Infection Prevention and Control Accreditation Inspector

Infection Prevention and Control Accreditation (IPAC) Inspector (Permanent 0.8-1.0 FTE)

REPORTING TO: Director, MANQAP

DEPARTMENT: MANQAP

MANQAP Infection Control Accreditation Inspector (Full-Time 0.8-1.0 FTE)

The Manitoba Quality Assurance Program (MANQAP) seeks an Infection Prevention and Control (IP&C) Accreditation Inspector. MANQAP accredits Non-Hospital Medical and Surgical Facilities (NHMSF) and Laboratory, Transfusion Medicine, Diagnostic Imaging public and private in Manitoba. Reporting to the Director of MANQAP, the successful candidate will participate in inspecting facilities encompassing all IPAC related environments.

Position Summary

MANQAP process promotes public safety through monitoring compliance of the facilities to meet standards which includes policies, quality management programs, qualifications, and safety. Responsible for assigned inspection site reports and the related submission to the Program Review Committee (PRC), assessing compliance with CPSM By-law Accredited Facilities and College of Physicians and Surgeons of Manitoba policies and procedures.  This position ensures continual awareness of current infection and control processes, technologies and best practices by obtaining appropriate continuous professional development.

Responsibilities

- Prepares for inspections by ensuring necessary documentation is completed.

- Monitors, and evaluates site’s adherence to provincial and regional IPAC policies, procedures, and operational directives and implements actions to ensure consistency and compliance of practice and compliance.

- Supports onboarding of qualified inspector consultants.

- Provides IPAC guidance including routine practices and additional precautions, sterilization, disinfection, and cleaning processes,

- Completes inspection report with accurate and detailed clarity for action.

- Follows up with facilities, progress reports, and final remediation.

- Reviews facility requests for new procedures/sedation and follows up as required.

- Exercises the appropriate level of initiative and independent judgment in determining urgent and non-urgent site related issues, suggesting action on unusual matters.

- Prepare documentation for quarterly MANQAP Program Review Committee meetings.

- Annual program review to support recommendations for standards revisions and process improvements to Program Director.

- Reviews Annual Reports for any discrepancies or issues and follows up as required.

- Create and maintain professional relationships with all stakeholders.

- Incorporates training components of new programs through checklists, inspections, and reports.

- Support in the development of other inspection programs and implements as required (e.g., point of care testing)

- Other duties assigned include research and project management as required.

Qualifications

Education & Experience & skills:

- Completion of Post Secondary education in nursing or an allied health-related field with focus on IPAC in direct clinical care, microbiology, epidemiology, or public health.

- A minimum of 7 years' experience in an infection control and quality environment role, 5 of which should be in a clinical health setting; preference given to those with surgical operating room experience.

- Current registration in good standing with professional licensing body required.

- Current CIC® (Certification in Infection Control)

Competencies

IPAC & Clinical Expertise

Quality Improvement & Accreditation

Analytical & Critical Thinking

Interested Parties Engagement & Influence

Professional Accountability & Regulatory Compliance

Requirements

- Ability and willingness to travel overnight for inspections in Manitoba and attend conferences and meetings outside Manitoba.

- Valid class 5 driver’s license.

- This position is subject to a satisfactory criminal record check

The College of Physicians & Surgeons of Manitoba is strongly committed to equity and diversity within its community and especially welcomes applications from women, racialized persons/ persons of colour, Indigenous peoples, persons with disabilities, persons of all sexual orientations and genders, and others who may contribute to the further diversification of ideas.

All qualified candidates are encouraged to apply.

Accommodation is available upon request during the assessment and selection process.