IV, Wound and Compliance Nurse

The Clinical Compliance and IV Hydration Nurse serves as a hands-on clinical resource supporting approximately three skilled nursing facilities within an assigned region. Working under the direction of the Regional Director of Clinical Services, this role focuses on improving regulatory compliance, strengthening clinical systems, and proactively identifying residents at risk for clinical decline.

The position is divided between two primary responsibilities:

• Clinical Compliance Support – Addressing audit findings provided by regional / corporate team members. Working in collaboration with, or in support of, facility nursing administration to fix issues that have been identified and implement sustainable improvement plans.
• Resident Wellness & Readmission Prevention – Providing proactive hydration and nutrition surveillance and intervention; identifying residents at risk for avoidable hospitalization, collaborating with physicians / midlevel providers, and initiating interventions to improve resident outcomes.

This role requires an experienced nurse who enjoys working independently, solving problems, mentoring staff, and directly impacting quality outcomes. Candidate must be highly proficient in:

• Clinical assessment
• IV initiation and administration
• Communication with physician-level staff
• Point Click Care  utilization

Working from audit findings provided by the Regional Director of Clinical Services and corporate clinical teams, the Regional Clinical Support Nurse will:

• Validate findings through medical record review, resident observation, and staff interviews.
• Correct deficient documentation and clinical processes whenever appropriate.
• Ensure care plans accurately reflect resident conditions and interventions.
• Verify physician orders are appropriate and implemented.
• Review nursing documentation for accuracy, completeness, and regulatory compliance.
• Audits will include but not be limited to:
  • Skin documentation
  • Falls management
  • Infection prevention documentation
  • High-risk medication monitoring
  • Weight loss documentation
  • Behavioral documentation
  • Tube feeding documentation
  • Dialysis documentation
  • Respiratory documentation
  • IV therapy documentation
  • Wound documentation
  • Significant change documentation
• Educate licensed nurses regarding documentation standards and best practices.
• Assist facilities in preparing for survey readiness.

Serve as a proactive clinical resource focused on preventing avoidable hospitalizations through early identification of residents experiencing clinical decline.

• Review all residents at least twice weekly for nutrition and hydration risk.
• Evaluate:
  • Meal intake
  • Fluid intake
  • Weight trends
  • Intake/output records
  • Recent illnesses
  • Appetite changes
  • Therapy participation
  • Signs of dehydration
  • Laboratory values
• Interview nursing staff regarding residents showing subtle changes.
• Identify residents requiring further clinical assessment.

• Review laboratory results and identify concerning trends.
• Recommend additional laboratory testing when appropriate.
• Collaborate with attending physicians and nurse practitioners regarding:
  • IV hydration
  • Medication adjustments
  • Additional diagnostics
  • Nutritional interventions
• Initiate peripheral IV access within scope of practice.
• Administer IV fluids as ordered.
• Monitor resident response to hydration therapy.
• Ensure appropriate follow-up after interventions.

Works collaboratively with:

• Regional Director of Clinical Services
• Directors of Nursing
• Assistant Directors of Nursing
• Unit Managers
• MDS…