Senior Community Health Nurse - Full-time / Part-time

JOB FAMILY: HEALTHCARE PRACTITIONERS

OCCUPATIONAL GROUP:

DIAGNOSING & TREATMENT PRACTITION, HLTH

OCCUPATION: REGISTERED NURSES

29-1141

BROADBAND LEVELS:

Level 1 -- Pay Band 006

Level 2 -- Pay Band 008

Level 3 -- Pay Band 009

Level 4 -- Pay Band 010

REQUIREMENTS

This position performs duties and responsibilities providing nursing services to clients being seen at the Hernando County Health Department in the Brooksville and Spring Hill Clinic(s), under the direction of the Senior Community Health Nursing Supervisor. Must be licensed as a Licensed Registered Nurse in accordance with Florida Statute 464. Must be eligible to practice nursing in accordance with Florida Administrative Code 210-8.22 or 8.27.

**NOTE: All responses provided to the qualifying questions for this vacancy advertisement must be verifiable on the State of Florida Employment Application. Responses to qualifying questions will be credited only if verifiable by skills and/or experience listed on the employment application, including specifically required customer service and computer skills. Applicants who do not answer the position qualifying questions will not be considered for this position.

Only State of Florida Applications will be accepted -- no resumes, please.

All applications must be completed online through People First. No faxed or mailed applications will be accepted by the agency.

This position requires a security background check, drug screening and participation in direct deposit.

Note: You will be required to provide your Social Security Number (SSN) in order to conduct this background check.

Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS. For more information, please visit the SSS website: http://www.sss.gov

If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be canceled, suspended or deemed ineligible depending upon the date of your retirement.

The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system. E-Verify is operated by the Department of Homeland Security in partnership with the Social Security Administration to verify employment eligibility.

Incumbents may be required to perform emergency duty before, during, and/or beyond normal work hours or days.

POSITION DESCRIPTION

This position performs high level professional duties and responsibilities in the care and treatment of patients, at and for the Hernando County Health Department. Provides and maintains continuity of health care services to clients within the clinic setting.

Uses independent nursing judgment to assess immunization records and administer needed vaccines to children and adults. Provides education and counseling on side effects, palliative measures, and follow up. Performs data entry of all immunizations given in Florida Shots ensuring accuracy and billing information. Assures vaccines are stored at appropriate temperature and maintains par levels of vaccines. Assures vaccines are stored are temperatures required for efficacy. Orients new staff on the immunization schedule and vaccines following ACIP recommendations.

Provides Pre and Post HIV (Human Immunodeficiency Virus) counseling to clients that include prevention with the educational component. Takes and records preliminary medical history, vital signs, and gives prescribed medications under protocol. Documents on the chart, utilizing problem oriented Subjective, Objective, Assessment and Plan (S.O.A.P.) method. Provides nursing assessment and diagnosis as appropriate. Provides individualized patient education in areas such as insulin administration, diabetes, asthma, and other chronic diseases. Assists clients in determining self-management goals. Interviews clients for evaluation and assessment of patient's condition, counseling and treating conditions covered under Registered Nurse protocol, and for evaluation under other Health Department programs.

Teaches lifestyles, family planning methods, and risk reduction in the Women's Health and Teen clinics and community setting. Performs limited exams prior to initiation of birth control following standing orders and refers client to provider as appropriate. Provides non-directive options counseling as needed for clients with positive pregnancy test.

Provides case management of abnormal results and specialty referrals for all Pediatric clients. Collaborates and makes referrals with other health care providers throughout the community including coordinating care with specialist in other regions of the state. Provides resource information to pediatric clients and staff. Counsels clients and families on the importance of health maintenance activities, such as routine physical exams.

Manages day-to-day clinic operations, serving as lead nurse and as a resource for clinic staff. Provides back-up to supervisor. Manages health care issues, on walk-in clients not established with HCHD/NCCHC and/or telephonic triage clients, concerning actual or potential health problems which include but are not limited to: Nursing Assessment, nursing diagnosis and triage including rapid assessment of acute physical problems when necessary, first aid and emergency treatment per protocol.

Coordinates education and clinical experience for health care students. Provides detailed orientation for new staff members.

Maintains and updates professional knowledge by utilizing educational opportunities in workshops, seminars, in-service, and participating in professional and related organizations to maintain current knowledge, skills and abilities, along with current CEUs.

Maintains security and confidentiality of all active medical records according to policy and procedure set forth by the information custodian or designee.

Responsible as a "need to know" employee for security sets relating to active medical records as it relates to performance of assigned duties and responsibilities for security and confidentiality of same.

Responsible for securing the designated information sets for the purposes of protecting confidentiality, data integrity and appropriate access, for all information, both confidential and public records, which is stored in hard copy or electronic formats?

Participates in quality improvement activities such as chart reviews and makes recommendations to enhance clinic flow and efficiency.

Performs other related duties as requested/required.

DESCRIPTION

This is work in assessing patient health problems and needs, developing and implementing nursing care plans, and maintaining medical records. This employee administers nursing care to ill, injured, convalescent, or disabled patients. The incumbent may advise patients on health maintenance and disease prevention or provide case management. This work may also include inspecting facilities and/or evaluating or providing consultation on health care programs, services or policies.

Some positions in this occupation may be responsible for coordinating work and supervising employees.

EXAMPLES OF WORK

Supervises employees by assigning work, reviewing progress and assessing performance.

Responds to special directions and instructions during emergency operations.

Provides health care, first aid, and immunization.

Observes patient's skin color, dilation of pupils, and computerized equipment to monitor vital signs.

Records patient's medical information and vital signs.

Administers local, inhalation, intravenous, and other anesthetics.

Prepares patients for and assists with and/or performs examinations.

Orders, conducts, interprets, and/or evaluates diagnostic tests to identify and assess patient's condition.

Prepares rooms, sterile instruments, equipment and supplies, and assists physician.

Prescribes or recommends drugs or other forms of treatment, such as physical therapy, inhalation therapy, or related therapeutic procedures.

Provides prenatal and postnatal care to obstetrical patients under supervision of physician.

Discusses cases with physician.

Informs physician of patient's condition.

Administers stipulated emergency measures, and contacts clinician when deviations from standard are encountered during pregnancy or delivery.

Consults with and/or provides technical assistance to public and private entities concerning health care.

Instructs on topics, such as health education, disease prevention, child birth, and home nursing and develops health improvement programs.

Delivers infants and performs postpartum examinations and treatment.

Refers students or patients to community agencies furnishing assistance and collaborates with agencies.

Conducts specified laboratory tests.

Maintains stock of supplies.

Directs and coordinates health care programs.

Develops, negotiates and implements public/private partnerships.

Performs grant writing and/or contract management activities.

Conducts inspections or programmatic evaluations and writes reports of findings, recommendations and corrective actions.

Monitors the quality of care or standards of practice to ensure compliance with state and federal requirements.

Develops policies, procedures, rules and/or legislation.

Develops or selects curriculum and prepares pamphlets, manuals, visual aids, course outlines, and other materials used in teaching.

Writes research reports and other publications to document and communicate program activities or research findings.

Prepares and justifies budgets for health care programs/services. Monitors, analyzes and coordinates expenditures within allocation.

EXAMPLES OF JOB CHARACTERISTICS

Monitor Processes, Material, Surroundings

Monitoring and reviewing information from materials, events, or the environment, often to detect problems or to find out when things are finished.

Documenting/Recording Information

Entering, transcribing, recording, storing, or maintaining information in either written form or electronic/magnetic recording.

Communicating With Other Workers

Providing information to supervisors, fellow workers, and subordinates. This information can be exchanged face-to-face, in writing, or via telephone/electronic transfer.

Getting Information Needed to Do the Job

Observing, receiving, and otherwise obtaining information from all relevant sources.

Assisting and Caring for Others

Providing assistance or personal care to others.

Updating and Using Job-Relevant Knowledge

Keeping up-to-date technically and knowing one's own jobs' and related jobs' functions.

Establishing and Maintaining Relationships

Developing constructive and cooperative working relationships with others.

Performing General Physical Activities

Performing physical activities that require moving one's whole body, such as in climbing, lifting, balancing, walking, stooping, where the activities often also require considerable use of the arms and legs, such as in the physical handling of materials.

Making Decisions and Solving Problems

Combining, evaluating, and reasoning with information and data to make decisions and solve problems. These processes involve making decisions about the relative importance of information and choosing the best solution.

Identifying Objects, Actions, and Events

Identifying information received by making estimates or categorizations, recognizing differences or similarities, or sensing changes in circumstances or events.