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Infection Prevention Specialist

2 months ago

Belle Glade, Florida, United States Health Care District of Palm Beach County Full time
Position Overview

This role is integral to the effective administration of the infection prevention and control program, as well as the employee health initiative. The position entails providing specialized clerical support, data management, and entry assistance for the hospital's quality assurance, case management, and clinical education sectors.

Key Responsibilities

Primary Duties:

Accountable for the formulation and execution of policies that govern the management of infections and communicable diseases, alongside establishing a systematic approach for identifying, reporting, investigating, and controlling such health concerns. This role possesses the authority to seek consultations as necessary to facilitate informed decision-making. Additionally, it involves overseeing the hospital's infection control program to ensure adherence to regulatory standards and the Infection Control Plan. Responsibilities include, but are not limited to:

  • Formulating and executing policies related to infection and communicable disease management.
  • Establishing a comprehensive system for the identification, reporting, investigation, and management of infectious diseases.
  • Collaborating with healthcare staff and stakeholders in the design and execution of the infection control program.
  • Conducting regular assessments of the program through an epidemiological lens, including surveillance, data collection, analysis, and trend identification.
  • Coordinating the infection control program with community health initiatives.
  • Providing education and training to staff regarding the infection control program and associated policies.
  • Facilitating communication with the Medical Executive Committee, leadership, and relevant committees regarding program data, priorities, and objectives.
  • Managing processes for investigating outbreaks and exposures.
  • Working with Human Resources to oversee immunization, screening, and post-exposure protocols for employees.
  • Annual review and updates of the Infection Control Plan.
  • Overseeing hand hygiene initiatives and improvement activities.
  • Coordinating the Infection Control Committee and maintaining accurate records.
  • Acting as a resource during epidemiological events and employee health matters.
  • Conducting audits to ensure compliance with best practices, including but not limited to VAP prevention, CLABSI/CAUTI prevention, and Sepsis core measures.

Core Measures Management:

Maintains an ongoing review process for medical records related to core measures and coordinates improvement efforts, including:

  • Educating caregivers on documentation deficiencies and facilitating resolutions prior to chart closure.
  • Collaborating with nursing and medical leadership on opportunities for improvement.
  • Working with Quality Assurance to ensure comprehensive chart reviews are completed to meet regulatory deadlines.
  • Conducting Sepsis Chart Abstraction and providing feedback to clinical teams for process enhancement.
  • Offering guidance on compliance with CMS Sepsis standards.
  • Participating in validation reviews and ensuring that improvements are implemented.
  • Maintaining up-to-date knowledge of core measures and abstraction guidelines for compliance.
  • Providing performance data to nursing and medical staff.
  • Assisting in the preparation and presentation of core measure reports.
  • Delivering training and education on abstraction standards and procedures as needed.
  • Managing patient room assignments upon admission.
  • Reviewing admission documentation for accuracy at the time of bed assignment.
  • Facilitating patient transfers to other medical facilities.
  • Coordinating nursing staff shift assignments and making recommendations to nursing management based on assessed needs.
  • Responding to all emergency codes throughout the facility.
  • Supervising hospital staff in the absence of other management and reporting to administration as necessary.
  • Providing leadership and mentoring to newly hired staff.
  • Ensuring quality care is delivered in accordance with hospital policies and regulatory standards.
  • Collecting various data from nursing units.
  • Investigating incidents involving staff and patients, identifying contributing factors, and participating in corrective action plans.
  • Maintaining consistent communication with nursing management regarding identified issues.
  • Ensuring patient safety and care align with hospital standards and regulatory guidelines.
  • Collaborating on performance evaluations of nursing staff.
  • Supervising and addressing performance issues with nursing staff as needed.
  • Ensuring timely reporting of variances and following up on patient safety incidents.
  • Conducting regular rounds to ensure patient care safety and compliance.
  • Participating in quality improvement initiatives and attending relevant meetings.
  • Assisting with inspections by regulatory or accrediting agencies as required.

Support Functions:

  • Providing assistance to case managers, clinical leaders, and other assigned personnel.
  • Facilitating social service referrals, case reviews, data entry, or special projects.
  • Delivering orientation and training programs, in-service education, and other necessary educational materials.
  • Serving as a resource for clinical and medical staff in developing orientation and educational programs.
  • Taking full responsibility for all functions within the job description and prioritizing tasks to meet deadlines.
  • Ensuring confidentiality of patient, medical record, employee, and departmental information at all times.
  • Adhering to hospital and departmental policies and procedures consistently.
  • Being prepared for emergency duties, including responses to various threats or disasters.
Qualifications

Education:

  • Must possess a nursing degree from an accredited nursing institution.

Experience:

  • A minimum of two (2) years of nursing experience in a hospital setting is required. Experience in infection control and/or quality management is preferred.

Certification:

  • Quality Improvement Certification is preferred. Infection Control Certification is also preferred.

Licensure:

  • Must be licensed as a Registered Nurse in the State of Florida.

The Health Care District of Palm Beach County is an Equal Opportunity Employer and maintains a Drug-Free Workplace. We value diversity and do not discriminate based on race, religion, color, national origin, gender, sexual orientation, gender identity, age, veteran status, disability, or any other legally protected characteristics.