Assistant Director of Nursing- Pueblo Regional Center

Company: Government jobs
Location: Pueblo
Posted on: January 18, 2023

Job Description:

Department Information

This position is open only to Colorado state residents

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About Pueblo Regional Center:

The goal of Pueblo Regional Center is to provide a safe, secure, therapeutic setting for comprehensive/holistic care of individuals with intellectual and developmental disabilities, and medical issues to include evaluation and treatment. This includes 24-hour nursing care for individuals. The focus of treatment is stabilization, increase knowledge base, increase knowledge of treatment options (i.e. medications), individual and group therapy, discharge planning, working with guardians, family members, and other support systems for individuals. Understanding of health related and medical issues in individuals with intellectual and developmental disabilities. Individuals with developmental disabilities, physical handicaps, and multiple medical and psychiatric diagnoses require multiple needs in addition to mental health treatment and stabilization. Individuals are admitted for evaluation, observation, treatment and stabilization. The goal is to return them to their optimal level of functioning and assist them in returning to the community as appropriate.

Description of Job

About the Position:

This position was created to provide primary nursing leadership and supervision in the absence of the Director of Nursing, to ensure constant and consistent nursing oversight, administrative oversight and management of nursing personnel (24 hour a day/7 days a week). Duties in this position include:

Management & Oversight

• Provides direct supervision over 5 FTE Nurse I staff including making decisions that impact the pay, status, and tenure of direct reports including performance management planning and evaluation, signing and approving leave, recommending progressive action to the Appointing Authority.
• Addresses employee performance issues, monitors employee absences, and determines appropriate corrective action and/or support/coaching opportunities.
• Meets with Pueblo Regional Center Nursing team weekly for individual supervision to provide guidance, direction, instruction and mentoring.
• Directs, monitors and is responsible for all nursing FTE on all assigned shifts/homes. Covers as acting Director of Nursing when assigned.
• Assesses staff's level of fatigue and ability to function when working a shift/overtime/flex time.
• Coordinates staffing schedules on all shifts for the nursing department utilizing knowledge of acuity, vacancies, recruitment/hiring, and pool personnel availability to maximize the quality of care given to individuals served by the nursing department. Ensures schedules are maintained and accurate.
• Meets with new employees and ensures the new employee is assigned a preceptor.
• Assures that the nursing staff are receiving clear and congruent information.
• Ensures that duties are performed & documented correctly to include all aspects of each nursing staff member's job description.
• Assesses any claims of policy violation, and alerts Director of Nursing and Human Resources as appropriate.
• Communicates general nursing personnel needs to the Nursing Department and works with the Director of Nursing to initiate and maintain position descriptions, and to retain staff and fill vacancies, via promotion, recruitment of new hires, and internal transfers.
  
  Clinical Direction & Infection Prevention
  
  • Responsible for the Infection Prevention/Control program and training for the facility. Additionally, this position is the point person of communication with state and local Health Departments and act as the facility's liaison as it pertains to response and responsibility in regard to state and national infection requirements.
  • Utilizes knowledge of patient acuity and nursing practice, as well as balancing nursing personnel.
  • Serves on oral boards/committees as appropriate.
  • Responsible for nursing care (medical and psychiatric) for assigned home when covering or supervising.
  • Implements and monitors to ensure adherence to hospital policies/nursing procedures.
  • Ensures and maintains nursing standards of care.
  • Implements and monitors nursing procedures, forms, resources, guidelines, computerized training, nursing groups, and competencies
  • Implements and monitors education, training, and competency for individuals and staff to include agency and pool nursing staff working in the Nursing Department.
  • Maintains current knowledge of literature related to nursing and to specialty areas.
  • Directs the implementation of interdepartmental activities at Pueblo Regional Center by representing the Nursing Department on committees, building and maintaining active communication between nursing and other disciplines/departments, building and maintaining communication with superiors and assigned nursing personnel, and disseminating information.
  • Ensures nursing staff provide services/treatments per licensure requirements, regulatory agencies, governing bodies, and Nursing Department standards, policies and procedures.
  • Responsible for ensuring that nursing staff follow nursing standard of care/Colorado nurse Practice
    Act or Colorado Psychiatric Technician Practice Act/Colorado Licensed Practical Nurse Practice Act/Nursing Process.
  • Communicates with other leadership within the team to ensure nursing directives are shared.
  • Collects, directs, documents, and informs nursing staff/physicians of patient condition and response to treatment.
  • Reports abuse allegations immediately to the Director of Nursing. Refer to public safety.
  • Monitors medication variances for patterns.Department Standards:
    
    • Ensures that nursing supervisors are aware of issues between home, individuals, and nursing staff.
    • Collaborates with all departments and interdisciplinary teams, providing assistance when necessary.
    • Understands, implements and monitors nursing policies for adherence. Communicates all new policies and standards to nursing staff to include updates and changes in established policies and standards.
    • Notifies Director of Nursing of any non-nursing department procedures that nursing staff should adhere to at all times.
    • Formulates nursing departmental procedures/practices and ensures DON approval.
    • Attends assigned meetings (home, department, program), sending alternates when unable to attend.
    • Guides and directs the manner in which a cross-shift report is given to ensure all information is passed along.
    • Conducts weekly nursing rounds to provide information to direct care nursing staff. Ensures staff they supervise are either present at weekly nursing rounds or read/review and understand information in the weekly nursing minutes so all staff know and are aware of nursing direction, new information, changes in policy/procedure/instructions etc.
    • Responsible for assuring nursing standards and policies are followed on all shifts.
    • Assures the Nursing Department is staffed appropriately and ensures schedules are maintained and accurate.
    • Ensures there is an RN on grounds at all times.
    • Ensures that nursing staff maintain licensure and not allow it to lapse for any period of time.
    • Adheres to CDHS Code of Conduct and Ethics.QAPI & Nursing Trackers:
      
      • Implements actions to maximize the quality of patient care at the nursing department level by directing and coordinating the timely reporting of statistical and quality assurance data.
      • Reviews patient occurrences, developing performance measurement tools at the department level and takes responsibility for implementing performance improvement initiatives.
      • Responds to requests from the Director of Nursing related to performance issues. Collaborates with non-nursing on requests related to performance issues.
      • Assures nursing participation in interdisciplinary QA/PI activities in the nursing department.
      • Ensures monitoring, evaluation and follow up on QA/PI activities.
      • Maintains medical charts by auditing nursing documentation/forms and monitoring staff deficiencies.
        Staff Development/Competencies:
        
        • Implement actions to maximize the productivity of nursing personnel assigned to home(s) by modeling and participative leadership.
        • Addresses conflicts between nursing employees, providing staff direction, support and feedback, serving as a resource, and facilitating communication.
        • Assesses and provides ongoing evaluation of staff development or competency needs of all shifts.
        • Assures orientation of new nursing staff.
        • Assigns preceptors and monitors students.
        • Serves as a liaison with staff development.
        • Attends in-service training to meet own educational and mandatory training requirements.
        • Ensure nursing staff know and follow various manuals, standards and regulations to include but not limited to: Pharmacy Formulary, Behavior Plans, Infection Control Care Manual, Centers for Medicare and Medicaid Services, Safety Data Sheets, Colorado State Personnel Procedure Manual, Affirmative Action Policy, Colorado Workers Compensation Guidelines, Emergency Guides, ADA statutes, Individual Rights.
        • Ensure all staff are current in mandatory training, computer-based training, rosters, policies, and procedures.
        • Evaluate and assign nursing staff competency in the delivery of resident care. Provide on the spot training as needed.
        • Responsible for providing education/training for all New Employee Orientation (NEO) classes.Patient Care/Nursing Care:
          
          • Assumes 24-hour responsibility for the nursing care provided and maintenance of a safe, secure and therapeutic environment.
          • Identifies and maintains staff/patient boundaries.
          • Must travel between group homes to provide coverage, supervision, nursing care and training.
          • Travel between group homes using a State vehicle to transport residents as needed.
          • Anticipates potential problems and responds to correct personnel and environmental deficits by facilitating staff communication related to resident care and by overseeing resident health care needs.
          • Directs, implements and reviews nursing care provided in the homes for all shifts, verifies compliance with standards of nursing care, reviews with RNs under supervision independent reviews and audits, knowledge of accepted standards, leading by example, professionalism, and patient care quality assurance regional center based meetings.
          • Implement proper procedures for respiratory services, oxygen and oxygen equipment, and laboratory services after hours.
          • Evaluates concerns related to incidents and reporting to supervisors. Intervenes in critical situations as necessary, which may include physically restraining aggressive, assaultive patients, performing CPR, or physical interventions.
          • Counsels and educates residents on medications, physical care needs, and psychiatric care needs.
          • Conducts treatment and care plan reviews, communicating and educating individuals, guardians and their family members.
          • Utilizes clean, aseptic, and sterile techniques when required.
          • Monitors medication/treatments given and ensures competency.
          • Participates and ensures staff are using active and passive individual identifiers prior to administration of medications, treatments, obtaining blood for glucose testing, and starting an invasive procedure identifying individuals by a minimum of two methods.
          • Addresses individual/family/guardian complaints and resolving grievances at the lowest level.
          • Provide nursing care in conjunction with the nursing portion of the care plan by assessing, identifying, planning, implementing, evaluating, and revising the nursing care provided based on the nursing history, assessment, and nursing care plan.
          • Knowledgeable in Individual Rights and developmental health issues. Maintains current knowledge and complies with policy and procedures in these areas.
          • Demonstrates understanding of the role of an Individual Right specialist and utilizes this person as a resource when necessary.Other Duties as Assigned:
            
            Responsibility to perform assigned tasks and duties within the scope of practice for this position that do not fall within the realm of duty statements.
            
            Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights
            
            Minimum Qualifications:
            
            Valid Registered Nurse License from the State of Colorado, or any state participating in the Nurse Licensure Compact (eNLC)
            
            AND
            
            Four (4) yearsof professional experience as a registered nurse.
            
            Substitutions:
            
            None
            
            Special Qualifications:
            
            
            Current, valid licensure as an Advanced Practice Nurse from the Colorado Board of Nursing; or current, valid licensure as a Physician Assistant from the Colorado Medical Board.
            
            Preferred Qualifications:
            
            
            • Experience supervising or training medical staff including, RNs, CNAs, and Med Techs.
            • Experience working in a 24/7 medical facility
            • Possession of a BSN
            • Strong communication skills
            • Excellent Leadership skills
            • Excellent interpersonal skills
            • Good work history
            • Proficient in google docs/sheets/gmail, preparing reports and spreadsheetsConditions of Employment:
              • Must have valid unrestricted Colorado Driver License
              • A pre-employment criminal background check will be conducted as part of the selection process as this position is deemed to have direct contact with vulnerable persons. Felony convictions, conviction of crimes of moral turpitude, or convictions of misdemeanors related to job duties may disqualify you from being considered for this position. Should your background check reveal any charges or convictions, it is your responsibility to provide the CDHS Background Unit with an official disposition of any charges.
              • On-call Status - Needs to be available telephonically to provide guidance to administration, nursing and other PRC staff regarding staffing, medical decisions, and follow up. Must carry a state issued cell phone while not at work and answering this cell phone immediately when not at work.
              • Former employees of the Colorado Department of Human Services (CDHS) who were disciplinary terminated or resigned in lieu of termination must disclose the information on your application and may not be eligible for employment at CDHS.
              • Must travel between group homes to provide nursing care and training, and to transport individuals as needed. Position is required to use a State vehicle to transport residents. When not transporting individuals, this person may drive a State vehicle or choose to drive their own. Travel to attend meetings or seminars outside of PRC may also be required
              • Effective September 20, 2021, this position will require documented proof of full COVID-19 vaccination. New employees will be required to provide attestation to their status with proof of vaccination within thirty (30) business days of hire.
                
                Religious and medical exemptions and reasonable accommodation shall be addressed as required by law pursuant to the Equal Employment Opportunity Commission's vaccination guidance. If you would like to request a medical or religious exemption, please contact CDHS_HumanResources@state.co.us
                
                Note: Fully Vaccinated means two (2) weeks after a second dose in a two-dose series of the COVID-19 vaccine, such as the Pfizer or Moderna vaccine, or two (2) weeks after the single-dose vaccine, such as Johnson & Johnson's Janssen vaccine, as defined by the most recent State of Colorado's Public Health Order and current guidance issued by the Colorado Department of Public Health & Environment.
                
                APPEAL RIGHTS:
                If you receive notice that you have been eliminated from consideration for this position, you may file an appeal with the State Personnel Board or request a review by the State Personnel Director.
                
                An appeal or review must be submitted on the official appeal form, signed by you or your representative. This form must be delivered to the State Personnel Board by email (dpa_state.personnelboard@state.co.us), postmarked in US Mail or hand delivered (1525 Sherman Street, 4th Floor, Denver CO 80203), or faxed (303.866.5038) within ten (10) calendar days from your receipt of notice or acknowledgement of the department's action.
                
                For more information about the appeals process, the official appeal form, and how to deliver it to the State Personnel Board; go to spb.colorado.gov; contact the State Personnel Board for assistance at (303) 866-3300; or refer to 4 Colorado Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov under Rules. Supplemental Information
                
                How to Apply
                
                The Assessment Process
                
                For additional recruiting questions, please contact jazzma.gamboa@state.co.us
                
                About Us:
                
                If your goal is to build a career that makes a difference, consider joining the dedicated people of the Colorado Department of Human Services (CDHS). Our professionals strive to design and deliver high quality human and health services that improve the safety, independence, and well-being of the people of Colorado. In addition to a great location and rewarding and meaningful work, we offer:
                
                • Strong, secure, yet flexible retirement benefits including a PERA Defined Benefit Plan or PERA Defined Contribution Plan www.copera.org plus 401(k) and 457 plans
                • Medical and dental health plans
                • Employer supplemented Health Savings Account
                • Paid life insurance
                • Short- and long-term disability coverage
                • 11 paid holidays per year plus vacation and sick leave
                • BenefitHub state employee discount program
                • Employee Wellness program MotivateMe
                • Excellent work-life programs, such as flexible schedules, training and more
                • Remote work arrangements for eligible positions
                  
                  *Some positions may qualify for the Public Service Loan Forgiveness Program. For more
                  
                  information, go to https://www.colorado.gov/pacific/dhr/student-loan-forgiveness-programs.
                  
                  Our Values:
                  
                  We believe in a people-first approach: To serve the people of Colorado, we develop a culture and work environment that creates an energized, inspired, and healthy team capable of giving their best to Coloradans.
                  
                  Balance creates quality of life: We want our team to be resilient through a supportive workplace that values flexibility, health and wellness, and employee engagement.
                  
                  We hold ourselves accountable: We take responsibility through our actions, programs, and results for the state of health and human services in Colorado.
                  
                  Transparency matters: We are open and honest with employees, our partners, the Coloradans we serve, and the public.
                  
                  We are ethical: We abide by what is best for those we serve by doing what is right, not what is easy.
                  
                  Collaboration helps us rise together: We work together with all partners, employees, and clients to achieve the best outcomes for Coloradans.
                  
                  We are committed to increasing the diversity of our staff and providing culturally responsive programs and services. Therefore, we encourage responses from people of diverse backgrounds and abilities.
                  
                  ADAA Accommodations:CDHS is committed to the full inclusion of all qualified individuals. As part of this commitment, our agency will assist individuals who have a disability with any reasonable accommodation requests related to employment, including completing the application process, interviewing, completing any pre-employment testing, participating in the employee selection process, and/or to perform essential job functions where the requested accommodation does not impose an undue hardship. If you have a disability and require reasonable accommodation to ensure you have a positive experience applying or interviewing for this position, please direct your inquiries to our ADAAA Coordinator, Nancy Schmelzer, at cdhs_ada@state.co.us or call 1-800-929-0791.
                  
                  Toll Free Applicant Technical Support
                  
                  -THE STATE OF COLORADO IS AN EQUAL OPPORTUNITY EMPLOYER-
                  
                  The State of Colorado offers permanent employees a variety of benefits including medical, dental, life and disability insurance, as well as a comprehensive leave program. Please click the following link for detailed information: www.colorado.gov/pacific/dhr/benefits
                  
                  Please note that each agency's contact information is different; therefore, we encourage all applicants to view the full, official job announcement which includes contact information and class title. Select the job you wish to view, then click on the "Print" icon.
                  
                  01 Are you a previous State of Colorado classified Employee?
                  
                  02 If you are a current or previous state employee, please provide the following information for each state job worked: department, job title, dates worked. If not, please answer N/A.
                  
                  03 If you answered yes to be being a former State of Colorado employee, please provide your employee number, if not applicable type N/A.
                  
                  04 Former State employees who were disciplinarily terminated or resigned in lieu of termination must disclose the information on the application. In the space below, please provide an explanation as to why the prior termination or resignation should NOT disqualify your application from the current position.
                  
                  05 Do you possess a BSN?
                  • Yes
                  • No
                    
                    06 Do you possess a current, unrestricted CO driver's license?
                    • Yes
                    • No
                      
                      07 Describe your experience supervising medical staff.
                      
                      08 Describe your experience working in a 24/7 medical facility.
                      
                      09 Describe your experience mentoring, coaching, training staff.
                      
                      10 What kind of leadership style do you use? Why do you think this is the best leadership style?
                      
                      * Required Question

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