Walk-in | Quality Nurse

Sai Sindhu Foundation; Hyderabad; On-site; INR 900,000 - 1,400,000; Full time

Job summary

Sai Sindhu Foundation invites applications for a Nursing Quality & Clinical Audits role to drive patient safety and continuous quality improvement across wards, ICUs, OT, and emergency areas.

The incumbent will lead audits, ensure adherence to SOPs and policies, and coordinate with multiple departments to implement CAPA and evidence-based practices. Strong documentation, data analysis, and training skills are required.

Qualifications

• BSc Nursing or equivalent with valid registration.
• Certification in Healthcare Quality preferred.
• 25 years of clinical nursing experience preferred.

Responsibilities

• 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.
• 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.
• 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.
• 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.
• 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.
• 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.
• 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.

Skills

Clinical audit

NABH/JCI standards

Patient safety

Quality improvement

Incident reporting

Data analysis

Documentation

Training

Communication

Multidisciplinary teamwork

Education

BSc Nursing / Post Basic BSc Nursing / GNM

Valid nursing registration

Healthcare Quality / NABH / Patient Safety / Hospital Quality Management certification

Job description

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