Quality Improvement Coordinator

OVATION COMMUNITIES•Milwaukee, WI

4d•Onsite

About The Position

The Quality Improvement Coordinator assists Director of Nursing in nursing operations and quality improvement activities as directed. Observes and assists licensed nurses and other nursing personnel in the delivery of care and services according to each resident’s comprehensive resident assessment and plan of care. Follows the facility philosophy, in compliance with standards of professional nursing practice, and with all State laws and regulations. Utilizes resources in an efficient and economic manner to ensure that each resident achieves the highest practical physical, mental and psycho social well-being. This list of duties and responsibilities is not all-inclusive and may be expanded to include other duties and responsibilities, as management may deem necessary from time to time. Makes daily rounds throughout facility to observe, examine, interview residents, to evaluate staffing needs, to monitor regulatory compliance, to inspect care environment, and to evaluate staff interactions and clinical skill competency Assist with planning and budgeting for the Nursing services in the skilled units i.e. personnel, equipment, supplies and services; ensures appropriate supplies and equipment are available for resident care. Revuews, evaluates and recommends use of new products, instructional materials, services and equipment. Audits 24 hour report as completed by Unit Charge Nurses and reviews clinical records to identify problems, to ensure timely responses to residents’ needs, to review documentation skills of unit nursing staff fpr completeness and to evaluate regulatory compliance with documentation requirements. Recommends guidelines for in-services/semiunars for Staff Development. Will conduct periodic audits of clinical records as designated by the Director of Nursing. Participates in wound rounds weekly and audits wound care documentation and care plans for accuracy. Assists with infection control data entry and surveillance monitoring. Listens to verbal shift report making special note to follow-up on significant changes in condition, admissions, transfers, discharges, initiation or use of physical or chemical restraints, unnecessary use of any drug, incidents, unexplained injuries, medication errors, loss of resident property or evidence of resident or family dissatisfaction Completes Covid-19 testing, ordering of testing supplies and reporting results as required by state and federal guidelines. Analyzes data gathered from rounds and record reviews and acts promptly to resolve problems and to continuously improve quality. Participates in formal quality assessment and assurance activities as directed by the Director of Nursing. Participates in the QAPI meetings and shares audit information, analysis and trending. Active participant and member of facility steering commitiees as designated by the QAPI committee. Participates as member of interdisciplinary team in development of plan of care for each resident and assists the resident to attain or maintain the highest practicable physical, mental, psycho social well-being. Plans of care are developed with the participation, to the extent practicable, and consent of the resident and/or resident’s interested family member or legal representative. Plans of care include measurable objectives and timetables and accommodate resident’s needs and preferences including choices about preferred intensity of medical treatment Assists nursing staff in the implementation of plans of care to assist residents to attain or maintain highest practicable physical, mental and psycho social well being Maintains ongoing communication with other disciplines to evaluate resident responses to interventions, to suggest alternative approaches when indicated and to revise and update plans of care to reflect progress toward goals. Facilitates interdepartmental communication to meet residents’ needs Informs the resident in advance about care and treatment and any changes to the plan of care Interacts with resident, family members, legal representatives, surrogates to answer questions, resolve concerns. Makes prompt attempts to resolve all resident grievances, seeking consultation or assistance from other departments or administration as appropriate Educates and develops unit nursing staff members by observing practice, interpreting facility policies and procedures, identifying learning need and taking advantage of opportunities to teach on the units Monitors unit nursing staff for correct, consistent application of infection control procedures Conducts skills observations of nurse aides Actively participates in long term care survey process. Accompanies surveyors at all times while on unit. Provides or offers supplemental information to ensure accurate survey results. Responds to surveyor questions. Records actions of survey team members and reports to DON at end of each survey day. Consults with DON about undertaking corrections while survey is in progress Completes required documentation of care and services delivered during shift including subjective findings, objective symptoms, interventions and resident responses to interventions. Completes required documentation of special circumstances including accident/incident reports in compliance with State and Federal laws and regulations Reports relevant information to DON including interdisciplinary team functioning and communication, regulatory compliance issues, resident risk factors, sudden changes in resident behavior, expressed dissatisfaction by resident or family, refusals of treatment, unexplained injuries, staff behavior (positive and negative), staffing needs, equipment and supply needs, opportunities to revise policies, procedures, improve quality Monitors staff for compliance with OSHA mandates on workplace safety including hazard communication and blood borne pathogens. In cases of workplace exposure, provides immediate first-aid and refers employee to appropriate facility staff member for follow-up Reports all injuries to self or others to supervisor immediately Attends continuing professional education programs and in-service education. Applies information to job responsibilities

Responsibilities

Assists Director of Nursing in nursing operations and quality improvement activities
Observes and assists licensed nurses and other nursing personnel in the delivery of care and services according to each resident’s comprehensive resident assessment and plan of care
Follows the facility philosophy, in compliance with standards of professional nursing practice, and with all State laws and regulations
Utilizes resources in an efficient and economic manner to ensure that each resident achieves the highest practical physical, mental and psycho social well-being
Makes daily rounds throughout facility to observe, examine, interview residents, to evaluate staffing needs, to monitor regulatory compliance, to inspect care environment, and to evaluate staff interactions and clinical skill competency
Assist with planning and budgeting for the Nursing services in the skilled units i.e. personnel, equipment, supplies and services; ensures appropriate supplies and equipment are available for resident care
Revuews, evaluates and recommends use of new products, instructional materials, services and equipment
Audits 24 hour report as completed by Unit Charge Nurses and reviews clinical records to identify problems, to ensure timely responses to residents’ needs, to review documentation skills of unit nursing staff fpr completeness and to evaluate regulatory compliance with documentation requirements
Recommends guidelines for in-services/semiunars for Staff Development
Will conduct periodic audits of clinical records as designated by the Director of Nursing
Participates in wound rounds weekly and audits wound care documentation and care plans for accuracy
Assists with infection control data entry and surveillance monitoring
Listens to verbal shift report making special note to follow-up on significant changes in condition, admissions, transfers, discharges, initiation or use of physical or chemical restraints, unnecessary use of any drug, incidents, unexplained injuries, medication errors, loss of resident property or evidence of resident or family dissatisfaction
Completes Covid-19 testing, ordering of testing supplies and reporting results as required by state and federal guidelines
Analyzes data gathered from rounds and record reviews and acts promptly to resolve problems and to continuously improve quality
Participates in formal quality assessment and assurance activities as directed by the Director of Nursing
Participates in the QAPI meetings and shares audit information, analysis and trending
Active participant and member of facility steering commitiees as designated by the QAPI committee
Participates as member of interdisciplinary team in development of plan of care for each resident and assists the resident to attain or maintain the highest practicable physical, mental, psycho social well-being
Assists nursing staff in the implementation of plans of care to assist residents to attain or maintain highest practicable physical, mental and psycho social well being
Maintains ongoing communication with other disciplines to evaluate resident responses to interventions, to suggest alternative approaches when indicated and to revise and update plans of care to reflect progress toward goals
Facilitates interdepartmental communication to meet residents’ needs
Informs the resident in advance about care and treatment and any changes to the plan of care
Interacts with resident, family members, legal representatives, surrogates to answer questions, resolve concerns
Makes prompt attempts to resolve all resident grievances, seeking consultation or assistance from other departments or administration as appropriate
Educates and develops unit nursing staff members by observing practice, interpreting facility policies and procedures, identifying learning need and taking advantage of opportunities to teach on the units
Monitors unit nursing staff for correct, consistent application of infection control procedures
Conducts skills observations of nurse aides
Actively participates in long term care survey process
Accompanies surveyors at all times while on unit
Provides or offers supplemental information to ensure accurate survey results
Responds to surveyor questions
Records actions of survey team members and reports to DON at end of each survey day
Consults with DON about undertaking corrections while survey is in progress
Completes required documentation of care and services delivered during shift including subjective findings, objective symptoms, interventions and resident responses to interventions
Completes required documentation of special circumstances including accident/incident reports in compliance with State and Federal laws and regulations
Reports relevant information to DON including interdisciplinary team functioning and communication, regulatory compliance issues, resident risk factors, sudden changes in resident behavior, expressed dissatisfaction by resident or family, refusals of treatment, unexplained injuries, staff behavior (positive and negative), staffing needs, equipment and supply needs, opportunities to revise policies, procedures, improve quality
Monitors staff for compliance with OSHA mandates on workplace safety including hazard communication and blood borne pathogens
In cases of workplace exposure, provides immediate first-aid and refers employee to appropriate facility staff member for follow-up
Reports all injuries to self or others to supervisor immediately
Attends continuing professional education programs and in-service education
Applies information to job responsibilities