INFECTION CONTROL/WOUND CARE NURSE

Purpose of Your Job Position

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, Assistant Administrator, and the Director of Nursingto ensure that an effective infection control program is maintained at all times.

Delegation of Authority

As the Infection Control Coordinator you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Your immediate supervisor is the Director of Nursing Services.

Job Functions

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.

Duties and Responsibilities

Administrative and Surveillance Functions

·Complete the daily census form & distributes according to facility policy.

·Reviews daily report & chairs morning report on a daily basis.

·Serves as shift supervisor.

·Plan, develop, organize, implement, evaluate, coordinate, and direct infection control program in accordance with current rules, regulations, and guidelines that govern such requirements in the long-term care facility.

·Ensure that the facility is in compliance with current CDC, OSHA, JCAHO and local regulations concerning infection control or 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, Assistant Administrator, and Director of Nursing 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.Maintain communication with labs that service our facility.

·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.

Administrative and Surveillance Functions (continued)

·Monitor the designated shelf life of medical items wrapped and sterilized at the facility. Reprocess as necessary.Routinely monitor expiration dates.

·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 Housekeeping 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.

·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 control program and Bloodborne Exposure Control Plan.

·Report all reportable diseases to the local and state health departments.

·Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.

Committee Functions

·Chairs the Infection Control Committee meetings

·Represent the Infection Control Committee as required.

·Works in a collaborative effort to evaluate and revise control practices and aseptic technique to ensure continued sanitation practices are maintained throughout the facility.

·Establishes 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 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 which 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.

·Orient new employees to the importance of infection control policies and procedures, personal hygiene, handwashing techniques, etc., as well as the employee's responsibility in following our established procedures for tasks involving exposure to blood/body fluids.

·Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents.

·Meet with the staff to assist in identifying and correcting problem areas, and/or the improvement of services, as necessary.

Personnel Functions (continued)

·Develop and maintain a good working rapport with all department directors and personnel to ensure that infection control services and activities can be properly maintained to meet the needs of the residents.

·Maintain an excellent working relationship with the medical profession and other health related facilities and organizations

·Responsible for the development and monitoring of the Health Employee Program

·Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the facility.

·Review complaints and grievances made or filed by department personnel and report to the Director of Nursing.

·Make appropriate reports to the Administrator and/or Director of Nursing Services as necessary.

Nursing Care and Consultation Functions

·Participate in the selection of residents for admission to the facility.

·Ensure that all nursing service personnel follow established isolation precautions and aseptic technique to include universal precautions.

·Ensure that residents with known communicable or infectious diseases are placed in isolation or on infection control precautions to include universal precautions.

·Interview residents or family members and explain isolation and universal precautions as necessary.

·Make rounds with physicians as necessary.

·Monitor medication passes and treatments to ensure that appropriate handwashing techniques are being followed in the handling and administering of drugs, medications, and treatments.

·Review nurses' notes of those residents in/on isolation precautions to ensure that they are informative and descriptive of the nursing care being provided and that they reflect the resident's response to the care.

·Assist nursing service personnel in performing nursing care procedures as necessary.

·Provide direct nursing care as necessary.

·Develops Policies and Procedures for the facility Wound Care Program.

·Ensures that nursing staff follow established Infection Control Policies/Procedures

·Conducts Weekly Wound Care Rounds

·Makes recommendations for appropriate treatment of decubitis and non-pressure areas.

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Staff Development

·Develop and participate in the planning, conducting, and scheduling of timely in-service training classes and educational programs that provide instructions on "how to do the job" for all facility personnel.

·Develop, implement, and maintain an effective orientation program that orients the new employee to our infection control and employee health program.

·Provide leadership training that includes the administrative and supervisory principles essential for Nurse Supervisors/Charge Nurses.

·Assist support services in developing, implementing, and conducting in-service training programs relative to infection control.

·Assist theIn-service Director/Educator in developing annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard.

·Develop a training program for all personnel required to perform tasks involving exposure to blood/body fluids.

·Attend and participate in continuing educational programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.

Equipment and Supply Functions

·Recommend to the Director of Nursing Services the equipment and supply needs for maintaining an effective infection control program.

·Ensure that a stock level of medical supplies, equipment, etc., is maintained on premises at all times to adequately meet the needs of the resident.

·Assist the maintenance director in developing a preventive maintenance program for maintaining the nursing department's equipment and supplies in a safe and operable manner.

·Develop and implement procedures that ensure nursing service supplies are used in an efficient manner to avoid waste.

·Ensure that established policies governing the labeling or tagging of contaminated equipment are followed when such equipment must be sent for repair or decontamination.

Care Plan Functions

·Assist in the development, implementation, and maintenance of a written plan of care (preliminary and comprehensive) for each resident in isolation or on infection control precautions that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care.

·Ensure that the care plan is reviewed prior to administering daily care to the isolated resident or prior to performing nursing care procedures involving exposure to blood/body fluids.

·Develop and maintain a good rapport with all services involved with the care plan to ensure that a team effort is achieved in developing the resident's total regimen of care in preventing and controlling infections.

Budget and Planning Functions

·Assist the Director of Nursing Services in preparing the budget for the department in relation to its infection control program and activities.

·Keep abreast of economic conditions/situations, and recommend to the Director of Nursing Services adjustments that ensure the continued ability to prevent and control infectious diseases.

·Recommend to the Director of Nursing Services the equipment and supply needs for the Infection Control Program and its activities.

Resident Rights

·Maintain the confidentiality of all resident care information.

·Explain to the resident the necessity of isolation and/or universal precautions.

·Ensure that all nursing service personnel are knowledgeable of the residents' rights, including the right to refuse treatment.

·Monitor nursing care to ensure that all residents are treated fairly, and with kindness, dignity, and respect while in isolation or on universal precautions.

·Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident's room.

·Review complaints and grievances made by the resident and make a written/oral report to the Director of Nursing Services indicating what action(s) were taken to resolve the complaint or grievance. Follow facility's established procedures.

·Maintain a written record of the resident's complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint.

RHMLC