The Long-Term Care Director of Nursing Field Guide, Third Edition

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The Long-Term Care Director of Nursing Field Guide, Third Edition

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Available October 2017

The Long-Term Care Director of Nursing Field Guide, Third Edition

Barbara Acello, MS, RN

Available October 2017

Whether you’re a new director of nursing or an experienced veteran looking for recertification, look no further than The Long-Term Care Director of Nursing Field Guide, Third Edition, the only guide endorsed by the National Association of Directors of Nursing Administration in Long-Term Care (NADONA). This updated edition is a must-have resource to improve quality of care, cut costs, and sharpen your leadership and management skills.

This resource will help you institute smart hiring practices, an effective orientation program, and a positive work environment to build and motivate a competent, cohesive staff. Updates include sections dedicated to CMS' new survey process, MDS 3.0, new audit threats, and more. It also provides a new study guide for the CDONA exam, endorsed by NADONA.

Updated content includes: 

  • Coverage of CMS’ revised Conditions of Participation from October 2016, which largely affect the role of DONs 
  • A new study guide for the CDONA exam, endorsed by NADONA 


This book will help readers: 

  • Learn tactics to avoid audit scrutiny 
  • Understand the appeals process 
  • Withstand MAC, RAC, ZPIC, CERT, and MIC scrutiny by improving documentation 
  • Create and manage a budget that best fits the needs of your facility 


About the Author: 

Barbara Acello, MS, RN, is an independent nurse consultant and educator in Denton, Texas. She is a member of the Texas Nurses™ Association, NANDA International, and the American College of Healthcare Administrators, where she was honored with the Educator of the Year Award for 2007 and the Journalism Award for 2009. Acello has worked as a director of nursing, administrator, and long-term care facility consultant and educator; she has held numerous corporate-level positions in eight states. Presently, she is involved with freelance consulting, lecturing, and writing. She has written many textbooks, journal articles, and other materials related to acute and long-term care nursing, as well as nursing assistant practice and education. Although she has worked in acute care, emergency room, and EMS, long-term care is her preferred practice setting. She is committed to improving working conditions, education, and professionalism for nurses and nursing assistants in long-term care facilities. She may be contacted at bacello@spamcop.net


Page count: 250 

Dimensions: 8.5 X 11 
ISBN: 978-1-68308-649-9

Table of Contents

  • Section I: Skills for Directors of Nursing 
    • Successful orientation of the newly hired manager 
    • Designing an effective process 
    • Leadership 
    • Qualities of effective leadership 
    • Four basic leadership styles 
    • Communication 
    • Ways to improve communication 
    • The art of active listening 
    • Finance and budgeting 
    • The strategic plan 
    • Developing the budget 
    • Capital budget operating costs 
    • Understanding the fiscal year 
  • Section II: Employee Relations 
    • Interviewing and hiring 
    • New employee orientation and training 
    • Importance of a good orientation program 
    • Time management and delegation 
    • Conflict management 
    • The disciplinary process and termination 
    • Performance evaluations 
    • Job performances 
    • Employee issues 
    • Due diligence 
  • Section III: Resident Care 
    • MDS 3.0 assessment 
    • Basic coding 
    • Wound care—specific changes, reverse staging, and more 
    • Activities of daily living 
    • Standards of care 
    • Abuse and neglect 
    • Restraints 
  • Section IV: Risk Management and Quality Control 
    • Documentation 
    • Electronic medical records 
    • The Five-Star Quality Rating System 
    • Navigating the rating system 
    • The survey process 
    • Traditional survey 
    • Quality indicator survey 
    • Federal surveys 
    • State surveys 
    • Audits 
    • RACs, MACs, CERTs, and ZPICs 
    • Audit appeals process