Your job is more than a job This job description is intended to describe the general nature and level of work performed by employees assigned to this department. This is not an exhaustive list of all duties and responsibilities, and LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. GENERAL DUTIES Surveillance: Evaluates hospital-acquired infection rates using a statistical process control methodology. Submits data to the National Healthcare Safety Network. Reports to public health agencies as required by law. Performs infection control environment of care (EOC) rounding. Develops, implements approved epidemiologic protocols for investigating, controlling hospital epidemics, other hospital-acquired infections and is responsive to unanticipated exposures and outbreaks. Performance Improvement: Performs an annual assessment and develops action plans from the prior year activities. Establishes, implements, and administers departmental goals, objectives, policies, and procedures. Participates in quality/performance improvement activities by assessing, monitoring, measuring hospital acquired infections and evaluating outcomes on a continuous basis. Assists in preparation of reports and statistical data for the infection control committee, medical staff committees, medical executive committee, administration, and other committees as needed. Education/Consultation: Plans, organizes, develops, and implements educational programs for all hospital employees including contract staff, volunteers, administrative, and ancillary services which convey specialized knowledge and skills to increase employee awareness of hospital acquired infections. Demonstrates techniques for avoidance and preventive measures to provide a safe environment for hospital employees and patients. Interacts with physicians, nurses, department managers, supervisors, occupational health, and other professional/non-professional staff members to provide resource information, resolve infection control problems, and identify new opportunities to improve service and reduce costs. Makes recommendations regarding construction, renovation, and environmental rounds and assures compliance with national and/or professional standards. Triages infection control questions and issues where policies do not exist. Policy Development: Develops and enforces effectual policies and procedures for the department and hospital that ensures compliance with TJC, OSHA, CDC, CMS, and other state and federal regulatory agencies.
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Job Type
Full-time
Career Level
Mid Level
Number of Employees
5,001-10,000 employees