St. Croix Hospice

Nurse

• Implement and monitor the organization’s quality assessment performance improvement (QAPI) program
• Monitor and measure QAPI activities
• Implement quality improvement activities using continuous quality improvement principles and methodologies
• Conduct scheduled clinical record reviews and data collection
• Compile, trend, and report quality data covering patient care, safety, risk management, infection control, outcomes, and customer satisfaction
• Collaborate with the nursing department to ensure complete, consistent, and compliant documentation
• Implement monitoring activities for safety, risk management, and infection control programs
• Assist with mandatory OSHA safety and infection-control in-service programs
• Advise staff on patient and staff safety and risk-management issues
• Review incident reports for completeness, risk, standard-of-care determinations, and follow-up
• Monitor compliance with regulatory and accreditation standards, including Medicare Conditions of Participation and CHAP standards
• Participate in policy and procedure reviews and recommend changes to the Director of Quality Assurance
• Serve as a resource to clinical staff regarding standards, policies, regulations, and nursing practice
• Assist with patient visits as needed
• Review medical records and live discharges for standards, appropriateness, and compliance
• Complete required or self-identified medical-record audits
• Perform other duties as assigned

Medical Review Nurse