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Director of Clinical Excellence

2 months ago

Mishawaka, Indiana, United States Twelfth Street Care Center Full time

About the Role:

The Director of Clinical Excellence – LPN/RN at Twelfth Street Care Center is responsible for developing, implementing, and maintaining a facility-wide infection prevention and control program.

Key Responsibilities:

  • Develop and implement an ongoing 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.
  • Establish facility-wide systems for the prevention, identification, reporting, investigation, and control of infections and communicable diseases of residents, staff, and visitors.
  • 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.
  • 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 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.

Education and Training:

  • 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.
  • Maintain 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 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.
  • Combining strong clinical skills with a compassionate, engaged personality and a dedication to ensuring exceptional patient outcomes and a high degree of patient satisfaction.
  • Demonstrating 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