l To generate regular reports regarding the quality control practices, achievements and possibility of improvement, and forward copy of them to nursing team, quality team and DNS/NS.
l To maintain and implement nursing policies and procedures that conforms to current standards of nursing practice, philosophy, and operational policies while maintaining compliance.
l To ensure the updated policies are discussed and implemented across all the departments of nursing in the organisation l To monitor the clinical and non-clinical nursing indicators proactively and support in the implementation of the best practices in the unit l To ensure compliance and perform assessment on a continuous basis to achieve nursing excellence.
l To collect accurate data on Nursing Quality Indicators and analyze the data for Nursing Excellence.
l To analyse the Internal and External Customer feedback and work on improvement measures based on the analysis and hence support the enhancement of customer satisfaction both internal and external on the nursing services provided.
l To review clinical documentation and interpret data obtained from clinical records or systems to apply appropriate clinical criteria for quality of care.
l To ensure the nurses complete awareness of the quality system l To provide guidance to the staff, counsel them in quality improvement activities and patient safety programs.
l To keep the approved original copy of quality manual and procedure manual l To distribute and ensure that copies of the quality and procedure manual are available and accessible at all nursing units/wards.
l To keep a list of the forms used in the facility and the place where these forms are kept.
l To ensure nursing quality standards and approved criteria reach all nursing staff in all wards.
l To plan and to conduct internal audits to identify discrepancies and areas of improvement.
l To prepare a list of discrepancies to be presented during quality review meetings.
l To follow up the achievement of objectives and maintain records which clarify the objectives that are met and the objectives that are not met with the corrective action plans.
l To maintain confidentiality of the internal audit reports.
l To conduct customer satisfaction surveys, analyzes the data to measure the client and staff satisfaction, keeps records of the results and forwards copy of the results to the chairperson of Quality Improvement Committee and NS.
l To keep a list of customer complaints and follow the corrective actions initiated by the concerned administrations.
l To arrange file for NABH audits indicators.
l To take active part in the planning, coordination and presentation of specific training and educational programs as appropriate to Quality Improvement needs of the facility or service.
l To participate in conferences, workshops, symposiums and lectures related to quality management.
l To assist the Quality Management Department with the coordination and preparation of record reviews, which includes on going review of medical records and review.
l To pro-actively and consistently apply the regulatory and accreditation standards to assure that activities are reviewed and processed within guidelines.
l To be able to condense complex information into a clear and precise clinical picture while working independently.
l To report audit or clinical findings to appropriate staff or others in order to ensure appropriate outcome and/or follow-up for improvement as indicated.
l To develop and implement cutting-edge procedures to improve quality of work, quality of care, and quality outcomes and measures as mandated by regulatory bodies.
l To assist as needed in support of state regulatory and accreditation activities.
l To possess the ability to multitask, prioritize and effectively adapt to a fast paced changing work environment.
To be able to work flex hours, including an occasional evening and weekend