A. POSITION SUMMARY
The Director of Nursing, Infectious Control and Clinical Quality plays a critical role that provides leadership for nurses and assigned health personnel within FCCH clinics; assists in the development and maintenance of standards, policies, procedures, and on-going nursing staff development; monitors nursing and other assigned health services for quality, infectious control and compliance in accordance state and federal regulations and participates in the senior management team. The focus of this position will be in development implementation of programs and systems to meet organizational objectives. Provides focus on the improvement of work processes to reduce sources of error, trains others in quality improvement strategies, techniques, and develops an infrastructure to give nursing staff access to the problem-solving processes. Removes barriers to quality and promotes a positive collective voice of nursing through transparency and Just Culture practices. Works with senior leadership and managers to execute key performance improvement strategies. This position reports to the CMO.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Infection Control:
- Develop, implement, and maintain infection prevention and control policies and procedures.
Quality Assurance:
- Lead the development, implementation, and evaluation of quality improvement initiatives.
Compliance and Accreditation:
- Demonstrated knowledge of/familiarity with all applicable compliance expectations, including TJC and/or related accreditation and certification requirements, and ability to cooperate fully and comply with laws and regulations.
- Assurance of regional compliance and improvement plans for compliance in accordance with the New Mexico Nurse Practice Act, New Mexico Board of Pharmacy regulations, Occupational Safety and Health Administration, Clinical Laboratory Improvement.
- Supervise nurses, lab manager and pharmacy coordinator and other ancillary support services.
LICENSES/CERTIFICATIONS REQUIRED
- Registered Nurse (RN) with a current and active license.
- Certification in Infection Control (CIC) strongly preferred.
- CPR Certification must be obtained within first 6 months of hire and maintained.
KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED
- Knowledge of nursing techniques and practices.
- Knowledge of clinical operations and documentation.
- Advanced knowledge of clinical patient intake procedures, and supervisory level/functional understanding of FCCH laboratory and pharmacy protocols.
- Knowledge of patient care charts and patient histories.
- Knowledge of patient evaluation and triage procedures.
- Knowledge of relevant laws, regulations, and accrediting bodies (e.g., CMS, Joint Commission).
- Functional knowledge of word-processing, database and electronic medical record software programs.
- Ability to accurately observe, assess and record symptoms, reactions, and progress.
- Ability to safely lift, and physically manipulate patients.
- Knowledge of appropriate procedures and standards for the administration of medications and patient care aids.
- Knowledge of supplies, equipment, and/or services ordering and inventory control.
- Ability to educate and communicate effectively with patients and/or families as to the nature of disease and to provide instruction on proper care and treatment while making their visit a pleasant experience.
- Ability to prepare and process laboratory samples using established protocols.
- Knowledge of OSHA guidelines for blood borne pathogens/sterile technique requirements.
- Ability to maintain quality, safety, and/or infection control standards.
- Ability to maintain calendars and schedule appointments.
- Ability to use a multi-line telephone to schedule appointments and coordinate patient visits with center staff.
- Ability to work independently under the general direction of a provider and follow instructions for work completion.
- Ability to take the initiative to resolve patient concerns and problems.
- Ability to foster a cooperative environment.
- Demonstrated employee development and performance management skills.
- Ability to supervise and train assigned staff including organizing, prioritizing, and scheduling work assignments.
- Demonstrated knowledge of/familiarity with all applicable compliance expectations, including TJC and/or related accreditation and certification requirements, and ability to cooperate fully and comply with laws and regulations.
- Knowledge and familiar with compliance program, corporate fully and comply with laws and regulations.
AGE OF PATIENTS SERVED
- Geriatric, Adult, Adolescent, Pediatric and Newborn.
PHYSICAL CHARACTERISTICS/WORKING CONDITIONS
A person in this position has sufficient time to complete most tasks although under pressure depending on patient and organization demands. There are opportunities to relax from any physical exertion or to change position in work activities.
Physical Effort and Dexterity: Moderate physical activity. Requires handling of average-weight objects up to 25 pounds or standing and/or walking for more than four (4) hours per day.
Machines, Tools, Equipment: Capable of using medical equipment, office machines and personal computers for word-processing and data entry.
Visual Acuity, Hearing, and Speaking: Must be able to read results of medical tests and computer monitor and outputs accurately. Must be able to communicate clearly and accurately for work and safety compliance.
Environment/Working Conditions: Work is performed in an office setting with exposure to Visual/Video Display Terminal (VDT), extensive personal computer and phone use.
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