Director of Clinical Excellence

5 days ago

Hardinsburg IN United States Brickyard Healthcare Full time
Director of Clinical Excellence

The Director of Clinical Excellence will develop, implement, and maintain a facility-wide infection prevention and control program to ensure a safe, sanitary, and comfortable environment for residents, staff, and visitors.

Responsibilities:
  • Develop and implement an ongoing infection prevention and control program to prevent, recognize, and control the onset and spread of infections.
  • Establish facility-wide systems for the prevention, identification, reporting, investigation, and control of infections and communicable diseases.
  • Develop and implement written policies and procedures in accordance with current standards of practice and recognized guidelines for infection prevention and control.
  • Oversee the facility's antibiotic stewardship program.
  • Implement an annual infection control risk assessment process and participate in the facility's annual facility assessment review process.
  • Review and/or revise the facility's infection prevention and control program, its standards, policies, and procedures annually and as needed for changes to the facility assessment to ensure they are effective and in accordance with current standards of practice for preventing and controlling infections.
  • Provide education related to infection prevention and control principles, policies, and procedures to staff, residents, and families (where appropriate).
  • Ensure public health is notified of reportable diseases.
  • Maintain documentation of infection prevention and control program activities.
  • Treat all residents with dignity and respect. Promote and protect all residents' rights.
  • Establish a culture of compliance by adhering to all facility policies and procedures. Comply with standards of business conduct, and state/federal regulations and guidelines.
  • Follow appropriate safety and hygiene measures at all times to protect residents and themselves.
  • Maintain confidentiality of protected health information, including verbal, written, and electronic communications.
  • Report noncompliance with policies, procedures, regulations, or breaches in confidentiality to appropriate personnel. Report any retaliation or discrimination to HR or compliance officer.
  • Report any allegations of abuse, neglect, misappropriation of property, exploitation, or mistreatment of residents to supervisor and/or administrator. Protect residents from abuse, and cooperate with all investigations.
  • Serve as a resource for staff regarding infection prevention and control, including the identification of when a resident needs to be placed on transmission-based precautions.
  • Assist with admission, discharge, or care of residents as needed.
  • Use proper lifting and body mechanics while delivering care to residents.
Education:
  • Assess learning needs and mandatory in-service data to meet needs and regulatory guidelines.
  • Implement, communicate, and evaluate the monthly and annual training plans.
  • Develop specific teaching plans and programs to cover training needs for all roles on a regular and as needed basis.
  • Maintain master copies of facility policy/procedure manuals and communications books.
  • Work with the Director of Nursing (DON) to ensure quality of care is held to the highest standard and all facility policies and procedures are carried out by every staff member.
  • Conduct CPR courses as needed to maintain facility policy and/or regulatory compliance.
  • Conduct TB certification classes and maintain records that meet regulatory compliance.
  • Combine strong clinical skills with a compassionate, engaged personality and a dedication to ensuring exceptional patient outcomes and a high degree of patient satisfaction.
  • Demonstrate excellent communication and interpersonal skills, as well as the ability to work well with a diverse population.
Qualifications:
  • A professionally-trained nurse that has earned a certificate/diploma or degree in nursing;
  • A professionally-trained medical technologist (or clinical laboratory scientist) that has earned at least an associate's degree in medical technology or clinical laboratory science;
  • Must also meet state requirements for relevant licensures or certifications and have no disciplinary action in effect against professional license.
  • Education, training, experience, or certification in infection control and prevention.
  • Completed specialized training in infection prevention and control through accredited continuing education.

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