Health & Regulatory Compliance Nurse

Description

The Employee Health & Regulatory Compliance Nurse is responsible for coordinating and maintaining the hospital’s Employee Health Program while providing regulatory compliance support which may include clinical, regulatory, quality, infection prevention, patient safety and risk management support within the Quality Department.

This position reports directly to the Director of Regulatory Compliance & Patient Safety, who also provides oversight of the hospital’s Infection Prevention and Control Program.

Employee Health is a primary area of responsibility for this position. In addition, the RN assists the Director of Regulatory Compliance and Patient Safety, Quality Manager and Vice President of Quality with assigned activities related to regulatory compliance, infection prevention, performance improvement, quality assurance and risk management.

The Employee Health & Regulatory Nurse serves as the primary coordinator of the hospital’s Employee Health Program. The RN is responsible for the day-to-day administration, tracking, follow-up, documentation, surveillance and coordination of Employee Health activities within the authorities delegated by hospital leadership and established policies. The Director of Regulatory Compliance and Patient Safety provides supervisory oversight of the Employee Health Program and the RN responsible for its operation.

Because the Director of Regulatory Compliance and Patient Safety oversees Infection Prevention, the Employee Health and Regulatory Compliance Nurse also serves as a key clinical support resource for the Infection Prevention and Control Program.

The RN may assist with:

• Infection Surveillance and data collection
• Healthcare-associated infection monitoring
• Hand-hygiene surveillance
• Isolation and PPE audits
• Infection-prevention rounds
• Communicable disease investigations
• Employee and patient exposure investigations
• Employee immunization and infectious disease surveillance
• Staff education
• Infection-prevention audits
• Corrective-action monitoring
• Infection Prevention committee activities
• Regulatory reporting preparation, as assigned

The Director of Regulatory Compliance and Patient Safety retains responsibility for oversight of the Infection Prevention and Control Program. The structure of this position is intended to ensure that Employee Health responsibilities remain adequately supported while allowing the RN to function as a flexible clinical resource across regulatory compliance, infection prevention, quality and risk management.

• Coordinate pre-employment and ongoing employee health requirements in collaboration with Human Resources
• Maintain confidential employee health records in accordance with applicable requirements and hospital policy
• Coordinate required employee health screenings and surveillance
• Track employee immunization and immunity documentation
• Coordinate Tuberculosis screening and surveillance
• Coordinate employee Influenza and other applicable vaccination programs
• Monitor compliance with employee health requirements and communicate deficiencies to appropriate individuals
• Coordinate occupational exposure evaluation and follow-up, including blood and body-fluid exposures and needle stick/sharps injuries.
• Facilitate appropriate post-exposure testing, treatment, documentation, counseling and follow-up according to hospital policy
• Assist with employee work-related injury and illness processes in collaboration with Human Resources and other designated personnel
• Coordinate employee return-to-work processes within established hospital policies and applicable provider recommendations
• Assist with respiratory protection program activities, including medical clearance…