· Personnel Home · MQ’s · Specs Index · Examination Code: R ·
Nature of Work
Under limited supervision, performs advanced level
professional work conducting complex regulatory compliance
determinations for Medicare/Medicaid certification and State
licensure during inspections and complaint investigations of
health care facilities, including but not limited to: hospitals,
long term care facilities, home health agencies, hospices,
residential board and care homes, personal care homes, ambulatory
surgery centers, end stage renal dialysis units, rural health
clinics, intermediate care facilities for the mentally retarded,
behavioral health group homes, birthing centers, unlicenced and
illegal health care operators and schools. Functioning as a
registered professional nurse, evaluates the provision of nursing
care based on training and experience as a nurse and clinical
knowledge of accepted standards of nursing practice; performs
advanced assessments of individuals served by these health
facilities for appropriateness of nursing and other health
services. May function as team leader of a multi disciplinary
team or a lead worker. Conducts facility surveys through
observation and evaluation of the provision of patient care and
other services, interviews, record review including but not
limited to: personnel files, patient medical records, facility
policy and procedures, patient care protocols, administrative
records and committee minutes. Work involves frequent travel.
There is considerable dependence on professional judgment in the
performance of a survey. Other responsibilities include the
provision of technical assistance to health care providers,
planning and presenting provider training, regulatory
development, participation in various state committees, and acts
as a resource to other health facility surveyors and non-nurse
program managers regarding nursing and other health related
issues. Performs related work as required.
Distinguishing Characteristics
This level is distinguished from the Health Facility Nurse
Surveyor 1 by the responsibility of leading survey teams or
functioning as a lead worker.
Examples of Work
Conducts on-site surveys and complaint/abuse investigations in
the above referenced health care facilities; discusses
survey procedures and practices with administrators,
department directors and facility staff.
Assesses and evaluates patients/residents for the accuracy of
the facility staff assessments and the appropriateness and
efficacy of nursing and related health care provided, i.e.
physical occupational, speech and respiratory therapies,
etc.
Evaluates the provision of nursing services based on accepted
standards of practice and facility policy and procedure for
nursing techniques including but not limited to: emergency
care, intravenous therapy, enteral therapy, injections,
tracheostomy care, suctioning, infection control procedures
including sterile technique and body substance isolation
precautions, assessment and special skin care, range of
motion, positioning, use of assistive devices and
prostheses.
Makes determinations that poor patient/resident outcomes are
based on facilities' failure to assess or provide for a
medical/nursing need.
Cites statements of deficient practice for identified non
compliance relative to nursing and related health care and
defends these deficiencies in administrative official
hearings.
May function as team leader of a multi-disciplinary team or a
lead worker.
Knowledge, Skills and Abilities
Knowledge of technical health and safety related fields
including special education, behavioral health and
laboratory services.
Knowledge of medical and behavioral terminology, health care
organizations, professional credentials and practice
standards and treatment modalities as they relate to
medical, nursing, laboratory medicine or science, behavioral
health, pharmaceutical, and documentation principles related
to each.
Knowledge of practices and procedures in medical care
administration and health services provision.
Ability to comprehend, interpret and apply complex information
and program material.
Ability to work well with a variety of people.
Ability to communicate well, both orally and in writing.
Ability to exercise good judgment in evaluating situations.
Ability to manage time effectively.
Ability to lead co-workers.
Minimum Qualifications
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Training:
Baccalaureate degree in nursing from an accredited
four-year college or university and four years of full-time
or equivalent part-time paid experience as a registered
professional nurse.
OR
Successful completion of an associate degree from an
accredited college or university or a diploma nursing
program and five years of full-time or equivalent part-time
paid experience as a registered professional nurse.
OR
Professional certification from a recognized national nursing
certifying organization as a nurse or nurse practitioner in
the area of assignment and four years of full-time or
equivalent part-time experience as a registered professional
nurse.
OR
Successful completion of an associate degree in nursing from
an accredited college or university or a diploma nursing
program; plus baccalaureate degree in the health sciences or
behavioral sciences and four years of full-time or
equivalent part-time paid experience in nursing.
OR
Master's degree in nursing from an accredited four-year
college or university and three years of full-time or
equivalent part-time paid experience in nursing.
Special Requirement:
Current West Virginia licensure or temporary permit to
practice as a registered professional nurse.
NOTE: If employed in the Long Term Care Program of the Office of
Health Facility Licensure and Certification, one must have
successfully completed the required training in survey and
certification techniques and the Surveyors Minimum Qualifications
Test (SMQT).
Established: 07/15/99
Retitled & Revised: 11/18/99
Effective: 01/1/00