This job description is for a Quality Nurse position. The Quality Nurse is responsible for planning, organizing, coordinating, evaluating and documenting a quality management program to monitor and improve nursing care quality. They ensure nursing practices comply with regulations and standards. Duties include implementing quality programs, training staff, monitoring quality work, and preparing quality reports. The ideal candidate has at least 2 years of nursing experience and leadership skills, and fluency in English/Arabic is desirable.

1. JOB DESCRIPTION
JOB TITLE
QUALITY NURSE
REPORTS TO DIRECTOR OF NURSING
DEPARTMENT JOB CODE
NURSING NR-002-4
EFFECTIVE DATE DATE REVISED NO. OF PAGES
February 2014, Version 4 January 2014 Page 1 of 6
1. BASIC FUNCTIONS
1.1 One who is responsible for planning, organizing, coordinating, evaluating
and documenting quality management integrated nursing – wide program
designed to monitor and improve the quality and appropriateness of
nursing patient care and minimized the risk of nursing practice and the
potential loss.
2. PRINCIPAL DUTIES
2.1 Plan, organize and direct nursing department quality operations and
activities.
2.2 Plan and implement quality risk management programs to meet the needs
of the nursing department.
2.3 Evaluates programs and effect changes as needed to improve quality
nursing programs and assure nursing compliance with MOH requirements,
hospital standards policies and procedures, job descriptions and
JCI/CBAHI standards.
2.4 Select, train, orient nursing personnel and staff in nursing programs in
assigned areas with appropriate personnel and maintain nursing quality,
professional growth and development.
2.5 Monitor and supervise nursing quality work and ensure nursing job
descriptions are in accordance with their job satisfaction.

2. JOB DESCRIPTION
JOB TITLE
QUALITY NURSE
JOB CODE NO. OF PAGES
NR-002-4 Page 2 of 7
2.6 Evaluate quality performance and initiate or recommend personnel for
merit, increase, promotion and or disciplinary actions.
2.7 Maintains the established hospital and nursing department policies and
procedures, mission, vision, values statement, goals and ensures all
nursing staff understands the essence and works for its attainment.
2.8 Keep nursing administration informed of nursing quality activities, needs
and problems.
2.9 Review data related to nursing care indicators, normally in conjunction
with the nursing staff and Quality Nurse Link.
2.10 Establish and maintain tracking systems for nursing quality activities.
2.11 Investigate nursing problem areas and follow – up on proposed corrective
actions.
2.12 Coordinate concurrent review studies performed with in the nursing
quality improvement problems.
2.13 Communicate new and revised program objectives to nursing
management to maintain awareness, interests and commitment.
2.14 Maintain close liaison with other hospital departments to assure
coordination, standardization and continuity of quality improvement
programs.
2.15 Providing risk identification and control through analysis of incident
patterns.

3. JOB DESCRIPTION
JOB TITLE
QUALITY NURSE
JOB CODE NO. OF PAGES
NR-002-4 Page 3 of 7
2.16 Prepares resulting nursing quality reports as requires.
2.17 Attends required meetings and participate in all nursing committees as
required and as directed.
2.18 Organize and or activate nursing quality management/ improvement
committees that will work on the nursing quality/ management programs
and activities.
2.19 Identify patients and family’s needs for education then provide the patient
and / or his family with the necessary information regarding illness and
the required care, diet restrictions, basic infection control guidelines,
treatment explanation, use of medical equipment and how to carry out
ADL.
2.20 Respect the patient rights according to the hospital policy and inform him
about his responsibilities when needed.
2.21 Participate in all quality management/ improvement activities within his/
her department.
2.22 Be aware of standards precautions for infection control and implement the
infection control guidelines in his day to day activities.
2.23 Performs other duties when needed necessary as assigned by the Director
of Nursing for the nursing department.
2.24 To carry out nursing quality a mandate, the department must work in
close association with the quality management, utilization review and
audit committee as well as with other medical staff committee and most
hospital departments to which collaboration and cross functional activities
are required.

4. JOB DESCRIPTION
JOB TITLE
QUALITY NURSE
JOB CODE NO. OF PAGES
NR-002-4 Page 4 of 7
2.25 Ensures that all staff knows and understands department policies and
procedures concerning CPR, fire, disaster, emergency codes etc.
2.26 Follow all ACCREDITATION BODIES STANDARDS (e.g. CBAHI, JCI…etc)
related to his/her day to day work and participates actively in quality and
performance improvement activities as guided by the Total Quality
Management Department.
3. EDUCATION
3.1 Essential:
 Graduate of an accredited school of nursing
3.2 Desirable:
 Registered Nurse in the country of origin
 SCFHS
 BLS Certificate
4. EXPERIENCE AND OTHER QUALIFICATIONS
4.1 Professional Experience:
4.1.1 Essential:
 Minimum 2 years professional nursing experience
 Acceptably demonstrated leadership and management experience

5. JOB DESCRIPTION
JOB TITLE
QUALITY NURSE
JOB CODE NO. OF PAGES
NR-002-4 Page 5 of 7
4.2 Specialized Knowledge/ Experience:
4.2.1 Essential:
 Flexible, mature, creative individual who is capable of sound
decision making and uses scientific approach to problem solving.
 Exhibits professionalism and excellent interpersonal communication
skills.
4.2.2 Desirable:
 Fluent in speaking English/Arabic
5. OTHERS
5.1 Conditions:
5.1.1 This job description will become effective from the date signed by
the General Manager.
5.1.2 This job description shall be subject to periodic review and or as per
hospital rule and may be changed at any time, in consultation with
the employee.

6. JOB DESCRIPTION
JOB TITLE
QUALITY NURSE
JOB CODE NO. OF PAGES
NR-002-4 Page 6 of 7
6. APPROVALS
NAME TITLE SIGNATURE DATE
Prepared by Mr. Jude Daniel
Villanueva
Quality Nurse
Prepared by Human Resources
Manager
Reviewed by Mrs. Amneh Dagher Director of Nursing
Reviewed by TQM Director
Approved by Mr. Yahia Algahtani Chief Executive Officer

7. JOB DESCRIPTION
JOB TITLE
QUALITY NURSE
JOB CODE NO. OF PAGES
NR-002-4 Page 7 of 7
7. EMPLOYEE CONFORMANCE
Level/Grade Type of Position:
Full-time
Part-time
Contractor
Intern
Hours/week
Exempt
Nonexempt
Date Hired:
I have reviewed this job description upon duty joining and have received
a copy. I also understand all described duties and functions that are
expected of me, and I therefore commit myself to fulfill the
responsibilities described herein to the best of my abilities.

48
Name:
Position:
Signature:
Date: