Patient Safety Risk Manager

Job description

Contracted medical staff will be working alongside uniformed Customs and Border Protection (CBP) Agents/Officers in secured federal facilities along the southwest border of the United States. These secured federal facilities are staffed and monitored by CBP personnel and/or contracted security staff 24 hours a day, 7 days a week to assure a safe working environment to include the co-located medical unit. Contracted medical staff work together with CBP personnel to provide health care services for persons of all ages, to include infants, children, adults, and pregnant females.

Mission

CBPs Office of the Chief Medical Office (OCMO) employs a family medicine model to provide frontline medical care for persons in CBP custody. This model provides a team of medical professionals comprised of physicians, advanced practice providers (e.g., physicians assistants, nurse practitioners), clinical support staff (e.g., Licensed Practical/Vocational Nurses, Paramedics, EMTs, Certified Medical/Nursing Assistants), and other support staff (Patient Safety Risk Managers and Electronic Health Records Specialists). These contracted medical teams provide basic assessment and medical treatment for persons in CBP custody to include emergency care as needed. OCMO is committed to ensuring a system of care that is ethical, responsible, and accountable through surveillance and monitoring activities that are in place. DHS/CBP Contracting Officer Representative (COR) and/or Contracting Officer, as applicable

BASIC REQUIREMENTS

Licensure/Certification:
1. Candidates must be currently licensed to practice as Registered Nurse in a State or territory of the United States or the District of Columbia. Licensure must be maintained current, and any required education, trainings, continued learning to maintain licensure must be completed within the required timeline for completion by the licensing authority. A temporary license will not be accepted.
2. Candidate must not have had any professional licensure or certification withheld, suspended, revoked, or denied, and the candidate must not have surrendered or allowed a professional license or certification to have expired or lapsed because of an investigation or disciplinary action.
3. Candidate must not have been convicted of, pled guilty to, pled nolo contender to, or received probation before judgement for any crime other than a minor traffic violation, the record of which has not been expunged.
4. Basic Life Support (BLS) Certification must be from one of the following approved
organizations:

a. American Heart Association (AHA) BLS for health care providers
b. American Heart Association Advanced Cardiac Life Support (ACLS), if applicable
c. American Red Cross CPR/BLS for the professional rescuer
d. American Safety and Health Institute (ASHI) CPR and AED for healthcare providers and professional responders
i. Course components must include Adult, Pediatric, and Infant CPR, Foreign Body Airway Obstruction, and Automatic Defibrillator (AED) proficiency
ii. Applicant/ Employee must be certified upon hire and may also be a
certified instructor
iii. BLS must be renewed prior to expiration date, and always kept in an active status
5. Bilingual in English and Spanish encouraged, but not required.

Education/Experience:

1. Graduate from an accredited baccalaureate Registered Nurse Program located in a State, the District of Columbia, or a U.S. territory. The degree issuing institution and/or program must be accredited by an entity recognized by the U.S. Department of Education.
2. Must have a minimum of five years of clinical experience in direct patient care as a registered nurse and at least three years of experience in risk management, patient safety, and quality management.
3. Experience in detention/correctional healthcare, ambulatory care, or a pediatric care setting encouraged, but not required.
4. Supervisory experience preferred, but not required.

Duties and Responsibilities:
1. Under the direction of the Patient Safety Quality Management Director (NPSQMD), designs and implements the overall risk management process for assigned medical units.
2. Serves as the on-site risk management lead, performing duties at an assigned medical unit
for an assigned region/sector/area.
3. Performs annual risk assessments, analyzing current risks and identifying potential risks
that affect the assigned medical units.
4. Oversee and performs all risk reporting activities for assigned medical units, managing a local risk management database to track and monitor all occurrences, incidents, reports, and medical sentinel events. Creates a monthly risk report to submit to the NPSQMD in support of/as a part of the national medical quality management (MQM) program.
5. Oversees the health and safety program for assigned medical units:
a. Assures completion of required medical clearance for FIT testing
b. Performs annual FIT testing of all employees at assigned units
c. Educates assigned medical units and staff on hire and annually on all OSHA
compliance topics, to include, but not limited to:

i. Biohazardous waste and disposal
ii. Blood borne pathogens
iii. Respiratory protection and personal protective equipment
iv. Hazardous communication
v. Fire safety and evacuation plan
6. Performs daily medical unit rounds during shift hours, documenting any safety or hazardous conditions and reporting as needed. Follows up on completion of any needed safety/hazardous condition corrections.
7. Develops monthly education trainings specific to risk reduction in medical units and maintains documentation of staff completion of these trainings.
8. Provides initial and annual education to all staff on policy, protocols, procedures, and standing orders. Maintains all the policy and procedures manuals, updating them monthly with any changes or revisions. Assures staff are fully versed in the latest policies and procedures.
9. Provides ad hoc education and training to all staff as directed by the NPSQMD, and as needed based upon risk assessment and monitoring activities.
10. Monitors support staff patient care documentation for accuracy and completion, performing 50 monthly support staff chart reviews for compliance with policy, procedure, and documentation compliance. Reports findings to NPSQMD through a quarterly summary report and plans for any needed education or training for support staff.

Duties Cont

11. Serves as key member of the local MQM team and committee, documents minutes for all
MQM committee meetings with attendance, and sends quarterly summary to NPSQMD.
12. Reports medical sentinel events, as needed. Manages the medical sentinel event review and root cause analyses at local level for assigned medical units under the guidance and direction of the NPSQMD and Physician Supervisor, Pediatric Advisor, and local physician, as applicable.
13. Initiates monthly quality improvement/performance improvement initiatives, performing semi-annual process improvement/outcome improvement study through collaboration with the local MQM committee, and under the guidance of the NPSQMD. Repeats any study that do not meet set thresholds for compliance.
14. Provides and monitors annual training for all medical unit assigned staff, to include CLIA training, completing Ishihara testing for staff if needed for CLIA compliance.
15. Assures mandatory reporting is completed for any state or local reportable disease or illness, working closely with the health department as needed.
16. Initiates and maintains compliance with DHS and CBP policies and any overriding accreditation standards that may apply
17. Works within licensure/certification, Scope of Practice, or applicable Collaborative
Agreement
18. Maintains compliance with standard operating procedures and protocols
19. Maintains patient confidentiality and privacy of medical records
20. Performs record keeping functions in accordance with program policies and the system of
records management

21. Ability to use the electronic medical record, and must maintain an "active status" for use
and complete all required trainings
22. Utilizes the electronic medical records system for all documentation, to include, but not limited to all patient care, monitoring, medication administration/observation documentation, and input of any paper records as applicable
23. Maintains non-involvement in the security aspect of patient care and custody
24. Oversees general staff meetings, recording minutes, taking attendance, and providing a quarterly summary to the NPSQMD.
25. Assures a safe and clean working environment and assists in the disposal of biologically
hazardous waste on a regular basis.

Duties Cont

26. May provides direct patient care during times of surge or need.
27. Serves as direct supervisor for the Electronic Health Records Specialist, providing administrative oversight, mid-term review, and annual performance evaluation, under the guidance and oversight of the NPSQMD.
28. Monitors completion of orientation and training for all support staff, initially and annually.
29. Assures all temperature logs, medication counts, emergency bag/supply checks are completed, and that supply stock levels are maintained. May delegate these duties and maintain oversight.
30. Completes all annual training as directed or required.
31. Travels to and provides on-site training and oversight monthly at each medical unit in assigned region/sector/area.
32. May be required to travel outside of assigned area.
33. May be required to serve at various medical units within sector/region.
34. Performs other duties and responsibilities as assigned.
Supervisory Controls:
1. Works under the administrative direction of the Patient Safety Quality Management Director and in his/her absence the Deputy Program Director.
2. Works under the clinical supervision and/or direction of the Patient Safety Quality Management Director and in his/her absence the Medical Director.
3. In this position, the employee will serve as a contractor to the federal government and does not have any federal authority or rights.
Physical Demands:
1. Able to walk, stand, bend, or sit for extended periods.
2. Able to reach to retrieve documents or supplies.
3. Able to carry materials and/or file boxes up to 30 pounds on an infrequent basis or assist
patients into/out of a wheelchair.
4. Must be capable of standing on hard surfaces (cement floors) for long periods of time.
5. Must perform the duties in a stressful and often austere environment without physical
limitation.
6. Must be able to respond to a medical emergency and perform BLS/CPR, as needed.

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