City/State:

Mount Vernon, New York

Grant Funded:

No

Department:

Infection Prevention

Work Shift:

Day

Work Days:

MON-FRI

Scheduled Hours:

8 AM-4:30 PM

Scheduled Daily Hours:

7.5 HOURS

Pay Range:

$112,000.00-$140,000.00

Job Summary

Responsible for the development, coordination, management, execution, and organization of infection prevention-related quality and performance improvement activities at Montefiore Medical Center.

This Manager of Infection Prevention and Control maintains the standards of practice for Infection Prevention as defined by the program's Standard Operating Procedures for Infection Prevention, and as defined by regulatory agencies and national standards.

This position is accountable with the Nursing Director for the overall management activities for the Medical Center infection prevention and control program all sites, which includes assistance with supervision of the Infection Prevention and Control processes, and will have a leadership role for designated special projects to ensure quality care and patient safety.

Accountable with the Nursing Director, the Infection Prevention Committee Chairman, and Committee members in a shared governance model to plan, develop, implement and evaluate outcomes of the Infection Prevention and Control Program.

Partners with the Hospital Epidemiologist, Nursing Director of Infection Prevention, and Associate Directors in setting standards and priorities based on evidence-based literature and guidelines, evaluating compliance with policies and practices, and leading/coaching the performance improvement efforts associated with the prevention and control of hospital acquired infections and infectious exposures. Consults, advises and informs Hospital Epidemiologist/Director of Infection Prevention concerning administrative or other department/program issues, needs and problems. Under the direction of the Hospital Epidemiologist, participates in regional and national collaboratives and academic societies, utilizes and initiates research to improve departmental functions and patient safety, and assists with design and implementation of informatics and technology infrastructure required to improve institutional access and feedback of infection-related data.

Essential Functions

• Detects evidence of hospital/network infections.
• Performs surveillance in designated areas daily.
• Environmental rounds to assess the implementation of Infection Prevention and Control, Patient Care, Personnel Practices, and Environmental Practices.
• Written reports of Environmental Rounds and recommended actions are prepared and distributed on a timely basis.
• Enters infection data into the CDC NHSN program via Internet application; analyzes, interprets, and reports data to the Infection Prevention Control Committee.
• A. Zero error tolerance for transmitted data. Data is transmitted on a timely basis. B. Presents analyzed and interpreted data to the Infection Prevention Control Committee in accordance with schedule.
• Ascertains that proper isolation precautions for infected patients are carried out and initiates these procedures when indicated during Care Unit rounds.
• A. Documentation of isolation/precaution patients is provided on a timely basis in accordance with guidelines. B. Exposures to non-isolated communicable diseases are minimal.
• Consults and acts as a liaison among clinical staff on infection prevention and control performance improvement initiatives.
• Performance improvement reports are submitted on a timely basis by the practitioner or member of the task force.
• Coordinates and organizes new projects, surveillance, and in-service education activities for neonatal and pediatric medical center departments.
• To monitor and evaluate the prevention and control of hospital-acquired infections through surveillance and education. A reduction in hospital-acquired infection rates. Maintaining quality indicators. Publication and presentation of relevant data from new projects. Audits of compliance with best IPC practices and policies.
• Establishes networking systems with hospital departments and outside regulatory agencies
• To ensure the timely reporting of issues and conditions. Accurate documentation and record keeping.

Resolution of conflict. Ensure compliance with regulatory mandates.

• Partners with the Hospital Epidemiologist and Nursing Director of Infection Prevention in the development and implementation of systems, policies, and procedures for the department or services, in setting standards and priorities based on evidence-based literature and guidelines, and evaluating compliance with policies and practices.
• To provide appropriate guidance and support for effective and efficient patient service. Documented policies and procedures based on evidence. Departmental records and communication training. Effective monitoring to ensure compliance with policies and procedures with appropriate troubleshooting and escalation for non-compliance.
• Maintains current knowledge and understanding of performance improvement methodology and provides direction for planning the improvement process, prioritizing operations and objectives for improvement efforts, systematic and continuous performance assessment, implementation of improvements based on assessments, and the maintenance of resulting improvement.
• To assess, improve, and maintain the quality of departmental management, clinical, and support activities. Documented process for improvement planning, prioritizing, assessment, and implementation. Records of meetings to address improvement. Specific plans for improvements and implemented improvements using performance improvement methodology. Regular reports on progress in improvement efforts.
• Provides for the ongoing orientation, training, and education for staff in current, new, and developing technologies as well as departmental systems, policies, and procedures.
• To assure the existence of a competent staff capable of providing effective patient care. Orientation, training, and education records.
• Under the direction of the Hospital Epidemiologist, participates in regional and national collaboratives and academic societies, utilizes and initiates research to improve departmental functions and patient safety.
• To ensure IPC practices are consistent with up-to-date scientific evidence and local epidemiology. To investigate novel or innovative strategies to improve IPC practices. To contribute to general IPC knowledge and education as a part of an academic medical center. To promote the career development and continuing education of IPC department members and others throughout the institution.
• Establishes quality measurement and control processes and programs for departmental functions or services provided and monitors quality data.
• To provide a basis for redirection of efforts to improve the effectiveness and efficiency of patient care. Existence of documented quality assessment/control processes and programs. Quality assessment reports. Quality assurance to ensure data are accurate.

Participation as content expert and coach in performance improvement team activities and providing actionable IPC data for those teams.

Qualifications

• Bachelors Degree in Nursing, Public Health, Epidemiology or infection prevention related field Required - Masters Preferred
• 3+ years of nursing experience required
• New York State Registered Professional Nurse License and current registration or related field Required
• Certification in Infection Control (CIC) Required
• Experience in infection prevention and control Required.
• Previous pediatric and neonatal experience Preferred.
• Experience and/or formal training in clinical performance improvement and patient safety Required.
• Excellent interpersonal and communication skills (written and oral) Required.
• Critical thinking and analytic skills necessary for problem solving and clinical decision making Required.
• Documented commitment to continuing professional development Required.
• Effective management skills necessary to organize direct and evaluate the activities of infection prevention and patient care off shift operations Required.
• Computer literacy required including NHSN. Previous experience with EPIC, Excel, PowerPoint, and Word Preferred.

Montefiore Medical Center is an equal employment opportunity employer. Montefiore Medical Center will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.