Manages safety programs and compliance for the Joint Commission, OSHA, EPA; federal, state, and local AHJs, Occupational Health and Safety, Environmental Compliance, Construction Safety, and Operations activities to maintain constant readiness for surveys and inspection; serves as a safety point of contact during federal, state, local and organizational surveys and inspections.
Manages construction safety activities at multiple facilities; assess patient and team member safety of projects and recommends infection control practices to ensure safety during construction activities.
Trains and orients contractors on safety, infection prevention, logistics, and operations prior to beginning work at facilities.
Acts as first-responder for incidents at facility; maintains constant on-call response readiness and serve in multiple roles during incident command events at facility and corporate levels.
Interfaces with administration and department leadership to risk assess and approves operational changes for patient, team member and life safety concerns.
Creates and disseminates PCRA, ICRA and ILSM documentation for projects at multiple facilities.
Acts as liaison between facility administration and construction team, providing communication to both and to all team members at facilities impacted by construction.
Develops and submits reports of Joint Commission, DHSR, CMS, CARF, CAP, CLIA and/or mock survey assessment findings and recommendations and identifies and implements corrective actions.
Educates and provides corrective actions for deficiencies identified during inspections and assessments.
Inspects patient care and non-patient care departments, public spaces, and construction sites to ensure compliance with applicable codes and regulations.
Develops, implements, and maintains documents, policies, procedures and risk assessments for safety programs, standardizes reports, programs, and processes at the facility and corporate level. Owns and manages the Environment of Care chapter at multiple facilities; Chairs EC committees, maintains EC committee agendas and minutes, communicates safety updates to EC members and facility team members, provides oversight and develops management plans, annual evaluate EC chapter and performs annual and routine proactive risk assessments of multiple facilities.
Manages and completes environmental tours, CARF tours, perform weekly rounds of departments and grounds, creates work orders and OSRs to address opportunities and provides corrective actions.
Oversees proper handling, documenting, inspecting, transportation of hazardous waste and responds to hazardous material spill emergencies.
Works collaboratively with other service lines to accomplish initiatives impacting patient care and team member safety. Implements and oversees special projects as directed by Safety leaders and facility administration teams.
Presents safety programs and updates/training to leadership, physicians, and team members.
Responds to product recalls by coordinating facility response, removal of recalled products, disseminating education to team members and leadership, and auditing the recall program on a yearly basis.
Supports facilities and team members regarding injury/illness prevention and corrective actions, working to lower injury rates and prevent future team members injuries by changing/modifying operational processes and spaces.
Physical Requirements Works in an office environment approximately 30% of the time, sitting, standing, walking, working with standard office equipment. Remaining 70% of time is spent in healthcare facility or support services setting.
Requires considerable walking and standing while conducting surveys and training sessions.
Must be able to carry up to 15 pounds of materials and various types of equipment.
Travel to other facilities in personal vehicle is required.
Subject to indoor and outdoor environmental conditions.
May be subject to hazards (i.e. chemicals, mechanical parts, etc.) and atmospheric conditions (i.e. fumes, odors, dusts, mists, etc.).
Responsible for setting a strong example of safety by working in a safe manner and utilizing personal protective equipment (PPE), as appropriate
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