Policy Manual sample

MDT Home Health Care Agency, Inc. DIRECTOR OF NURSING JOB DESCRIPTION JOB SUMMARY: Provides overall planning, direction, coordination, management and supervision of all nursing and professional services in conjunction with the Administrator. Assures quality care by reviewing and assessing each service. "Director of Nursing" means a registered nurse who is a direct employee, of the agency and who is a graduate of an approved school of nursing and is licensed in this state; who has at least 2 years of home health experience and at least 1 year of supervisory experience as a registered nurse; and who is responsible for overseeing the professional nursing and home health aid delivery of services of the agency. Lines of authority and reporting responsibilities: Report to the Administrator DUTIES AND RESPONSIBILITIES: (a) The Director of Nursing of the Home Health Agency shall: l. Meet the criteria as defined in s. 400.462(10), F.S. (See above) 2. Supervise or manage, directly or through qualified subordinates, all personnel who provide direct patient care. 3. Ensure that the professional standards of community nursing practices are maintained by all nurses providing care. Ensure HIPAA guidelines and procedures are maintained. 4. Maintain and adhere to agency procedure and patient care policy manuals. 5. Designate in writing a direct employee, who meets the qualifications, to serve as on-site alternate director of nursing during absences of the DON, Clinical Manager. This person will be available during designated business hours, when the DON, Clinical Manager is not available. Available during designated business hours means being readily available on the premises or by telecommunications. During such absences, the on-site alternate DON, Clinical Manager will have the responsibility and authority for the daily clinical operation of the Home Health Agency. (b) If the Administrator is not a Physician or Registered Nurse, the DON, Clinical Manager shall: 1. Establish service policies and procedures in compliance with state health statutes and administrative rules, which generally conform to recommended Centers for Disease Control (CDC) and Occupational Safety and Health agency (OSHA) guidelines for safety, universal precautions and infection control procedures. 2. Employ and evaluate nursing personnel. 3. Coordinate patient care services. Set and adopts policies for, and keep records of criteria for admission to service, case assignments and case management. (c) The DON, Clinical Manager act as Performance Improvement (QAPI) Coordinator, shall establish and conduct an ongoing Quality Assurance (QAPI) Program which assures: 1. Case assignment and management is appropriate, adequate, and consistent with the plan of care, medical regimen and patient needs. 2. Nursing and other services provided to the patient are coordinated, appropriate, adequate, and consistent with plans of care. 3. All services and outcomes are completely and legibly documented, dated and signed in the clinical service record. 4. Confidentiality of patient data is maintained. 5. Findings (outcomes) of the QAPI program are used to improve services. (d) In an agency with less than a total of ten (10) full time equivalent employees contracted personnel, the DON, Clinical Manager may also be the Administrator. Home Health Agency Job Descriptions I-11