Van Duyn Center for Rehabilitation and Nursing is looking for a Director of AI to join the team!

Director of Accidents and Investigations

Position Summary:

Assist ADON and UM with timely completion of accident and incident report investigation. Will review and conduct audits in various areas such as: Medication Administration, Skin Care, Significant Medical Events, ADL Care, and Lab Specimens collected.

General Duties:

Initial Duties include but are not limited to:

1. Accident and Incident report investigation completion

• Will work with the ADON and Nurse Managers to ensure timely completion of the investigation, which can include:
• Assessments and care planning for the resident(s) involved.
• Interviewing staff and residents for the investigation
• Reporting findings to the DON and Administrator
• May at the direction of the DON/Administrator perform disciplinary process, including suspension of an individual pending the outcome of an investigation
• Review and complete the A&I in the facility’s electronic reporting system
• Writing an investigative synopsis as directed

2. Significant Medical Event Review

• Will review reports and conduct the audit with the assistance of the ADONs assigned to floors reviewing and reporting to the DON and Administrator concerns noted on the 24-hour report, Medication and Treatment administration compliance report and progress notes to identify areas of concern such as:
• Falls
• Change in condition
• Skin areas
• Bruising
• Skin tears
• New areas-pressure
• Family concerns
• Resident complaints
• Medications not available
• Medications late
• Medications refused
• Look for RN assessment and medical notification
• Treatments not administered
• Treatments refused
• Looking for RN assessment and medical notification
• With areas identified on the audit, a plan of correction is to be initiated in real time, with the expectation that the areas identified are corrected when reporting to the DON and Administrator.

3. Skin Care Program

• Will review the weekly skin audits with the Skin Care Coordinators and ensure the completion of the audits prior to the weekly skin meeting
• Will report negative findings, or concerns to the DON immediately (if not already reported by the skin care coordinator)
• Will assist the DON in ensuring the audits are completed
• Will assist with completion of Skin assessments and care planning as needed, including the Braden risk assessment and physical skin assessment to ensure timely care for the residents
• Will participate in skin rounds to:
• Ensure compliance with policies and procedures
• Identify process/system issues
• Identify education needs for staff
• Will conduct follow up assessments on Treatments not administered
• Initial process to determine if the treatment not administered caused worsening in an area
• Identify if treatment not administered is a pattern for:
• Specific staff member
• Scheduling of the treatment making it difficult to be compliant
• Will review competencies on all licensed staff performing/troubleshooting/evaluating the negative pressure wound therapy treatment.
• Will review a demonstrated competency at least once per week to ensure competency for all aspects of the treatment.
• Will conduct audits on the treatment order and the actual treatment provided to ensure compliance with medical provider orders
• Will audit to ensure policies and procedures are followed with the treatment administration

4. Medication Administration

• Will audit the medication administration records to ensure that medications are completed per physician order.
• Will review for compliance the twice per shift reports with the unit managers/supervisors/ADONs who are responsible to review these audits and address issues at the time they are identified in regards to their specific units.
• If areas were not addressed:
• The area of concern needs to be reviewed to ensure the resident has/is receiving the care needed
• Ensure and or make notification to medical team if needed
• Information obtained from these audits will be reviewed weekly with the assigned Assistant Director of Nursing and a summary of compliance will be prepared to have reported at the monthly Quality Assurance and Performance Improvement Committee meeting.
• Will have a weekly report to the DON/Administrator for status of audits and compliance with the plan of correction

5. ADL Care

• Will review the point of care documentation report, which should be run twice per shift with the assigned ADON and unit manager
• Will work with the CNA staff to educate on the need to document in real time care provided to the residents
• Conduct audits on toileting on each unit to ensure compliance with the plans of care
• Will review audit findings with the DON and Administrator
• Will review the CNA dashboard for care related alerts and make notification to the unit nurse manger

6. Lab Specimens- Specifically Urine

• Will conduct daily (M-F) audits for all urine specimens ordered, obtained, sent to the lab and lab notification for:
• Specimens obtained as ordered within the shift ordered and no later than the shift following the order
• Specimens that were obtained at the facility have been sent to the lab and there is confirmation of lab pick up and processing as received
• Specimens are processed at the lab timely and reported to the facility timely
• If there is a delay of greater than 24 hours for an urinalysis report medical needs to be made aware and a RN assessment conducted on the resident with report to medical of the findings for determination of treatment plan
• Lab processing and reporting delays are to be reported to the DON and Administrator immediately
• Will conduct review of follow up on lab results with:
• Medical notification
• Treatment plan documentation in the progress notes
• Timely administration of any prescribed medication and or therapy
• Report any delays to the Nurse Manager and assigned ADON to ensure follow through for the resident
• Report any delays to the DON and Administrator

Knowledge, Skills and Abilities:

Physical Requirements:

Van Duyn is an equal opportunity employer.

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