Infection Prevention/Wound Nurse
Job Description: The Quality Assurance nurse reviews and analyzes acute changes in conditions of residents and works with clinical leadership team to provide intervention or protocol changes to prevent further instances. Employee is responsible for identifying, investigating, monitoring and reporting healthcare associated infections. Collaborates with clinical leadership team to create and sustain infection prevention strategies. Employee collects and analyzes data regarding processes throughout facility and when needed initiates and oversees the completion of a Performance Improvement Plan that will be reviewed in Monthly QA meeting. The QA nurse also works with DON and clinical leadership to investigate all incidents/accidents according to facility protocols, finds cause and develops initiatives to reduce potential injury to residents. Employee collects and analyzes data through chart audits to ensure compliance with state and Federal regulations and to provide a high quality of resident care. Employee participates in the monthly facility wide QA meeting. Additionally, the QA nurse fulfills duties of wound nurse in facility. Gathers data on from skin assessments and is primary nurse involved with wound assessments, treatments, follow-up with clinician and wound log data entry. Assists in the management of pressure ulcers, wound/skin problems, ostomies. Employee must also participate in clinical nursing leadership meetings as directed by DON.
To improve the quality of life of residents by delivering professional, knowledgeable and compassionate care. Improving Lives Exceeding Expectations (I.L.E.E.)
Professionalism, Knowledge, Compassion, Honesty & Quality
Our Work Place
We will provide a work atmosphere that promotes teamwork, pride, loyalty, personal growth, and a sense of belonging.
To become the most respected and recognized name in Skilled Nursing Care for Wichita and the region.
Accountability: The QA Nurse reports to the facility Director of Nursing.
Equipment Used: Various medical equipment, instruments, machines, and various office equipment including the computer. This includes but is not limited to vital signs machine/monitor, oxygen concentrator, sphygmomanometer, wound and ostomy supplies, stethoscope, nebulizer, mechanical lifts, whirlpool, pagers, telephone and copy machine.
Environment: Primarily indoors.
Duties and Responsibilities: The employee must be able to perform the essential job functions with or without reasonable accommodations. Except as specifically noted, the following functions are considered essential to this position.
1. Professionalism – Acts with moral and ethical structure, prompt in addressing customer questions, concerns and needs in a manner that instills confidence and trust. Addresses each resident, family member and staff with professionalism. This includes voice tone, body language, word choice and attentiveness. Dresses professionally and maintains good grooming and hygiene. Is respectful to residents, families and to other staff members. Does not gossip, cuss, roll eyes, look or walk away when in discussion. Reports concerns in a timely manner and acts as an advocate for the resident, family and the facility.
2. Knowledge – Demonstrates an understanding of their position and the various tasks that it includes. Takes an active interest in their profession and seeks to develop additional knowledge that will enable them to perform their job tasks with higher quality, more reliability and better efficiency. Seeks to become an expert in various care issues such as resident safety and Accident Prevention, Alzheimer’s Disease & other Dementia, Balance & Strength, Bathing & Hygiene, Diabetes, Food Safety & Sanitation, Incontinence, Positioning, Restorative Nursing, Skin Care, Wound Management, Infection prevention etc.
3. Compassion - Provide each resident, family member and other staff with intensive customer service that gives them a sense of kindness, clemency and where appropriate sympathy. This includes greeting each individual with a friendly smile and voice. Being compassionate, courteous a good listener making eye contact and staying attentive to the conversation.
4. Honesty – Deal with each situation with honesty and integrity. Always tell the truth, report mistakes to supervisors or department directors, and be straightforward, impartial, factual and reasonable in dealing with residents, families and other staff and supervisors. If unable to provide a factual answer, state such and find someone who can.
5. Quality – Completes job tasks in a manner that demonstrates understanding and adherence to the facility policies and procedures. Goes the extra distance to make sure that tasks are done in a timely and complete manner. Strives toward excellence and perfection.
Job Specific Responsibilities
6. Provides information for the Quality Assurance Committee monthly meetings by documenting potential and actual issues that affect quality care and services.
7. Completes chart audits to ensure compliance with state and Federal regulations and to improve quality of resident care.
8. Reviews and Investigates all resident incidents/accidents (such as falls,wounds,etc.) with clinical leadership team, maintains a log, finds causes and develops initiatives to reduce the potential for injury to residents. Updates the residents’ Plan of Care as indicated.
9. Tracks resident weights and works with the interdisciplinary team to develop and implement initiatives to slow or reverse unplanned weight losses and gains. This review is completed weekly and collaborated with leadership team during weekly RAR (Resident at Risk) meeting.
10. Completes assessments on residents who are incontinent and determines the likely cause(s). Develops plans to reduce or eliminate resident incontinence through the residents’ Plan of Care.
11. Compiles data and analyzes trends to track quality of care. Recommends changes in processes and procedures to improve resident care.
12. May be required to work as a Charge Nurse on occasion to fill gaps in staffing. Participates with clinical leadership in routine Manager On-Call duties.
13. Monitors personal and staff compliance to all State and federal requirements including blood borne pathogens, hazardous materials, infection control, and fire safety.
14. Monitors personal and staff compliance to resident’s rights.
15. Plans and implements in-service programs to address identified learning needs of staff.
16. Weekly rounds on all wounds/skin issues/ostomies in facility. Provides initial and routine wound assessments. Collaborates with contracted wound consultant and clinician in providing treatments and intervention. Tracks and monitors wounds in log. Reviews, monitors and analyzes data to utilize in monthly QAPI committee meetings.
17. Track and monitor all infections present in facility. Reviews and analyzes data ensuring that McGeer criteria. Works with DON, clinical leadership team and clinicians to prevent infections facility wide. Reviews, monitors and analyzes data to utilize in monthly QAPI committee meetings.
Physical activity requirements: Employees must be aware that during the normal, routine performances of the essential functions, some of the following body movements may occur naturally although they may not be a requirement of the job. The employee is required to use assistance (for example: transfer/gait belt, mechanical lifts, or request staff assistance) when attempting to assist residents or attempting to lift or carry objects over 25 lbs.
The facility will use a Physical Capacity Profile to determine employees’ physical ability to perform the job. For this position, we will test to a Level 3 (Medium Work). This is defined as exerting 20 to 50 pounds of force occasionally, and /or 10 to 25 pounds of force frequently, and/or up to 10 pounds negligible. Although we will test to this profile level, we will consider for employment those individuals who test to 2.5 or above.
Primary Physical Requirements:
Occasionally is up to 33% of the time
Frequently is 34% to 66% of the time
Constantly is 67% or more of the time
Reclining: Not Required
Change of Position: Constantly
Reach across Midline: Frequently
Feeling : Frequently
Stairs: Not Required
Scaffolding: Not Required
Ramp: Not Required
Pole: Not Required
In/Out of Machine: Not Required
Ladder: Not Required
Simple Grasp: Constantly
Firm Grasp: Frequently
Fine Manipulation: Frequently
Lifting/Lowering Occasionally - 30 lbs
Carrying Frequently – 10 lbs
Pushing/Pulling Occasionally – 20 to 40 lbs
Work Surface: Varies from Carpet, Tile, and linoleum.
Cognitive and Sensory Requirements:
Tasting & Smelling: Required
Access to Personal Health Information: Requires access to the entire medical record on an as-needed basis.
Licensure/Certification Requirements: Current State RN license. Preferred AANAC Certification, required within six months of employment as the Assessment/QA nurse.
Other Training, Skills, and Experience Requirements: Employee must be able to perform in such a way to build good working habits and relationships among the staff that they manage as well as other departmental staff. Employee must demonstrate on an ongoing basis the ability to develop and maintain good working relationships with co-workers and other department heads.
Summary of Occupational Exposures:
Blood Borne Pathogens:
Tasks and procedures performed by employee involve risks classified by CDC as:
Category I: (Direct contact with blood or other bodily fluids to which universal precautions apply)
Specific Task Exposure:
General Resident Care: Blood, urine, feces, vomitus, wound exudate, semen/vaginal secretions, other body fluids – cerebrospinal, synovial, pleural, peritoneal,
Handling Soiled Linens and Clothing: Blood, urine, feces, vomitus, wound exudate, semen/vaginal secretions, other body fluids - cerebrospinal, synovial, pleural, peritoneal, pericardial, amniotic.
Cleaning Resident Rooms and Common Areas: Blood, urine, feces, vomitus, wound exudate, semen/vaginal secretions.
Refer to Exposure Control Plan for Additional information.
Other Considerations and Requirements: This is a nurse management position. Employee is required to handle employees in a manner that assists them in their ability to function effectively. Employee may be required to perform duties of a direct care nurse on occasion; see appropriate job description. Such duties will be within training and ability of the employee. The employer reserves the right to modify this job description based upon the company needs.