Summary
GENERAL SUMMARY:
Develops, maintains and evaluates the hospital-wide infection prevention program. Develops, maintains and reports results on programs for surveillance of community-acquired and health care associated infections. Provides in-house staff assistance and consultative services in areas related to infection prevention. Develops and conducts hospital infection prevention educational programs.
PRINCIPAL JOB FUNCTIONS:
- 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values.
- 2. *Develops and implements a surveillance system to identify nosocomial infections to include the following:
- a. Identifies and describes the event to be monitored.
- b. Defines the population at risk.
- c. Selects appropriate measurement methods, that includes statistical tools and risk stratification.
- d. Identifies and describes the data sources and data collection methods.
- e. Defines numerators and denominators.
- f. Prepares and distributes reports to appropriate departments, teams, or committees.
- g. Analyzes data; uses analysis to monitor and improve infection control and healthcare outcomes.
- h. Compares the data with external comparative measurements as appropriate.
- 3. *Sets and recommends policies and procedures to prevent adverse events.
- 4. *Applies the National Healthcare Safety Network (NHSN) definitions of infections to actual situations, is familiar with the NHSN system, and can utilize the applications within that system.
- 5. *Monitors policies and procedures to ensure they are scientifically valid, practical and cost effective.
- 6. *Ensures compliance with Joint Commission, federal, state and local standards, regulations and laws, as they relate to infection control.
- 7. *Develops and implements a reporting system for communicable diseases.
- 8. *Works collaboratively with representatives of the employee health program to develop and monitor immunizations, communicable disease screenings, work restrictions for communicable diseases and post-exposure follow-ups.
- 9. *Intervenes to prevent the transmission of infectious diseases in patients and healthcare personnel through:
- a. Review of microbiology records to identify any unusual clusters.
- b. Performance of routine environmental rounds.
- c. Development of a hand hygiene monitoring program.
- d. Leads or participates in teams to systemically reduce the risk of infection.
- e. Advising and consulting with physicians, nurses, patients, families, medical center personnel and the community concerning any precautions needed to be taken to protect patients or healthcare personnel.
- 10. Accesses medication rooms/areas to assess for outdated medications, storage requirements and contamination of medications.
- 11. *Plans and implements an educational program for Medical Center personnel concerning infection control and prevention.
- 12. *Maintains a knowledge base of current infection prevention and control information through peer networking, internet access, published literature and/ or professional meetings.
- 13. *Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
- 14. *Participates in meetings, committees and department projects as assigned.
- 15. *Performs other related projects and duties as assigned.
(Essential Job functions are marked with an asterisk “*”).
REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:
- 1. Knowledge of Hospital Infection Control procedures including epidemiological principles and surveillance methods, which leads to development of interventions based on the data.
- 2. Knowledge of communicable and infectious diseases, including methods to prevent transmission.
- 3. Knowledge of related clinical applications including sterilization, sanitation, disinfection, asepsis, and immunization.
- 4. Knowledge of local, State, Federal and Joint Commission regulations as they relate to infection prevention and control.
- 5. Knowledge of quality improvement principles and practices.
- 6. Knowledge of computer hardware equipment and software applications relevant to work functions.
- 7. Ability to plan and design methods and interpret data.
- 8. Ability to prepare written reports and make oral presentations on work-related subject matter.
- 9. Ability to develop and conduct instructional programs.
- 10. Ability to communicate effectively both verbally and in writing.
- 11. Ability to perform crucial conversations with desired outcomes.
- 12. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff.
- 13. Ability to problem solve and engage independent critical thinking skills.
- 14. Ability to maintain confidentiality relevant to sensitive information.
- 15. Ability to prioritize work demands and work with minimal supervision.
- 16. Ability to maintain regular and punctual attendance.
EDUCATION AND EXPERIENCE:
Bachelor of Science Degree in Nursing, Allied Health or related discipline required. Prior epidemiological experience in a hospital environment preferred.
OTHER CREDENTIALS / CERTIFICATIONS:
Infection Control (CIC) certification from the Certification Board of Infection Control and Epidemiology, Inc. (CBIC) required within 30 months of hire into role.
PHYSICAL REQUIREMENTS:
(Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.)
(DOT) – Characterized as light work requiring exertion up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.
There is potential exposure to blood/body fluids or infectious diseases.