IV, Wound and Compliance Nurse

Clinical Compliance and IV Hydration 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

PointClickCare utilization

Essential Responsibilities

I. Clinical Compliance Support (Approximately 23 Days/Week)

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:

o Skin documentation

o Falls management

o Infection prevention documentation

o High-risk medication monitoring

o Weight loss documentation

o Behavioral documentation

o Tube feeding documentation

o Dialysis documentation

o Respiratory documentation

o IV therapy documentation

o Wound documentation

o Significant change documentation

Educate licensed nurses regarding documentation standards and best practices.

Assist facilities in preparing for survey readiness.

II. Resident Wellness & Readmission Prevention (Approximately 23 Days/Week)

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

Responsibilities include:

Nutrition & Hydration Surveillance

Review all residents at least twice weekly for nutrition and hydration risk.

Evaluate:

o Meal intake

o Fluid intake

o Weight trends

o Intake/output records

o Recent illnesses

o Appetite changes

o Therapy participation

o Signs of dehydration

o Laboratory values

Interview nursing staff regarding residents showing subtle changes.

Identify residents requiring further clinical assessment.

Early Clinical Intervention

Review laboratory results and identify concerning trends.

Recommend additional laboratory testing when appropriate.

Collaborate with attending physicians and nurse practitioners regarding:

o IV hydration

o Medication adjustments

o Additional diagnostics

o 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.

Collaboration

Works collaboratively with:

Regional Director of Clinical Services

Directors of Nursing

Assistant Directors of Nursing

Unit Managers

MDS Coordinators

Nurse Practitioners

Physicians

Registered Dietitians

Qualifications

Active nursing license.

IV certification and demonstrated competency in peripheral IV insertion.

Excellent assessment and critical thinking skills.

Proficiency in PointClickCare EHR

Ability to travel between assigned facilities.

Key Performance Indicators (KPIs)

Clinical Compliance

Completion of assigned onsite audits within established timelines.

Reduction in repeat audit findings.

Improvement in documentation compliance scores.

Survey deficiencies prevented or corrected prior to state survey.

Improvement in corporate clinical audit scores.

Resident Wellness

Reduction in avoidable hospital readmissions.

Reduction in dehydration-related hospitalizations.

Reduction in acute kidney injury (AKI) transfers.

Increased early identification of residents with nutrition or hydration concerns.

Timeliness of interventions following abnormal laboratory results.

Number of successful IV hydration interventions completed in-house.

Reduction in emergency department transfers related to dehydration or failure to thrive.

Quality Outcomes

Improved quality measure performance.

Reduced unplanned weight loss.

Reduced urinary tract infection rates.

Reduced sepsis-related transfers.

Leadership & Education

Number of nurses educated during onsite visits.

Positive feedback from Directors of Nursing and Regional Directors.

Demonstrated improvement in facility clinical processes.

Consistent documentation of interventions and follow-up activities.

Characteristics of Success

The ideal Clinical Compliance and IV Hydration Nurse is highly organized, clinically astute, and action-oriented. They are comfortable moving between facilities, quickly identifying priorities, and working alongside facility staff to resolve issues rather than simply identifying them. They balance regulatory expertise with strong bedside clinical skills, helping facilities both achieve survey readiness and prevent avoidable resident decline through timely assessment, hydration, nutrition support, and evidence-based interventions. This role is measured not only by improved compliance but also by healthier residents and fewer preventable hospitalizations.