Assistant Nursing Superintendent

**Nursing Superintendent**:

- Overall supervision of nursing activities throughout the organization and across all the centers under purview.
- Manpower planning of nursing staff for the present and future activities/ expansions.
- Coordinating with the other administrative departments for smooth functioning of patient care activities.
- Supervising the staff allocation patterns and providing suggestions for optimum utilization of human resources.
- Putting forward policies and procedures related to nursing care in consultation with the clinicians & reporting authority.
- Updating, reviewing and issuing the documented nursing protocols to the staff.
- Discussing the issues related to nursing care and the consumables used by the nursing staff with the management
- Monitoring Quality Indicators and providing the information to the appropriate committee or personnel.
- Going on day to day rounds to evaluate the effectiveness of nursing care,patient feedback& incidence RCA
- Collecting all the incident reports and analyzing them to find the Root Cause Analysis.
- Organizing Continual Nursing Education activities.
- Arranging for sending the nurses for external training sessions/ seminars/ workshop/ lectures, etc.
- Correcting/ counseling and educating the staff in the event of errors/ mistakes/ complaints/ negligence reported.
- Participating and contributing to the discussions related to patient care and other hospital related through various meetings held especially through committee meetings.

a) Inventory Management

b) Infection control policies & protocols

c) Auditing
- Internal & External

d) Grievance handling.

**AUTHORITY** in concern with HOD

a) Authorized to modify the nursing protocols and policies as and when required.

b) Authorized to allocate/ shuffle the nursing staff depending on the workload.

Authorized to plan and arrange for the continual nursing education services.

**Patient Safety Officer**:

- Provides leadership and direction to the organizational patient safety strategy
- Continuously evaluates and improves the patient safety program based on internal needs and external requirements and NABH standards
- Collaborating with key organizational leadership (clinical, operational, legal), directs and is accountable for the development and implementation of a comprehensive patient safety and risk management plan and updates this plan at least annually.
- Conducts an annual and on-going assessment of patient care risks by working closely with the clinical leadership across with the team to develop International patient safety goals.
- Develops and implements a company-wide patient safety measurement strategy
- Develops and implements an adverse event reporting and patient complaint management system that is easy to use and engages the frontline care providers, patients and families in patient safety efforts
- Supports/facilitates the implementation of innovation and systems that eliminate patient harm.
- Works with clinical leaders and nursing personnel to coach/teach/train them in leading teams to improve patient safety
- Collaborates with the Quality improvement efforts to identify key improvement focus areas that impact both patient care quality and safety.
- Develops and implements initiatives to create a patient safety culture using transparency of information as the foundation of this effort
- Co-chairs the **patient safety committee** which will include clinicians from the field and will have activities focused on data review, identification of trends, prioritization of risks and actions to mitigate risks in an on-going way.
- Chairs the **Patient Safety Peer Review Committee** to consistently evaluate specific provider performance during his/her employment. The chair will establish consistent processes for review and feedback so that the focus is on on-going physician development and improvement whenever possible.
- Oversees individual case reviews and develops appropriate tools and training so that clinical program leadership learns how to conduct these reviews and can partner effectively with the patient safety efforts.
- Works with clinical leadership to design, implement and assess the patient safety educational modules for new employees. These educational modules will be on-going with a focus on teaching specific skills such as conducting a root cause analysis and using patient safety tools such as the learning from defect tool.
- Participates as needed on clinical and operational calls to inform and educate the program teams about the **Patient Safety Program **and also to get feedback and input into how this program grows and is implemented.
- Monitors literature and professional organizations for new or revised best practices related to patient safety.
- Assists individual providers as necessary in responding to inquiries from professional organizations in collaboration with Quality department.
- In collaboration with clinical leadership, develop a “second victim” sup