Director of Nursing

CHANGEPOINT PSYCHIATRIC HOSPITAL

  JOB DESCRIPTION

TITLE:  DIRECTOR OF NURSING - HOSPITAL

STATUS:  EXEMPT

SPECIAL POPULATIONS:

SMI    Children/Adolescent  Substance Abuse    DD

LINES OF AUTHORITY:  This position is supervised by the Medical Director.  Supervises directly, all RN Charge Nurses and indirectly supervises Paraprofessional Psychiatric Aides.

POSITION SUMMARY: The Director of Nursing is responsible for management of ChangePoint at ChangePoint Psychiatric Hospital's nursing department and for direction and supervision of all nursing functions and activities.  The Director of Nursing is also responsible for quality of customer care and monitors that sufficient and competent personnel carry out the functions of nursing services.  Administrative responsibilities include planning and managing nursing services, evaluation of staff and resource allocations.

PRINCIPLE DUTIES/RESPONSIBILITIES:

1.  Adhere to personnel policies and comply with agency requirements for ethical   and professional behavior.

2.  Assessment:

Collects and analyzes data to determine staffing patterns and overall  nursing staffing plans.  Participates in hiring of personnel to maintain a  nursing unit that is adequately staffed.

Reviews work schedules, assignments and customer classifications.

Recommends changes in personnel and assignments accordingly.

Attends morning rounds.

Investigates complaints and takes appropriate action.

Together with the infection control nurse, the DON assesses the nursing  care environment  and equipment to sustain high standards of

   cleanliness, safety and infection control.

Conducts nursing assessments as needed and demonstrates skill in order to supervise staff.

Develops nursing care plans as needed and demonstrates skill in order to supervise staff.

Evaluates nursing care and trains staff in these procedures.

Performs skilled nursing care and therapies as needed and demonstrates skill in order to supervise, evaluate and train nursing staff.

3.  Planning:

Serves as a manager participant in ChangePoint Psychiatric Hospital policy development.

Organizes, plans and directs nursing functions and activities together  with administration.

Establishes the philosophy goals, objectives, standards, policies and  procedures for the nursing department. 

Coordinates nursing salary with ChangePoint Administration

Coordinates with Human Resources to develop job descriptions as  needed.

Develops and maintains an effective customer classification system.

Develops a fair and objective system for evaluation of work performance.

Promotes growth and development of personnel through in-service

   workshops.

Serves on committees including, but not limited to, Medical Staff

  Meetings, Infection/Safety, and nursing staff meetings.

4.  Implementation:

Meets regularly with Clinical Director to discuss department objectives,  staffing needs, and ChangePoint Psychiatric Hospital policies.

Maintains compliance with standards, policy and procedures and  regulatory agency requirements.

Interprets policies and procedures to personnel and monitors for proper

  implementation.

Interviews and makes recommendation to the Hospital Administrator  in

   regards to employee status.

Keeps informed and up to date in all aspects of nursing care.

5.  Evaluation:

Evaluates and analyzes incident reports and takes appropriate action.

Continually monitors and evaluates the care given, results from review of  charts, care plans and other sources.

Oversees continual corrective and follow up action where

   deficient.

Monitors and evaluates performance of registry personnel.

Evaluates the effectiveness of problem-solving techniques.

Constantly evaluates attitudes, morale, interpersonal relationships and  promotes ways to improve in these areas.

Evaluates and oversees that nursing process is carried out in a

  continuous manner with all patients.

Determines staffing patterns; assists in the determination of the  qualifications, competence, and responsibilities of nursing services staff;

  and participates in the recruitment and hiring of these staff.

Oversees the contribution of nursing services in quality management and  quality improvement activities.

6.  Promotes teamwork with medical officers, other departments, and the community.

7.  Acts as a role model for staff and contributes to orientation, continuing 

  staff development and training.

8.  Must participate in quality management and quality improvement activities.

9.  Promotes quality and safety to help maintain a safe and pleasant work

  environment, follows safety regulations, and actively contributes towards a

  safe workplace.

10.  This position requires positive and active support of the company, the  customer and the co-worker.

11.  Perform other duties as assigned by the Hospital Administrator or his/her

   designee.

PRIMARY CONTACTS:

Ongoing interaction with all nursing and medical personnel.

Constant interaction with ChangePoint Integrated Health personnel and customers. 

Frequent interaction with referral sources and family members.

Occasional contact with outside provider service agencies.

   

POSITION REQUISITES:

 Qualifications And Experience

 Required:

Bachelor's Degree from an accredited Nursing school or an Associate's Degree from an accredited school and either be enrolled in continuing education or be willing to sign an agreement to attend quarterly continuing education through ChangePoint.

Current Arizona RN license.

Four (4) years of recent clinical experience including one (1) year of

  administration.

Five (5) years experience in Psychiatric nursing or related nursing field.

Experience with SMI and Substance Abuse populations.

Current Arizona Driver's License.

CPR Certification.

Comply with a Drug Free workplace.

Job Restriction Clearance.

Fingerprint Clearance.

For Those Working With SMI:

1.  Knowledge of symptoms related to qualifying diagnosis.

2.  Ability to identify and communicate signs of regression and deterioration.

3.  Knowledge of interventions to foster self care and ADL skill  development.

For Those Working With Substance Abuse:

1.  Able to identify signs and symptoms of Substance Abuse and Chemical  Dependency.

2.  Knowledge of range of treatment for dependence including relapse,     prevention, strategies and self help groups.

3.  Able to provide a diagnostic impression per DSM IV criteria for  Substance Abuse and Chemical Dependency.

4.  Knowledge of history of substance dependence and of the  biopsyschosocial influences and effects of dependencies.

For Those Working with DD:

1.  Knowledge of symptoms related to qualifying diagnosis.

2.  Ability to identify and communicate signs of regression and deterioration.

3.  Knowledge of Article 9 (customer rights) of State requirements.

4.  Knowledge of Customer Intervention Techniques relative to self care  and ADL skills development.

 

Preferred:

Master's degree in Nursing

 Skills/Abilities

 Required:

Able to work within a multi disciplinary structure.

Strong verbal and written communications skills.

Extensive knowledge of the special needs of the SMI population.

Strong organizational and time management skills.

Fluent in English both verbally and in writing. 

Literate.

Able to work in crisis oriented work environment and to effectively employ

   analytical and problem solving skills.

Ability to prioritize, handle multiple priorities on the unit.

Ability to work forty (40) hours per week.

 Ability to interpret and comply with policies and regulations, and other

   applicable state and federal requirements.

Ability to effectively supervise personnel. 

Ability to work cordially with personnel, customers, community agency personnel and the public.

Ability to complete required reports and/or paper work.

Ability to type accurately with minimal errors.

Ability to operate computer.

Preferred:

Previous unit management/coordination experience.

WORKING CONDITIONS:

 Physical Requirements

Able to sit and stand for extended periods of time, less frequently,   walking, lifting and reaching.

Able to hear ordinary conversation and phone communications.

Visual capacity necessary to fulfill documentation and responsibilities of job.

 Ability to occasionally assist in behavior management techniques, to  physically restrain, seclude, and apply mechanical restraints to aggressive  customers.

Manual dexterity to keep documentation records.

    Negative TB skin test.

Equipment Operation

  Able to operate general office equipment.

Able to operate Company vehicles.

Ability to use medical/nursing equipment necessary to health assessment and therapeutic intervention typical of a behavioral health setting.

 Environmental Conditions

  Air conditioned and/or heated unit setting.

Occasional incidents of physical aggression from customer towards personnel,  peers and property.

 Accommodations(s)

  Will accommodate as appropriate and reasonable.

CONFIDENTIALITY LEVEL:

Under federal confidentiality laws, personnel of ChangePoint Psychiatric Hospital may not disclose information about customers or personnel to anyone outside the Company without the person's prior written consent and may not disclose this information to others within the company except on a need to know basis.  This includes any identifying information concerning current, past or prospective customers or personnel.

                                                                             

Job Title

Director of Nursing ? Interim - Hospital

Job Code

Status

Exempt

Lines of Authority

This position is supervised by the Hospital Administrator and receives clinical oversight from the Medical Director and Psychiatric Nursing Director. Supervises directs all nursing personnel.  Provides clinical guidance to all personnel

Special Populations

SMI, Children/Adolescent, Substance Abuse, DD

Position Summary

The Director of Nursing is responsible for management of ChangePoint at ChangePoint Psychiatric Hospital's nursing department and for direction and supervision of all nursing functions and activities.  The Director of Nursing is also responsible for quality of customer care and monitors that sufficient and competent personnel carry out the functions of nursing services.  Administrative responsibilities include planning and managing nursing services, evaluation of staff and resource allocations.

Duties and Responsibilities

Adhere to personnel policies and comply with agency requirements for ethical and professional behavior.

Assessment:

?  Collects and analyzes data to determine staffing patterns and overall nursing staffing plans.  Participates in hiring of personnel to maintain a nursing unit that is adequately staffed.

?  Reviews work schedules, assignments and customer classifications.

?  Recommends changes in personnel and assignments accordingly.

?  Attends morning rounds.

?  Reviews and responds to incidents and complaints and takes appropriate action.

?  Together with the Infection Control Preventionist, the DON assesses the nursing  care environment and equipment to sustain high standards of cleanliness, safety and infection control.

?  Conducts nursing assessments as needed and demonstrates skill in order to supervise staff.

?  Develops nursing care plans as needed and demonstrates skill in order to supervise staff.

?  Evaluates nursing care and trains staff in these procedures.

?  Performs skilled nursing care and therapies as needed and demonstrates skill in order to supervise, evaluate and train nursing staff.

Planning:

?  Serves as a manager participant in ChangePoint Psychiatric Hospital policy  development.

?  Organizes, plans and directs nursing functions and activities together with hospital administration

?  Establishes the philosophy goals, objectives, standards, policies and procedures for the nursing personnel

?  Develops and maintains an effective patient classification system

?  Develops a fair and objective system for evaluation of work performance.

?  Promotes growth and development of personnel through skills training and 

education and in-service workshops.

?  Serves on committees including, but not limited to Hospital Administration, Pharmacy and Therapeutics, Quality/UR, Infection Control and nursing staff meetings.

Implementation:

?  Meets regularly with Psychiatric Clinical Director to discuss department objectives, staffing  needs, and ChangePoint Psychiatric Hospital policies.

?  Maintains compliance with standards, policy and procedures and  

?  regulatory agency requirements.

?  Interprets policies and procedures to personnel ad monitors for proper implementation.

?  Establish, document and implement an acuity plan that establishes nursing personnel necessary to meet patient acuity for the hospital and CSU

?  Interviews and makes recommendation to the Hospital Administrator in

?  regards to employee status.

?  Keeps informed and up to date in all aspects of nursing care.

Evaluation:

?  Evaluates, analyzes and provides written response to incident reports and takes appropriate action.

?  Continually monitors and evaluates the care given, results from review of  charts, care plans and other sources.

?  Oversees continual corrective and follow up action where deficient.

?  Monitors and evaluates performance of registry personnel.

?  Evaluates the effectiveness of problem-solving techniques.

?  Constantly evaluates attitudes, morale, interpersonal relationships and  promotes ways to improve in these areas.

?  Evaluates and oversees that nursing process is carried out in a continuous manner with all patients.

?  Determines staffing patterns; assists in the determination of the qualifications, competence and responsibilities of nursing services staff; and and participates in the recruitment and hiring of these staff.

?  Oversees the contribution of nursing services in Quality Management, Utilization Management & Quality Improvement activities.

?  Promotes teamwork with medical officers, other departments, and the community.

?  Acts as a role model for staff and contributes to continuing staff development and training.

?  Must participate in quality management and quality improvement activities.

?  Promotes quality and safety to help maintain a safe and pleasant work environment,

  follows safety regulations, and actively contributes towards a safe workplace.

?  This position requires positive and active support of the company, the customer and

  the co-worker.

?  Perform other duties as assigned by the Hospital Administrator.

Primary Contacts

?  Ongoing interaction with all nursing and medical personnel.

?  Constant interaction with ChangePoint Integrated Health personnel and customers. 

?  Frequent interaction with referral sources and family members.

?  Occasional contact with outside provider service agencies.

   

Position Requisites

 Qualifications and Experience

 Required:

?  Bachelor's Degree from an accredited Nursing school or an Associate's Degree from an accredited school with applicable experience and is enrolled in continuing education programs quarterly through ChangePoint.

?  Current Arizona RN license.

?  Four (4) years of recent clinical experience

?  Five (5) years' experience in Psychiatric nursing or related nursing field.

?  Experience with SMI and Substance Abuse populations.

?  Current Arizona Driver's License.

?  CPR Certification.

?  Comply with a Drug Free workplace.

?  Job Restriction Clearance.

?  Fingerprint Clearance

  For Those Working With SMI:

1.  Knowledge of symptoms related to qualifying diagnosis.

2.  Ability to identify and communicate signs of regression and deterioration.

3.  Knowledge of interventions to foster self care and ADL skill  development.

For Those Working with Substance Abuse:

1.  Able to identify signs and symptoms of Substance Abuse and Chemical 

 Dependency.

2.  Knowledge of range of treatment for dependence including relapse, prevention,

strategies and self-help groups.

3.  Able to provide a diagnostic impression for Substance Abuse and Chemical  

  Dependency.

4.  Knowledge of history of substance dependence and of the biopsychosocial

  influences and effects of dependencies.

  For Those Working with DD:

1.  Knowledge of symptoms related to qualifying diagnosis.

2.  Ability to identify and communicate signs of regression and deterioration.

3.  Knowledge of Article 9 (customer rights) of State requirements.

4.  Knowledge of Customer Intervention Techniques relative to self care and ADL

  skills development.

 

Preferred:

?  Master's degree in Nursing

 Skills/Abilities

 Required:

?   Able to work within a multi disciplinary structure.

?   Strong verbal and written communications skills.

?   Extensive knowledge of the special needs of the SMI population.

?   Strong organizational and time management skills.

   ?  Fluent in English both verbally and in writing.

   ?  Literate.

   ?  Able to work in crisis-oriented work environment and to effectively employ

   analytical and problem-solving skills.

   ?   Ability to prioritize, handle multiple priorities on the unit.

   ?  Ability to work forty (40) hours per week.

   ?  Ability to interpret and comply with policies and regulations, and other

   applicable state and federal requirements.

   ?  Ability to effectively supervise personnel. 

   ?  Ability to work cordially with personnel, customers, community agency personnel and the public.

   ?  Ability to complete required reports and/or paper work.

   ?  Ability to type accurately with minimal errors.

   ?  Ability to operate computer.

Preferred:

   ?  Previous unit management/coordination experience.

Working Conditions

 Physical Requirements

Able to sit and stand for extended periods of time, less frequently, walking, lifting and reaching.

Able to hear ordinary conversation and phone communications.

Visual capacity necessary to fulfill documentation and responsibilities of job.

Ability to occasionally assist in behavior management techniques, to  physically restrain, seclude, and apply mechanical restraints to aggressive customers.

Manual dexterity to keep documentation records.

  Negative TB skin test.

Equipment Operation

  Able to operate general office equipment.

Able to operate Company vehicles.

Ability to use medical/nursing equipment necessary to health assessment and therapeutic intervention typical of a behavioral health setting.

 Environmental Conditions

  Air conditioned and/or heated unit setting.

Occasional incidents of physical aggression from customer towards personnel, peers and property.

 Accommodations(s)

  Will accommodate as appropriate and reasonable.

Confidentiality Level

Under federal confidentiality laws, personnel of ChangePoint Psychiatric Hospital may not disclose information about customers or personnel to anyone outside the Company without the person's prior written consent and may not disclose this information to others within the company except on a need to know basis.  This includes any identifying information concerning current, past or prospective customers or personnel.

_____________________________________  ____________________

Director of Nursing - Hospital     Date

_____________________________________  ____________________

Hospital Administrator  Date