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Infection Control and Risk Manager

Company: Clearway Pain Solutions Institute
Location: Pensacola
Posted on: June 13, 2021

Job Description:

The Infection Control and Risk Manager is responsible for coordinating the risk management and infection control clinical functions of the Companys Ambulatory Surgery Centers (ASCs). This individual will be responsible for ensuring the ASCs are able to meet the regulatory and clinical needs of the facilities. Day to day responsibilities will include ensuring adequate staffing, supplies, and other tasks are completed with the best infection control and risk management standards in conjunction with working as a Registered Nurse within the facility.

Essential Duties and Responsibilities:

  • Reviews ASC staffing levels to ensure compliance with regulatory requirements. Advises management of any discrepancies and risk areas.
  • Reviews ASC supply ordering and inventory to ensure compliance with regulatory requirements. Advises management of any discrepancies and risk areas.
  • Assists the ASC Director (Safety Officer) regarding safety protocols.
  • Conducts necessary administrative review, coordination, implementation and completion to meet regulatory body requirements for FL ASC facilities including, but not limited to:
  • AAAHC, Accreditation Handbook (2018+)
  • AHCA, ASPEN Set M 3.04 Ambulatory Surgical Center
  • FL Department of Health (DOH), Chapter 59A-5 Ambulatory Surgical Center Licensure

  • Trains clinical staff and provides clinical in-services, drills as required by the regulatory bodies.
  • Coordinates patient case reviews for special procedure to ensure ASA qualifications are met per facility guidelines.
  • Coordinates equipment repairs/biomedical checks to ensure clinical equipment integrity.
  • Networks with internal and external sources to continuously improve operational knowledge, skills and abilities related to infection control and risk management
  • Ensures continual delivery of high-quality nursing care
  • Adopts and implements innovative infection and risk management nursing practices to improve the facility
  • Ensures that surgical staff remains in compliance with professional development, Company, and regulatory standards
  • Maintains a healthy, collaborative team environment
  • Maintains documentation of patient care services by auditing patient and department records, including but not limited to autoclave receipts.
  • Ensures operation of medical and administrative equipment by verifying emergency equipment availability; completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques
  • Maintains nursing supplies inventory by studying usage reports; identifying trends; anticipating needed supplies; approving requisitions and cost allocations
  • Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies
  • Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods
  • Contributes to team effort by accomplishing related results as needed
  • Fills in for nursing vacancies, as needed; performing the roles and responsibilities of an ASC Nurse Administrator and/or a staff nurse
  • Consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans
  • Monitors all aspects of patient care
  • Prepares rooms, sterile instruments, equipment and supplies
  • Deals compassionately, professionally, and courteously with patients, their families, physicians, and fellow employees
  • Follows safety and infection control procedures
  • Adheres to all federal, state and nursing regulations and protocols including but not limited to patient safety procedures such as verification of patient identification prior to procedures
  • Ensures that immediately prior to the start of any procedure in the procedure room, initiate a time-out and ensure correct patient, procedure, site and side, and that there are no additional concerns.
  • Identifies every patient with three identifiers: full name, date of birth, and zip code

  • Documents this information in the Procedure Safety Checklist, including the time of the time-out
  • Oversees and ensures that daily/quarterly/annual binders/logs are up-to-date
  • Understands and administers regulatory policies (i.e.: AHCA, CDC, State, etc.)
  • Ensures all applicable Surgery Center staff and guests wear radiation badges.
  • Conducts safety drills, as required.
  • Identifies an emergency situation and is able to appropriately intervene
  • Deploys, monitors, and ensure that the facilities operational processes are appropriately integrated within the facilitys quality programs
  • Implements a program of job-based orientation, training, and on-going evaluation for all employees
  • Promotes the implementation of positive customer relations by the employees and physiciansMaintains patient, physician, and employee privacy and confidentiality in accordance with HIPAA, Company and other regulatory standards
  • Ensures that the surgical programs and clinical services are in compliance with the respective components of regulatory body and accrediting body standards
  • Orders supplies as needed
  • Monitors the adequate function of surgical equipment and patient care equipment through contracted services and follow-up on repairs
  • Provides clinical support for procedures, as necessary
  • Has working knowledge of all equipment and procedures
  • Fills in as a Registered Nurse, as needed.
  • Checks work e-mail on a regular basis throughout the workday.
  • Participates in and complete all required trainings and in-services.
  • Performs other duties as assigned.

Minimum Qualifications:

  • Associate degree with two (2) years Operating Room experience; OR an equivalent combination of education and/or experience. Experience at a more senior level may qualify as multiple equivalent years of experience for this role.
  • Must have knowledge of Internet and Microsoft Office software (MS Word, MS Excel, MS PowerPoint, MS Outlook).
  • Must possess and maintain current licensure as a Registered Nurse in the State of Florida.
  • Must possess a current ACLS and BLS certification.
  • Must possess and maintain certification as an Infection Preventionist.
  • Must have excellent written and oral communication skills, including exceptional customer service.
  • Must be able to establish and maintain effective working relationships with doctors, clinical staff, other co-workers and the public.
  • Must be able to work individually as well as within a team.
  • Must be able to follow both verbal and written instructions.
  • Must be able to work a flexible schedule.
  • Must be able to respond with patience and understanding during stressful conditions related to patient health and emergent situations.
  • Must be able to multi-task and prioritize.
  • Must demonstrate extreme attention to detail.
  • Must possess strong organization skills.
  • Must be able to problem solve and use reasoning.
  • Must be able to meet predefined quality standards.
  • Must maintain and project a professional attitude and appearance at all time.
  • Must have a working knowledge of the healthcare field and medical specialty, as well as medical terminology.
  • Must pass a Level II Background screen.
  • Must provide proof of influenza vaccination annually.
  • Must complete two (2)-step PPD.
  • Must complete all regulatory competencies prior to beginning work in the ASC.
  • Must be able to effectively oversee, manage and direct a team of clinical and non-clinical professionals.
  • All staff are expected to have a strong desire to provide excellent customer service; to comply with the rules and regulations of those organizations to which we are accountable; to have high ethical and professional standards of conduct; and to have an attitude of wanting to continuously improve their own professional performance.

Preferred Qualifications:

  • Bachelors Degree from an accredited college or university in a related field of study.
  • One (1) year of prior experience working in a Pain Management practice.
  • One (1) year of prior experience working with an Electronic Medical Record (EMR).
  • Possess and maintain risk management certification.

Driving/Travel:

The employee must have reliable transportation. Travel for this position will be required up to 40%. While the primary workplace may be closest to the employees home, work assignments could be in any of the Companys locations.

Keywords: Clearway Pain Solutions Institute, Pensacola , Infection Control and Risk Manager, Other , Pensacola, Florida

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