Director of Clinical Excellence RN
5 days ago
The Director of Clinical Excellence – RN/LPN is responsible for developing, implementing, and maintaining a facility-wide infection prevention and control program to prevent, recognize, and control the onset and spread of infections in order to provide a safe, sanitary, and comfortable environment.
Responsibilities:- Develops and implements an ongoing infection prevention and control program to prevent, recognize, and control the onset and spread of infections.
- Establishes facility-wide systems for the prevention, identification, reporting, investigation, and control of infections and communicable diseases of residents, staff, and visitors.
- Develops and implements written policies and procedures in accordance with current standards of practice and recognized guidelines for infection prevention and control.
- Oversees the facility's antibiotic stewardship program.
- Implements an annual infection control risk assessment process and participates in the facility's annual facility assessment review process.
- Reviews and/or revises 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.
- Provides education related to infection prevention and control principles, policies, and procedures to staff, residents, and families (where appropriate).
- Ensures public health is notified of reportable diseases.
- Maintains documentation of infection prevention and control program activities.
- Treats all residents with dignity and respect. Promotes and protects all residents' rights.
- Establishes a culture of compliance by adhering to all facility policies and procedures. Complies with standards of business conduct, and state/federal regulations and guidelines.
- Follows appropriate safety and hygiene measures at all times to protect residents and themselves.
- Maintains confidentiality of protected health information, including verbal, written, and electronic communications.
- Reports noncompliance with policies, procedures, regulations, or breaches in confidentiality to appropriate personnel. Reports any retaliation or discrimination to HR or compliance officer.
- Reports any allegations of abuse, neglect, misappropriation of property, exploitation, or mistreatment of residents to supervisor and/or administrator. Protects residents from abuse, and cooperates with all investigations.
- Serves 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.
- Assists with admission, discharge, or care of residents as needed.
- Uses proper lifting and body mechanics while delivering care to residents.
- Assesses learning needs and mandatory in-service data to meet needs and regulatory guidelines.
- Implements, communicates, and evaluates the monthly and annual training plans.
- Develops specific teaching plans and programs to cover training needs for all roles on a regular and as needed basis.
- Maintains master copies of facility policy/procedure manuals and communications books.
- Works 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.
- Conducts CPR courses as needed to maintain facility policy and/or regulatory compliance.
- Conducts TB certification classes and maintains records that meet regulatory compliance.
- Combines strong clinical skills with a compassionate, engaged personality and a dedication to ensuring exceptional patient outcomes and a high degree of patient satisfaction.
- Demonstrates excellent communication and interpersonal skills, as well as the ability to work well with a diverse population.
- 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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