Valley Presbyterian Hospitalposted about 2 months ago
Full-time • Senior
Van Nuys, CA
Hospitals

About the position

Valley Presbyterian Hospital is a beacon of health in the San Fernando Valley, committed to providing outstanding care and improving community health. We are seeking an experienced and detail-oriented Director of Infection Prevention, Infection Control Unit to join our dedicated team. The Director of Infection Prevention is a professional who develops, implements, and monitors the hospital-wide Infection Prevention/Control Program (IP/IC).

Responsibilities

  • Coordinates functions/activities of the hospital-wide Infection Prevention/Control Program as defined by the Senior Vice President, Chief Medical Officer based on regulatory requirements.
  • Facilitates compliance with local, state and federal rules, recommendations, and regulations.
  • Reviews/authors Infection Prevention/Control policies as needed.
  • Prepares/authors the annual Infection Prevention/Control Program and Plan to include strategies to accomplish goals, outcome measures, and projects in collaboration with other stakeholders.
  • Prioritizes IP/IC goals based on risks of Hospital-Associated Infections (HAIs) within our hospital.
  • Prepares monthly/quarterly reports of surveillance data for presentation to the Infection Control meeting and reports findings to the various Medical Staff Committees.
  • Prepares surveillance reports/investigations to appropriate Performance Improvement (PI) task forces and departments.
  • Reports surveillance findings and recommendations of surveillance data to the staff as necessary.
  • Collaborates with all Department Directors/Managers/Supervisors and Medical Directors in implementing aspects of the Infection Prevention/Control Program.
  • Collaborates with the Occupational Health Department Manager in investigating and helping to manage employee exposure to communicable and infectious diseases.
  • Conducts infection surveillance on a concurrent and/or retrospective basis for the purpose of identifying hospital-associated infections.
  • Participates in the development of plans for decreasing/preventing hospital-associated infections or occurrences.
  • Designs or adopts the National Safety Network (NHSN) surveillance plans.
  • Coordinates and conducts environmental surveillance to evaluate patient care environment for infection control and safety.
  • Makes rounds for purposes of case finding, supervision of infection prevention/control practices, environmental sanitation, and serve as a resource for the staff, patients, visitors, and others needing information on infection control.
  • Reviews laboratory reports daily to identify hospital-associated infections, identify reportable diseases, and to assess potential outbreak situation.
  • Collaborates with Microbiology staff and the clinical pharmacist on significant findings or unusual occurrences.
  • Recognizes serious reportable events and epidemiologically significant organisms that may require immediate investigation.
  • Reviews patient medical records using the actual chart or the Meditech/Webmedx for patient assessment, data collection for surveillance purposes, to differentiate community-acquired from hospital-associated infections.
  • Collects, compiles and identifies data on all required surveillance by the National Healthcare Safety Network (NHSN), the California Department Public Health (CDPH), and by the hospital.
  • Analyzes surveillance data and data on special projects/studies for trends, patterns, or clusters of infections and prepares reports to committees.
  • Organizes and maintains an electronic file of all data in IP/IC shared file.
  • Prepares an annual report and evaluation of the Infection Prevention/Control Program/IP/IC activities with the Chief Medical Officer and the Infection Prevention chairman to demonstrate the effectiveness of the Infection Prevention/Control program.
  • Collects and communicates significant Infection Control information to appropriate committees and staff.
  • Communicates and collaborates with hospital departments to provide information on infection control practices.
  • Communicates information to regulatory agencies as required/needed.
  • Provides Infection Prevention/Control/Epidemiology consultation to hospital staff, and physicians per request or as deemed necessary by IP/IC staff.
  • Serves as resource on IP/IC risk assessment and prevention and control strategies.
  • Performs educational needs assessment of the hospital staff pertaining to IP/IC.
  • Provides IP/IC classes to the New Employee Orientation Program, RN Residency Program and department in-services.
  • Evaluates the effectiveness of the IP/IC education programs.
  • Provides classes on Influenza, TB, or significant or unusual disease or organism as necessary according to current needs and as required by regulatory agencies.
  • Provides education materials to staff, patients, relatives or patient designees.
  • Acts as the hospital liaison with the local, state and federal agencies following state mandated reporting guidelines.
  • Reports surveillance data to NHSN/CDPH and public reporting requirements.
  • Coordinates with Plant Operations/Engineering Department on construction activities in the hospital.
  • Identifies clusters of infections or unusual occurrences using evidence-based processes, analyze data, and offer recommendations to control outbreak or to correct practices.
  • Reports outbreaks or unusual occurrences to the appropriate agency.
  • Demonstrates current knowledge of Infection Prevention/Control process/policies/procedures and acts as a role model for IP/IC practice.
  • Recognizes infectious and communicable disease process and initiates appropriate actions.
  • Applies the OSHA Bloodborne Pathogens Standard and other current mandates on Infection Prevention/Control.
  • Role models hospital values and behavioral norms to every customer group.

Requirements

  • Minimum 5 years in an acute health care setting.
  • Ability to develop policies and procedures.
  • Ability to teach and evaluate clinical performance.
  • Ability to provide current educational programs in Infection Prevention and Control topics.
  • Bachelor's in Nursing, Microbiology, Public Health or related field required.
  • Master's in Nursing, Microbiology, Public Health, Epidemiology or related field preferred.
  • Valid California RN License.
  • Board Certified in Infection Prevention and Control (C.I.C) required on hire or within one year of hire.
  • Valid Fire Card required on hire or within 30 days of hire.
  • Completion of basic training course in infection control.

Benefits

  • Supportive Environment: We prioritize teamwork, professional growth, and a positive work culture.
  • Impactful Work: Your role will directly contribute to the smooth operation of our organization.
  • Professional Development: We offer continuous learning and advancement opportunities to help you grow in your career.
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