Scope

The Clinical Resource Nurse (CRN) plays severalvital roles in consulting with facilities in the improvement to the quality ofcare and quality of life and providing training and guidance toward obtainingoverall success in their clinical operations, including by assisting to developinternal processes and implement systems. The Clinical Resource Nurse’s numberone priority is assisting facilities in improving quality care and quality oflife for facility clients in its ongoing efforts toward successfully achieving aCMS 5 Star rating.

SpecificDuties

1. Provide consultation and training to assist facilities to maintain the standards, rules, and regulations by which each LTC facility is governed, through actively monitoring and verifying the following systems:

a.Accidentprevention and management

b.Pressureinjury prevention and management

c.Weightmanagement

d.Psychotropicmedication management

e.Physicalrestraints/devices

f.Painmanagement

g.Medicationmanagement

h.Boweland bladder program, catheter/urostomy

i.Infectioncontrol program, immunization

j.Admissionand discharge process

k.Changeof condition

l.RNAprogram

m.ADLdecline, contractures

n.Rehabservices

o.SpecialCare i.e. dialysis, hospice, pacemaker, IV/TPN, chemo/radiation, respiratory,GT/NGT feeding, suctioning, assistive devices, ostomy

p.Specialneeds i.e. communication, vision, hearing

q.UnusualOccurrence

r.Staffdevelopment

s.Activities

t.DisasterPreparedness

2.TheClinical Resource Nurse will conduct quality rounds when at the facilityincluding the medication room, utility room, central supply room, etc. The CRN will meet with residents and get toknow their current condition. The CRN will review resident’s charts forcompletion and accuracy.

1. The Clinical Resource Nurse will conduct in-service/education from the regulations, facility quality indicators, past surveys/complaint visit, etc.
2. The Clinical Resource Nurse will review the Survey 2567, track any trends or repeated deficiencies. If a trend is identified, the Clinical Resource Nurse will provide hands-on education and training to the facility staff.
3. The Clinical Resource Nurse will assist the facility to prepare for the survey and should be available to assist during the survey.
4. The Clinical Resource Nurse will build professional relationships with the regulatory agencies i.e. CDPH. CMS, Public Health, OSHA and etc
5. The Clinical Resource Nurse will review consultant reports, i.e. Pharmacy, RD, Wound consults, Medical Records, etc.
6. Other assigned tasks as needed.

Reporting

The Clinical Resource Nurse reports to the ChiefClinical Officer on a daily, weekly and monthly basis to track and trend careissues and repeated deficiencies. The Clinical Resource Nurse submits the dailyaudit to the client facility Administrators and DON, Chief Clinical Officer as partof the client facility’s Quality Assurance Performance Improvement Program.

MaintainingConfidentiality

The Clinical Resource Nurse upholds privacy and confidentiality inhandling clinical records in compliance with HIPAA.

Compliance As aCondition of Employment

Agreement to abide byall standards, policies, and procedures of the facility, including thefacility’s compliance and ethics program, is a condition of employment. Compliance will be a factor in evaluating jobperformance. Violations, includingfailure to report violations, will result in disciplinary action, up to andincluding termination.