Douglasville Nursing and Rehabilitation Center, LLC
  • 05-Feb-2018 to 20-Apr-2018 (EST)
  • Nursing
  • Douglasville, GA, USA
  • Salary
  • Full Time

Medical, Dental, Vision, 401K, Vacation, Personal and Sick

Under the direction of the Director of Nursing Services, the Director of Pulmonary Services has authority, responsibility and accountability for the overall management of residents in the TPCU unit.

The Director of Pulmonary Services is responsible for directing, coordinating and supervising the activities of nursing staff engaged in specific nursing practices, and is responsible for transmitting each unit's staff concerns to the appropriate department supervisor.

Demonstrates ability to perform job functions of a Certified Nursing Assistant, Licensed Practical Nurse and Registered Nurse, as needed. Utilizes a coordinated interdisciplinary team approach to meet the needs of the resident requiring mechanical ventilation. Based on the physician's plan of care, the interdisciplinary team should include, but is not necessarily limited to nurses, respiratory therapists, social workers, activity coordinators, dietitians, rehabilitative therapists and any direct care staff.


1.Performs various duties to provide quality nursing care to residents to maintain or attain the highest practical level of functioning, as illustrated by the following:

a.Plans effective administration of nursing care in cooperation with other health related disciplines on each unit.

b.Responsible for assessment of resident needs, development and implementation of comprehensive Care Plan.

c.Evaluates incidents and determines emergency measures to be used. Assesses and directs emergency treatment to residents and staff involved in accidents. Notifies the physician, Director of Nursing Services and the Executive Director. Completes the Incident Report/Supervisory Investigation and state reportable with causes investigated and corrective actions taken and/or suitable recommendations made to avoid recurrence, for review by the Facility Quality Assurance Committee. Updates the Care Plan with new interventions.

d.Supervises planning of daily assignments for personnel on the unit.

e.Implements policies and procedures and maintains staff awareness of these in their daily work.

f.Schedules and leads staff conferences to promote initiative and solve resident care oriented problems.

g.Works with interdisciplinary team members in developing a discharge plan for individual residents, and assists in achieving discharge planning.

h.Assists in orienting and directing new staff.

i.Maintains accurate records of resident care and related statistics as required.

j.Reviews and interprets work performance against accepted standards. Responsible for completion of performance evaluations for nursing staff. May review and provide input for performance evaluations for nursing staff on alternate shifts. Completes proficiency audits for nurses, and assigns and reviews audits for Certified Nursing Assistants.

k.Directs requisitions of equipment and supplies and encourages proper utilization of same.

l.May provide input to the appropriate staff in planning nursing in-service programs and on-the-unit conferences based upon an assessment of staff's learning needs and/or resident care needs.

m.Handles resident or staff complaints and/or refers them to the appropriate department supervisor.

n.Is available for emergencies and assistance to nursing staff as needed.

o.Communicates and acts as a liaison among residents, family, physicians and staff.

p.Accompanies physicians on rounds, examinations and treatments, as needed.

q.Informs the Charge Nurse and Director of Nursing Services of pertinent information concerning resident status, staff actions, employee issues and suggestions.

r.Conducts resident rounds to assess and/or supervise nursing care, assess condition of residents and promote a safe, clean, comfortable environment.

s.Receives reports from personnel on previous shift and verifies that the continuity of care continues by staff on next shift.

t.Participates in Nursing Management Meetings, HART Team Meetings and Comprehensive Care Plan Conferences.

u.May provide input in formulating nursing policies and procedures.

v.Notifies the resident's physician, family and/or health care agent of any changes in the resident's condition.

2.Establishes and maintains resident care systems per standardized procedures that are consistent throughout the Facility. These include:

a.Vent Unit Management System for group assignments and nursing assistant responsibilities.

b.Restraint Reduction System to verify restraints are at a minimum, and that restraints are released at least every two hours, or per Care Plan. Restraint releases are to occur on the unit at the same time or per Care Plan, and be observed by a licensed staff member.

c.Turning and Positioning System to verify schedules are followed every two hours or per Care Plan.

d.Resident Ambulation System to verify residents adhere to their ambulation program.

e.Scheduling System to verify scheduling for Nurses and CNAs is completed in a fair and consistent manner.

f.Nourishment/Supplements System to verify nourishments/supplements are passed according to developed schedule.

g.Cleanliness System to verify that environment is clean, orderly and organized. Verifies cleaning schedules are in writing and audited daily.

h.Infection Control System to verify that appropriate infection control protocol is followed.

i.Pharmacy System to verify correct meds are received timely, meds are discarded timely and properly and costs are appropriate for resident payer sources; and med room and med carts are monitored for policy compliance.

j.Lab System to verify labs are drawn timely, and in accordance with physician orders.

k.Reviews Change of Condition/24-Hour Report daily and deletes residents from report as needed.


Education/Training: Maintains a current, valid license as a registered nurse in good standing. Must have current CPR certification.

Experience: A minimum of one year's experience in nursing service administration. Additional education or experience in such areas as rehabilitative or geriatric nursing is preferred. Three (3) to five (5) years in pulmonary care, handling tracheotomies and ventilators is required.


Douglasville Nursing and Rehabilitation Center, LLC
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