of interdepartmental activities at the unit level by representing the Nursing Department on hospital-wide committees.
  
• Disseminates accurate information to those directly affected. This position operates independently in performing the full range of professional nursing tasks and problem-solving.
  
• Works with the Director of Nursing Impact Administration Office and Human Resources to recruit hire and retain qualified nursing staff for assigned units.
  
• Follows up with critical incidents completing first-line investigation of Mistreatment/Abuse/Neglect/Exploitation (MANE) allegations and other State reportable.
  
• Acts in accordance with Appointing Authority delegation. Assists higher level Appointing Authority with investigations documentation delivery and other tasks as applicable. Assess/investigate any claims of sexual harassment and involves public safety/Quality Support Services/Human Resources when necessary.
  
• Reports violations of Nurse Practice Act to the Director of Nursing and the State Board of Nursing. Keeps the Director of Nursing apprised of all of the above for units supervised.
  
• Coordinates with peers and notify the DON of assigned unit coverage for any scheduled and unscheduled leave.
  
• DON/CNO may assign or change units based on hospital need. Covers as acting Director of Nursing when assigned.
  
• Rotates as the Administrator on Call several times during the year.
• Assists Nurse Manager with patient needs including physical needs psychiatric needs and as a patient advocate.

Management:

• Directs/supervises/monitors and is responsible for all full-time and/or part-time and agency nursing staff in the assigned units.
• Provides direct supervision of the Nurse Manager(s) performance.
• Ensures nursing staff they supervise provide services/treatments per licensure requirements and governing bodies.
• Responsible for ensuring nursing staff follow the Nursing Standard of Care/Colorado Nurse Practice Act or Colorado Psychiatric Technician Practice Act/Nursing Process.
• Responsible for monitoring and ensuring assignments/duties of the Nurse Managers are completed/performed/documented correctly to include all aspects of their job description.
• Remains within their Appointing Authority delegation over personnel actions poor job performance or other personnel issues that may arise.
• Provides information and assists with delivery and oversight of adherence to corrective action.
• Escalates potential disciplinary action to the Director of Nursing or designee.
• May be assigned to assist in the investigation of personnel concerns.
• Provides ongoing support follow-up and education to staff related to performance improvement.
• Utilizes knowledge of State Personnel Rules and Regulations as a basis for providing guidance and resolution of personnel-related issues.
• Reports violations of Nurse Practice Act to the Director of Nursing and the State Board of Nursing.
• Collaborates with non-nursing on requests related to performance issues regarding programming.
• Keeps the Director of Nursing apprised of all of the above.
• Attends all Nursing Operational Committee (NOC) meetings obtaining information when absent or sending alternates for extended absences.
• Holds weekly meetings to provide information/direction from NOC/NEC to Nurse Managers along with providing this information in written form to those who are not present.
• Ensures this information is disseminated in a timely manner to all CDHS/agency employees assigned to their units.
• Responsible for nursing CDHS/agency review of information.
• Is ultimately responsible for assuring nursing standards and policies are followed on each of the shifts.
• Responsible for ensuring nursing staff maintain licensure and unit competencies and not allow them to lapse for any period of time as well as their own.
• Is ultimately responsible for accurately communicating nursing policy and its interpretation.
• Assists in developing Nursing and Unit policies by discussing/reviewing at NOC prior to the Reference Committee.
• Implements actions to maximize the productivity of nursing personnel assigned to a unit by role modeling positive participative leadership.
• Assists in ongoing development and evaluation of assigned staff through competency assessments.
• Develops ongoing staff training and nursing competencies in tandem with the Nursing Operations Committee/NEC and Nursing Education.
• Ensures Position Descriptions and performance plans are kept current and provided to assigned staff to ensure they understand their job duties expectations and required competencies.
• Confirms that all unit-specific education blitz training educational profile competencies/training modules within Cornerstone database for nursing CDHS/agency in assigned units are complete and up-to-date.
• Ensures Nurse Managers provide orientation preceptors and monitoring of new nursing CDHS/agency staff and nursing students. Serves as a liaison between staff and nursing development/education.
• Responsible for ensuring the Nurse Managers have an education profile within Cornerstone for each assigned staff within their units that is current and up-to-date with all competencies completed in a timely manner.
• Responsible for ensuring Nurse Managers/Supervisors within their units are current in mandatory training computer based training rosters policies and procedures.
• Attends in-service training to meet own educational and mandatory training requirements.
• Stays up-to-date on industry standards as part of professional development.

• This position is responsible for administrative/management of nursing staff clinical direction/supervision of nursing staff Quality Assurance/Process Improvement (QAPI) activities to ensure improvement and compliance in all areas staff development staff competency and interdisciplinary coordination.
• Implements actions to maximize the quality of patient care at the unit level by directing and coordinating the timely reporting of statistical and quality assurance data.
• Reviewing patient occurrences incident reports directing completion of patient record and unit audits developing performance measurement tools at the unit level and taking responsibility for performance improvement initiatives.
• Assures nursing participation in interdisciplinary QA/PI activities at the unit level. Ensures monitoring evaluation and follow-up on QA/PI activities.
• Monitors and follows up on unit deficiencies.
• Initiates/develops a plan of correction/action for any below threshold percentages of data to achieve compliance with standards of practice. Prior to process change review evidence-based-practice standards.
• Ensures plan of action is followed and tracked providing the information to the Quality Management Department (QMD) and/or the Nursing Departments Quality Databases.
• Monitors the need for QA/PI initiatives and reviews/discusses them in the Nursing Operational Committee. Analyze process and outcomes.
• Collects reports verifies data and reviews statistical trends related to patient care and by directing plans and action to improve processes.
• Reviews all QA/PI trends with Nurse Managers and treatment team for ongoing awareness and to identify barriers.
• Responsible for peer review activities for nursing which focus on qualitative nursing clinical practice and professional competence.
• Reviews critical patient/environment occurrences daily in the Critical Incident
• Committee meeting headed by QMD and reviews QA/PI for possible training deficiencies.
• Provides data and performance improvement plan and action to the Director of Nursing.

• Assumes 24-hour responsibility for the oversight of nursing care provided and maintenance of a safe secure and therapeutic environment.
• Anticipates potential problems and responds to correct personnel and environmental deficits by facilitating staff communication related to patient care and by overseeing patient health care needs.
• Directs implements and reviews nursing care provided on assigned units verifies compliance with standards of nursing care departmental standards unit standards and hospital standards.
• This is accomplished through nursing care reviews with Nurse Managers independent reviews and audits knowledge of accepted standards leading by example and ensuring Nurse Managers are conducting unit-based meetings and trainings.
• Cascades and disseminates accurate information in a positive manner to Nurse Managers in preparation for unit-based meetings.
• Seeks clarification from DON or other sources as needed.
• Evaluate and follow up on concerns related to nursing care and incidents.
• Intervenes in critical situations as necessary which may include physically restraining aggressive assaultive patients or responding to medical emergencies.
• Provide follow-up to DON post medical emergencies to include specifics on any acute-hospital transfer.
• Ensures staff counsels and educates patients on medications physical care needs and psychiatric care needs during group therapies
• Plan of Care Reviews Plan of Care Formulations 1:1 therapies talking and educating the patients family.
• Ensures staff are accountable for carrying out all unit programming.
• Attends unit Morning Meetings daily to remain up-to-date on patient/unit challenges and as a representative of the nursing department.
• Follows and maintains Infection Control standards and regulations.
• Acts as a role model for nursing staff (professionalism educating teaching through positive code of conduct).
• Is knowledgeable in Patient Rights and mental health legal issues.
• Maintains current knowledge and complies with policy and procedure in these areas.
• Demonstrates understanding of the role of the Patient Rights specialist and utilizes this person as a resource when necessary.

• Any other duties that may arise that need to be completed by this position that arent covered in the above duty statements.

Additional appropriate experience will substitute for the degree requirement on a year-for-year basis

Additional appropriate education will substitute for the required experience on a year-for-year basis

• The ideal candidate will have experience in a Psychiatric Mental or Behavioral setting and have a basic knowledge of personnel issues such as corrective (some sort of progressive discipline) employee disputes performance management FLMA ADA and FLSA.

• The ideal person will have strong supervisory and communication skills and have a proven ability to excel independently and as a member/leader.

• The candidate will be able to demonstrate how to manage staff conflict knowledge related to hospital accreditations describe decision-making describe staff engagement and retention efforts and describe self-care to prevent burnout.

• A pre-employment criminal background check will be conducted as part of the selection process as this position is deemed to have direct contact with vulnerable persons. Felony convictions conviction of crimes of moral turpitude or convictions of misdemeanors related to job duties may disqualify you from being considered for this position. Should your background check reveal any charges or convictions it is your responsibility to provide the CDHS Background Unit with an official disposition of any charges. Additionally you will be required take and pass a drug screen.
• Current/Valid and Unrestricted Drivers License
• 2-step TB (tuberculosis) screening.
• This position will be paid biweekly.
• Influenza vaccination.
• Former State employees who were disciplinarily terminated or resigned in lieu of termination must (1) disclose that information on the application (2) provide an explanation why the prior termination or resignation should not disqualify the applicant from the current position (3) provide the employee number from the applicants prior State employment. Absent extraordinary circumstances prior disciplinary termination or resignation in lieu of termination and failure to provide this information will disqualify the applicant from future State employment with CDHS.

If you receive notice that you have been eliminated from consideration for this position you may file an appeal with the State Personnel Board or request a review by the State Personnel Director.

An appeal or review must be submitted on the official appeal form signed by you or your representative. This form must be delivered to the State Personnel Board by email () postmarked in US Mail or hand delivered (1525 Sherman Street 4th Floor Denver CO 80203) or faxed (303.866.5038) within ten (10) calendar days from your receipt of notice or acknowledgement of the departments action.

About Us:

*Some positions may qualify for the Public Service Loan Forgiveness Program. For more

We are committed to increasing the diversity of our staff and providing culturally responsive programs and services. Therefore we encourage responses from people of diverse backgrounds and abilities.

ADAA Accommodations:CDHS is committed to the full inclusion of all qualified individuals. As part of this commitment our agency will assist individuals who have a disability with any reasonable accommodation requests related to employment including completing the application process interviewing completing any pre-employment testing participating in the employee selection process and/or to perform essential job functions where the requested accommodation does not impose an undue hardship. If you have a disability and require reasonable accommodation to ensure you have a positive experience applying or interviewing for this position please direct your inquiries to our ADAA Coordinator Nancy Schmelzer at or call 1-.