Duplin County NC

Public Health Nurse II Clinic Staff Nurse

Department: Health 

 Grade: 73                                                      Salary/ Hourly: $49,023/ $23.5688

Opening Date: September 29, 2021                          “Open Until Filled”



GENERAL DESCRIPTION OF DUTIES

            The primary purpose of this position is to provide nursing services in the clinic setting. As a clinic staff nurse, a high level of nursing skill is required to complete histories, exams and determine the appropriate action.  This employee must stay current and have a working knowledge of standing orders, child health, family planning, maternal health, STD, chronic disease, communicable disease, adult health and immunizations.

SPECIFIC DUTIES AND RESPONSIBILITIES

EXAMPLES OF ESSENTIAL FUNCTIONS

               This list of essential functions, as outlined herein, is intended to be representative of the tasks performed            within this classification.  It is not necessarily descriptive of any one position in the class.  The omission of an essential function does not preclude management from assigning duties not listed herein if such functions     are a logical assignment to the position.

98%     Clinic

  • Participates in direct patient care of clients receiving services in the Health Department clinic including adult health services, child health services, STD services, immunizations, communicable diseases, and tuberculosis control.
  • Obtains history and work-up of Adult Health, Maternal Health, Family Planning, and Child Health patients for medical providers.
  • Assesses client’s needs in General Clinic.
  • Maintains knowledge of immunizations, physical assessment, TB skin testing and treatment, STD treatments, and communicable disease.
  • Provides and documents appropriately family planning limited history and dispensing of birth control methods.
  • Provides pregnancy test counseling and documentation.
  • Maintains knowledge of HIV control measures to prevent spread of HIV within the community.
  • Stays informed of current trends in public health by attending workshops and conferences.
  • Dispenses meds from pharmacy according to current pharmacy policies and procedures.
  • Refers client to medical providers and other Health Department services as indicated.
  • Uses nursing assessment skills to manage client’s request/problem using standing orders.
  • Maintains knowledge and use of in-house standing orders, lab services.
  • Provides individualized counseling and education based on the needs of the client on a variety of issues.
  • Documents all information according to policy in electronic health record.
  • Provides initial work up of clients, including history, vitals, ordering of labs per standing order.

MARGINAL FUNCTIONS

               While the following tasks are necessary for the work of the unit, they are not an essential part of the          purpose of this position and may also be performed by other unit members.

2%       Other Duties

  • Participates in shelter duty and other activities relating to the Department’s emergency response and other disaster relief efforts.
  • Serves as a team member during outreach projects such as flu vaccine season, and disease outbreaks.
  • Performs any other duties and responsibilities as directed.

MINIMUM TRAINING AND EXPERIENCE

  • Graduation from a four-year college or university with a B.S. degree in nursing which includes a public health nursing rotation and one year of Public Health experience;
  • Graduation from an accredited school of professional nursing and two years professional nursing experience including one year in public health; or
  • an equivalent combination of education and experience.

SPECIAL REQUIREMENTS

  • Be certified in basic CPR life support
  • Complete the course and pass the test for Introduction to Principles and Practices of Public Health within 1 year, if employee lacks a BSN with public health rotation.
  • Valid NC driver’s license
  • Reliable means of transportation for work assignments
  • Completion of Dispensing by Public Health nurses within one year of hire date

PERFORMANCE APTITUDES

Data Utilization: Requires ability to review, classify, categorize, prioritize, and/or analyze data and or information. Includes the ability to perform subsequent actions in relation to this information and use discretion in determining data indications and interactions. Ability to interpret and maintain accurate records, maintain patient confidentiality, complete all information necessary to evaluate and plan care.

Human Interaction: Requires the ability to provide guidance, assistance, and/or interpretation to others on how to apply procedures and standards to specific situations. Includes the ability to maintain credibility in the community, to deal tactfully and courteously with the general public and fellow employees and be culturally sensitive. Work involves considerable interaction with families, children and provider agencies. Requires the ability to plan, coordinate and services. Requires the ability to present effective presentations to providers and community agencies.

Equipment, Machinery, Tools, and Materials Utilization: Requires a thorough knowledge of health appraisal tools.  Requires the ability to use, operate and /or handle specialized instruments required in the nursing profession as well as standard office equipment and a motor vehicle. Examples include: blood pressure cuff, stethoscope, syringes, biohazard containers, ophthalmoscope, otoscope, fetascope, doppler, scales, hearing tests, measuring tapes, other physical assessment tools, computer, telephone, copier, fax.

Verbal Aptitude: Requires the ability to utilize a wide variety of descriptive data and information such as programmatic guidelines, Standing Orders, record documentation, client/family statements. Must possess knowledge of Nurse Practice Acts. Requires thorough knowledge of techniques of interviewing, medical and relevant history taking as they relate to area of work.

Mathematical Aptitude: Requires ability to perform addition, subtraction, multiplication, and division to include calculating dosages, administering medications/injections, computation of growth and development, and completing required time and expense reports.

Functional Reasoning: Requires ability to apply principles of rational systems. Ability to interpret instructions furnished in written, oral, diagrammatic or schedule form. Ability to exercise independent judgment to adopt or modify methods and standards to meet variations in assigned objectives. Must be highly organized, possess problem-solving skills, and able to work independently.

Situational Reasoning: Requires the ability to exercise judgment, decisiveness and creativity required in situations involving the evaluation of information against sensory, judgmental, or subjective criteria, as opposed to that which is clearly measurable or verifiable. Specifically, must be cognizant of signs of child abuse and neglect and appropriate intervention. Ability to teach and counsel individuals, families and groups in the areas of health maintenance, preventative medicine and care of the sick.

ADA COMPLIANCE

Physical Ability:  Tasks involve the ability to exert light physical effort in sedentary to light work, but may involve some lifting, carrying, pushing and/or pulling of objects and materials of light weight (5-10 pounds) for such tasks as moving supplies, equipment, and children.  Tasks may involve extended periods of time standing, stooping and stretching.

Manipulative Skills:  Work may require extended periods of repetitive motions that include lifting, fingering, typing, grasping, flipping, handling records, papers, and supplies for such tasks as using blood pressure cuff, stethoscope, syringes, biohazard containers, ophthalmoscope, otoscope, scales, measuring tapes, hearing kit and operating standard office equipment.  Also includes ability to apply pressure with fingers and palm in performing such tasks as giving injections.

Sensory Requirements:  Requires visual perception and discrimination for reading scales, blood pressure cuff, clinic machines, computer screen and medical records. Must be able to give immunizations and intradermal, intramuscular, subcutaneous injection, and interpret TB skin tests.  Must be able to observe client and environment for problems.  Administration of developmental tests requires visual accuracy.  All tasks require oral and written communications ability to include talking and hearing.

Mental Skills:   Shall be able to work with minimal supervision.  Must be able to follow oral and written instructions and explain instructions to client.  Must be able to use skilled nursing judgment in determining signs and symptoms to report to physicians and follow through physicians orders.  Must be able to problem-solve.  Must be able to develop long-range and short-term goals for development of health department programs.

Environmental Factors:    Subject to inside environment, protected from weather, but not necessarily from temperature changes.  Not substantially exposed to adverse environmental conditions (such as in typical).  Also, may be exposed to cleaning chemicals at times such as inhalants and deodorizers).  Potential for biohazard exists, especially from communicable disease. Must be able to assess situation and determine correct protective equipment.  Shall follow established infection control and blood pathogen policy.  Shall use extreme caution and follow written procedures when performing duties that could lead to patient injury or exposure.  Will report and/or follow-up reports of unsafe work practices.

PERFORMANCE INDICATORS

The work performance of supervisory personnel of Duplin County is routinely evaluated according to the performance criteria outlined herein:

Knowledge of Work: Considerable knowledge of the methods, procedures and policies of Duplin County Health Department as pertains to the performance of the essential duties of this position. Considerable knowledge of principles and practices of organization and administration of public health nursing programs preventive measures, community resources, general clinic and other standards of public health.  Knowledge of state and federal guidelines for recommended and acceptable clinical practices.  Working knowledge of the laws, ordinances, standards, and regulations pertaining to the essential duties and responsibilities of this position. Working knowledge of the organization of the department and of related departments and agencies.  Clearly understands the occupational hazards and safety precautions required to perform the essential functions of the work.  Working knowledge of terminology and related professional languages used within the department as pertains to work responsibilities.  Ability to maintain cooperative and effective relationships with intra- and interdepartmental personnel as well as any external entities with whom position interacts.

Quality of Work:  Maintains high standards of accuracy in performing duties and responsibilities.  Exercises immediate remedial action to correct any quality deficiencies that occur in areas of responsibility.  Maintains quality communication and interaction with intra- and interdepartmental personnel, and any external entities with whom position interacts.

Quality of Work: Performs described Essential Functions and related assignments efficiently and effectively in a manner to produce a quantity of work which consistently meets established standards and expectations.

Dependability: Assumes responsibility for completion of assigned functions. Completes assigned work within established deadlines in accordance with directives, policies, standards, and prescribed procedures. Maintains accountability for assigned responsibilities in the technical, human and conceptual areas.

Attendance: Attends and remains at work regularly and adheres to policies and procedures regarding absenteeism and tardiness.  Provides sufficient notice to supervisor with respect to vacation time and leave requests.

Initiative and Enthusiasm: Exhibits an enthusiastic, self-reliant and self-starting approach to meet job responsibilities and accountabilities.  Strives to anticipate work to be accomplished, and initiates appropriate and acceptable action for the completion of work with a minimum of supervision and instruction.

Judgment: Exercises analytical judgment in areas of responsibility.  Identifies issues or situations as they occur and specifies decision objectives.  Identifies or assists in identification of alternative solutions to issues or situations.  Implements decisions in accordance with prescribed and effective policies and procedures and with a minimum of effort.  Seeks expert or experienced advice where appropriate, and researches issues, situations, and alternatives prior to exercising judgment.

Cooperation: Accepts supervisory and managerial instruction and direction and strives to meet the goals and objectives of same.  Questions such instruction and direction when clarification of results or consequences is justified, i.e., poor communication, variance with established policies and procedures, etc. Offers suggestions and recommendations to encourage and improve cooperation both intra- and interdepartmentally.

Relationships with Others: Shares knowledge with managers, supervisors and co-workers for mutual benefit.  Contributes to maintaining high morale among all employees.  Develops and maintains cooperative and courteous relationships both intra- and interdepartmentally and with external entities with whom position interacts. Tactfully and effectively handles requests, suggestions, and complaints in order to establish and maintain good will.  Emphasizes the importance of maintaining a positive image.

Coordination of Work: Plans and organizes daily work routine.  Establishes priorities for the completion of work in accordance with sound time-management methodology. Avoids duplication of effort. Estimates expected time of completion for work elements, and establishes a personal schedule accordingly.  Attends required meetings, planning sessions and discussions on time.  Implements work activity in accordance with priorities and estimated schedules.

Safety and Housekeeping: Adheres to all established safety and housekeeping standards to include regulatory entities.  Ensures such standards are not violated.

Planning: Plans, coordinates and utilizes information effectively in a manner to improve activities and production. Knows and understands expectations regarding such activities and works to ensure such expectations are met. Develops and formulates ways, means, and timing to achieve established goals and objectives.