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					                                       JOB DESCRIPTION

1. JOB IDENTIFICATION
Job Title:                Infection Control Surveillance/Audit Nurse

Band                      5

Hours:                     20

Fixed Term Contract:      Permanent

Responsible to:          Infection Control Manager

Department(s):          Department of Infection Control

Division:              Public Health

Job Reference:

No of Job Holders:     One

Last Update:           January 2010




2. JOB PURPOSE
This post lies within the Infection Control Team. The post holder is responsible for maintaining,
implementing and evaluating surveillance programmes in line with the Western isles NHS Board
Infection Control Programme. The post holder will undertake surveillance of Healthcare Associated
Infection by collecting, analysing and inputting data into the established data bases. The post holder will
identify and access best practice statements to contribute to the assessment, planning and implementation
of patient care regarding Infection Control.

3. DIMENSIONS
The Infection Control Team provides services to the following areas:
The Western Isles Hospital, Uist and Barra Hospital, St Brendans, Primary Care, Nursing and Residential
homes within the Western Isles.

The post holder will provide surveillance results and discuss treatment advice with all grades of staff
within all disciplines, including nursing, medical, allied health professional and support services. The
surveillance service covers all wards and department in the 3 hospitals.
4. ORGANISATIONAL STRUCTURE




                                                   Infection Control
                                                       Manager



                            Specialist                                  Infection Control
                      Practitioner Infection                              Administrator
                             Control

   Trainee Infection                                         Surveillance Nurse
                                               Surveillance Nurse
    Control Officer


5. ROLE OF DEPARTMENT
Infection control is a high priority for the NHS in Scotland. The Infection Control Team aims to
ensure the provision of a managed environment which minimises the risk of infection to patients, staff
and visitors. The Infection Control Team provides a service to the whole of the Western Isles NHS
area and at present consists of two off site Infection Control Doctors, Infection Control
Manager/Senior Infection Control Nurse, Specialist Practitioner Infection Control, two trainee
Infection Control Officers and one Infection Control Administrator.
6. KEY RESULT AREAS
     Play a key role as a member of the Infection Control Team

     Participate in the development, implementation and monitoring of surveillance programmes

     To work with infection control team and clinical staff to develop robust Surveillance programmes,
      including implementation of National Surveillance Schemes

     Identify and access best practice statements to contribute to the assessment, planning and
      implementation of patient care regarding Infection Control.

     Agree personal objectives with the IC Infection Control Nurse Mentor.

     Systematically collect and analyse data, making recommendations for change as appropriate.

     Liaise with clinicians, nursing staff, the Infection Control Team to monitor infection rates

     Review microbiological data to evaluate the efficiency of the intervention and plan future practice

     Explain the significance of microbiological data to members of staff and patients (when requested)
      to enable them to prevent and control infection in relation to surveillance duties

     To be responsible for the provision of feedback of surveillance data to all relevant clinical staff,
      taking action on any problems identified under supervision of the Infection Control Team.

     Publish data and feedback information to both internal and external stake holders

     Inform and liaise with other hospital departments and other health care providers as required.

     To liaise closely with clinical and managerial staff in areas where surveillance has been conducted

     Synthesise evidence to produce logical, structured written reports for the infection control team
      and clinical staff.

     Maintain an awareness and understanding of relevant up-to-date Infection Control surveillance
      literature and research

     Critically evaluate information and research to formulate advice on the prevention and control of
      infection in relation surveillance duties.

     Participate in research studies in conjunction with the Infection Control Team

     To facilitate the implementation of best practice in prevention and control of infection by using a
      problem solving approach and facilitating responsible personnel to manage change process in
      relation to surveillance duties.
      To assist in the collection and analysis of relevant data for infection control team

      To work with the infection control team, acting as an expert role model to provide, develop and
       promote a high quality Infection Control Service promoting excellence throughout the Health
       Board Area

      Undertake any courses or development programmes identified as being relevant to the position

      Contribute to the formulation of the Health Boards Infection Control Team reports

      Attend professional meetings and relevant study days concerned with the prevention and control
       of infection and inform relevant staff on recent advances in this field

      Provide support to the Infection Control Team during outbreaks

      Adhere to the Health Boards policies and procedures

      To be able to assess and develop infection control requirements for individual patients

      To work with all groups of staff to ensure awareness and understanding of the implications of the
       surveillance programmes prior to their commencements

      Where necessary assist all groups of staff to explain to patient groups the objectives of
       surveillance being carried out and relevant nursing care.

      To assist the Infection Control Team in education and training programmes for all grades of staff,
       formally and informally within the Health Board area, and to evaluate the effectiveness of the
       education provided.

      To assist the Infection Control Team when required in providing an infection control resource for
       all staff and promote an interest in the control of infection.

      To regularly undertake ward/department audits as part of the Infection Control audit programme.


The above list is not intended to be exhaustive but merely indicates the main duties of the post. Any
changes to the overall job description will be discussed and agreed with the post holder




7a. EQUIPMENT AND MACHINERY

      PC
      Printers
      Photocopier
7b. SYSTEMS

   Word, Excel, Powerpoint. MRSA Database.

8. ASSIGNMENT AND REVIEW OF WORK
Work will be generated by the need service requirements and the Senior Nurses for Infection Control will
play a key role in coordinating the postholders activities. The post holder will be required to demonstrate
good organizational skills and initiative in order to manage their own workload. The unpredictable nature
of the infection control Department will require a flexible approach on behalf of the post holder




9. DECISIONS AND JUDGEMENTS

The Postholder is responsible for their own workload.

The Postholder will be responsible for ensuring that surveillance results are entered on the appropriate
data base and that surveillance results are communicated to ward /dept in a timely manner.

The Postholder is responsible for preparing reports on audit findings and feeding back in a timely manner.
They are also responsible for ensuring that the audit cycle is complete ie re-audit after submission of
action plan.



10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
Developing skills through training to maintain Infection Control department data bases.
The responsibility for recording laboratory tests results and progress chasing to ensure that processes
and procedures are followed and document accurately.
Identifying from definitions Alert Organism infections from positive microbiology
Liaising with ward staff as to placement of patient if required.
Using judgement as to when and where to involve ICNs to resolve problems encountered.
The post holder requires an understanding and knowledge of the Antimicrobial Prescribing Policy.
Checking that medication has been prescribed appropriately, in line with Antimicrobial Prescribing
Policy.
Feeding back adverse audit findings
The post holder will be required to multi task as situations can change.



11. COMMUNICATIONS AND RELATIONSHIPS
The post holder will be required to be an effective and diplomatic communicator working with all grades
of clinical and non clinical staff (e.g. Consultant staff, Senior Nurses, General Manager, General Nursing
staff and administrative staff etc) as well as a range of external organizations.
Internal

Infection Control Team
Laboratory Staff
Clinicians
Nursing staff
Senior Charge Nurses
Divisional General Manager
Occupational Health
Health and Safety Department
All members of multi disciplinary team

External

Other NHS Boards
General Practitioners
Health Protection Scotland
Public Health Department

The post holder will develop knowledge and competencies in relation to Infection Control, therefore
enabling the post holder to achieve the competencies with decreasing levels of supervision:

Regularly receive and advise on complex and sensitive information e.g. Confidential information relating
to the patients medical history relating to Infection Control issues.

Attend and participate in meetings. Actively promote and disseminate to staff at department and ward
level either by verbal, written or electronic format.




12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB
Physical Effort
Manual handling of case notes. Lifting, bending and stretching.
There will be a daily requirement to use a computer and sit for long periods of time.
There will be the requirement to walk round all wards and departments daily.

Mental Demands
Frequent interruptions both face to face and by telephone.
Work requires to be completed according to timescales.
The ability to prioritise work.


Emotional Demands
Occasionally dealing with concerned patients and relatives
Occasionally dealing with sometimes annoyed staff.
Maintaining confidentiality.
Environmental Demands
Exposure to warm working environment (daily)



13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
   Essential
    First level NMC Registration
    Working toward Post Graduate Certificate in Infection Control
    Ability to develop the personal skills to carry out the role
    Basic IT skills
    Ability to be diplomatic
    Ability to prioritise work load and manage risk
    Self-motivated, flexible, good communicator, able to work on own initiative
    Aptitude for clinical reasoning and critical appraisal skills
    Ability to work under pressure
    Cleanliness Champion qualification/Link Nurse trained




14. HEALTH AND SAFETY

Assist in maintaining own and others’ health, safety and security.

This involves:
       a) Complying with NHS Western Isles’ health and safety policies, procedures and participating in
           mandatory training.
       b) Maintaining a safe working environment and reporting any issues of concern as appropriate.


       NHS Western Isles attaches the greatest importance to the health and safety of its employees. It is
       the Board policy to do all that is reasonable to prevent personal injury and hazard to health by
       protecting staff and others including the public from foreseeable hazards compatible with the
       provision of proper services to patients. The Board expects its entire staff to take reasonable care of
       their own health and safety and that of others who may be affected by their acts or omissions at work.
       More detailed information is given in departmental safety policies where appropriate.



15. SUPPORTING EQUALITY, DIVERSITY AND RIGHTS
This involves:-

Acting in ways consistent with the Board’s policies and procedures.

Treating those you come into contact with equitably and with respect.

Recognising the need for aids or adaptations.
15. CONFIDENTIALITY
All personal health information is held under strict legal and ethical obligations of confidentiality. NHS
staff must follow guidance (NHS Code of Practice on Protecting Patient Confidentiality) before disclosing
any patient information. All staff must respect confidentiality of all matters that they may learn relating to
their employment, other members of staff, patients and their families.




16. JOB DESCRIPTION AGREEMENT
A separate job description will need to be signed off by each jobholder to whom
the job description applies.

Job Holder’s Signature:                                                                Date:

Head of Department Signature:                                                          Date:
                        WESTERN ISLES NHS BOARD

                           PERSON SPECIFICATION


Job Title:        Infection Control Surveillance/Audit Nurse

Department:            Infection Control

Location:         Western Isles Hospital


FACTOR                 ESSENTIAL                    DESIRABLE

QUALIFICATIONS,        1st level registered nurse   Recognised qualification
&TRAINING              on NMC register.             in Infection Control
                       Undertaken Cleanliness
                       Champion course or Link
                       Nurse trained

                       Qualified or working
                       towards Post Graduate
                       Certificate in Infection
                       Control.


KNOWLEDGE AND          Basic IT skills              Knowledge of data
EXPERIENCE             Willing to develop scope     collection & analysis
                       of practice
                       Good communication
                       skills
                       Ability to plan and
                       organize
                       Aptitude for clinical
                       reasoning and critical
                       appraisal


DISPOSITION            Good interpersonal skills
                       Able to word as an
                       effective team member and
                       also on own initiative
                       Ability to work under
                       pressure

				
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