Summary

To provide education to the nursing staff and validate clinical competencies for consistent delivery of care and services. To participate in systematic review of processes and outcomes and to utilize data accessible to the clinical team to determine compliance with state and federal regulations. To discuss recommendations and assist with development of improvement plans in collaboration with the nursing management team. To oversee infection control in the facility.

Essential Job Duties and Responsibilities

1. Plans and conducts new employee orientation to all new staff. Other department managers will be enlisted to participate, present and share in the responsibilities of new employee orientation.

2. Ensures that competencies are completed for all new nurses according to established schedule within 30 days of hire.

3. Acts as System Administrator for all educational management systems.

4. Ensures that regular and required in-services are scheduled and held according to state/federal requirements, and holds periodic in-services for areas found to be weak or in need of improvement through the QI process. Delivers required in-services on all shifts and weekends as needed.

5. Provides initial and on –going EMR (Electronic Medical Record) training to all staff.

6. Maintains employee health files. Tracks and records PPD tests (or chest x-rays) and other required infection control monitoring for employees.

7. Conducts drug testing for new employees and randomly as needed.

8. Maintains training files in his/her office in orderly system.

9. Serves as the facility Infection Control practitioner, responsible for overall compliance with the facility Infection Control program.

10. Enters Potential Compensatory Events (PCE’s) into the Risk Management System and reviews record of the event if necessary. (Functions as Risk Manager as needed in coordination of overall Risk Management program.

11. Assists with audits and QI projects as needed as a member of the facility QI Committee.

12. Participates in preparation of QI materials, developing agenda, preparing data collection from AHT and supporting QI processes as needed.

13. Meets weekly with the nursing management team and Administrator to share observations, discuss solutions to identified trends and concerns and establish educational priorities.

14. Completes all monthly infection control tasks and conducts monthly meetings.

15. Report monthly infection control reports

16. Oversees antibiotic stewardship program

Qualifications

1. Current RN licensure in the state where employed.

2. BSN / MSN degree preferred.

3. Three to five years progressive management/education experience in a long-term, sub-acute or post-acute care setting preferred.

4. Ability to work flexible work hours to support state and federal resident care requirements.

5. Superior customer service aptitude and approach.