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Infection Control Process Improvement regulatory compliance

Location:
Spokane, WA
Posted:
February 14, 2024

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Resume:

Laura J. Gutierrez

**** *. **** ***** **.

Spokane Valley, WA 99037

361-***-****

Career Goals: Seeking position with Providence Health Plan as the Audit and Compliance Analyst where I might apply my education, 35 years of healthcare, and 9 years of healthcare leadership experience to collaborate with a progressive organization and focus my work on policy development, regulatory compliance, and client engagement. Career Achievements:

Serve as the Manager of Infection Control and Epidemiology for the past 9 years at Valley Hospital and 3 years at Christus Spohn Hospital.

Participate in all Hospital regulatory visits and work with leaders on plans of correction.

Actively involved in continuous regulatory readiness and quality improvement for Valley Hospital, Deaconess Hospital, and all Rockwood Primary Care Clinics.

Worked closely with leadership and providers during COVID-19 pandemic on quickly changing processes and policy development. Advised leadership on Infection Prevention communication to all employees.

Provide consultation to providers, nurses, and regional health districts on infection prevention issues.

One of a select group trained to instruct all MultiCare employees on High-Reliability Organization principles in a classroom setting on our journey to transform patient safety.

Work with managers and staff to develop HRO sustainability and process improvement projects.

2016 Clinical Manager of the Year, MultiCare Valley Hospital

Proficient with EPIC, Excel, MedMined, Theradoc, and Sentri7 software.

Served as Superuser and trainer for a 6-hospital region on the Theradoc infection surveillance software program. Education

MS, Healthcare Administration, Grand Canyon University, Phoenix, Arizona. Graduated July 2023. BA, English – concentration in Professional Technical Writing, minor in Biology University of New Mexico, Albuquerque, NM. Graduated May 1999

AAS, Applied Science – concentration in Medical Laboratory Technology New Mexico Junior College, Hobbs, NM. Graduated May 1985

Experience:

Infection Control Manager, MultiCare Health Systems Valley Hospital, Spokane Valley, WA June 2014 to present

Serve as Infection Control Manager for the 123-bed hospital. Cover co-worker for all Infection Control issues at 200-bed sister hospital in Spokane, Deaconess Hospital. Perform infection control and prevention surveillance for hospital-acquired infections. Analyze data and report rates to Nursing Managers and Senior Leadership. Develop process improvement initiatives for the hospitals and contribute to process improvement projects from nursing leaders. Develop campaigns with the support of hospital leadership to reduce infection rates based on monthly statistical data and surveillance audits. Served as subject matter expert during the COVID pandemic guiding Senior Leadership and helping to communicate the most up-to-date information. Using best practices, design and edit policies with a collaborative team located at MultiCare Puget Sound, which represents 7 hospitals in Tacoma, WA. Infection Control Preventionist, Christus Spohn Hospital-Shoreline, Corpus Christi, TX August 2010 to July 2013

Served as one of two Infection Preventionists in a 557-bed acute care hospital specializing in cardiac and orthopedic surgeries. Performed infection control and prevention surveillance for hospital-acquired infections. Analyzed data, calculated statistics, and reported rates to Nursing Managers and Senior Leadership. Developed campaigns in collaboration with hospital leadership to reduce infection rates based on monthly statistical data and surveillance audits. Worked independently, met deadlines, and developed process improvement initiatives. Worked with Nurse Managers, Respiratory, OR, and laboratory personnel on regulatory readiness and process improvement. Lead several process improvement teams, which were tasked with reducing surgical site infections. Wrote and edited training material for hospital staff education. Evaluated Theradoc Infection Surveillance program before going live and then served as Theradoc Superuser for the entire region. Medical Laboratory Tech, ASCP, Christus Spohn Hospital-Shoreline, Corpus Christi, TX November 2009 to August 2010

Performed high-complexity laboratory testing as a generalist in the clinical laboratory. Helped prepare the laboratory for College of American Pathologist (CAP) inspections. Reviewed procedures for accuracy and provided recommended changes. Responsible for rapid testing, verifying, and releasing laboratory results, performing, and evaluating quality control/quality assurance data, and troubleshooting instrument and specimen issues. Communicated with physicians and nurses regularly regarding patient results and specimen integrity issues.

Medical Laboratory Tech, ASCP, UNMH Laboratory/ TriCore, Albuquerque, NM March 2009 to November 2009

Participated in the opening of a new Cancer Center laboratory. Responsible for instrument validation and calibration, ordering, and inventory control. Helped write and edit new laboratory procedures and policies. Worked with physicians and nursing staff on the implementation of daily operating procedures. Helped prepare the laboratory for College of American Pathologist (CAP) inspections. Performed hematology, chemistry, and blood bank laboratory testing and was responsible for rapid turnaround times. Evaluated quality control/quality assurance data. Trained employees. Realtor, Coldwell Banker Legacy of Albuquerque, NM, and Bobby Shaw Realty of Hobbs, NM July 2007 to August 2009

Independent contractor responsible for promoting my business, building clientele, and successfully completing real estate transactions. Wrote sales contracts. Mentored new brokers. Worked with first-time home buyers and successfully negotiated commercial business transactions. 2007 Coldwell Banker Legacy Rookie of the Year. Office Manager, Gutierrez Concrete Pumping, Albuquerque, NM September 2004 to July 2008

Interviewed and hired staff for pumping positions. Educated new hires on safety and workers’ compensation. Processed all new hires. Processed payroll. Maintained accounting records, billed clients, and collected payments. Created and managed the budget for the new company. Prepared monthly and quarterly tax reports. Prepared and managed all marketing projects. Bid all contracts and sold pumping services. Worked closely with local businesses to maintain mutually beneficial working relationships. Successfully bid on and won city zoo concrete pumping contract for all four years in business. Certifications

ASCP # 033989, received 1985, active;

NCA-CLS Immunohematology #***-**-****, 1990;

ASHI-CHT #1116, 2003;

CIC #105703, 2013, 2018, active.

Licensed Realtor in New Mexico 2007-2009.

References are available upon request.



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