Role & responsibilities : Job Purpose To ensure quality, clinical, operational, and patient-safety standards across assigned dialysis centres by monitoring dialysis quality parameters, compliance with SOPs, infection control, water quality, documentation, training, audits, and corrective/preventive actions.

Key Responsibilities

1. Dialysis Quality & Clinical Parameters

- Monitor and ensure Kt/V >1.2 for at least 80% of total patients per centre.
- Ensure CBV >55L for at least 80% of total patients per centre.
- Ensure achievement of dry weight in at least 70% of patients.
- Monitor dry-weight outliers and ensure cases with a difference of >1 kg between post-dialysis weight and dry weight do not exceed 20%.
- Ensure adequate dialysis duration is achieved for 80% of total patients per centre.
- Monitor dialysis frequency and ensure 80% compliance with prescribed 2x/3x weekly dialysis, with the remaining inadequate cases properly justified.

2. Dialyser Reuse & Documentation

- Ensure the required number of dialyser usages as per approved reuse guidelines.
- Ensure proper maintenance of dialyser reuse registers.
- Ensure correct labelling and documentation corresponding to each patient and centre.
- Identify gaps and take corrective action wherever required.

3. Infection Control & Patient Safety

- Ensure viral marker testing once every 3 months as per the recommended schedule.
- Ensure patient vaccination is completed as per the recommended schedule.
- In case of an infection outbreak:
- Submit a preliminary report within 24 hours.
- Conduct a detailed Root Cause Analysis (RCA).
- Recommend and monitor corrective and preventive actions.

4. Training & Awareness

- Conduct technical training and awareness programmes once every quarter at every assigned centre.
- Ensure all relevant staff participate in the training.
- Prepare and submit training reports in the recommended format to the Project Lead.
- Identify recurring quality gaps and arrange additional training wherever required.

5. RO Water & Dialysate Quality

- Ensure daily monitoring of RO water TDS at every assigned centre.
- Ensure daily TDS entries are updated in Axis and verified on the same day.




- Ensure 100% compliance with the water testing schedule.
- Ensure water testing reports are updated in Axis within 72 hours.
- Ensure a maximum 1-week TAT for corrective and preventive action (CAPA) related to abnormal water parameters and dialysate electrolyte results.
- Monitor and escalate any water-quality concerns immediately.

6. SOP & Process Compliance

- Ensure 100% compliance with approved SOPs across assigned dialysis centres.
- Conduct regular checks to identify deviations.
- Ensure timely corrective action and follow-up for all identified gaps.
- Escalate critical or repeated non-compliance as per the defined escalation matrix.

7. Machine Breakdown & BME Coordination

- Escalate machine breakdown issues to the BME Team within 24 hours of receiving information.
- Ensure CMS is completed within 3 working hours, wherever applicable.
- Follow up on unresolved machine issues and ensure timely closure.
- Escalate any inaction or delay to management as per the escalation matrix.

8. Consumables & Cost Monitoring

- Analyse consumption data for selected consumables as defined in Axis.
- Compare consumable consumption with the number of dialysis sessions/patients.
- Identify abnormal consumption or wastage.
- Take appropriate corrective actions and report significant variations to management.

9. NABH & Quality Audit Compliance

- Support NABH and other quality audits at assigned centres.
- Ensure timely closure of Non-Conformities (NCs) and observations within 2 weeks.
- Track audit action plans and maintain proper documentation.
- Ensure recurring observations are addressed through effective CAPA.

10. Axis Data Monitoring & Corrective Actions Regularly analyse Axis data and take corrective actions related to:

- Laboratory parameters
- Vascular access status
- Addition of patients




- Patient exits
- Patient dropouts
- Dialysis quality indicators
- Other centre-level quality and operational parameters

11. Event Reporting & RCA

- Ensure all clinical/operational events are reported within 1 working day.
- Ensure RCA is completed within 72 hours.
- Monitor implementation of corrective and preventive actions.
- Track recurring events and recommend preventive measures.

12. Centre Visits & Quality Monitoring

- Ensure a minimum of 1 visit per month to each allocated dialysis centre.
- Conduct centre audits and quality assessments using the approved QA Checklist.
- Identify gaps during centre visits and communicate corrective actions to the concerned team.
- Submit the completed Centre Visit Report/QA Checklist in Axis within 24 hours of the centre visit.

Key Performance Indicators (KPIs)

- Kt/V achievement: >1.2 in 80% patients
- CBV achievement: >55L in 80% patients
- Dry weight achievement: 70% patients
- Dry weight outliers: 20%
- Adequate dialysis duration: 80% patients
- Prescribed dialysis frequency compliance: 80%
- Viral marker testing compliance: 100%
- Vaccination compliance: 100% as per schedule
- RO water TDS daily monitoring: 100%
- Water testing schedule compliance: 100%
- SOP compliance: 100%
- Centre visit: Minimum 1 visit/centre/month
- Event reporting: Within 1 working day
- RCA completion: Within 72 hours
- CAPA closure for abnormal water parameters: Within 1 week
- NABH NC/Observation closure: Within 2 weeks

Preferred Candidate Profile

- Graduate with a Diploma/Certification in Dialysis Technology.
- Minimum 5 to 7 years of relevant experience in dialysis/healthcare quality operations.
- Prior team handling/leadership experience preferred.
- Robust understanding of dialysis processes, infection control, water quality, SOPs and quality standards.
- Good analytical and reporting skills.
- Ability to analyse data and identify quality gaps.
- Good communication and coordination skills.
- Willingness to travel and visit assigned dialysis centres regularly.
- Working knowledge of MS Excel, reporting systems and Axis/software platforms preferred.

📌 Senior Executive Quality Analyst (Dialysis) (Gwalior)
🏢 Max HR Solutions
📍 Gwalior