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IMPERIAL COUNTY CLASS TITLE: PHYSICIAN ASSISTANT/NURSE PRACTITIONER I BASIC FUNCTION: Under the direction of an assigned supervisor, perform physical examinations and provide patient care, diagnosis, treatment and therapeutic plans in support of primary care or an assigned area of specialty; provide referrals, counseling and assistance to clients. DISTINGUISHING CHARACTERISTICS: The Physician Assistant/Nurse Practitioner I is the entry-level classification in the series. Incumbents work under general supervision, provide a range of basic clinical services and learn specialty area or areas of primary care. The Physician Assistant/Nurse Practitioner II is the experienced-level classification in the series and is responsible for performing a full range of professional assignments. Incumbents work independently, have a significant impact on clinical services and programs, and provide support for other Department programs as needed. REPRESENTATIVE DUTIES: ESSENTIAL DUTIES: Perform physical examinations and provide diagnoses and treatment to a variety of individuals in support of primary care or an assigned area of specialty; provide patient care for a variety of assigned health programs; establish and implement treatment and therapeutic plans; contact and refer cases to supervising physician as needed. Screen and evaluate medical conditions of patients; examine patients and identify illnesses, injuries and medical emergencies; interpret laboratory tests; provide treatment and administer first aid and emergency medical care as necessary; coordinate response to emergency situations. Assist patients with resolving health issues; develop and implement health care plans for individuals; refer patients to appropriate community resources for needed health services; follow up on health care referrals and screenings to assure medical needs are being met. Evaluate and counsel clients regarding required travel immunizations, anti-malaria prophylaxis and other potential health hazards in foreign countries in accordance with international standards and regulations as assigned. Participate in a variety of health clinics as assigned; examine children and interview parents at health clinics to assess child health, immunization and nutritional status; provide general medical supervision in support of assigned health services for children and youth at specialized clinics. Serve as a technical resource to the public concerning personal health, health services and resources; respond to inquiries and provide detailed information concerning related issues, treatments, medications, immunizations, standards, practices, policies and procedures. Compile information and prepare and maintain various records and reports related to patients, October 2006 Physician Assistant/Nurse Practitioner I - Continued Page 2 treatment, immunizations and assigned activities; prepare a variety of mandated forms and documentation. Advise the public concerning various public health concerns such as rabies, influenza, head lice, venereal disease, hepatitis and AIDS; provide technical assistance to patients and family members regarding disease prevention and health promotion. Communicate with personnel, various outside agencies and the public to exchange information and resolve issues or concerns; collaborate with other community health care services and resources in providing optimal health care to patients. Operate standard office equipment including a computer and assigned software; utilize a variety of medical instruments and equipment; drive a vehicle to conduct work. Assess patients for signs of social problems affecting health such as physical or emotional abuse; assist patients with resolving problems by providing appropriate counseling and referrals. Provide STD evaluation and treatment through established programs; provide STD counseling and intervention as needed. Consult with private medical care providers and hospitals to obtain past medical histories of patients as needed. Identify and report infectious diseases according to established procedures; prepare related forms. OTHER DUTIES: Perform related duties as assigned. KNOWLEDGE AND ABILITIES: KNOWLEDGE OF: Diagnostic methods for illnesses, injuries and medical emergencies. General practices, procedures, equipment and techniques involved in the identification, treatment and resolution of health problems. Accepted techniques and equipment used for screenings and immunizations. Clean and sterile treatment techniques. Basic anatomy, physiology, and medical terminology. Diagnostic skills for medical evaluations. Normal and abnormal values of laboratory tests and their clinical significance. Medicine used in areas such as infant and childhood immunizations, cholera, typhoid, rabies and Influenza. Public health issues such as venereal disease, epidemiology, communicable diseases, and psychology. Normal growth and development, pathophysiology, pharmacology, nutrition, counseling and health education principles. Record-keeping and report writing techniques. Oral and written communication skills. October 2006 Physician Assistant/Nurse Practitioner I - Continued Page 3 Interpersonal skills using tact, patience and courtesy. Operation of a computer and assigned software. Health and safety regulations. ABILITY TO: Perform physical examinations and provide diagnoses and treatment to a variety of individuals in support of primary care or an assigned area of specialty. Screen and evaluate medical conditions of patients and diagnose illness. Establish and implement treatment and therapeutic plans. Refer patients to appropriate community resources for needed health services. Learn organization, operations, policies and objectives of assigned programs and activities. Learn, interpret, apply, and explain rules, regulations, policies and procedures. Serve as a technical resource to the public concerning personal health, health services and resources. Make decisions regarding appropriate care for patients. Assess physical and medical status of patients. Operate a variety of specialized medical equipment. Maintain records and prepare reports. Meet schedules and time lines. Operate a computer and assigned software. Understand and follow oral and written instruction. Communicate effectively both orally and in writing. Establish and maintain cooperative and effective working relationships with others. EDUCATION AND EXPERIENCE: Any combination equivalent to: associate’s degree with course work in nursing, health care or related field and two years of health care experience. LICENSES AND OTHER REQUIREMENTS: Valid California Physician Assistant license, or Registered Nurse License and Nurse Practitioner certificate issued by the State of California. Valid California driver’s license. WORKING CONDITIONS: ENVIORNMENT: Health care and clinical environment. Driving a vehicle to conduct work. October 2006