Download Special Assignment – Correctional Health

JOB CLASS DESCRIPTION
Page 1 of 7
Job Summary:
Job Class: Public Health Nurse
Department: Public Health
Supervisor: Public Health Nursing Supervisor (Occupational Health
Nurse reports to Director of Health Promotion and Protection)
FLSA Status: Exempt and Nonexempt
Grade: 13
Revision Date: October 2016
Prepared by: Trusight
Under direction, performs professional nursing to clients in their homes, at clinic sites, correctional
health, school settings, etc. as part of a comprehensive public health program and to employees in
the occupational health program including assessments, treatment plan development and
education. Carries out programs and provides services to protect and preserve the health of the
population through application of public health principles. Plans and provides direct care, makes
referrals to providers and evaluates services.
Scope of Responsibility:
Responsible for the quality and accuracy of his or her own work. Complies with current ND Nurse
Practice Act and scope of practice. Work is performed independently under general supervision.
Provides direction to Home Health Aides, LPNs, other ancillary staff, and students. Responsible for
the care and safe operation of equipment.
Essential Duties and Responsibilities:
1
Communicates courteously and professionally and maintains working relationships with others
in carrying out job functions.
1.1 Frequently interacts with others in the work unit, the public, vendors or across departments
to exchange detailed and/or technical information;
1.2 Interaction with the public, vendors/ community partners or across departments
occasionally includes negotiations involving convincing the other party to do something to
achieve a basic work related objective;
2
Responds to Public Health Emergencies.
2.1 Has a working knowledge of the National Incident Management System for emergency
preparedness and has completed the courses required for their job;
2.2 Fulfills roles within the Department’s Emergency Operations Plan as determined by
Emergency Preparedness and Management staff;
2.3 During an actual emergency, is accessible 24/7 with an established family contingency
plan in place.
3
Performs all job duties in compliance with safety guidelines and with an ongoing awareness of
safety practices.
3.1 Knows and follows department and city rules as well as sound work and safety practices in
order to accomplish the job objectives and avoid injury or loss;
3.2 Wears proper protective equipment when policy requires or conditions indicate a need
exists and utilizes proper body mechanics and ergonomics while performing work;
3.3 When potentially unsafe conditions are observed makes efforts to avoid or correct them if
they are controllable and draws them to the attention of the responsible supervisor or
safety representative in a timely manner.
City of Fargo, North Dakota
JOB CLASS DESCRIPTION
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4. Provides nursing care for clients.
4.1 Assesses clients needs and identifies physical and/or psychosocial health issues;
4.2 Formulates plan of care with the client and/or family;
4.3 Administers immunizations, treatments, and other diagnostic and therapeutic procedures;
4.4 Participates in multidisciplinary approach to providing care;
4.5 Makes client referrals as needed to appropriate providers and community services.
5
Provides culturally sensitive health care instruction/health education within the home,
community, clinic, and school settings.
6
Delegates or assigns duties to Home Health Aides, ancillary personnel, and students within
scope of practice.
6.1 Demonstrates necessary procedures to staff and monitors staff to ensure procedures are
performed properly;
7
Completes and maintains necessary records, maintaining confidentiality and complying with
regulations regarding client confidentiality.
8
Determines eligibility for programs and grants.
9
Serves as local or state representative on various committees.
10 Performs other duties and activities as assigned.
Minimum Qualifications:
Bachelor's degree in nursing and two or more years of previous professional nursing experience; or
an equivalent combination of education and experience sufficient to successfully perform the
essential duties of the job such as those listed above. Occupational Health program experience is
preferred for the Occupational Health assignment. A valid State of North Dakota license as a
registered nurse and driver's license or evidence of equivalent mobility are also required.
Knowledge, skills and abilities:
 Knowledge of principles, practices and techniques of performing professional nursing functions
including physical assessment and counseling;
 Knowledge of community resources;
 Knowledge of nursing process
 Skill in administering medically related treatments/procedures;
 Skill in general medical/nursing procedures;
 Skill in written English sufficient to read manuals, instructions, care plans and to write reports
and complete documentation, etc.;
 Skill in communication, interpersonal skills as applied to interaction with coworkers, supervisor,
patients, the general public, etc. sufficient to exchange or convey information and to receive
work direction;
 Ability to communicate effectively in both verbal and written forms, and have strong public
relations skills;
 Ability to communicate across cultures and socio-economic levels;
 Ability to establish and maintain effective working relationships with others.
Physical Demands & Working Conditions:
City of Fargo, North Dakota
JOB CLASS DESCRIPTION
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Work is performed in a variety of settings such as clinics, schools, correctional sites, and homes.
Activities are varied including patient care and similar work with moderate physical demands, as
well as computer and telephone use, reading, and other work of a light nature. There is regular
lifting, pushing or pulling such as when transferring patients, and moving supplies and equipment.
There is considerable attention to detail. Regular driving is required for home visits and school
coverage in all types of weather conditions.
Activities include stooping, kneeling, crouching, reaching, standing, walking, pushing, pulling, lifting,
fingering, grasping, feeling, talking, hearing/listening, seeing/observing, repetitive motions.
Medium Work: Physical demands are normally those associated with medium work: Exerting up to
50 pounds of force occasionally, up to 20 pounds of force frequently, and/or 10 pounds of force
frequently or constantly.
The job may require dealing with individuals who are emotionally charged. There is regular
exposure to potential hazards such as body fluids, contagious diseases and environmental hazards.
Some requirements in this job description may exclude individuals who pose a direct threat or significant risk to
the health and safety of themselves or other employees. All requirements are subject to modification to
reasonably accommodate individuals with disabilities.
Requirements are representative of minimum levels of knowledge, skills, and experience required. To perform
this job successfully, the worker must possess the abilities and aptitudes to perform each duty proficiently.
This document does not create an employment contract, implied or otherwise, other than an "at will" employment
relationship. The City Administrator retains the discretion to add duties or change the duties of this position at
any time.
Special Assignment – School Nurse:
Assignments in addition to previously listed (1-10) essential duties and responsibilities
11 Maintains confidential health records for students at each school following both HIPPA and
FERPA guidelines.
12 Administers medications based on doctor’s orders/standing orders as well as on an emergency
basis, such as epi-pens.
13 Serves as a resource to school staff and parents.
13.1 Serves on school committees;
13.2 Conducts home visits as requested by school administration.
14 May plan and implement health fairs at schools.
City of Fargo, North Dakota
JOB CLASS DESCRIPTION
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Special Assignment – Correctional Health:
Assignments in addition to previously listed (1-10) essential duties and responsibilities
11 Verifies health conditions and medications with new inmates’ physicians.
11.1
Sets up medications for new inmates.
11.2
Assess for chemical dependency/addiction issues.
12 Performs intake and health assessments and required communicable disease screening for
inmates staying for 14 days or longer.
13 Provides emergency care when needed for injuries, and life threatening conditions.
14 Coordinates and educates correctional staff in assisting with care and treatment of the
inmates outside of routine nursing hours.
Special Assignment – Maternal Child Health:
Assignments in addition to previously listed (1-10) essential duties and responsibilities
11 Provides professional nursing care through Maternal Child Health home visits.
11.1
Provides professional nursing care to Maternal Child Health clients as directed by a
physician, community service agency or self referral.
12 Provides professional nursing care through Nurse Family Partnership (NFP) visits.
12.1
Utilizes nursing skills to accomplish three NFP goals:
12.1.1 Improve pregnancy outcomes
12.1.2 Improve child health and development
12.1.3 Improve families’ economic self sufficiency.
12.2
Completes the necessary NFP education requirements for training and service
provision;
12.3
Complies with specific National NFP guidelines.
13 Employment may include evening home visits based on client need and schedule.
14. Under the direct guidance and protocols of the Family Health Care Center, provides
professional nursing care and perinatal coordination for pregnant women within the clinic
setting
City of Fargo, North Dakota
JOB CLASS DESCRIPTION
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Special Assignment – Immunization/Disease Control:
Assignments in addition to previously listed (1-10) essential duties and responsibilities
11 Plans and organizes immunization clinics throughout the community and oversees the
operation of various clinics including flu and other immunizations following CDC
recommendations and requirements.
12 Plans and organizes all tuberculosis control and international travel activities for the Public
Health department.
13 Provides education and orientation on immunizations, TB and international travel for the
general public, private and public healthcare providers, and others in the clinic or community
setting. Develops and delivers formal presentations, develops and obtains handout
materials.
14 Provides AFIX services to counties as assigned. Complies with ND AFIX guidelines and
requirements.
15 Serves as a Regional Resource for immunization related questions.
Special Assignment - Adult Health
Assignments in addition to previously listed (1-10) essential duties and responsibilities
11 Performs professional nursing and client case management functions primarily in home
based or community settings.
12 Coordinates and staffs community clinic settings.
13 Advocates on client behalf to assure appropriate healthy and safe home environment.
Special Assignment – Clinic Nursing
Assignments in addition to previously listed (1-10) essential duties and responsibilities
Performs professional nursing care and duties in the clinic or community setting.
11 Provides Health Tracks screenings for eligible North Dakota Children. Complies with ND
Health Track guidelines and protocols for client screening
12 Coordinates Women’s Way and ND Cares programs for eligible clients.
12.1 Determines eligibility for services, enrollment, and follow-up;
12.2 Adheres to ND DoH Women’s Way guidelines and protocols.
13 Provides Nurse of the Day services within the clinic setting, such as HIV counseling &
testing, and pregnancy testing and other family planning related services.
13.1 Performs triage of walk-in clients to determine appropriate level of care.
City of Fargo, North Dakota
JOB CLASS DESCRIPTION
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Special Assignment – Occupational Health
Assignments in addition to previously listed (1-10) essential duties and responsibilities
Special Assignment Summary
Provides occupational health care to employees including health assessments, return-to-work and
periodic assessments as well as providing case management education following prescribed
guidelines.
Special Assignment Scope
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Coordinates the Occupational Health Program development, assessment and continuous
improvement of the program.
Performs health assessments for new employees, employees returning to work and periodic
assessments per policy and/or department regulations.
Actively participates in safety and wellness committees and assists departments with health
promotion and wellness activities.
Collaborates with the Safety Coordinator on the Workers’ Compensation Program and
OSHA requirements.
Performs return to work case management functions.
Coordinate OSHA compliance programs.
Assess, triage, counsel, and provide first aid to injured employees.
Participates in health risk assessments and ergonomic assessments for departments
throughout the city.
Special Assignment – Shelter/Withdrawal Management Unit
Assignments in addition to previously listed (1-10) essential duties and responsibilities
Special Assignment Summary
Under the direction of the Shelter/WMU Director, the Registered Nurse (RN) provides professional
nursing services to adult clients within the City detox and shelter facility, and oversees the day to
day operations of client services of the Withdrawal Management Unit (detox). This includes
providing support and direct supervision to staff members, and ensuring maximum effectiveness in
the delivery of services. Performance of duties will incorporate recovery oriented care and harm
reduction practices, and sensitivity to substance use, mental health, and co-occurring disorders.
Must have a working knowledge of the General Standards for Substance Abuse Treatment
Programs, (Chapter 75-09.1-01) and licensing criteria for Social Detoxification ASAM level 3.2-W as
outlined in the North Dakota Century Code Chapter 75-09.1-08.
Special Assignment Scope
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Supervises all staff members carrying out duties in the WMU.
Establishes and provides oversight of medication administration training and protocol,
monitors compliance with medication administration standards, and documents in client
records as appropriate.
Ensures the program and all activity adheres to the criteria and requirements of licensing.
Ensures compliance with all agency policy and protocol.
Evaluates individual’s response to intervention and progress toward established outcomes
with members of the health care team.
Monitors staff training and development related to program specific information.
City of Fargo, North Dakota
JOB CLASS DESCRIPTION
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Supervises and maintains client records including intake, admission and discharge
paperwork.
Provides evaluation, documentation and statistics in accordance with established
procedures.
Ensures the use of assessment data utilizing appropriate assessment techniques.
Integrates knowledge of specific biophysical, psychosocial and spiritual dimensions in the
assessment process.
Assist with the development of an individualized plan of care for participants based on
nursing expertise and individual’s condition utilizing assessment data and standards of care.
Provides nursing interventions as identified by the plan of care and/or immediate need.
Works closely with the Director and Program Coordinators to review and assess the
effectiveness of all program components.
Collaborates with Director and Program Coordinators to identify staffing needs.
Participates in recruitment, retention and training of WMU and Shelter staff.
Provides orientation and training for new staff members and periodic training for all staff
members per policy.
Participates in planning and facilitation of all staff and team meetings.
Communicates and collaborates extensively with the other members of the healthcare and
service delivery program.
City of Fargo, North Dakota