Manager-Infection Prevention & Improvement RN

Baptist•Memphis, TN

About The Position

The Infection Prevention Manager is responsible for the coordination and management of all infection prevention program activities across the continuum of care, including surveillance, data abstraction and analysis, internal and regulatory reporting, staff education and collaboration with all disciplines and departments. Directs the development, implementation and evaluation of the Infection Prevention Plan. Provides leadership, direction and mentoring to the Infection Prevention staff. Maintains a strong focus on performance improvement activities to include root cause analysis, risk assessments and outbreak investigation.

Requirements

Five (5) years of clinical experience as a registered nurse required.
Knowledge of Infection Prevention including regulatory requirements commensurate with education/experience.
Critical thinking skills in evaluating and resolving complex issues.
Ability to communicate verbally and in writing with all levels of staff, management and physicians.
Ability to work without close supervision and to exercise independent judgement is a professional area.
Ability to organize multiple tasks and projects and maintain control of work flow.
Current licensure as registered nurs
Certification in Infection Control (CIC) required or attain within 2 years

Nice To Haves

Minimum of three years of experience in Infection Prevention preferred.
Management experience preferred.
BSN preferred

Responsibilities

Performs and directs Infection Prevention surveillance for hospital-acquired infections based on the National Healthcare Safety Network (NHSN) guidelines.
Reports communicable diseases to the health department, as required.
Notifies System Infection Prevention Director and entity Quality Director of any identified trends or issues.
Ensures correct isolation procedures are practiced.
Proactively and consistently monitors the healthcare environment to ensure compliance with regulatory standards and infection prevention policies and procedures.
Addresses deficiencies proactively by providing feedback and guidance to leaders regarding infection prevention issues.
Participates in quality and process improvement initiatives addressing infection prevention issues at both the entity and system level.
Collaborates with Employee Health on safety and exposure issues.
Demonstrates the ability to build trusting collaborative relationships with multi-disciplinary teams to support patient care needs.
Leads and/or actively participates in multi-disciplinary team meetings.
Demonstrates skill in applying evidence-based practice guidelines and regulatory standards (CMS, TJC, DNV-GL, OSHA, etc.) when: assessing the environment; observing patient care activities and processes and developing/revising policies and procedures.
Acts as the subject matter expert and leader regarding infection prevention issues.
Develops and revises policies and procedures that are consistent with system guidelines, evidence-based guidelines and regulatory standards.
Manages the development of goals and objectives based upon the annual risk assessment results.
Participates in performance improvement projects to address these goals
Develops, implements and evaluates the Infection Prevention Plan.
Demonstrates initiative in professional development and continuing education.
Attends professional meetings and educational offerings.
Trains and mentors other Infection Preventionists.
Participates in all Infection Control Risk Assessments (ICRA) for construction and renovation projects.
Makes recommendations regarding construction and renovation and conducts regular rounds on active projects to ensure compliance with regulatory standards.
Manages the preparation of Infection Prevention data.
Presents and discusses pertinent data at various committee meetings.
Prepares and presents educational workshops, lectures, discussions or one-to-one instruction on infection prevention topics.
Provides community education on Infection Prevention topics.
Understands, applies and supports departmental/entity/system policies, guidelines, procedures and standards.
Exhibits efficiency, competency and professionalism that promotes a positive work environment.
May manage the development of the Infection Prevention department’s operating budget and capital expenses, if applicable.
Monitors and analyzes financial reports and justifies variances, as appropriate.