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Public Health Nurse 2

2 months ago

Salem, Oregon, United States Marion County, OR Full time
Job Summary

We are seeking a highly skilled and dedicated Registered Nurse to join our team at Marion County Health and Human Services. As a Public Health Nurse 2, you will play a critical role in providing comprehensive nursing services to individuals, families, and communities, with a focus on tuberculosis case management and public health clinic services.

Key Responsibilities
  • Provide comprehensive nursing assessments, develop intervention strategies, and provide nursing services to individuals, families, groups, and communities.
  • Provide case management for high-risk clients, including TB case management and public health clinic services.
  • Work under the general supervision of a manager or supervisor, who assigns work, establishes goals, and reviews results obtained.
  • Supervise other employees, as needed, and provide guidance and oversight to Public Health Workers providing TB and sexually transmitted infections services.
  • Participate in TB surveillance and service activities, including reportable TB and outbreak response.
  • Participate in weekly case review and document summary of case review to maintain a basic knowledge of all clients on caseload.
  • Identify needs and make appropriate timely referrals.
  • Develop and implement comprehensive plans of nursing care, including home visits for TB program Directly Observed Therapy (DOT), routine medication assessment, refill, and monitoring, TB screening, collecting sputum specimens, drawing blood, and administering tests and vaccinations per the patient treatment plan.
  • Provide education, counseling, and coaching to clients regarding disease processes, risk behavior, healthy lifestyles, prophylaxis, medication management, and treatment goals.
  • Evaluate and revise treatment goals with clients to assure effective plans.
  • Coordinate and consult on plan of care with MCHHS Health Officer and outside providers/agencies.
  • Evaluate and appropriate follow-up of x-ray/lab/sputum.
  • Drive to client homes or other sites to provide services, attend off-site meetings, pick up specimens, or conduct field investigation of communicable disease.
  • Maintain open communication with and provide nurse guidance and oversight to Public Health Workers providing TB and sexually transmitted infections services.
  • Utilize computer and internet to access information and document activities.
  • Perform accurate and timely documentation in ORPHEUS database and electronic medical record.
  • Provide services to non-English speaking clients via telephonic or in-person interpreter.
  • Provide direct service to clients, including administration of injections.
  • Follow policies and procedures specific to services provided.
  • Provide health information and education relevant to services sought by individual, per policy.
  • Provide timely, accurate, and complete documentation and billing of services.
  • Obtain and transport supplies from refrigerator/freezer, overhead cabinets, and other storage areas.
  • Greet client in waiting area, escort to clinic service area, and back to front desk.
  • Document services provided accurately and completely at time of service.
  • Check and record refrigerator and freezer temperatures each AM and PM and inform Supervisor and/or Coordinator of temperature falling outside range.
  • Participate in returning client calls, signing off on returned labs, follow-up of positive labs, weekly chart audits, drug counts, etc.
  • Drive to community sites to provide services and attend meetings and training.
  • Administer vaccines as forecasted unless medically contraindicated.
  • Provide immunizations in Marion County clinics and special off-site clinics.
  • Assure documentation of services to meet state and local standards.
  • Complete intake, screening, nursing history, and assessment of clients, per MCHHS standing orders.
  • Assure and provide appropriate treatment for clients, to include administration of medications and immunizations, provision of current and appropriate medication information verbally and in writing, initiate a plan with client for follow-up and treatment, triage walk-in clients and those phoning in with questions or requests for exams.
  • Provide accurate and timely documentation in electronic medical record.
  • Reviews lab results and processes appropriately.
  • Phone in prescriptions as ordered by Health Officer.
  • Conduct immunity assessment, TB screening, and provide immunizations to employees per policy.
  • Draw blood for post-vaccine titer per policy.
  • Provide post-occupational exposure follow-up for BBP and other communicable diseases as appropriate.
  • Provide timely, accurate, and complete documentation of services in confidential digital and paper files.
  • Maintain PPD, fit test solution, and vaccine medication inventory for employees.
  • Ensure OSHA requirements for HBV vaccine are met in concert with Immunization Coordinator.
  • Ensure employees who fail to comply with needed services are referred to their supervisor and Clinic supervisor within 1 month of being overdue in concert with Immunization Coordinator.
  • Participate and/or provide leadership to a variety of activities, not limited to the following: develop and/or contribute to Team meeting agenda, policies, and procedures and other documents, review and provide feedback to Health Officer regarding standing orders, provide services to and communication with community partners, e.g., homeless shelters, school nurses, and information and technical assistance to healthcare providers.
  • Communicate client and program issues to the Clinic Coordinator and/or Program Manager.
  • Participate in planning, implementation, and evaluation of CPS program activities.
  • Participate in and may provide evaluation and monitoring of CPS program services and activities, including quality improvement initiatives and program performance management measurement and tracking.
Requirements
  • Associate degree, or diploma, in nursing and two years of experience as a nurse in a public health, social services, or community health setting; OR
  • Bachelor's degree in nursing; OR
  • Any satisfactory combination of work, education, training, or experience relevant to the position, as determined by Marion County.
Special Requirements
  • Possession of a current license to practice as a registered nurse in the State of Oregon at the time of appointment.
  • Must have a current CPR certificate.
  • Must possess a current driver's license in the applicant's state of residence and an acceptable driving history.
  • The finalist for this position will be required to pass a criminal history background check; however, conviction of a crime may not necessarily disqualify an individual for this position.
  • This is a safety-sensitive/special needs position. Final candidates selected for this position will be required to pass a pre-employment drug screen, including testing for marijuana.
  • This position may be subject to the following: Must not be excluded from participation in the federal health care programs (Medicaid, Medicare, and other federally funded programs that provide health benefits); AND must not be excluded from participating in federal procurement (Federal Acquisition Regulation) and non-procurement activities (Executive Order No.
  • This is a full-time position that is eligible for overtime.
  • This position is represented by a union.
  • Typical work schedule: Monday through Friday, 8:00 am - 5:00 pm, with flexibility to meet the needs of the department or program.
Knowledge and Skills
  • Knowledge of the practice of public health nursing and the use of community resources.
  • Knowledge of public health sciences and services.
  • Skills and abilities in interdisciplinary teamwork.
  • Ability to make nursing assessments which include environments and systems, in addition to individuals, families, and groups.
  • Ability to accept and abide by supervision received.
  • Ability to recognize the needs and concerns of people and to maintain constructive and therapeutic relationships.
  • Ability to provide skilled nursing care.