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Director of Infection Control

Universal Health Services


Location:
EL PASO, TX
Date:
04/25/2017
Job Code:
192478
Universal Health Services
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Job Details





Director of Infection Control

Job Code:  192478
Facility: El Paso Behavioral Health System
Location: EL PASO, TX US United States
Region: United States
Travel Involved: None
Job Type: Full Time
Job Level: 
Minimum Education Required: Bachelor's Degree 
Skills: Health Care -> Behavioral Health, Administrative, Clinical Support, Education / Training, RN, Occupational Health
 
Category: Education,Nursing,Professionals
FTE: 1.0
Position Summary:
 
El Paso Behavioral Health System is part of Universal Health Services, Inc. (UHS), one of the Nation's largest and most respected health care management companies, operating through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers nationwide.   Founded in 1978, UHS subsidiaries now have more than 65,000 employees.  El Paso Behavioral Health System is 163-bed private psychiatric hospital specializing in mental health and chemical dependency care in both inpatient and outpatient (partial hospitalization program) setting.

We offer the following Benefits: Competitive salaries – Paid Time Off – Sick Time – Tuition Reimbursement – Matched 401(K) – Comprehensive Medical – Dental – Vision – Life Insurance – STD – EAP – FSA – AD&D – Dep Life Insurance – Supplemental Life Insurance – Voluntary Benefits – Employee Stock Purchase Plan.
  
El Paso Behavioral Health System is currently seeking qualified candidates for the following position: .
 
DIRECTOR OF INFECTION CONTROL
The Director of Infection Control Nurse is a Registered Nurse who is responsible for coordinating the activities of the Infection Control Program, assuming direct responsibility for infection surveillance and reporting, and providing technical support and education for the hospital staff.
 
 

STANDARDS OF PERFORMANCE

THE ESSENTIAL JOB FUNCTIONS ARE CATEGORIZED UNDER THE JCAHO STANDARDS OF PERFORMANCE.

 

Surveillance

1.     Develop and maintain a method of identifying and recording known or suspected

infections in patients and employees.

2.     Carry out periodic inspections to ensure that procedures for the control of infections are being followed correctly.

3.     Collect and maintain statistical data in regards to the identification and control of infections.

4.      Coordinate closely with all departments to obtain information regarding patients and staff with suspected infections and ensuring control procedures are in place and adhered to.

5.        Monitor employee and patient illnesses and health activities, respond to problem situations in an urgent manner, and report the number and type to the Infection Control Committee.

6.        Initiate discussion regarding possible epidemiological causes of illnesses, specifically the determination of hospital versus community acquired infections.

7.        Contribute significantly to any interventions or recommendations made by the committee in response to the discussion about an illness.

8.        Coordinate with the Infection Control Committee to determine the direction of surveillance activities and actively evaluate effectiveness of the Infection Prevention and Control Plan annually.

9.        Conduct periodic inspections to ensure that procedures for the control of infections are implemented and adhered to.

10.    Conduct annual risk assessment with consideration of served populations, regional vulnerabilities, relevant statistical data, and new and emerging infectious diseases

 

Reporting

1.  Identify objectives for infection control monitoring, data collection and reporting.

2.  Prepare reports to the Safety/Risk Management Committee, Infection Control  Committee,

     Medical Staff and Executive Committees, and Nursing Administration Committee that

     includes data on infection rates by nursing units, site, and pathogen.

3.  Report unusual clusters or outbreaks to Infection Control Committee and conduct

     investigations as appropriate.

4.  Notify the County and/or State Health Department/Board of any reportable diseases,

     adhering to all internal county and state procedures.

5.  Ensure that all information pertinent to surveillance monitoring and reporting is maintained

     and reported to the Infection Control Committee in a timely fashion.

6.  Alert all facility medical staff regarding any actual or suspected infection, and initiate

     culture and sensitivity testing and control procedures as appropriate.

7.  Develop and implement continuously improved patient care procedures and control

     mechanisms relating to infectious diseases.

Controlling

1.  Help control the speed of infection in accord with infection control policies and procedures

     by ascertaining the nature of the infection and the steps to be followed and judge their

     degree of implementation.

2.  Identify the need for intervention in the care of patients and employees with infection and

     contact the appropriate individuals when necessary.

3.  Track all monitor infection data to evaluate and investigate trends and report all trends to

     appropriate facility staff.

4.  Evaluate and document the effectiveness of infection control activities.

 

Education and Consultation

1.  Participate in infection control education of all employees during orientation and annually

     thereafter, including classes in infection control practices and employee health.

2.  Act as a consultant in infection control for the Clinical Services Department by assisting

     with assessing patient infection control problems, planning and evaluating the care of the

     patient, and making recommendations for home care on discharge.

3.  Assist with the development of an education program pertaining to the infection control

     within the facility.

4.  Coordinate with the Infection Control Committee to update and revise facility infection

     control policies, procedures and practices.

5.  Consult with the Infection Control Committee to provide information on infectious diseases,

     and infection control.

6.  Continuously monitor all infections, and investigate and report on unusual events.

7.  Ensure the infection control procedures meet CMS, Joint Commission, county and state,

     APIC, and CDC regulations, standards, or guidelines.

8.  Organize Infection Control Committee meetings at least quarterly and maintain all meeting

     minutes.

9.          Assist with the ongoing review of antibiotic usage as needed.

10.      Act as a liaison between the State/County Board of Health and Health Department.

 

Additional Standards  

 1.    Adhere to facility, department and Corporate Personnel Policies and Procedures.

 2.    Attend all mandatory facility in-services and staff development activities as scheduled.

 3.    Adhere to facility standards concerning conduct, dress, attendance and punctuality.

 4.    Support facility-wide quality/performance improvement goals and objectives.

 5.    Maintain confidentiality of facility employees and patient/resident information.   

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Note:  The essential job functions of this position are not limited to the duties listed above.

 

KNOWLEDGE, SKILLS, AND ABILITIES

THIS SECTION DESCRIBES WHAT KNOWLEDGE, SKILLS AND ABILITIES AN EMPLOYEE IN THIS POSITION SHOULD CURRENTLY POSSESS.  THIS LIST MAY NOT BE COMPLETE FOR ALL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED FOR THIS POSITION.

 

1.     Knowledge of infection control procedures, IOSHA, OSHA, CDC, and APIC guidelines.

2.     Knowledge of CMS and Joint Commission infection control standards and regulations.

3.     Knowledge of the principles of epidemiology and infectious disease.

4.     Knowledge of the County Health department procedures and practices.

5.     Thorough knowledge of all infectious disease, disease warning signs, and response procedures.

6.     Knowledge of psychiatric and medical nursing procedures is essential.

7.     Skill in organizing and prioritizing workloads to meet deadlines.

8.     Skill in telephone etiquette and paging procedures.

9.     Effective oral and written communication skills.

10.   Ability to communicate effectively with patients and co-workers.

11.   Ability to adhere to safety policies and procedures.

12.   Ability to use good judgment and to maintain confidentiality of information.

13.   Ability to work as a team player.

14.   Ability to demonstrate tact, resourcefulness, patience and dedication.

15.   Ability to accept direction and adhere to policies and procedures.

16.   Ability to recognize the importance of adapting to the various patient age groups (adolescent, adult and geriatric).

17.   Ability to work in a fast-paced environment.

18.   Ability to meet facility and corporate deadlines.

19.   Ability to react calmly and effectively in emergency situations. 

 

PHYSICAL, MENTAL, AND SPECIAL DEMANDS

THIS SECTION DESCRIBES HOW AN EMPLOYEE IN THIS POSITION CURRENTLY PERFORMS THE FUNCTIONS OF THIS POSITION.  MODIFICATIONS TO THE MANNER IN WHICH THIS JOB MAY BE PERFORMED WILL BE REVIEWED ON A CASE BY CASE BASIS.

 

1.     Ability to sit and stand (one-third of the shift), and walk (two-thirds of the shift).

2.     Ability to reach above, at or below waist height, kneel, bend, stoop, turn twist, and throw.

3.     Ability to see well enough to reach charts, treatment plans, and typewritten materials.

4.     Ability to hear well enough to detect noises on the unit and to discern odors.

5.     Ability to frequently lift and carry 10-50 lbs.

6.     Ability to frequently push/pull wheeled carts from 100-200 lbs.

7.     Ability to manipulate small and large tools (electric thermometer, telephone, wheelchair, blood pressure cuffs, walkers, paper punch, addressograph, restraints, staplers, EKG machine, copy machine).

8.     Ability to spend 95% of the work day inside in temperatures varying from 60°-90 ° F. and where noise levels ranging from low to high. 

9.     Ability to spend 5% of the workday outside in temperatures varying from 30°-110 ° F.

10.   Ability to frequently handle hazardous/infectious waste.

11.   Ability to work in an environment where chemicals are frequently used for cleaning; where mechanical and electrical hazards may occasionally be present and where dust, mist and steam are generated in housekeeping tasks.

12.   Ability to work frequently at a rapid pace and perform a variety of repetitive duties.

13.   Ability to respond to exposure to blood and body fluids - category 1.

 

MACHINES, TOOLS, EQUIPMENT, AND OTHER WORK AIDES:

THIS SECTION DESCRIBES THOSE MACHINES, TOOLS, EQUIPMENT, AND OTHER WORK AIDES AN EMPLOYEE IN THIS POSITION MUST BE ABLE TO USE.

1.     Medical and nursing equipment and supplies.

2.     Telephone and paging systems.

3.     Policies, procedures, plan and program manuals.

 
Requirements
QUALIFICATIONS
Education: BSN Graduate from an accredited program of professional RN program required;
MSN preferred, or currently enrolled in an MSN accredited  program of professional RN required to be completed within 3 years.
Experience: A minimum of 1 - 2 years experience as a RN in a psychiatric health-care facility preferred.
Licensure: Currently licensed to practice by the Texas State Board of Nursing. Must have a valid drivers license.
Additional Requirements: Thorough knowledge of Joint Commission, CMS, OSHA, and state/federal regulatory requirements. APIC certification required. Active member of local APIC chapter required.   Documentation of ongoing CEUs or other infection control related training required. Current CPR Certification and successful completion of a professionally recognized management assaultive behavior course, such as “HWC” Training.  May be required to work more than 40 hours per week and flexible hours.


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