Registered Nurse 3 - Infection Prevention - CBCC

Full Job Description

Salary: $8649.00 - $14,172.00 Per month
Join the Department of Corrections (DOC) team to make a real difference in the lives of others and to find personal fulfillment in your role. DOC is seeking a highly motivated and qualified Registered Nurse 3, Infection Prevention for the Clallam Bay Correctional Center located in Clallam Bay, Washington.
The mission of Department of Corrections (DOC) is to improve public safety. The mission of Health Services is to provide necessary comprehensive, quality health services and to promote wellness in preparation for return to the community. The mission of the Infection Prevention Nurse is to prevent harm caused by infection to patients and staff and ensure quality health care for patients with transmissible infections which in turn improves public safety.
The Infection Prevention Nurse/Registered Nurse 3 directly oversees the facility Infection Control and Prevention Program. The Infection Prevention Nurse helps to develop, maintain, and evaluate this program, by supporting, educating and directing staff.

Requirements

• Provide clinical oversight of HIV-infected patients, including, but not limited to, medication
  adherence counseling, facilitation of care and release planning.
  Manage the Hepatitis C Program at the facility, including, but not limited to, managing databases,
  implementing Hepatitis C protocols, providing support to practitioners regarding Hepatitis C care,
  participating in Hepatitis C related conference calls, and offering testing for Hepatitis C as
  appropriate.
• Manage Tuberculosis (TB) screening and management according to DOC Policies and protocols,
  including monitoring adherence to treatment, laboratory testing, acting as a liaison to public health,
  tracking patient data, training staff and overseeing the implementation of screening.

During outbreaks or for certain infectious diagnoses, monitor and collect specific data as directedregarding the health status, clinical condition, or situation of patients, families, groups, and/orcommunities by interview, observation, inspection, and examination.

Report the results of the datacollection to Health Services practitioner(s), as clinically indicated.

Carry out the plan of care by performing common therapeutic interventions, informing others aboutthe urgency, time and methods to deliver health care on and off site.

Determine when needs for care or services are beyond the Registered Nurse scope of credentialing and training, require clarification, require another type, or level of intervention.

Take action as necessary to obtaindirection from the Health Services practitioner(s) and accomplish prescribed interventions in a timely and clinically responsive manner.

• In conjunction with Health Services practitioner(s), coordinate health care received by patients by completing encounter forms for documentation and scheduling of needed services.
• Complete incident reports as directed.
• Respond to verbal and written requests from patients, as directed.
• Effectively communicate verbally, in writing, and via computer or other electronic media with patients, their families, other health care personnel, custody, and other institutional personnel.
• Legibly document subjective and objective clinical findings, the rationale, and the actions taken to deliver health care in the health record, computerized database, and on other DOC approved forms.
• All documentation will be in accordance with the Health Records Policy [DOC 640.020] and associated protocols.
• Protect the confidentiality of protected health information (PHI) and the health record as mandated by law, professional standards, DOC Policy Directives, facility Operational Memoranda, and Health Care Unit procedures.
• Treat any and all health records or health information as confidential and privileged.
• Provide information or advice consistent with statutes and procedures on health care record
  confidentiality.
• Maintain accurate, legible, and complete records of patient care, including chart documentation using appropriate format, of all patient requests for medical attention, objective data collected, treatment administered, evaluation of treatment effectiveness and patient education provided.
• Assist in writing nursing care plans and interdisciplinary treatment plans and complete other entries to support the problem-oriented health care record.
• Establish therapeutic relationships that preserve professional boundaries with patients to counsel, teach, and assist patients to reduce health risks, improve their ability to provide self-care, manage symptoms and side effects, to participate in prescribed treatment regimen, and to make informed decisions about health care and treatment.
• Use tools, techniques, physical and cognitive skills, and abilities to practice nursing safely and effectively in the correctional setting and within the scope of practice defined by state law and administrative code so that patient care provided is safe, effective, efficient, and clinically
  appropriate.
• Assess, monitor, and interpret objective and subjective data collected about the health status, clinical condition or situation by interview, observation, inspection, and examination to identify patterns and variances from the desired outcome.

Monitor and enforce Infection Prevention & Control according to DOC Policy 670.000, DOH Health,
Environmental, & Safety Standards, DOC Policy 590.100, DOC Policy 890.600 and all infection
prevention protocols and guidelines.

• 
  Ensure that patients who have communicable diseases or whose health is at risk as a result of
  communicable diseases are assessed, evaluated and managed according to standardized infection
  control guidelines.
• Participate in facility Infection Control Meetings.
• Participate in facility audits with Safety Team.
• Participate in statewide bi-weekly Infection Prevention Nurse (IPN) Meetings.
• Attend quarterly statewide IPN meetings/learning sessions.
• Report communicable diseases to the Department of Health (DOH) and/or local health jurisdiction
  as required by law.
• Monitor and enforce all infectious disease protocols, (ex. influenza, scabies, lice, norovirus, postexposure
  prophylaxis, etc.).
• Collaborate with Occupational Nurse Consultants (ONC) after staff exposures to blood and/or body fluids, offering assistance with source person testing and post exposure management.
• Collaborate with public health in the event of an outbreak and implement control measures as appropriate.
• Provide sexually transmitted infection (STI) education, data management and reporting.
• Provide notification and education prior to approval for extended family visits as appropriate.
• Track and manage data for infection control including analysis and reporting of trends over time via the Surveillance Log.
• Manage the patient vaccination program, ensuring vaccines are administered and documented appropriately.
• Work with practitioners to teach, educate, monitor and enforce compliance with proper isolation of patients with transmissible diseases.
• Help monitor and enforce handwashing and the proper use of personal protective equipment.
• Help monitor and enforce proper cleaning and disinfection of rooms used for patients in Health Services, including terminal room cleaning.

Oversee the practice of all CMAs, CNAs, LPN2s, LPN4s, and RN2s under this position’s
supervision.

• Teach, instruct, monitor, supervise and evaluate the implementation of tasks and the results of patient care assigned to staff nursing personnel.
• Ensure that nursing personnel are in attendance, capable and technically competent to practice nursing as assigned.
• Hold staff accountable for reporting and performing work as scheduled so that staff safety and patient care are not compromised.
• Assign work to be performed by other nursing personnel, based on the scope of practice allowed by law for the staff assigned the work, and their knowledge, skills, credentials and abilities to perform the work.
• Follow the guidelines of the Collective Bargaining Agreement (CBA) to ensure processes and staff management are fair and consistent.
• Perform staff evaluations in a fair, consistent and timely manner to share positive feedback, and/or constructive critiques to encourage, challenge and engage staff. Highlight opportunities for growth, professional development, and areas of expertise and success.

Collaborate with all agency divisions to support infection control and prevention.

• Monitor and enforce sanitation standards for cleaning of living units (showers, kitchens, cells, etc.).
• Monitor and enforce sanitation standards for the cleaning, sanitizing and/or sterilization of medical and dental equipment and supplies.
• Monitor and enforce sanitation standards for the cleaning, sanitizing and/or sterilization of barbering tools, equipment and supplies.
• Act as consultant to Safety, Custodial, and Janitorial Services.
• Act as consultant to Laundry Services.
• Act as consultant to Food Services Program.
• Develop and monitor policy for standardization of cleaning products including the use of, and necessity for, bleach.
• Work with Occupational Nurse Consultants to support the vaccination and health of staff.
• Evaluate, monitor, and order medical supplies to ensure necessary and sufficient quantities are available for infection control purposes, coordinating with office and warehouse staff as needed.
  

Assume accountability and responsibility for quality and efficiency of patient care services and delivery.

• Plan the delivery of health care, defining timeframes and pathways for delivery of services, prioritizing and sequencing care to be provided, ensuring continuity of care over time and place.
• Use critical thinking to determine when a patient's condition dictates the need for a higher level of intervention or different modality of care.
• Identify when staff require clarification of orders to provide practitioner-prescribed interventions in a timely and clinically responsive manner.
• Analyze and evaluate the structure, process, and efficiency of service delivery, health care record documentation, and other nursing procedures to prevent complications, improve patient outcomes, and increase the quality of care.
• Review medication administration and the area(s) where dispensed medications are stored so that medication is administered to patients in the infection control and prevention program safely and effectively.
• Manage the human, medical and office supplies, and resources of the clinic in a manner that is appropriate and financially responsible.
• Provide accurate, authoritative information to groups or communities, including colleagues and correctional personnel so that good clinical practices and healthy behaviors are promoted and health risks are reduced.
• Communicate effectively verbally, in writing, and via computer or other electronic media with patients, their families, other health care personnel, custody and other institutional personnel, so that information is solicited to identify problems and develop a solution.
• Ensure that plans to deliver care are implemented by self and others are revised as necessary, resulting in safe, timely, and clinically appropriate service provision.

Ensure staff participation in training and orientation.

• Train, monitor, and supervise staff to ensure that staff respond to outbreaks and other infection control emergencies involving patients, staff and/or visitors in an appropriate, timely and clinically competent manner, and emergency equipment and supplies are maintained in good working
  order, within expiration/usage dates and organized for immediate access and use.
• Participate as requested in planning the emergency response for natural disasters, drills and other emergencies on all campuses of the institution.
• Practice and review the medical components of the emergency response plan as requested and update as needed, at least on an annual basis.
• Facilitate the orientation process for new nursing staff and agency nurses regarding the Infection Control and Prevention Program.
• Provide technical guidance in using computer applications, (ex. CIPS, OMNI) and other equipment and software programs.
• Assist in updating Infection Prevention training manuals and calendars at least annually.
  

Actively participate in clinic/facility-wide Coordinated Quality Improvement Program (CQIP) projects
and programs.

• Attend facility CQIP meetings as appropriate and report back to nursing and support staff to keep nursing staff engaged in improving patient care.
• Serve as the lead for at least one local quality improvement project per year and engage nursing staff in the process to ensure all employees have an understanding of the principles of quality improvement and the goals for the organization.
• Participate/represent facility on statewide quality improvement initiatives; share our processes and learn from other facilities; implement best practices in patient care.
• Participate in Health Services Quality Improvement activities that impact the Infection Control and Prevention Program.
• Actively participate in multi-disciplinary, facility, statewide, and management team meetings.
• Assist in the development and implementation of policies and procedures for health services.
• Practice in accordance with DOC Policy and the Offender Health Plan.
• Participate in formal clinical oversight according to facility and DOC Health Services Clinical Oversight Structure.
  

Self-evaluate and practice professional conduct at all times.

• Evaluate one’s own practice for technical competency and safety, obtain education or training to retain or improve skills and abilities based upon the work assigned, and inform the immediate supervisor if needed.
• Be in attendance, capable, and competent to practice as assigned. Report for and perform work as scheduled so that staff safety and patient care is not compromised.
• Using established methods, brief appropriate personnel on pertinent information, before departing from duty, to ensure continuity of patient care.
• Work overtime and callback shift as necessary to maintain service delivery, safety, and security.
  

Qualifications

Required Qualifications:

Initial and continuous unencumbered licensure in the State of Washington as a Registered Nurse
OR
An unencumbered Multi-State License from a participating Compact Licensure State and completion of the MLS
demographic survey.

AND
Two years’ experience working as a Registered Nurse.
Training by the American Heart Association in Healthcare Providers CPR.
Proficient using computer-based programs to schedule, monitor and track patient information, perform data entry
and word processing, and communicate via email, as well as other programs that may be needed to complete
assigned work.
Ability to work independently and with limited supervision.
Certification as an Infection Prevention Specialist or at least 2 years clinical experience in HIV/Viral Hepatitis/sexual
transmitted infection/TB program management, infection prevention, and/or outbreak investigation.
Ability to research, accumulate, organize, and communicate technical information both orally, in writing, in person,
and using technologies such as telephone, electronic mail, and computer equipment.
Demonstrable skill in data collection, data management using Excel or Access, data analyzing and presentation of
data to groups and individuals.
In addition to the above, this position requires:
Analysis - Uses data and information in a clear and rationale thought process to assess and understand issues,
evaluate options, form accurate conclusions and make decisions. Identifies key facts, understands the nature and
relationship between data elements, recognizes underlying principles or patterns in an array of data, and determines
if additional data should be collected. Uses judgment and critical thinking in the absence of clear guidelines to draw
conclusions about further action.
Observation and Inspection - Critically observes and inspects people, conditions, and the environment to detect
problems. Acutely aware of critical details, alert and attentive when performing other work, understands normal
conditions and constantly compares the current status to the norm to identify subtle changes and incremental
deviation, makes informed judgment about when a change in current status must occur and determines appropriate
action. Uses insight to identify contributing and mediating factors. Understands thorough documentation and other
forms of communication to cause others to understand and take appropriate action.
Decisiveness - Makes timely decisions without sacrificing quality even under ambiguous circumstances or when data is
limited. Recognizes when a decision must be made and moves forward, delegates decision making authority appropriately,
advocates for important patient care objectives and finds common ground, and solutions among diverse interests.

Desired Qualifications:

Bachelor's degree or higher.
Experience working as a Registered Nurse in a correctional facility or public health.
Certification as a Correctional Health Professional with NCCHC (National Commission on Correctional Healthcare).
Experience in patient case management

Additional Information

IMPORTANT NOTES:

Please include a minimum of three (3) professional references with your application.

A professional reference is defined as an individual who has been paid to supervise your work and can attest to your work performance, technical skills, and job competencies.

If you do not have any or sufficient professional references, please include non-related professionals, such as educators or other professional associates.

**Please note: Phone numberANDemail address are required for all professional references.

• A background check including criminal record history will be conducted prior to a new hire. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant’s suitability and competence to perform in the position.
• Employees may work directly with or near incarcerated individuals in a potentially hazardous setting. Please consider this when deciding whether to apply.

We are committed to maintaining a drug and alcohol-free work environment, and our employees are expected to comply with all state and federal laws.

A pre-employment drug test may be administered as part of the selection process, and applicants who test positive for any controlled substances, will be disqualified from consideration.

• Oleoresin Capsicum (OC) is an aerosol pepper spray made available as a means of self-defense and/or de-escalation. Applicants with sensitivities or allergies are encouraged to ask about the level of exposure they could expect in this position.
• Animal care projects are a common component of most Washington State prisons, including dog and cat programs. Applicants with animal sensitivities or allergies are encouraged to ask about the level of exposure they could expect in this position.

Tuberculosis (TB) is a priority health issue for DOC employees. The successful candidate may be required to provide valid proof of a baseline TB skin test within 60 days from the date of hire.

When positive tests result, further information, testing and treatment will also be required. Employment is not contingent upon test results.

• This position may be represented by a bargaining unit.

• Requires respirator medical evaluation questionnaire, fit testing, training, and use of respiratory protection as required by the WA Industrial Safety & Act standards. Refer to WAC 296-842 to learn more.
• Must be able to work in spaces, climb stairs, walk long distances, and frequently lift up to 30 pounds. Under rare circumstances this position may be required to lift or carry up to 50 pounds and push up to 100 pounds.

Foreign equivalent degrees awarded outside the United States must have a credential evaluation report attached to your application.

You may request the required evaluation/documentation fromwww.wes.organdwww.aice-eval.org. Until this documentation is provided, you will not be selected to move forward in the hiring process.

• Candidates who are offered a job with the Department of Corrections must possess work authorization that does not require sponsorship by the employer for a visa now or in the future.
• Salary is based on experience and is determined at the time a final offer of employment is made. The salary range listed in the job posting includes Steps A-U. Step U is a longevity step and is typically gained six years after being assigned to Step T in your permanent salary range.

DOC complies with the employment eligibility verification requirements for the federal employment eligibility verification form I-9.

The selected candidate must be able to provide proof of identity and eligibility to work in the United States consistent with the requirements of that form.https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents

• DOC does not use E-Verify; therefore, we are not eligible to extend STEM-Optional Practice Training (OPT). For information, please visit www.uscis.gov.

We are committed to hiring individuals who possess core diversity competencies:

Foster a positive attitude and openness toward the ever changing social and cultural makeup of the workplace.

• Work effectively with people of different perspectives, abilities, disabilities, races, religions, ages, lifestyle preferences and social, ethnic and cultural backgrounds.
• Respectfully acknowledge people's differences and recognize these differences as important and valuable.
• Promote inclusiveness.
• Be culturally sensitive and appropriate.
• Respect and value diverse backgrounds and traditions.

What We Offer:

As an employee of the Department of Corrections, your work-life integration is a priority.

Washington State employees are offered one of the most inclusive and competitive benefits packages in the nation.

Besides comprehensive family insurance for medical, dental, and vision, these perks also may include:

• Up to 25 paid vacations days a year
• 8 hours of paid sick leave per month
• 12 paid holidays a year
• Generous retirement plan
• Flex Spending Accounts
• Dependent Care Assistance
• Deferred Compensation and so much more!

Many DOC jobs are covered by the Public Safety Employees' Retirement System (PSERS).

If someone moves from a Public Employees Retirement System (PERS) eligible position to a PSERS eligible position, they actually retire under two different systems/plans.

For more information, please contact the Department of Retirement System at: 1-800-547-6657.

DOC is an equal opportunity employer and does not discriminate on the basis of race, creed, color, national origin, sex, marital status, sexual orientation, gender identity, gender expression, age, honorably discharged veteran, veteran status, genetic information, or the presence of any sensory, mental or physical disability or the use of a trained guide dog or service animal by a person with a disability.

For questions about this recruitment, or to request reasonable accommodation in the application process, please email Maria Trujillo at mgtrujillo@doc1.w.gov For TTY service, please call the Washington Relay Service at 7-1-1 or 1.800.833.6388.