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Wilbarger General Hospital
Vernon, Texas
Job Description
Job Title:
Infection Prevention/Nurse Educator/Employee Health and Risk
Management
Department:
Nursing Administration
Job Summary:
Responsible for the Infection Prevention Program, including the
surveillance, analysis, and reporting of healthcare acquired
infections; educating employees about infection control; and the
development of health system policies and procedures to insure
rigorous infection control standards that meet regulatory and
accrediting requirements. Assessment, planning, implementation,
and evaluation of education programs for all hospital employees.
Job Qualifications:
A.
Education:
Graduate of accredited registered nurse program. BSN
preferred. MSN desirable.
B.
Personal Job-Related Skills: Basic understanding of medicine and disease
processes as well as WGH functions. Knowledge and abilities in teaching
adult education. Effective oral and written communication skills.
Leadership and management skills. Basic computer, data collection, and
information evaluation skills. Knowledge of Infection Prevention
standards. Knowledge of Employee health processes. Knowledge of risks
inherent to healthcare and methods to mitigate risk and reduce unsafe
practices.
C.
Licensure, Registry or Certification: Registered Nurse currently licensed
by the State of Texas Board of Nursing. BLS and ACLS required.
Revised 03/01/2016
D.
Experience:
1.
E.
Prior work experience: At least three years previous experience
as a Registered Nurse in a health care setting with experience in
infection control and/or employee health programs preferred.
Working knowledge of microbiology, epidemiology, infectious
diseases, aseptic techniques, current practices and professional
standards preferred.
Physical and Mental Requirements: Intermittent sitting, prolonged
periods of standing and walking. Frequent bending, stooping, twisting,
reaching. Average lifting of 25 pounds, with occasional lifting up to 50
pounds. Pushing and pulling with 50 pounds force while assisting patients
or moving equipment. Occasional heavy lifting when moving or
supporting patients who may become weak or helpless.
Essential Duties and Responsibilities:
A.
Infection Control:
1.
Develops and implements departmental policies and procedures
related to infection control. Reviews and revises policies as needed.
2.
Develops and Implements an Infection Surveillance and Prevention
Plan annually.
3.
Develops and implements a system for identifying, investigating,
reporting, and preventing the spread of nosocomial infections among
patients of all ages and healthcare personnel.
4.
Conducts on-going surveillance using Center of Disease Control
(CDC) criteria. Documents and investigates through review of:
a.
b.
c.
d.
e.
f.
g.
h.
5.
Revised 03/01/2016
Healthcare acquired infections
Admission diagnoses
Microbiology culture results
Isolation orders
Patient records
Temperature charts
Consultation requests
Post-discharge surveillance
Reviews cultures and sensitivities reported by microbiology
laboratory of patients and personnel to determine if infection is
nosocomial in origin.
B.
6.
Confers with staff nurses on all patient units on a regular basis to
determine if infection is nosocomial in origin.
7.
Investigates infections, especially those occurring above established
thresholds, and/or clusters by patient units.
8.
Initiates culture and sensitivity and/or appropriate isolation
precautions when indicated.
9.
Provides in-service education related to infection prevention and
control system wide.
10.
Completes and submits required reports to the Texas DSHS and
NHSN in a timely and accurate manner.
11.
Maintains accurate records of nosocomial infections among patients
and personnel.
12.
Ensures proper use of germicides, cleaning products, antiseptics, and
disinfectants throughout the facility.
13.
Monitors methods of asepsis, sterilization, and disinfection
employed throughout the facility.
14.
Communicates infection surveillance activities to QAPI and
administration via the Clinical Review Committee and medical staff
via the Medical Staff meetings.
15.
Collaborates with the Chief Nursing Officer to review and approve
Infection Prevention Manual, policies and procedures at least every
two years.
16.
Stays informed of changing infection control standards and practices
and presents plan for compliance in a timely manner.
17.
Designs and implements new methods to improve the efficiency and
outcomes of the Infection Prevention Program.
18.
Implements and conducts special studies when appropriate.
Nurse Educator/Employee Health:
1.
Revised 03/01/2016
Maintains standards of nursing practice by providing education in
clinical nursing activities.
C.
2.
Reviews education requirements with WGH department managers
and supervisors.
3.
Conducts annual needs analysis to facilitate formulating education
goals and objectives for WGH staff.
4.
Familiar with all clinical policies and educates staff on such
policies.
5.
Together with core measure abstractor, will assist in developing
compliance tools and staff education.
6.
Will assist in customer service education initiatives.
7.
Works with local nursing programs to establish clinical rotations as
well as overseeing observation program.
8.
Investigates and evaluates new healthcare developments.
Recommends and implements initiatives that improve patient care.
9.
Develops, maintains, and reviews employee education records and
reports on employee participation in education programs.Provides
information for program evaluation. Schedules required education
for all WGH employees.
10.
Participates with the Chief Nursing Officer in assessing data
concerning quality of patient care for clinical departments.
11.
Coordinates processing of new employees with human resources
department.
12.
Monitors employee injury variances and illnesses for trends.
Risk Management:
1.
Identify, prevent, reduce and manage actual or potential sources for
harm or financial loss.
2.
Review incident reports and delegate investigation process to affected
department.
3.
Analyze, trend and evaluate results and oversee corrective action
plans.
4.
Report risk situations to appropriate agency and/or leadership team as
necessary.
Revised 03/01/2016
5.
Educate employees on risk identification and reduction strategies.
Other Significant Requirements:
A.
Maintains confidentiality while working with confidential matters on a
daily basis.
B.
Provides service direct to employees and/or patients while maintaining a
positive employee and/or patient relations atmosphere.
C.
Interacts with patients, family members, Medical Staff members,
department managers, and other staff on a continuous basis.
D.
Utilizes aseptic procedures and maintains standard precautions when
involved in direct patient contact or handling potentially infectious
materials.
E.
Ensures that licensure and certifications are kept current and in accordance
with state laws and hospital policy and appropriate continuing education is
attended for CEU requirements.
F.
Keeps current with new healthcare developments by attending educational
offerings and literature reviews.
G.
Complies with accrediting agency recommendations.
STATEMENT OF UNDERSTANDING:
I have read and understand the above JOB DESCRIPTION and understand the essential
duties outlined and required in this position. I understand that I should contact my
Department Manager if I have any questions or concerns regarding the job duties and
requirements as outlined above. I acknowledge that I have received a copy of this job
description.
Employee Signature
Date
Department Manager Signature
Date
Revised 03/01/2016