I am an ADON of a 124 bed facility. I do just about everything. I do rounds on the floors every morning, make sure beds are made, pass linens, and help with toileting. I then do the morning start up, sometimes the DON does it, depends what she else is on her plate for the day. Start up includes checking 24 hr reports for any pertinent info., checking shower sheets for any new skin issues, checking fall reports to investigate what happened and what to do to prevent it. Then I help out on the floors, do treatments, charting, meds, whatever they need done. I then go to the dining room for lunch to help assist residents, pass meal trays, pass meds, whatever is needed. I work inquiries for possible new residents, place new residents, do admission and discharge planning. Wound management, measuring, and treatments. Head of restorative services. Also do scheduling and staffing. Monitor attendance, and disciplinary actions. Also do all the hiring, and interview processes. Also help with orientation of all new employees. I work about a 50 hr week, sometimes more, not usually less unless I'm sick. Ha ha ha!