Reviews, analyzes, and applies existing regulations, standards and/or guidelines of applicable professional organizations and governmental agencies. Recommends new or revised practices or procedures based on currently accepted, evidence based infection prevention and control strategies. Reviews, analyzes, and applies pertinent information from current scientific literature and publications. Integrates relevant public health issues into practice.
Develops and maintains updates of Infection Prevention and Control Standards for all departments.
Conducts surveillance activities and outbreak/exposure investigations by using epidemiologic principles. Integrates these activities with Associate Health as appropriate. Notifies State and local public health of reportable diseases.
Conducts surveillance in a systematic approach to monitor the effectiveness of prevention and control strategies maintaining consistent communication with the Infection Prevention Manager.
Uses standardized definitions for the identification and classification of events, indicators, or outcomes.
Routinely conducts isolation rounds assessing isolation precautions appropriateness, patient placement and other matters of infection prevention concerns.
Routinely conducts OR/CS rounds assessing processes with feedback to the OR/CS Quality Committee & Infection Prevention & Control Committee.
Monitors hand hygiene compliance with feedback to respective departments, Environment of Care Safety Committee (NPSG), and the Infection Prevention & Control Committee. Reinforces recommendations from the committees and regulatory agencies.
Coordinates the collection of and reporting of Infection Prevention NPSG data. Disseminates compliance data to respective department managers, associates, and the EOC Safety Committee.
Monitors, coordinates, & collects data for validation studies requested as needed. Disseminates data to Quality Management requested by regulatory agencies.
Utilizes Infection Prevention software and other data tools (i.e., BOE reports for device days, surgical procedures, patient days, etc.) for surveillance activities.
Reports epidemiologically significant findings to appropriate customers, the Infection Prevention Manager and the Infection Prevention & Control Committee Chairman.
Enters surveillance data into the National Healthcare Safety Network Database as mandated by State Law.
Serves as an educational resource for infection prevention and control and health care epidemiology for internal & external customers.
Routinely assesses the educational needs of customers and develops educational objectives and strategies to meet those needs. Collaborates in the development, delivery, and evaluation of educational programs or tools that relate to infection prevention, control, and epidemiology. Continuously evaluates the effectiveness of educational programs and learner outcomes.
Provides expert knowledge and guidance in epidemiology and infection prevention and control-related issues. Maintains access to current information on infection prevention and control and epidemiology. Provides knowledge on the function, role, and value of the program to customers.
Consults with Infectious Disease physicians on a routine basis over HAI determinations, isolation precautions, modes of transmission, reportable conditions, and best practices.
Integrates regulatory requirements, accreditation standards, guidelines, best practices, and current infection prevention and control practice into organizational standards and practices.
Provides consultation to committees, associates, managers and all areas of the facility on issues regarding infection prevention and control and epidemiology.
Consults with Associate Health, Infectious Disease physicians, and department managers with communications, recommendations, and follow up for associates with active infectious/communicable diseases and/or exposures to the same.
Participates in annual Influenza Vaccination Program.
Provides consultation to the community on issues regarding infection prevention and control and epidemiology via inquiries and participation with community organizations.
Participates in Bed Board and other meetings in the absence of the Infection Prevention Manager as needed.
Participates in organizational, system office and community disaster/pandemic planning.
Participates as an integral component of the plan for improvement of practice and patient outcomes.Identifies opportunities for improvement based on indicators, process and outcome measures, other findings, and/or observations. Contributes epidemiologic skills to improvement processes. Collaborates with Quality Management in determining CAUTI & CLABSI HACs. Acts as a Liaison with the Infectious Disease physician and Quality Management in relation to physician education and/or documentation recommendations.
Participates in the organization�s multidisciplinary quality improvement strategies (e.g. IHI Teams CLIP, VAE, SCIP, and CAUTI).
Participates in the organization�s multidisciplinary safety program. Participates in the construction and renovation infection control risk assessment process, conducts construction safety rounds, and participates in safety committees in the absence of the Infection Prevention Manager as necessary.
Participates in organizational readiness, preparation and compliance with the Joint Commission Surveillance, Prevention, and Control of Infections chapter. Participates in tracer surveys.
Participates in the Value Analysis Team in the absence of the Infection Prevention Manager in providing recommendations for aseptic technique for procedures using new/revised patient care equipment, cleaning, disinfection, & sterilization of equipment, and for handling & storage of supplies and equipment
Applies relevant research findings to infection prevention and control practice.Critically evaluates research and incorporates findings. Disseminates relevant published research findings through practice, education, or consultation.
Organizes and shares findings from surveillance activities or outbreak investigations.
Participates in infection prevention and control related research independently or collaboratively
The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Title(s) of position(s) directly Supervised:
Number of individuals directly supervised:
More than 3 years related experience
License / Certification/ Registration
Certification in Infection Control and Epidemiology or completes within 18 months of hire
Works in a well lit, heated and ventilated area. Position requires considerable mobility throughout the facilities. Potential exposure to routine, communicable diseases through regular contact with associates and the public at large.
We reveal and foster God's healing love by improving the health of the people and communities we serve, especially those who are poor and vulnerable.
Inspired by our faith,
•We will be distinguished as the premier person-centered health system and trusted partner.
•We will share accountability with clinicians and other stakeholders to coordinate care across all settin...gs and improve access, quality, health outcomes, and affordability.
•We will grow as community-based health networks to serve more people in partnerships with others who share our vision and values.
Caring Spirit - We honor the sacred dignity of each person.
Excellence - We set and surpass high standards.
Good Humor - We create joyful and welcoming environments.
Integrity - We do the right thing with openness and pride.
Safety - We deliver care that seeks to eliminate all harm for patients and associates.
Stewardship - We are accountable for the resources entrusted to us.