DON and filling in for staff

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  • Specializes in Long term care, pediatrics, orthopedics,.

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noc4senuf

683 Posts

Specializes in Geriatrics, WCC.

Federal reg...... a DON can only serve as Charge when the facility has fewer than 60 residents in it.

achot chavi

980 Posts

Specializes in acute care and geriatric. Has 20 years experience.
Federal reg...... a DON can only serve as Charge when the facility has fewer than 60 residents in it.

does that mean the DON can be Janitor, CNA or launderer?

I think the essence of the ;law is that when a facility has more than 60 pts, its DON responsibilities outweigh the ability to be both DON and Charge.

I agree- as ADON, when I work a floor- all the nurse automatically turn to me as charge- even the charge nurse if she is there. Its not an ego thing, its a matter of who can solve problems efficiently. The pts as well..,

noc4senuf

683 Posts

Specializes in Geriatrics, WCC.

It comes down to what your individual surveyors will look at. Ours will check to see and make sure the DON is never the Charge nurse.

debRN0417

511 Posts

Specializes in LTC, ER, ICU, Psych, Med-surg...etc.... Has 31 years experience.
does that mean the DON can be Janitor, CNA or launderer?

I think the essence of the ;law is that when a facility has more than 60 pts, its DON responsibilities outweigh the ability to be both DON and Charge.

I agree- as ADON, when I work a floor- all the nurse automatically turn to me as charge- even the charge nurse if she is there. Its not an ego thing, its a matter of who can solve problems efficiently. The pts as well..,

I agree...more than 60 beds and the responsibilities of DON are too much to serve in a dual role....although 60 beds or less can be a nightmare a well....

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