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Job Objective: A brief overview of the position.
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Manages the planning, development, implementation, evaluation/continuous improvement of an infection prevention and control program for the hospital and associated ambulatory care clinics.
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Reports to
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Director(s) Quality Improvement and Patient Safety Officer
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Supervises
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RN Infection Preventionists
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Ages of Patients
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Neonate/ Infant
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Pediatric
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Adolescent
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Adult
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Geriatric
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Blood Borne Pathogens
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High Potential
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Qualifications
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Education
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Required: BSN
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Preferred: Master's degree in nursing, public health, epidemiology, environmental health, microbiology or other public health related field
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Licensure/Certification
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Required: California RN License
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Preferred: Certification in Infection Control
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CIC® credential awarded by the Certification Board of Infection Control and Epidemiology, (CBIC)
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Experience
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Required: Minimum five (5) years of experience as an Infection Control Professional
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Required: Minimum three (3) years of experience in an established infection prevention/control program in an acute care hospital including minimum (2) years of program management
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Preferred: Demonstrated knowledge/experience in leading performance improvement initiatives
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Essential Responsibilities
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Program Management:
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Manages the planning, development, implementation, evaluation/improvement of infection prevention and control services/programs that meet or exceed established standards/performance measures for quality, patient satisfaction, cost, employee quality of work life, physician and department satisfaction, clinical outcomes and regulatory compliance
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Develop, evaluate and modify the annual surveillance plan based on the population(s) served, services provided and analysis of the surveillance data
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Manages infection prevention and control services/programs in the hospital and ambulatory clinics. Ensures that services/programs are of uniform and consistent value, quality, performance and cost throughout all departments in the hospital and outpatient clinic buildings
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Manages the development and implementation of evidence-based interventions designed to reduce/eliminate the risk for Healthcare Associated Infections (HAIs) and/or disease transmission
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Acts as the Infection Prevention and Control liaison/consultant for the entire Medical Center and/or delegates appropriate duties
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Manages surveillance activities and the monitoring, reporting and development of applicable intervention(s) for infection trends (e.g. National/Regional/ Divisional Indicators, Board Report, facility specific indicators, etc.) in the acute and ambulatory settings
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Develops and reviews infection prevention and control policies and protocols
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Design and Deliver Education:
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Manages the preparation and response to emerging infectious disease threats and/or exposures
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Serves as subject matter expert who assists medical center leadership team in internal or external disaster response/mitigation
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Evaluates the effectiveness of educational programs and learner outcomes
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Regulatory Requirements:
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Manages the compliance with applicable regulatory requirements through interpretation of Regulatory Standards, investigation of disease outbreaks and exposures, surveillance and reporting communicable diseases to the CDPH as required
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Manages the development and review of Infection Prevention and Control Standards of Care Policy and Procedure manuals
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Serves as subject matter expert who assists medical center leadership team in internal or external disaster response/mitigation
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Provides expert review and consultation for all facility construction/remodels as described in the Organization's Pre-Construction Risk Assessment (PCRA)
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Performance Improvement:
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Develops, implements and improves systems, methods, processes to evaluate/improve performance and quality outcomes/measures for infection prevention and control services/programs throughout the entire healthcare system
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Utilize Performance Improvement (PI) methodology as a means of enacting change
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Define the scope of the project and select appropriate PI tools to aid in efficiency, reliability, effectiveness and ensure sustainability of the initiative
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Participate in PI committees, teams and initiatives as indicated
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Occupational Health:
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Assess the risk of occupational exposures to infectious diseases
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Develop (or assist with) rates and trends of occupational exposures
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Develop (or assist with) immunization and screening programs
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Professional Accountability:
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Pursue professional growth and development of required knowledge and skills
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Maintain certification and licensure requirements
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Establish at least one professional goal per year
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Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and reports suspected violations
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Develops and maintains effective communication with administrative/management staff and physicians
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Participate in an infection prevention and control professional organization/association (i.e. APIC)
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Collaboration:
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Consult and collaborate with local, state, and federal public health officials, and community health organizations.
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Involve multidisciplinary teams to ensure changes are vetted and approved by all stakeholder groups
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Develops and maintains excellent, collaborative relations with key stakeholders/departments including but not limited to: Employee Health, Nursing, Perioperative, Perinatal, Emergency Services, Urgent Care, and various physician specialties
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In partnership with Infection Prevention staff and departmental managers develops, monitors and modifies Infection Prevention and Control Program department specific goals/objectives as appropriate
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In partnership with the Sterile Processing Director/Manager provides expert leadership and knowledge to assure all sterilization and disinfection processes throughout the Hospital and Ambulatory Clinics are in compliance with all national and state standards
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Leadership:
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Bring enthusiasm, creativity and innovation to the IP program
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Work collaboratively with others providing direction when necessary
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Contribute to the development of healthcare providers through education and mentorship
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Manage human resource processes; provides supervision and leadership to Infection Prevention staff; hires, fires, promotes, demotes, manages and evaluates staff performance and development
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Prepare and deliver infection prevention presentations to external groups and organizations
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Research and Implementation Science:
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Together with the Infection Control Committee Chair, initiates and directs research projects and epidemiological investigations of significant clusters of infection or serious communicable disease concern
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Critically evaluate research and evidence based practices and incorporate appropriate findings into routine practice
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Integrate evidence-based practices into policies, guidelines, protocols and educational strategies
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Identify barriers for implementation and develop strategies to minimize or remove barriers
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Infection Prevention and Control Informatics:
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Demonstrate expertise in infection prevention software and technology
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Collaborate with Information Technology to create meaningful electronic reports to enhance infection prevention initiatives
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Fiscal Responsibility:
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Consider the financial/safety implications and clinical outcomes when making recommendations, evaluating technology and products and developing policies and procedures
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Use a systematic approach to evaluate costs, benefits and efficacy
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Manages and/or reduces costs
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Assist with development and maintenance of departmental budgets
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- Performs other activities and responsibilities as directed
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Category
Management & Supervision
Department
Quality Improvement
Schedule
Full Time
Shift
Day
Hours
8 Hour Shift
Location
Rancho Mirage, CA 92270
Job #
R0254532