Walk-in || Quality Nurse

Nursing Quality & Clinical Audits

• Conduct regular nursing quality rounds and clinical audits across wards, ICUs, OT, emergency, and other patient-care areas.
• Monitor compliance with nursing SOPs, clinical protocols, care bundles, and hospital policies.
• Audit nursing documentation, medication administration, patient identification, vital signs, care plans, and nursing assessments.
• Identify gaps in nursing practices and recommend appropriate corrective actions.
• Follow up on audit findings to ensure timely closure of identified gaps.

2. Patient Safety & Risk Management

• Monitor patient-safety practices and identify potential clinical risks.
• Review nursing-related incidents, near misses, medication errors, falls, pressure injuries, and other adverse events.
• Support incident investigation and Root Cause Analysis (RCA).
• Assist in developing and monitoring Corrective and Preventive Actions (CAPA).
• Promote a culture of patient safety and continuous quality improvement.

3. Quality Indicators & Data Management

• Collect, validate, monitor, and analyze nursing quality indicators.
• Maintain dashboards and records related to nursing quality and patient safety.
• Prepare monthly, quarterly, and annual quality reports for Nursing Leadership and the Quality Department.
• Identify trends and areas requiring improvement based on quality data.
• Ensure accurate and timely submission of quality-related reports.

4. Accreditation & Compliance

• Support implementation and monitoring of NABH/JCI/ISO standards applicable to nursing services.
• Participate in internal audits, mock audits, accreditation assessments, and gap assessments.
• Ensure nursing staff compliance with hospital policies, SOPs, statutory requirements, and accreditation standards.
• Assist departments in preparing evidence and documentation for accreditation and quality reviews.

5. Training & Staff Development

• Conduct training and awareness programs for nursing staff on:

• Patient safety

• Nursing documentation

• Infection prevention and control

• Medication safety

• Fall and pressure-injury prevention

• Incident reporting

• Quality indicators

• Hospital policies and SOPs

• Identify training needs based on audit findings and quality gaps.

• Evaluate the effectiveness of quality-related training programs.

6. Continuous Quality Improvement

• Participate in Quality Improvement (QI) projects.
• Assist in developing action plans to improve nursing processes and patient outcomes.
• Monitor implementation and effectiveness of improvement initiatives.
• Promote evidence-based nursing practices and standardization of care.

7. Coordination & Communication

• Coordinate with Nursing, Quality, Infection Control, Medical, Pharmacy, CSSD, Laboratory, and other departments.
• Communicate audit findings and improvement opportunities to relevant stakeholders.
• Participate in Quality Committee, Nursing Committee, Patient Safety Committee, and other meetings as assigned.
• Provide regular updates to the Quality Manager/Nursing Superintendent.

Qualification

• B.Sc. Nursing / Post Basic B.Sc. Nursing / GNM from a recognized institution.
• Valid nursing registration with the appropriate State Nursing Council.
• Certification/course in Healthcare Quality, NABH, Patient Safety, or Hospital Quality Management is preferred.

Experience

• 25 years of clinical nursing experience preferred.
• Experience in Quality, NABH/JCI accreditation, clinical audit, infection control, patient safety, or nursing quality will be an added advantage.

Key Skills

• Clinical and nursing audit skills
• Knowledge of NABH/JCI standards
• Patient safety and risk management
• Quality improvement methodologies
• Incident reporting and RCA/CAPA
• Data analysis and report preparation
• Strong documentation skills
• Training and presentation skills
• Communication and interpersonal skills
• Problem-solving and analytical ability
• Attention to detail
• Ability to work effectively with multidisciplinary teams

Key Performance Indicators (KPIs)

• Nursing audit compliance percentage
• SOP and protocol compliance
• Timely closure of audit observations
• Nursing documentation compliance
• Patient-safety incident trends
• Medication-error rate
• Fall and pressure-injury indicators
• Quality training completion rate
• CAPA implementation and closure
• Accreditation compliance score
• Improvement in nursing quality indicators