We are currently recruiting for Assistant Director of Nursing to join the team.
Position Overview
The post of Assistant Director of Nursing (ADON) is a senior clinical position which reports to the Director of Nursing. The role will be responsible for providing clinical leadership, managing the day‑to‑day clinical practices in the home, appropriate staff rostering, delegation and supervision, performance and development, clinical governance and assessment of risks.
The ADON will work collaboratively with the DON and Healthcare Manager as part of the senior management team in the Nursing Home, providing clear communication and direction and deputising for the DON as required. The position reports to the Director of Nursing / Person in Charge.
Duties and Responsibilities
Clinical Practice
Ensuring that the home policies and expected clinical standards are read, understood and practiced at all times.
Conducting ward rounds (including those with GP) to ensure that the best clinical outcomes are achieved on a continuous basis.
Reviewing nursing documentation to ensure this reflects the care and treatment required by each individual resident and that assessments and care plans are completed appropriately within agreed timeframes and reviewed as required.
Reviewing residents at increased risk of pressure sores, falls and other adverse events, and those who are clinically unwell, providing advice, support and assistance through clinical practices and documentation so as to ensure appropriate management plan is in place.
Participate in handover and help troubleshoot any ongoing clinical issues and non‑clinical issues, escalating to the Director of Nursing as appropriate.
Ensuring medication practices are carried out according to An Bord Altranais guidelines and as per recommended practice in the nursing home, and liaising with GPs and pharmacy regarding medication reviews and audit. Ensuring that all nursing staff are deemed competent in all aspects of medication management, and that their practice is safe. Ensuring that education on medication management practices is provided to all newly appointed staff as part of their induction and that they fully understand all aspects of practice related to prescribing, administration and documentation of medications, including electronic prescriptions.
Undertaking regular MAMS Medicines audits in the nursing home and ensuring effective feedback and action plans are undertaken and reviewed.
Staff Supervision & Education
Supporting the CNMs in the nursing home and providing direction, mentorship and regular communication.
Ensuring a strong focus is placed on working alongside the CNMs, staff nurses and carers in the nursing home, maintaining a visible presence in the clinical areas. Monitoring practice in relation to care practices and giving constructive feedback. Establishing a team dynamic in the home and ensuring that the team works cohesively in planning, implementing and reviewing improvements to care and practice.
Carrying out regular performance appraisals and education & professional development objectives with CNMs, staff nurses and care assistants. All CNM appraisals are performed in conjunction with the DON.
Training, education, development and induction of nursing and care staff are fundamental to the role.
Assessing education needs and implementing in‑house training, such as infection control, palliative and end‑of‑life care, understanding challenging behaviour and elder abuse.
Participating in regular communication with staff and helping to develop a team ethos within the nursing home.
Participating in staff interviews and reviews as appropriate.
Producing the roster; in this aspect, collaborating and effective communication with the DON is vital. Monitoring usage of temporary or agency staff, ensuring this is kept to a minimum. Understanding the agreed staffing levels and maintaining compliance with these.
Auditing
Clinical audits. Regularly reviewing residents’ documentation, ensuring appropriate and timely assessments, care planning and implementation of care is documented and reviewed.
In addition to observing practice, the ADON also monitors standards of cleanliness and hygiene, and fosters an effective working relationship and good communication between nurses, carers, housekeeping and catering staff.
Responsible for ensuring environmental and hand hygiene audits are carried out regularly and thoroughly, and that action plans are implemented and sustained.
Responsible for carrying out medication audits, health & safety audits, risk assessments and drawing up risk management plans in conjunction with the DON.
Responsible for auditing EpicCare, and for addressing any issues in relation to documentation – in association with CNMs, staff nurses and carers (Touch screen).
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