Under the supervision of the Manager, Infection Prevention, the Infection Prevention Specialist is familiar with
hospital epidemiology principles and is responsible for the surveillance, analysis, interpretation and reporting of
hospital acquired infections (HAI); educating employees about infection prevention; and assists in the development
of health system policies and procedures to insure rigorous infection control standards that meet TJC, OSHA,
Centers for Medicaid/Medicare Services, Centers for Disease Control and Prevention (CDC) and other nationally
organized agencies recommendations and requirements

1. Infection Prevention Surveillance Activities
a. Apply epidemiologic principles and statistical methods, including risk stratification, to identify
Client population, analyze trends and risk factors. In collaboration with the manager, design and
evaluate prevention and control strategies.
b. Conduct on-going surveillance using Center of Disease Control (CDC) infection criteria,
documentation, and investigation of nosocomial infections through review of admission diagnoses,
microbiology culture results, isolation orders, patient records, consultation requests, post-discharge
surveillance, and autopsy findings.
c. Assess environmental control through surveillance of water supply systems as needed, air pressure
relationships for high risk environmental monitoring.
d. Conduct environmental rounds in all inpatient and outpatient care areas. Collect data on the
incidence of selected device use in identified intensive care units.
e. Participate in investigations of unusual hospital infection outbreaks utilizing the microbiology
laboratory, consultation with Infectious Disease Medical Director, county/state public health
departments, and when necessary in consultation with the Center for Disease Control. Report
epidemiologically significant findings to appropriate customers.
f. Report all in-house patients with communicable disease to the county and/or state health department
and maintain appropriate records.
2. Data Collection/Analysis
a. Assist in importing & maintaining data for mandatory reporting requirements for CDPH/CMS via
Med Mined & NHSN (National Healthcare Safety Network)
b. Collect data in support of epidemiological studies of specific problems or problem areas to
determine the source of the problem and make appropriate recommendations.
3. Performance Improvement:
a. Participate in quality/performance improvement activities by assessing, monitoring, and measuring
nosocomial infections and evaluating outcomes on a continuous basis.
b. Select indicators based on the projected use of the data. Plan and participate in the budget process.
c. Assist in the organization of regularly scheduled Infection Prevention meetings and dissemination
of recommendations hospital-wide.
4. Staff Resource/Educator
a. Functions as a resource/educator for performance improvement processes and/or structured
problem-solving approaches.
b. Assist the Manger to plan, organize, develop and implement educational programs for all hospital
employees including administrative and ancillary services which convey specialized knowledge and
skills to increase employee awareness of existence of nosocomial infections; techniques for
avoidance and preventive measures to provide a safe environment for hospital employees and
patients.
5. Exposure
a. Develop appropriate informational materials at appropriate level of understanding and need.
b. Serve as a knowledgeable and available resource on infection control practices and policies to
patients, families, staff, and health system employees.
c. Participate in continuing educational activities at the department, state, and national levels to
promote personal growth and maintain a current knowledge base commensurate with latest research
and scholarly knowledge.
6. Regulatory:
a. Maintain compliance with national standards and regulating bodies such as TJC, CDC, OSHA,
FDA and CMS.
7. Miscellaneous
a. Participate in maintaining policies and procedures which provide for a program of preventive
medicine for hospital personnel to include establishment of policies and procedures relating to
exposure to infectious diseases and prevention of cross-contamination.
b. Maintain a knowledge base of current infection prevention and control information through peer
networking. Internet access, published literature and professional meetings
c. Complies with all applicable health system policies and procedures.
d. Performs other duties as assigned.

Schedule Notes:
Monday – Friday, days