We do not have an Assistant ADON but I do end up doing just that.
I am the MDS Coordinator for a 36 bed facility. I also am the Restorative Nurse and have had zero training. I zipped through the AANAC RAC-C Course as I started this title in October.
I was lucky, someone advised me to only work hourly, and that is what I hired under. Boy would "Management" (oooppppsss I am management) love to have me take a salaried job.... it ain't gonna happen. Also, when I hired on, there were no benefits, PTO etc offering so I negotiated for that, much to my surprise, got it too.
So now, when I work the floor, am the Admissions Nurse, Staff Development, Infectious Disease Nurse, Education Nurse, (and all this with "no training") they have to pay me overtime. They have stopped giving me "non-nursing responsibilities" because I give them "the look" like, "okay, you want me to do ----, okay.
I really like my MDS Role, particularly as I can flex my own schedule, but am so weary of "everything else" because I am SO behind, exhausted, and working a minimum of 50 hours weekly, 6-7 days a week. Don't get me wrong, I love variety but feel so spread thin in too many directions.
Can I set limits, you betcha. I have allowed a lot of this but it ends. I am promising myself two weeks with zero weekend work.