Multi-Drug Resistant Organism (MDRO) Infection Prevention Specialist& Quality Management Consultant

Major Duties:

• The MDRO Infection Prevention Specialist/Quality Consultant Registered Nurse is responsible for providing competent evidence-based infection control practices.
• The MDRO IPS establishes surveillance indicators and conducts monitoring to identify and reduce the risk of acquiring and transmitting infections among patients employees visitors and students.
• Contributes to the annual Infection Control Risk Assessment determining appropriate resources needed to accomplish the proposed plan communicating any variance to administration and revises plan as needed.
• The MDRO IPS provides education on infection control issues as well as annual and ongoing trainings to staff. Fosters a safe and supportive environment conducive to the professional development of healthcare professionals.
• The MDRO IPS serves as an education resource for all employees on infection control epidemiology and provides knowledge and guidance.
• The MDRO IPS is a VHA facility-level employee responsible for managing the local aspects of MDRO Prevention Initiatives.
• This nurse serves as the focal point and liaison for the day-to-day operations as well as for reporting and collecting MDRO data (e.g. methicillin-resistant Staphylococcus aureus MRSA C. difficile carbapenem-resistant Enterobacteriaceae CRE).
• The MDRO IPS has an important role in various programs and systems within the organization i.e. Reusable Medical Equipment (RME) Construction and Water Safety committees.
• The MDRO IPS participates in risk assessments for all construction projects and completes random walk-throughs of construction projects to inspect/review practices.
• The MDRO IPS implements and maintains a system for analyzing trending and reporting data.
• The MDRO IPS assists in developing and maintaining mandatory documents such as standards operating procedures policies outbreak and exposure investigations and external agency required documents.
• The MDRO IPS provides leadership in ensuring the MDRO Infection Control Program complies with all mandated Veteran Health Administration VHA) The Joint Commission (TJC) Office of Safety and Health Administration OSHA) Office of Inspector General OIG) applicable State regulations.
• The MDRO IPS evaluates reviews and revising facility policies and procedures following national standard changes from Association for Professionals in Infection Control and Epidemiology (APIC) Centers for Disease Control CDC) The Society for Healthcare Epidemiology of America SHEA) Infectious Diseases Society of America IDSA) etc.
• The MDRO IPS works collaboratively with other clinical and administrative departments and staff including but not limited to Industrial Hygiene Patient Safety Engineering Risk Management and EOH in providing reports consultative advice and other data needed.
• The MDRO IPS assists in the design of the MDRO Infection Control Program requirements in all services and departments of the organization.
• The MDRO IPS provides for the systematic collection and analysis of infection data using current epidemiological principles.
• The MDRO IPS incorporates the principles of fiscal responsibility into practice and initiates and participates in studies education and research activities related to infection control activities.
• The QM Consultant is assigned responsibility for their assigned quality management program area activities for the Medical Center and all off-site locations.
• The QM Consultant collects data monitors staff compliance with relevant policies directives and standards provides reports detailing trends and provides direct staff support to all services in planning designing integrating implementing modifying and administering a comprehensive quality management program area.
• The QM Consultant comprehends and effectively analyzes the clinical contents of medical records and associated documents in terms of quality and appropriateness of care issues such as adherence to or deviation from accepted diagnostic and treatment protocols including drug therapies and the presence or absence of expected outcomes.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

Pay: Competitive salary regular salary increases potential for performance awards
Paid Time Off: 50 days of paid time off per year (26 days of annual leave 13 days of sick leave 11 paid Federal holidays per year)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: 1 full and unrestricted license from any US State or territory

Work Schedule: Fulltime; Monday- Friday 7:30am- 4:00pm.
Compressed/Flexible: Not Authorized
Telework: ADHOC Telework Eligible
Virtual: This is not a virtual position.

Conditions of employment

• U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements ( Effective May 7 2025 drivers licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• You may be required to serve a probationary period.
• Complete all application requirements detailed in the Required Documents section of this announcement.

Qualifications

Basic Requirements:

• English Language Proficiency. In accordance with 38 U.S.C. 7403(f) no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
• Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE); OR Individuals attending a masters level bridge program in nursing who have completed coursework equivalent to a bachelors level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. Upon achievement of a State license the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (Reference VA Handbook 5005 Appendix G6); OR In cases of graduates of foreign schools of professional nursing possession of a current full active and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program. Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD).
• Current full active and unrestricted registration as a graduate professional nurse in a State Territory or Commonwealth (i.e. Puerto Rico) of the United States or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements but do not possess the required licensure may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.)

NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification.

Grade Determinations: The following Scope Education and Dimension criteria must be met in determining the grade assignment of candidates and if appropriate the level within a grade. The Dimension requirements (Practice Veteran/Patient Driven Care Leadership Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: I Level IDelivers fundamental knowledge-based care to assigned clients while developing technical competencies.An Associate Degree (ADN) or Diploma in Nursing with no additional professional nursing required.Nurse I Level IIDemonstrates integration of biopsychosocial concepts cognitive skills and technically competent practice in providing care to clients with basic or complex.An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required.Nurse I Level IIIDemonstrates proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex client situations.An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I Level 2; OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I Level 2; OR a Masters degree in nursing (MSN) and no additional professional nursing experience; OR a Masters degree in a *related field with a BSN and no additional professional nursing experience.Nurse IIDemonstrates leadership in delivering and improving holistic care through collaborative strategies with others.A BSN with 2 years of professional nursing equivalent to Nurse I Level 3; OR an MSN with one year of specialized nursing experience equivalent to Nurse I Level 3; OR a Masters degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse I Level 3; OR a Doctoral degree in Nursing with no professional nursing experience; OR a Doctoral degree in a *related field with a BSN with no additional professional nursing experience.Nurse IIIExecutes position responsibilities that demonstrate leadership experience and creative approaches to management of complex client care beyond the immediate practice setting.MSN and 2 years of specialized nursing experience one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Masters degree in *related field with BSN and two years of specialized nursing experience one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III; OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III.*Note: Foreign education programs/degrees are not creditable as related degrees.

Reference: For more information on this qualification standard please visit