Public Health Nurse I (Clinic Nurse)

Public Health Nurse

A. Primary Purpose of Position: To provide nursing services to all Nash County Health Department patients following agency policies, procedures and standing orders. Health department programs include Maternal Health, Family Planning, Women's Health, Adult Health, Child Health, Immunization, STD/HIV, Tuberculosis and Communicable Disease. B. Work Schedule: 8:00 AM - 5:00 PM, Monday through Friday. Occasional extended hours or weekends for community health fairs, communicable disease outbreaks, flu shots, etc. Hours may vary depending on the services of the department.

20% Women's Preventive Health Program Completes an initial or interim medical and psychosocial history. Takes blood pressure and orders appropriate lab tests per Provider instruction and/or standing order. Provides education and counseling regarding medical and psychosocial problems identified. Provides education, counseling, and instructions regarding methods of birth control and method chosen. Dispenses appropriate medications and/or birth control method according to the Department's Pharmacy Policy and Procedures and Family Planning Policy, Procedures, and Standing Orders. Updates immunizations per Standing Orders. Initiates referrals for abnormal findings and needs identified. Documents findings and all activities in the patient's medical record according to the Department's Medical Record Policy. 20% Adult Health Program Completes an initial or interim medical and psychosocial history. Takes blood pressure and orders appropriate lab tests per Provider instruction and/or standing order. Provides education and counseling regarding problems identified (ex., chronic disease and disease prevention). Dispenses medications according to the Department's Standing Orders and Pharmacy Policy and Procedures (ex., treatment for vaginitis). Updates immunizations per Standing Orders. Initiates referrals for abnormal findings and needs identified. Documents findings and all activities in the patient's medical record according to the Department's Medical Record Policy. Job Description: PHN I II. A. (Con't) DESCRIPTION OF RESPONSIBILITIES AND DUTIES: 20% STD/HIV Program Completes an initial or interim medical and sexual history. Orders appropriate lab tests per Provider instruction and/or standing order. Provides education and counseling regarding problems identified. Dispenses or administers appropriate treatment according to the STD Policy, Procedures, and Standing Orders, and according to the Department's Pharmacy Policy and Procedures. Provides pre and post test HIV counseling. Updates immunizations per Standing Orders. Initiates referrals for abnormal findings and needs identified. Documents findings and all activities in the patient's medical record according to the Department's Medical Record Policy. 20% Child Health Program Performs visual acuity and hearing screening and takes blood pressure on children three years and older. Completes initial or interim medical, psychosocial, and developmental history. Ensures completion of pre-visit questionnaire. Applies topical fluoride varnish and provides educational information. Orders appropriate lab work per Provider instruction and/or standing order. Dispenses or administers medications and immunizations according to the Standing Orders of the Child Health Program and the Pharmacy Policy and Procedures. Documents findings and all activities in the patient's medical record according to the Department's Medical Record Policy. Job Description: PHN I II. A. (Con't) DESCRIPTION OF RESPONSIBILITIES AND DUTIES: 15% Prenatal Program Completes an initial or interim medical and psychosocial history. Takes blood pressure and orders appropriate lab tests per Provider instruction and/or standing order. Provides education and counseling regarding medical and psychosocial problems identified. Provides appropriate education and counseling (ex., nutrition, danger signs of pregnancy). Dispenses appropriate medications and/or vitamins and iron according to the Department's Pharmacy Policy and Procedures and Prenatal Policy, Procedures and Standing Orders. Initiates necessary referrals. Documents findings and all activities in the patient's medical record according to the Department's Medical Record Policy. 5% Other Duties Other duties as assigned. Assists with general clinic patients; i.e.: those presenting for pregnancy tests, TB medications, hepatitis B vaccine, blood pressure checks, B12 injection, etc. Maintains required personnel records (ex., time, travel, and telephone logs). Attends staff training and other continuing education programs and monthly staff meetings. Helps maintain a safe working environment. Preparedness/Disaster shelter and duties. Participates in Quality Assurance/Quality Improvement tasks.

Considerable knowledge of and skill in the application of nursing theory, practices, principles, and techniques employed in the field of public health and related programs; general knowledge of and ability to apply the principles and practices of public health; working knowledge of current social and economic problems relating to public health; working knowledge of available resources and organizations. Ability to deal tactfully with others and to exercise good judgement in appraising situations and making decisions; ability to secure the cooperation of clients, to elicit needed information and to maintain effective working relationships; ability to record accurately services rendered and to interpret and explain records, reports and medical instructions.

1. Required Minimum Training: Graduation from a four-year college or university with a B.S. Degree in Nursing which includes a Public Health Nursing rotation; or graduation from an accredited school of professional nursing and one year of professional nursing experience; or an equivalent combination of education and experience. 2. Additional Training/Experience: • HIV Counseling • CPR • Introduction to Disaster • Incident Command System • Introduction to Public Health Nursing (if no B. S. Degree in Nursing) 3. Equivalent Training and Experience: None C. License or Certification Required by Statute or Regulation: Current license to practice as a Registered Nurse in North Carolina by the North Carolina Board of Nursing. Valid North Carolina Driver's License.

Nash County offers cafeteria-style benefits including:

- Health Insurance

- Dental Insurance

- Life Insurance

- Vision Insurance

- Supplemental Health Benefits (Accident, Critical Illness, and Hospital Indemnity Insurances)

- Disability Insurance (Long-Term and Short-Term Disability) and more!

Retirement Membership in the North Carolina Local Government Employees Retirement System is a requirement for all regular full-time and regular part-time employees. Employees contribute 6% of their annual compensation before it is taxed. If you leave County service before retirement, you may withdraw your retirement contributions or elect to freeze your contributions in anticipation of future local government employment. If you have 5 years of service, you are 100% vested in the NCLGERS.

NC401(k) The NC401(k) supplemental retirement program is available to regular full-time and regular part-time employees. The County establishes this 401(k) account for each eligible employee and makes a 5% contribution based on monthly earnings. Employees may elect to make voluntary contributions through payroll deduction.

457 Deferred Compensation The 457 Deferred Compensation program is available to regular full-time and regular part-time employees through payroll deduction. Deferred compensation is a voluntary investment plan to supplement retirement income and to defer taxable income.

Special Separation Allowance The Separation Allowance is available to law enforcement officers between the ages of 55 and 62 years that are eligible and retire under the provisions of the NC Local Government Employees Retirement System.

125 Flexible Benefit Plan Flexible Spending Account options are available to regular full-time and regular part-time employees who wish to use pre-tax dollars for eligible medical, pharmacy, dental, vision, and daycare expenses. The Flex Convenience Card program gives you instant access to your account funds.

Direct Deposit is a condition of employment for all employees. Deposit of your paycheck will be made to checking or savings accounts in a bank of your choice.

LEAVE PROGRAMS Vacation Leave For regular full-time County employees, vacation leave accrues based on length of service in the NC Local Government Employees Retirement System. Regular part-time employees accrue prorated vacation leave based on a percentage of the full-time benefit. Sick Leave For regular full-time County employees, sick leave accrues each pay-cycle. Regular part-time employees accrue prorated sick leave based on a percentage of the full-time benefit. Your unused sick leave balance can be applied as creditable service toward a service retirement under the guidelines of the NCLGERS. Holidays The policy of the County is to follow the holiday schedule as published by the State of North Carolina each year. The following holidays are observed:

• New Year's Day,
• Martin Luther King, Jr. Day,
• Good Friday,
• Memorial Day,
• Independence Day,
• Labor Day,
• Veteran's Day,
• Thanksgiving Day and the day after, and
• Three (3) days at Christmas.

Military Leave Annual Training - Reserves and National Guard -Ten paid workdays per fiscal year. Active Duty - Reserves and National Guard - Ten paid workdays upon activation. Civil Leave Paid leave is provided to full-time or regular part-time County employees called for jury duty or as a witness of the court for the federal or state government, or a subdivision thereof. Family Medical Leave Act Federal law provides job protection and continuation of existing paid health insurance during 12 weeks of leave, paid or unpaid, to an eligible employee for qualifying events. These events can include