Registered Nurse IV, Risk Management Coordinator

General Summary

The Department of Mental Health, Quality Improvement Department at Tewksbury Hospital is seeking an experienced and skilled Registered Nurse to perform a variety of Quality Improvement functions as well as supporting the Psychiatric Units as a member of various Hospital-wide and Psychiatric Services Committees and Teams.

Please note: This position is 40 hours per week, 7:00am-3:30pm, Days off Saturday/Sunday

Duties and Responsibilities (these are a general summary and not all inclusive):

• Participates in the following Hospital and/or Psychiatric Services Committees/meetings on a regular basis:
• Quality Patient Safety (QPS)
• Risk Management Team (RMT)* (chair)
• DPH Information Management Committee
• DPH Falls Committee
• DPH Patient Safety Committee
• DPH Employee Safety Committee
• FSA Committee (Joint Commission Prep team)

o   Covers other Committees as requested to back-up other QI staff.

o   *Performs key facilitation, leadership, or clinical role in these committees.

• Coordinates all Risk Management Activities for the Psychiatric Services Units supporting the Psychiatric Services Executive Staff in proactively addressing all potential high-risk occurrences, including but not limited to medication errors, falls and self-injurious behaviors resulting in serious injury.
• Works with Clinical Nurse specialist in reviewing and analyzing falls in the psychiatric units. Presents findings to the Hospital Fall committee and follow up with recommendations for safety protocols.
• Participate in data analysis of quality improvement data and develop quarterly and annual QI reports, graphs and executive summaries in collaboration with the PI Committee and the Director of QI.
• Assist the Psychiatric policy review and revisions process by maintaining a review system, adding policies up for review to monthly meeting agenda, ensuring timely completion of revisions of QI policies and procedures.
• Facilitates Risk Management Committee by reviewing all psychiatric services incidents, categorizing these incidents according to policy and preparing the Risk log, including all entries in the DMH SLS system.
• Follow up with unit staff on identified risk issues and reports to committee any corrective actions taken.
• Collaborates with nursing staff development in preparing and/or revising policies and/or procedures based on corrective actions request or root cause analysis recommendations.
• Key roles in JC survey preparation include consultation for QPS Committee and coordinating JC educational activities with DPH Quality Management Dept.
• Facilitate Performance Improvement activities as assigned.
• Conducts all Psychiatric Units chart review activities on all new admissions for all disciplines and generates reports to present to the PIC committee.
• Coordinates Departmental QI through provisions of additional consultation as requested.
• Utilizes Tableau or other sophisticated data mining software and systems to analyze data and produce required dashboards for the Psychiatric Units.
• Works with staff development & Psychiatric Nursing to identify staff training need