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Ocala Health encompasses Ocala Regional Medical Center, a 288-bed facility located in the heart of Ocala, and West Marion Community Hospital, a 186-bed hospital located in west Marion County, Summerfield ER, a freestanding emergency department located in southern Marion County, Maricamp ER, a freestanding emergency department located on Maricamp Road in Ocala, and Trailwinds Village ER, a freestanding emergency department located on 466A in Wildwood. Ocala Regional Medical Center is a Level II Trauma Center and the region’s only Comprehensive Stroke Center. The hospitals offer a host of other quality and award winning services including orthopedic care and joint replacement, robotic surgery, cardiac and vascular services including open heart surgery and interventional procedures, emergency, neurological and rehabilitation services, and bariatric surgery. Ocala Health has the only Commission on Cancer approved cancer center in Marion County. Ocala Health's outpatient facilities include Family Care Specialists, a primary care network of six locations throughout Marion County; Advanced Imaging Centers; a freestanding Wound and Hyperbaric Center; a Senior Wellness Community Center; and three surgical and physician specialty practices.
The Manager of Infection Prevention is responsible for the facility-wide activities of evaluating and managing infection risks to patients and personnel through extensive surveillance and effective reporting system. The manager functions as the hospital-wide clinical expert in the prevention and control of infection and is responsible for the facility-wide planning and implementation of the Infection Prevention Program, in order to minimize the probability of transmission of infection, thus providing a safer hospital for our patient and personnel.
- Responsible for the Infection Prevention Program for the organization
- Demonstrates effective communication skills.
- Develops, conducts annual reviews, and revisions to, policies and procedures governing control of infection and communicable diseases, as indicated.
- Conducts annual risk analysis based on geographic location, community, populations served, care, treatment and services provided, analysis of surveillance activities and other infection control data.
- Prioritizes goals and documents risks per the Infection Prevention Plan based on the annual risk analysis. Works collaboratively with IP Team and Department Leaders to develop, maintain, revise, and enforce infection prevention and control policies and procedures.
- Serves as liaison with regulatory, state, and county agencies as relates to communicable disease reporting.
- Responsible for organization-wide compliance with regulatory standards (CDC, TJC, OSHA, CMS, etc.).
- Acts as a subject matter expert for infection prevention and control for ICP Staff, nursing staff, students or other clinical or non-clinical colleagues.
- Assists in the submission of data to the National Healthcare Safety Network (NHSN) per State and CMS requirements to assure accuracy.
- Examines microbiology reports of positive isolates to recognize trends, identify hospital acquired infections, and performs / compiles appropriate statistical analysis.
- Oversees concurrent and retrospective chart audits as indicated to determine community onset versus hospital acquired conditions.
- Oversees and participates in a robust surveillance program to include environment of care rounding, unit rounding, real time observations and audits of compliance with infection prevention bundles, compliance with isolation practices, and compliance with appropriate hand hygiene practices (cleanliness of work environment, patient environment and equipment), to include all procedural areas to assure compliance with OR attire, maintenance of aseptic technique, and monitoring of other high-risk behaviors such as traffic in and out of OR rooms.
- Develops strong relationships with staff and leaders and is recognized as the subject matter expert exhibited by comfort of staff in reaching out to IC Manager and recognition of IC Manager when rounding.
- Collaborates with Facilities Management Leadership and staff to assure appropriate ICRAs in place during periods of construction and renovation, and ensuring ongoing patient and staff safety during such activities.
- Oversees collection and submission of infection control data to ensure accuracy, completeness and timeliness.
- Review, assess and investigate lab data relative to infection rates, sources and identifies trends.
- Presents data in such a way that promotes ease of interpretation, analysis and identification of opportunities for improvement (using appropriate charts, graphs, tables, PowerPoint presentations, etc.).
- Demonstrates ability to analyze data and implement meaningful actionable plans to drive performance improvement activities when indicated.
- Assures infection prevention data is shared at the department / unit level and attends department / unit staff meetings at regular intervals (and as requested) to educate, answer questions, and support infection prevention performance improvement activities.
- Reports data to appropriate committees (hospital and medical staff) to include ICC, Surgical Steering Committee, etc. Generates physician specific data related to infection rates and provides to physicians on a regular basis (minimum of quarterly).
- Makes recommendations through Infection Prevention Committee or Quality Council for Performance Improvement based on analysis of data.
- Assures confidentiality, security and integrity of patient information is maintained in accordance with HIPAA regulations.
- Assures appropriate monitoring of staff compliance with use of personal protective equipment and communicates findings to department / unit leaders.
- Attends and participates in Director meetings, serving as the subject matter expert in the prevention and control of infections.
- Oversees infection prevention practices in the Dialysis Unit to include monitoring of infection control data such as water culture and assay results, water sample quality testing, etc.
- Oversees day-to-day operations of the Infection Control & Prevention Department to include staff oversight, evaluations, etc.
- Provides ongoing training and education for ICP staff.
- Participates in interviewing ICP staff.
- Assures competencies of ICP staff.
- Demonstrates ability to complete work in a timely manner.
- When assigned, assumes responsibility for the Infection Prevention Committee to include agendas, reports, and follow through on actionable items resulting from the meeting.
- Drives compliance with High Level Disinfection throughout the organization per TJC, CMS and HCA standards and requirements.
- Collaborates with Central Sterile for monitor efficacy of sterilization and disinfection methods, rate if immediate use sterilization, and use of sterilization logs.
- Collaborates with Employee Health as indicated related to prevention of infection and employee exposures (i.e., TB, meningitis, and other communicable diseases).
- Supports Employee Health as needed with employee and medical staff flu immunization program.
- Supports Emergency Management activities.
- Assures patient and family education needs are met related to infections.
- Assures infection prevention/control and infection specific (to include communicable diseases) educational materials are up to date and age/learner appropriate.
- Provides in-service education to hospital staff, including medical staff in an ongoing manner related to infection control processes.
- Performs other related functions as assigned.
- Ensure the application of customer service principles in meeting and exceeding the expectations of internal and external customers to provide satisfaction.
- Monitors staff interpersonal transactions to ensure application of customer service practices.
- Reviews customer services precepts with staff as needed.
- Recognizes individuals for practicing outstanding customer service.
- Provides necessary materials to enable employees to function at peak performance in providing customer service.
- Engages staff in organizational goals for customer service by sharing data and participating in hospital activities promoting customer service.
- Manage fiscal operation of department using the budget as a guideline for revenue and expense analysis.
- Develops new processes or services that include, when appropriate, business and financial justification.
- Manages departmental plan consistent with budgetary constraints.
- Meets reporting deadlines.
- Develops departmental policy that demonstrates cross-departmental collaboration.
- Maintains appropriate quality control program.
- Participates in the selection of outside sources needed for services.
Ethics and Regulatory Proactivness
- Ensures organization and department specific compliance with corporate requirements and requirements for all applicable (local, state, federal, regulatory) agencies.
- Uses trends /acts upon information obtained to ensure quality of care and employee safety.
- Anticipates / plans for implementation of change required by various regulatory agencies and communicates the same. Maintains department according to appropriate regulatory compliance agencies and makes required improvements / changes when deficiencies are noted.
- Department standards are consistent with the Hospital’s Plan for Patent Care.
- Conduct reinforces company values and promotes the Code of Conduct.
- Meets leadership obligations under the Ethics and Compliance Program.
- 1 to 3 years acute care experience preferred; active participation in facility clinical improvement activities
- At least 3 years of experience in infection prevention
- Bachelor degree in nursing, medical technology, clinical laboratory science, Public Health, Microbiology, or Epidemiology required.
- Knowledge of epidemiology, infectious disease management, microbiology, public health principles, and statistical analysis of clinical data required.
- Current state professional license or certification/registration as required by field of practice is required.
- Certification in Infection Prevention and Control (CIC) is required.
We are committed to providing our employees with the support they need. At HCA, we offer an array of medical, dental, and vision packages as well as several add-on perks to make your benefits package truly customizable to you and your family needs. Some of our unique benefits we offer include:
- Student Loan Repayment
- Tuition Reimbursement/Assistance Programs
- Paid Personal Leave
- 401k (100% annual match – 3% to 9% of pay based on years of service)
- Identity Theft Protection discounts
- Auto, Home, and Life Insurance options
- Adoption Assistance
- Employee Stock Purchase Program (ESPP)
EOE /Equal Opportunity Employer
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