FADONAís Principles of Excellence

For Florida Directors of Nursing

Established August 6, 2009

Mission & Vision

A long-term-care clinical nurse administrator:

1. Is knowledgeable and keeps abreast of rules, regulations, and programs of the state and federal government in addition to standards of professional practice.

2. Collaborates with operational leadership to articulate and gain support for the organizationís vision, mission, and goals through the development of a strategic plan.

3. Leads and encourages the clinical staff to achieve the clinical goals.

4. Oversees the creation and evolution of clinical teams committed to the organizationís mission, vision, and goals.

5. Collaboratively plans and establishes systems to achieve the organizationís clinical goals and objectives at all levels.

6. Identifies and procures the necessary resources and allocates them to achieve optimal clinical goals.

7. Directs a quality improvement process that uses evidence-based performance-improvement tools to monitor and enhance quality of clinical care and services.

8. Receives feedback from stakeholders/customers and responds accordingly.

9. Establishes a collaborative relationship with the medical director, ancillary service providers, and consultants to align cohesive delivery of care.

10. Promotes professional relationships with nursing associations, regulators, surveyors, and legislators.

11. Promotes relationships with families and the surrounding community.

Culture of Quality

A long-term-care clinical nurse administrator:

1. Serves as a leader, mentor, and coach, who promotes excellence in clinical care and services.

2. Creates a culture that promotes quality of life and high-quality clinical care.

3. Creates a quality work environment that affirms individuality, respects diversity, and fosters effective teamwork.

4. Identifies and uses the tools available to support quality clinical outcomes.

Resident Care & Quality-of-Life

A long-term-care clinical nurse administrator:

1. Fosters person-centered care by establishing systems to ensure that, within reason, residentsí choices are elicited, valued, and met.

2. Addresses individual clinical needs, affirms residentsí quality-of-life while recognizing disease pathologies and aging processes.

3. Establishes and implements systems within the clinical departments to maintain each residentís sense of security and safety.

4. Encourages staff to implement systems that maximize excellent clinical care by adopting evidence-based practices, innovations, and best practices.

5. Directs teamwork and interdisciplinary practices through the use of available quality indicators to improve clinical outcomes.

6. Serves as a resident advocate by inviting the families and the community to become partners in clinical care and services.

7. Promotes end-of-life care that respects the personal and spiritual preferences of each person.

8. Participates in the development and implementation of a safety program that includes fire, emergency, disaster, evacuation, and transfer plans.

Caregivers and Staff

A long-term-care clinical nurse administrator:

1. Orients and reinforces staff accountability in achieving clinical vision and goals.

2. Creates a work setting in which clinical staff members can develop and achieve their individual objectives while contributing to the organizationís clinical goals.

3. Communicates clear expectations of clinical managers and staff, individually and collectively.

4. Encourages personal and professional growth through in-services, continuing education, and innovation.

5. Ensures that systems are in place, providing education, tools, and resources needed for staff to achieve the organizationís clinical goals.

6. Hires and educates clinical managers who are committed to the organizationís philosophy and culture; promotes education that teaches supervision, leadership, team-building, and mentorship.

7. Promotes person-centered care, encourages creativity and accountability, supports individuality, recognizes excellence, and provides proper supervision.

8. Teaches a systems-approach to quality improvement by encouraging teamwork, interdisciplinary collaboration, and reliance on evidence-based quality-improvement tools.

9. Implements consistent clinical assignments that facilitate person-centered care.

10. Adheres to established policies, procedures, and regulatory and legal requirements.

11. Implements and maintains creative approaches intended to keep valued employees.


A long-term-care clinical nurse administrator:

1. Participates in the budget process that is consistent with the clinical goals of the organization.

2. Participates in managing or supervising the following as applicable:

a. the clinical budget;

b. reimbursement systems;

c. staffing consistent with the minimum staffing requirements;

d. wage and benefit framework;

e. supplies and equipment;

f. ancillary services (radiology, ultrasound, pharmacy, lab, etc).

The Florida Association of Directors of Nursing (FADONA) has written and approved the "FADONAís Principles of Excellence for Florida Directors of Nursing" to support the provision of long-term health care services that are desired, meaningful, successful and efficient. They are intended to assist directors of nursing in achieving these objectives and to guide and inspire creative leadership in long-term care. The principles encourage the director of nursing to follow a reasonable course of action based on current knowledge, available resources, and the needs of the facility so that effective and safe care can be delivered. They are aspirational in nature and intended to foster self-appraisal and continuous performance improvement. The principles are neither inflexible rules nor requirements of practice. They are not intended nor should they be used to establish a legal standard of care under any circumstances.

Changes in the facility environment due to advances in care, financing and reimbursement and regulatory framework can occur at a rapid rate. The effective date of this set of principles, as revised from time to time, should always be considered in determining its current applicability.

"FADONAís Principles of Excellence for Florida Directors of Nursing" is a trademark of FADONA. Copyright © 2009, FADONA. All rights reserved. No portion may be reproduced without written permission from FADONA.


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