Quality Assurance Nurse LPN

CareOne•Newton, MA
•Onsite

About The Position

The Quality Assurance Nurse is responsible for the day-to-day coordination and oversight of all aspects of their assigned clinical unit within a long-term care, short-term rehabilitation, skilled nursing, or sub-acute care facility. This role involves ensuring compliance with state and federal regulations, monitoring resident care, managing staffing, and identifying staff educational needs.

Requirements

  • Must be an actively licensed RN in assigned state(s) of employment.
  • Previous supervisory experience.
  • Two years of LTC experience.
  • Graduate of an approved RN program.

Nice To Haves

  • Bachelor's degree preferred.
  • Acute Care experience preferred.

Responsibilities

  • Ensure that required staffing levels are met for each shift on a daily basis.
  • Make sure that staffing level adjustments are made each shift as needed and the Federal required posted schedule is adjusted to reflect current actual staffing.
  • Attend, participate and lead the weekly resident "At Risk" meeting to ensure resident care and condition concerns are identified, interventions are appropriate, and follow-up is completed.
  • Attend and participate in morning clinical review meetings, PPS meetings as indicated, and monthly QA and A meetings.
  • Monitor the provision of resident care by licensed nurses and C.N.A.'s to ensure required documentation is completed.
  • Review the 24-hour resident change in condition report daily to ensure necessary follow-up occurs, including appropriate interventions implemented, physician and family notification, and required documentation.
  • Review resident medical records and documentation to ensure clinical programs are in place per policy and procedures.
  • Identify educational needs of staff and discuss findings with the Facility Educator to collaboratively meet these needs.
  • Participate on other committees as requested by the Administrator/Director of Nursing Services.
  • Ensure that resident care and documentation is in compliance with state and federal rules and regulations.
  • Comply with and ensure that staff is in compliance with HIPAA rules and regulations, reporting any known violations.
  • Ensure work assignments are made for assigned staff, including breaks and lunches, and staff is compliant with assignments.
  • Initiate disciplinary action as necessary for staff members in collaboration with DON/ADON.
  • Communicate with the appropriate department manager/DON and participate with follow-up and resolution to any grievances/concerns from personnel, residents or family members.
  • Ensure physician orders are being followed.
  • Assist the DON/ADON with preparing performance evaluations as directed.
  • Greet new admissions and families and assist nursing staff with the admission process as needed.
  • Ensure that all admission documentation is complete within 24 to 48 hours, including all required clinical assessments and care plans.
  • Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled.
  • Provide direct nursing care as necessary.
  • Report problem areas to the Director of Nursing.
  • Assist in developing and implementing corrective action.
  • Attend and participate in continuing education programs to remain current with standards of nursing practice and to maintain licensure requirements.
  • Ensure that nursing staff follows policy and procedures, including appropriate dress code.
  • Ensure that nursing staff participate in all fire safety and disaster preparedness drills.
  • Ensure that nursing personnel follow established infection control procedures when isolation precautions become necessary.
  • Ensure that all personnel operate nursing equipment in a safe manner.
  • Participate as needed and/or directed in collaboration with the Resident Assessment/Care Plan Coordinator in the development of a written care plan.
  • Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room.
  • Report and assist with investigation of any allegations of resident abuse including misappropriation of resident property.
  • Assist Social Services with ensuring that an Advance Directive/Code Status has been obtained and documented.
  • Participate in the annual survey and/or complaint survey processes as directed by Administrator/DON and assist with any plans of correction required.
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