Director of Nursing

Job Title

Director of Nursing

Department:

Nursing

Operating Unit:

Detox, Residential Treatment

Reports To:

CEO

FLSA Status:

Exempt

Approved By:

Kristi Bierbaum, COO

Approved Date:

4/5/21

MISSION STATEMENT

The mission of UPRISING ADDICTION CENTER is to offer the highest quality and professional, Inpatient Detoxification, Residential Treatment, Partial Hospital Program (PHP), Intensive Outpatient Program (IOP), and Outpatient services.

We are committed to treating patients and their families with the highest regard and respect as clients work toward reaching their highest growth potential in their recovery process. This is accomplished through the strict adherence to the highest ethical standards of care and policies and procedures set forth by the Louisiana Department of State of Health Services and the Joint Commission.

• 
  UPRISING ADDICTION CENTER ensures all clients are treated with compassion, respect, and dignity regardless of race, creed, age, sex, handicaps, or sexual orientation.
• 
  UPRISING ADDICTION CENTER employees are competent and responsible personnel who adhere to a strict code of professional ethics which include but are not limited to the prohibition of fraternization with patients, exploitation of clients, or any criminal behaviors.
• 
  UPRISING ADDICTION CENTER provides clients with accurate and complete information regarding the available services including the program rules, regulations, goals and objectives of the program.
• 
  Appropriate availability of alternative treatment modalities is made at any time before during or after treatment if they are requested or the client’s needs are out of the scope of our practice.
• 
  UPRISING ADDICTION CENTER will ensure that discharge from treatment is conducted in accordance with Louisiana rule standards.
• 
  UPRISING ADDICTION CENTER provides both Louisiana and Joint Commission environment of care standards.
• 
  UPRISING ADDICTION CENTER will take all necessary and appropriate measures to maintain individual client records and information in a confidential and professional manner.
• 
  UPRISING ADDICTION CENTER strives to maintain positive relations with the surrounding community and pursues every reasonable action to encourage responsible client behaviors and community safety.

SUMMARY

The Director of Nursing is responsible for the daily medical/clinical operation of the facility in collaboration with the Medical Director. The Director of Nursing will supervise and train the nursing (LVN, RN) and technician staff directly. In addition, he/she works closely with the Medical Director to assure the medical and nursing components of the facility are appropriately coordinated and meet all regulatory and patient care standards.

AGE/PATIENT POPULATION(S) SERVED

Age of Patient Population Served:  Adult (18 & older)

Population Served:  Persons meeting DSM5 criteria for substance use disorders with or without co-occurring psychiatric illness

EXPECTATIONS OF ALL EMPLOYEES

1. 
   Adheres to all UPRISING ADDICTION CENTER Policies and Procedures
2. 
   Conducts self in a manner that represents UPRISING ADDICTION CENTER’s values at all times
3. 
   Maintains a positive and respectful attitude with all work-related contacts
4. 
   Communicates regularly with supervisor about departmental and UPRISING ADDICTION CENTER concerns
5. 
   Consistently reports to work on time, prepared to perform the duties of the position
6. 
   Meets productivity standards and performs duties as workload necessitates

ESSENTIAL DUTIES AND RESPONSIBILITIES

1. 
   Responsible for working in collaboration with the Medical Director of the facility in overseeing the management of the daily medical/clinical operation of the facility while demonstrating ethical and professional conduct.
2. 
   Oversee compliance of nursing components with regulatory standards (e.g. Joint Commission)
3. 
   Participates in regular data collection, reporting (e.g. mandated by funding sources, regulatory agencies), strategic planning (financial and programmatic), and development and implementation of productivity standards with the management team
4. 
   Participates in regulation of work and paper flow, including the patient registration, authorization, billing and collection process
5. 
   Participates in recruitment, retention and training of nursing and technician staff
6. 
   Responsible for working in collaboration with the CEO on the schedule including permanent staffing and temporary/per diem staffing.
7. 
   Appropriately documents clinical and administrative work. Documents nursing incidents and medication errors. Ensures to use the utmost of care in protecting the confidentiality of client records in accordance with State and Federal laws
8. 
   Collaborates with medical and counseling staff regarding detox and methadone maintenance clients
9. 
   Ensures compliance with all nursing and health care protocols. Presents changes, improvements or additions to protocols or nursing procedures to the team
10. 
    As needed, provides direct patient care, including the reporting of observed changes in mental status and/or physical condition, response to emergencies, safety risks.
11. 
    Documents nursing incidents and medication errors.
12. 
    Ensures to use the utmost of care in protecting the confidentiality of client records in accordance with state and federal laws.
13. 
    Understands and adheres to UPRISING ADDICTION CENTER’s compliance standards as they appear in UPRISING ADDICTION CENTER’s Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy.
14. 
    Keeps abreast of all pertinent federal, state and legacy UPRISING ADDICTION CENTER regulations, laws, and policies as they presently exist and as they change or are modified.
15. 
    Develops and coordinates the infection prevention and control program throughout the facility. Implements the program by formulating, establishing and evaluating policies and procedures relating to patient care infection control measures throughout the facility. Performs an annual assessment and developes action plans from the prior year activities.
16. 
    Ensures that the staff are trained and evaluated on their knowledge of and adherence to compliance policies and procedures specific to their jobs.
17. 
    Performs other duties and tasks as required

AGE SPECIFIC COMPETENCIES (ADULT, 18yrs+) 

1.     Demonstrates ability to systemically collect, record and analyze data and other relevant interactive social systems, including mental status, special precautions (suicidality, homicidality, elopement); physical problems/medical acuity (withdrawal and nutritional needs); and ethnic concerns (social, religious, or cultural needs).

2.     Uses assessment data to identify problem list and other interactive social systems.

3.     Initiates/develops a treatment plan with specific goals and interventions unique to the needs of the patient.

4.     Intervenes as guided by the treatment plan to implement appropriate interventions that promote, maintain, or restore physical and mental health, prevent illness effect rehabilitation, and restore developmental progression in adulthood.

5.     Provides health teaching for adult/family through individual and group interactions.

6.     Recommends special precautions for adults, as needed.

7.     Evaluates the response of the adult/family to interventions in order to revise the plan, including discharge criteria. 

MINIMUM JOB REQUIREMENTS 

Education, Training, and Experience Required:

1. 
   Current unrestricted professional licensure from the State of Louisiana Board of Nursing as a Registered Nurse.
2. 
   Preferred: MSN or MHA
3. 
   Preferred: Experienced as a staff nurse preferably in the field of chemical dependency and/or behavioral health.
4. 
   Current Basic Life Support certification

Required Knowledge, Skills, and Abilities:

1. 
   Knowledge of industry standards: organization, theory, principles, and research processes, quality improvement and change management techniques, financial analysis, budget process and planning, accreditation and regulatory standards, strategic planning principles, ability to assess nursing care requirements based on nursing principles, scope of practice, and regulatory standards.
2. 
   Knowledge of medications, indications, dosage ranges, side effects, and potential toxicity.
3. 
   Knowledge of PC software programs, particularly Microsoft Word and Excel is required.
4. 
   Written and oral communication skills; must be able to concentrate on work amid distractions such as noise, conversations and foot traffic
5. 
   Must be able to correctly utilize breathalyzer, vital signs machine, EKG, urinalysis collection cups, pregnancy dip sticks, and process urine drug screens.
6. 
   Must maintain self-control in volatile or hostile situations such as when verbally or physically confronted in an aggressive manner
7. 
   Must be able to work independently with little supervision in an unstructured environment with multiple demands
8. 
   Reading and writing level that can clearly express or understand complex concepts, assessments, directions and processes or sequences of events - level equivalent to at least two years of college.
9. 
   Ability to represent the program well in interactions both inside and outside the facility
10. 
    Working knowledge of (American Society of Addiction Medicine) ASAM criteria

PHYSICAL DEMANDS/WORKING CONDITIONS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is occasionally required to stand or sit for extended periods of time. The employee must occasionally lift and/or move up to 25 pounds.

The job requires frequent contact with water (hand washing and cleaning) and working with body fluid and hazardous chemicals. When under these working conditions, OSHA standards and universal precautions must be followed at all times.

While performing the duties of this job, the employee must be able to work in a fast-paced environment with minimal to high volumes of stress.

EEOC STATEMENT:

It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a), prohibiting discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibiting discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity, or national origin.