JOB DESCRIPTION CDU (Central Decontamination Unit) Manager Page 1 of 8
St. Vincent s Private Hospital St. Vincent s Private Hospital was established by the Religious Sisters of Charity in 1974 and is located beside St. Vincent s University Hospital. As a private hospital, delivering the highest standards of patient care it plays a significant role in the Irish acute hospital sector. The hospital has 236 inpatient beds, 31 general and 23 oncology day care beds, 12 consulting suites, operating theatres for major and minor surgery, endoscopy, radiotherapy, cardiology and diagnostic imaging facilities which includes General Radiography, CT Scanning, Interventional Radiology, Mammography, Ultrasound and Magnetic Resonance Imaging (MRI). St. Vincent s Private Hospital is a member of St Vincent s Healthcare Group, which also includes St. Vincent s University Hospital and St. Michael s Hospital, Dun Laoghaire. Located on the Merrion Road, Dublin beside St Vincent s University Hospital, the Hospital delivers quality health care to patients from all parts of Ireland. The hospital offers a comprehensive range of specialist services including Breast Surgery, Cardiology, Dermatology, Endocrinology, ENT Surgery, Gastroenterology, General Surgery, Microbiology, Radiology, Radiotherapy, Hepatobiliary Surgery, Renal Metabolic Medicine, Medicine for the Elderly, Neurology, Oncology, Ophthalmology, Orthopaedic Surgery, Pain Management, Urology, Gynaecology, Haematology, Histopathology, Maxillo Facial Surgery, Pain Management, Palliative Medicine, Plastic Surgery, Respiratory Medicine, Rheumatology, Thoracic Surgery and Vascular Surgery. The hospital seeks to strengthen its patient services for the 21 st century with a strong focus on quality patient care. The new staff member will be joining a dynamic and caring team of healthcare professionals. St. Vincent s Private Hospital is committed to the Philosophy and Mission of the Religious Sisters of Charity. The hospital is adjoining and closely linked operationally to St. Vincent s University Hospital, the major acute care hospital in the South East region of Dublin. Mission Statement: The values underlying the philosophy of St Vincent s Private Hospital in relation to our care of patients and staff are those of human dignity, compassion, justice, quality and advocacy, which are based on the mission and philosophy of the Religious Sisters of Charity, our shareholders. We strive to maintain excellence in clinical care, education and research. We will continue to develop St. Vincent s Private Hospital in line with the above principles and with our responsibilities to the wider Irish healthcare system. Part I: Part II: Professional Qualifications & Experience General Accountability Specific Accountability Competencies Outline of Duties and Responsibilities Part III: Particulars of Office Page 2 of 8
PART I: PROFESSIONAL QUALIFICATIONS and EXPERIENCE Essential Requirements: Course in Science/Sterile Services Technology with 5 years related experience, 3 years of which is in a managerial capacity. Proficiency in computer applications. Experience of Tracking & Traceability System desirable but not essential. Demonstrate knowledge of reprocessing standards, HSE recommended practices for CDU and workflow of a CDU. Demonstrate experience in mentoring and staff management. Demonstrate organizational, analytical and problem-solving skills. Management Course/Healthcare Management Course. Experience of dealing with all categories of surgical specialties in particular orthopaedics. The ability to plan and implement service changes. Excellent communications skills. Fluency in written and spoken English. A candidate and any person holding the office must be free from any defect or disease which would render him/her unsuitable to hold office and be in a state of health as would indicate a reasonable prospect of ability to render regular and efficient service. Be of good character. Competencies: 1. Promotion of Evidence Based Decision Making: Makes decisions in a well-judged timely manner bringing all relevant information to bear when addressing problems or issues. Uses logical analysis to break complex problems into their component parts. Applies research findings to improve practice and processes. 2. Building & Maintaining Working Relationships: Forms strong positive working relationships across all areas of the service, builds on a common understanding. Demonstrates a supportive and reciprocating work style including strong empathy with service users. 3. Negotiation, Communication & Influencing Skills: Gets a message across fluently and persuasively in a variety of different media (oral, written and electronic). Makes a compelling case to positively influence the thinking of others. Is strategic in how he/she goes about influencing others. Shows strong listening and sensing skills. 4. Service Initiative & Innovation: Drives to achieve positive results at all levels of the service. Takes initiatives to move the service forward and shows a willingness to try out new ideas. 5. Resilience & Composure: Maintains a disciplined and professional level of performance under sustained or situational pressure. Can bounce back from adversity or setbacks. Shows persistence and flexibility in achieving goals. 6. Integrity & Ethical Stance: Holds an appropriate and effective set of professional and managerial values and beliefs and behaves in line with these. Promotes and consistently supports ethical and value-based staff practices. Page 3 of 8
7. Sustained Personal Commitment: Is personally committed to achieving end goals and the continuous improvement of the service. Shows enthusiasm and a high level of motivation in leading and completing projects. Highly committed to the profession and keeps abreast of current issues. 8. Practitioner Competence & Professional Credibility: Has the functional and technical knowledge and skills to make a credible contribution to CDU practice. 9. Planning & Organisation of Activities and Resources: Plans and organises resources efficiently and effectively within a specified time frame. Co-ordinates and schedules activities. Manages unexpected scenarios. 10. Leading on Clinical Practice & Service Quality: Sets and monitors standards and quality of service, leads on proactive improvement. 11. Leading and Building the Team: Acts as a role model in terms of capability and professionalism. Leads a team confidently, motivating, empowering and communicating with staff to promote provision of a quality service. Blends diverse styles into a cohesive unit, coaches and encourages improved performance. PART II: ACCOUNTIBILITY, DUTIES & RESPONSIBILITIES General Accountability The appointee will lead the Central Decontamination Team and will be responsible for the provision of a decontamination service of reusable invasive medical devices to all clinical areas within the Hospital. The appointee will be accountable for the work performance of the CDU staff and the quality of the products issued by the Department. The development and implementation of a total quality management system in line with current legislation. The appointee will be expected to develop new initiatives to address the changing healthcare environment. A computerized tracking and traceability system for all medical devices is insitu and will monitor trends. Inventory is maintained on this system. Monitoring medical devices and communicating with support suppliers to carry out remote updates on an annual basis to maintain continuity. Assist in maintaining awareness of the Mission and values throughout the Hospital in relation to all activities. Demonstrate behaviour consistent with the Values of the Hospital. Maintain awareness of the primacy of the patient in relation to all hospital activities and in doing so ensure the high standard of patient care that St. Vincent s Private Hospital is renowned for. Specific Accountability Accountable to the Theatre Manager. The appointee will also work in close collaboration with the Theatre Manager, Clinical Nurse Managers and staff. Page 4 of 8
Outline of Duties and Responsibilities: 1. Ensure the delivery of a high quality service to the Hospital/stake holders and patients. 2. Responsible for developing and monitoring policies/standard operating procedures, continuous quality improvements and strategies for the decontamination of RIMD (reusable invasive medical devices) within the organization, ensuring optimum utilization of resources and systematic audit of such usage. 3. Ensure CDU operates in accordance with the HSE Standards and Recommended Practices for Central Decontamination Units (version 2, parts 1, 2, 3, 4 2011) for decontamination of reusable invasive medical devices (RIMD). 4. Provide support and guidance on the application of relevant National, European, International Standard including Harmonised EU & ISO Standards and monitor compliance on an ongoing basis. 5. Work with clinicians to develop, improve, approach to the decontamination of RIMD, and encourage direct communication between them and CDU when problems arise. 6. Responsible for the implementation of a standardized internal training programme for CDU staff and encouraging staff to pursue further education in the area of science and sterile service technology courses. 7. Delegate responsibilities to other CDU team members ensuring stock levels are maintained and stores appropriately ordered are sufficient for the needs of the department. 8. Implement cleaning programmes for all areas of the department, washroom, inspection assembly packaging, sterile storage and single item store. 9. Introduce good manufacturing practices in line with National and European medical device directives. 10. Ensure systems are in place for service and validation of all CDU equipment (EN 285:2006) Ultrasonic, washer disinfector (EN ISO 15883 parts 1 & 2), autoclaves, heat sealers and other equipment, pass through hatches, lifts and raising and lowering workstations as described in recommended practices for RIMD & CDU equipment in the HSE document, and according to manufacturer s instructions (EN ISO 17664). 11. Consult with theatre staff, materials manager, financial controller, Assistant Director of Nursing responsible for the Unit when procuring equipment. 12. Liaise with Director of Nursing/Assistant Director of Nursing to ensure effective communication in relation to strategic and operational issues, staff development, service planning. 13. Participate on relevant hospital committees as required (decontamination, Infection Prevention & Control). 14. Be responsible for the formulation and implementation of a planned replacement programme for decontamination equipment throughout the organization. 15. The CDU manager will be required to attend appropriate meetings and conferences at local, national and international level relevant to the decontamination of reusable invasive medical devices (RIMD). Page 5 of 8
Human Resource Management Participate in selection, recruitment and retention of staff. Ensure all new staff in the department receive an adequate induction programme, have a clear understanding of their duties, responsibilities and standards of performance. Ensure all staff are familiar with Health & Safety at work policy and risk management procedures in St. Vincent s Private Hospital and fully comply with their requirements. Support staff in their personal development plans. Follow hospital procedure when dealing with staff disciplinary matters. Seek advice and support from Assistant Director of Nursing/Director of Nursing in aspects of Human Resource Management within the department as required. Management Establish and maintain good communication with all users of the service and promote good working relationships. Ensure all appropriate health and safety, fire and other statutory regulations are adhered to. Participate in and contribute to JCI Accreditation and other audits carried out in the organization. Education Be committed to own self-development and continuous learning process. Encourage evidence-based practice and assist in the dissemination and implementation of research findings. Facilitate training and development of all staff in the department. Represent St. Vincent s Private Hospital and National Irish Decontamination Institute at National and International Conferences as required. Keep up to date with changes in practice, relevant courses specific to the speciality. Page 6 of 8
PART III: PARTICULARS OF OFFICE The appointment is whole time, permanent and pensionable. 1. Duties: The CDU Manager will perform the duties of the post as outlined in Part II of this Job Description, and assume any other responsibilities that are applicable to the full discharge of the post. 2. Hours of work: Normal working hours are 39 per week, but the appointee will attend at such other times as are required for the proper discharge of the duties of the office. 3. Probation: Your employment will be probationary for the first six months. Employment is conditional upon a continuing satisfactory level of performance. The probationary period may be extended at the hospital s discretion, but will not in any case exceed ten months. A probationary period is typically extended when performance issues have been identified and the manager requires extra time to assess long-term suitability. Absences during the period of probation will extend the probationary period. Your performance and conduct during this initial probationary period will be monitored through a process of appraisal meetings. The purpose of the appraisal meetings is to ensure that any issues, which may arise in relation to your performance, may be fully explored and rectified. Failure to achieve minimum standards of work performance during the probationary period may result in dismissal. Termination of this agreement within the probationary period shall be at the discretion of the Hospital and in the event of such a termination, you will receive one months notice. The Hospital will implement an abridged version of the disciplinary procedure if necessary during the probationary period. 4. Pension: The successful candidate will be eligible to join the hospital Defined Contribution pension scheme once the probationary period is complete and certified as satisfactory. Membership of the Private Hospital s Pension Scheme, which includes Disability Scheme, is compulsory once you become eligible to join under the terms of the scheme. The Pension Scheme is a Defined Contribution Pension Scheme; the deduction from your salary will be 5% of Gross Salary, which will be deducted on the occasion of each salary payment. 5. Annual Leave: The annual leave entitlement is based on HSE Department of Health & Children. 6. Sick Leave: Payment of salary during illness will be in accordance with Department of Health and Children regulations. Please refer to sick leave policy available on shared drive. 7. Work Permit: Your appointment may be subject to a valid work permit being obtained on a yearly basis from the Department of Enterprise, Trade and Employment. You shall cease to hold office on the expiry date of the work permit unless the Department of Enterprise, Trade and Employment approve the renewal application. Page 7 of 8
8 Termination of Office: The employment may be terminated at any time by one months' notice on either side except where circumstances are dictated by the Minimum Notice and Terms of Employment Act 1973/77 apply. The Hospital Management hopes it will not be necessary to exercise their right under this paragraph. However, in circumstances where Management conclude that the post holder has failed to perform their duties to a standard consistent with their responsibilities, or where their conduct in relation to the post or otherwise would render them unfit to hold the post or where there is no further requirement for the post in the Hospital or where there is some other substantial reason for doing so, the Management right will be exercised 9. Confidentiality: In the course of your employment, you may have access to, or hear information concerning the medical or personal affairs of patients and/or staff, or other health services business. Such records and information are strictly confidential and, unless acting on the instruction of an authorised officer, on no account must information concerning staff, patients or other health service business be divulged or discussed except in the performance of normal duty. In addition, records must never be left in such a manner that unauthorised persons can obtain access to them and must be kept in safe custody when no longer required. 10 Miscellaneous Information: Uniform Policy must be adhered to at all times. The Hospital is not responsible for loss or theft of personal belongings. Mandatory training must be carried out in a timely manner All work place accidents must be reported immediately to your line manager. Please note that St. Vincent s Private Hospital is a non-smoking campus. All Staff are advised to avail of Hepatitis B Vaccinations through our Occupational Health Department. The use of personal mobile phones is prohibited in clinical care areas. I have read and understood my duties as outlined above and agree to carry out my role accordingly. Signed: Date: Staff Member s Name Please return this signed copy to Nursing Administration. Thank you. NOTE: The rate and pace of change in the health services is such that the post holder will be required to update their knowledge and skills to fit the changing requirements of the service. Therefore, this Job Description is an outline of the current broad areas of responsibility and accountability and should not be regarded as a comprehensive listing. It will be reviewed and updated in line with future needs. Page 8 of 8