General Purpose

The primary purpose of your job position is to plan, organize, develop, coordinate, and direct our infection control program and its activities in accordance with current federal, state, and local standards, guidelines, and regulations that govern such programs, and as may be directed by the Administrator and the Infection Control Committee to ensure that an effective infection control program is maintained at all times.

Essential Duties

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

Administrative Functions

• Plan, develop, organize, implement, evaluate, coordinate, and direct our infection control program in accordance with current rules, regulations, and guidelines that govern such requirements in nursing care facilities.
• Ensure that the facility is in compliance with current CDC, OSHA, and local regulations concerning infection control or standard/universal precautions.
• Develop, maintain, and periodically update infection control precautions and aseptic technique that successfully correct problem areas.
• Interpret infection control policies and procedures as necessary.
• Maintain a reference library of written infection control material that will assist the facility in meeting the day-to-day needs of the isolated resident.
• Make written and oral reports/recommendations to the Administrator, as necessary/required, concerning the infection control program of this facility.
• Assist all departments in evaluating and classifying routine and job-related functions to ensure that tasks involving exposure to blood/body fluids are properly identified.
• Monitor infection control practices and procedures to ensure that all personnel are implementing our standard operating procedures for tasks involving exposure to blood/body fluids.
• Make rounds to nursing units for the purpose of case findings, review of environmental sanitation procedures, and supervision of isolation precautions/practices.
• Visit isolated residents as necessary to ensure that established isolation precautions and aseptic technique are followed.
• Ensure that laboratory support is available, including microbiological and serological services.
• Review and analyze infectious disease laboratory reports and consult with the Director of Nursing Services in developing the care plan for assuring that aseptic techniques are implemented.
• Assist in developing and implementing guidelines for the decontamination and sterilization activities performed in the facility.
• Perform periodic testing of our prepared sterile packs, bundles, and supplies, including sterilization equipment.
• Monitor the designated shelf life of medical items wrapped and sterilized at the facility. Reprocess as necessary.
• Ensure that all personnel follow established procedures for the disposal and removal of infective and contaminated materials from the facility.
• Prepare monthly summaries of all resident/personnel infections, corrective action taken, and the results of the corrective action. Submit copies to the Administrator and Director of Nursing Services.
• Prepare summaries of special investigations on the occurrence of nosocomial and community-acquired infections.
• Provide the Director of Nursing Services with a report of pertinent findings and recommendations pertaining to nosocomial infection.
• Maintain a written record of all residents and employees who have nosocomial infections.
• Participate in surveys of possible carriers among residents and personnel, and in tracing possible sources of infection within the facility.
• Assist the Director of Laundry Services in developing infection control procedures for the handling of clean and soiled laundry/linen, equipment cleaning, etc.
• Assist the Director of Environmental Services in developing infection control procedures for the routine and terminal cleaning of isolation rooms and areas, equipment cleaning, etc. • Participate in facility surveys (inspections) made by authorized government agencies as necessary or as may be directed.
• Assist the Discharge Planning Coordinator in developing and implementing discharge plans for the resident in isolation or on infection control precautions.
• Assist in the development and implementation of a facility-wide TB management control program.
• Report all reportable diseases to the county and state health departments.
• Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.

Committee Functions

• Serve on, participate in, and attend Infection Control Committee meetings.
• Represent the Infection Control Committee as required.
• Assist the Infection Control Committee in evaluating and revising our infection control practices and aseptic technique to ensure continued sanitation practices are maintained throughout the facility.
• Assist the Infection Control Committee in establishing the criteria for classifying all routine and reasonably anticipated job-related tasks to ensure that tasks involving exposure to blood/body fluids are properly identified and recorded.
• Provide the Infection Control Committee with written and oral reports concerning all nosocomial infections within the facility.
• Ensure that major changes in our cleaning products or techniques are approved by the Infection Control Committee.
• Assist in evaluating and implementing recommendations from the Infection Control Committee.
• Provide information relative to TB assessment and make recommendations concerning the protocols to follow in isolating TB cases.

Personnel Functions

• Develop and implement a practical system of detecting, evaluating, recording, and reporting infections that originate with facility personnel.
• Assist the personnel director in developing and implementing our employee health services program, to include individual counseling.
• Provide employee counseling as outlined in our infection control and employee health program.
• Provide personnel with information concerning the facility’s policies governing hepatitis B vaccinations.
• Assist in establishing the TB Mantoux testing and recordkeeping protocols for all employees.
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