Maintains goals and objectives of the Infection Prevention and Control Department. Serve as a resource person to any hospital employee/department as requested. Meet at least weekly or as needed with the System Infection Prevention (IP) Coordinator to review status of significant surveillance issues. Assist System IP Coordinator in implementing and maintaining updated reports in order to comply with TJC, OSHA, CDC, DSHS and any other governing body. Maintains department records of all surveillance reports and Infection Prevention meetings. Review microbiology reports daily and conduct investigation of those that identify infections. Enter infection data in the Infection Control Module of MIDAS and/or into the National Healthcare Safety Network (NHSN) data base. Attends advanced training in areas of specific needs applicable to Infection Control in order to enhance the capabilities of the employee and the department. Maintains the Infection Prevention continuous quality improvement plan as indicated by the hospital wide Infection Prevention and Control Program. Performs surveillance monitoring according to IP schedule. Conducts environmental rounds weekly and rotates sites each week, provides written deficiency report to director of the area evaluated and follows up on all deficiencies related to infection control. Submits required reports to Hidalgo Health Department and TDH/CDC of reportable infections, Provides staff education related to infection prevention and control. Implements any specific toolkits developed by UHS and ensure compliance of these kits. Monitors and/or implements improvement plans for those National Patient Safety Goals related to Infection Prevention and Control. Assist in reviewing and enforcing STHS's Pandemic Plan. Assist in conduction pre-construction IP risk assessments rounds. Conduct an annual IP risk assessment and utilize the assessment to determine IP needs for the next year. Evaluate the annual IP Plan for successes and areas for improvement to aid in developing the next year's plan.