Quality/Infection Control/EH Nurse

We are seeking a dynamic Quality/Infection Control nurse to join our team! 
 
Freedom Behavioral Hospital of Monroe is a 42 bed acute care facility providing specialized care for adults with their mental health and behavioral health needs. The hospital offers a wide range of services, including inpatient and outpatient care, as well as a variety of specialized programs. A dedicated professional team provides individualized treatment, meeting the personal needs of our patients in a safe and nurturing environment. Freedom Behavioral is committed to providing a safe and supportive environment for its patients, and to helping them achieve their goals. With its comprehensive approach to mental health and behavioral health care, Freedom Behavioral Hospital of Monroe is a trusted resource for those seeking quality care and support.
 
The Infection Control/Quality/Employee Health Nurse is responsible for monitoring the healthcare environment for appropriate Infection Prevention practices. This role provides education to leadership, medical staff, hospital staff and Governing Body. The Quality Director facilitates performance improvement activities and CQI activities throughout the hospital through the QAPI plan. Acts as a resource person to administrative team, department managers and medical staff. Assists department managers with preparation for all committee meetings as needed.  Assists with preparation for all regulatory body surveys, i.e., the accrediting organization, State Licensing Review, CMS Validation surveys. Focuses the plan on the basis of 3 categories: Quality Management, Risk Management, and Staff Educator. Functions as a member of the multidisciplinary team and communicates identified patient goals, interventions, and assessments.
 
Duties Include but are not limited to:
 

• Performs Infection Prevention surveillance for hospital-acquired infections based on the National Healthcare Safety Network (NHSN) guidelines. Reports communicable diseases to the health department, as required. Notifies System Infection Prevention Director and entity Leadership of any identified trends or issues.
• Ensures correct isolation procedures are practiced. Proactively and consistently monitors the healthcare environment to ensure compliance with regulatory standards and infection prevention policies and procedures. Addresses deficiencies proactively by providing feedback and guidance to leaders regarding infection prevention issues.
• Acts as the subject matter expert and leader regarding infection prevention/employee health issues.
• Actively participates in the development of goals and objectives based upon the annual risk assessment results. Assists in the development, implementation and evaluation of the Infection Prevention Plan.
• Prepares or assists in the preparation of Infection Prevention/Employee Health data.
• Prepares and presents educational workshops, lectures, discussions or one-to-one instruction on infection prevention/Employee Health topics.
• Assists in the development and implementation of the organization's adopted performance-improvement program
• Maintains and updates organization-wide performance-improvement programs, policies, and procedures
• Develops effective data collection, organization, and evaluation systems for monitoring the quality of patient care
• Summarizes collected data and reports findings and recommendations in a timely manner to the performance-improvement committee
• Assists in the evaluation of patient, employee, and medical staff grievances to identify ways to improve patient care and performance standards
• Serves as an educational resource for performance improvement and keeps facility current on state and federal rules and regulations and accrediting-body requirements
• Maintains performance-improvement records in a confidential and organized manner
• Performs other duties, as assigned

• Challenging and rewarding work environment
• Competitive Compensation
  Medical, Dental, Vision, and Prescription Drug Plan
  • Generous Paid Time Off
  • 401(K)