Advanced Practice Registered Nurse - Per Diem

Consolidated Municipality of Carson City•Carson City, NV

1d•Onsite

About The Position

This position is with the Carson City Health Department. This is a part-time position, not to exceed 1,039 hours per fiscal year, July 1 through June 30. Under general supervision, perform a variety of advanced nursing duties involved in assessing, treating, controlling and preventing patient illness and disease; perform physical examinations; to identify patients with physical and emotional illness; and to administer medications as prescribed. This recruitment is open on a continuous basis. Interested individuals are encouraged to apply immediately as hiring may occur early in the recruitment process. This recruitment will close without notice when either a sufficient number of applicants are received or a hiring decision has been made.

Requirements

A current Advanced Practice Registered Nurse Certificate of Recognition from the Nevada State Board of Nursing, supplemented by additional training from a program recognized by the Nevada State Board of Nursing in the specialty required for the position (NRS 632.237); AND one (1) year of nursing experience; OR an equivalent combination of education, training and experience as determined by Human Resources.
Nevada State Advanced Practitioner of Nursing Certificate of Recognition.
Nevada State Registered Nursing License.
Current CPR certification.
ICS 100 and 700 certification within 3 months of employment.
A valid driver’s license.
Knowledge of advanced principles, procedures, methods and techniques of nursing and health care.
Knowledge of advanced principles and practices of nursing diagnosis.
Knowledge of approved medical treatments for a variety of health status.
Knowledge of normal growth patterns of newborns and infants.
Knowledge of a variety of contagious and transmittable diseases, how they are contracted and spread, and their proper treatments and immunizations.
Knowledge of a variety of possible reactions or side effects to vaccines and immunizations.
Knowledge of procedures and methods of laboratory testing and interpretation.
Knowledge of community agencies and other outside resources available to patients.
Knowledge of Medical Terminology.
Knowledge of principles and procedures of medical record keeping.
Knowledge of principles and procedures of medical report preparation.
Knowledge of universal precautions and infection control practices.
Knowledge of pertinent Federal, State, and local laws, codes and regulations regarding health care.
Knowledge of computer applications related to the work.
Knowledge of business mathematics, including statistics and financial analysis techniques.
Knowledge of techniques for dealing with a variety of individuals, at all levels of responsibility, in person and over the telephone, often where relations may be confrontational or strained.
Skill in performing general physical examinations.
Skill in preparing and performing diagnostic tests in order to evaluate treatments for patients with a variety of infections and illnesses.
Skill in systematically assessing the health status of persons and families.
Skill in providing responsible and advanced nursing and health care.
Skill in administering a variety of prescribed medications, proper vaccines and immunizations.
Skill in inserting, fitting, examining, and removing a variety of female contraceptives.
Skill in teaching patients the proper uses of birth control.
Skill in performing selected diagnostic procedures.
Skill in responding to emergency situations.
Skill in administering first aid.
Skill in interviewing patients prior to examinations in order to assess their health statues.
Skill in counseling patients on a variety of health care related issues.
Skill in operating standard medical testing equipment.
Skill in preparing, performing and interpreting laboratory tests.
Skill in preparing and maintaining confidentiality and security of medical records and reports.
Ability to communicate clearly and concisely, both orally and in writing.
Ability to use initiative and independent judgment within established procedural guidelines.
Ability to contribute effectively to the accomplishment of team or work unit goals, objectives and activities.
Ability to demonstrate courteous and cooperative behavior when interacting with patients, patients, family members, visitors, and staff; acts in a manner that promotes a harmonious and effective workplace environment.

Nice To Haves

Continued employment is contingent upon all required licenses and certificates being maintained in active status without suspension or revocation.
Any City employee may be required to stay at or return to work during emergencies to perform duties specific to this classification or to perform other duties as requested in an assigned response position.
This may require working a non-traditional work schedule or working outside normal assigned duties during the incident and/or emergency.
Employees may be required to complete Incident Command System training as a condition of continuing employment.
New employees are required to submit to a fingerprint based background investigation and a drug screen.
The fee associated with the background check and drug test must be paid by the employee prior to the beginning of employment.
Employment is contingent upon passing the background and drug screen.
Carson City participates in E-Verify and will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each applicant's Form I-9 to confirm work authorization.
All candidates who are offered employment with Carson City must complete Section 1 of the Form I-9 along with the required proof of their right to work in the United States and proof of their identity prior to starting employment.
Please be prepared to provide required documentation as soon as possible after the job offer is made.
For additional information regarding acceptable documents for this purpose, please contact Human Resources at 775.887.2103 or go to the U.S. Citizenship and Immigration Services web page at www.uscis.gov.
Carson City is an Equal Opportunity Employer.

Responsibilities

Collaborate with health care team and follow written protocols in all nursing practices.
Perform general physical examinations including heart, neck, pulmonary chest, cardiovascular, abdominal, and other routine exams; perform pelvic and breast examinations; initiate and perform selected diagnostic tests.
Identify physical and emotional illnesses through observations, interpretations of laboratory findings, and analysis of patient charts; analysis of diagnostic tests and physical exam; prescribe and administer medications; provide or assist in providing appropriate medical, hospital, or other health care as needed.
Counsel patients under medical treatment programs in order to assess their health progress; identify reoccurring problem areas; establish written and verbal treatment plans to solve specific problem areas; evaluate compliance with the treatment program and modify the treatment program based on the response of the person or family to treatment.
Interview patients prior to examinations to obtain a variety of information including medical history and background; determine the type of nursing care or community service the patient will need; observe patients for signs of intoxication or possible use of illegal drug; refer patients to the proper community service agency if necessary; document observations.
Meet with patients in order to discuss and inform them of their laboratory test and exam results; educate patients regarding their illness; make and provide appropriate referrals.
Counsel patients regarding their choice of contraceptives; prescribe and dispense birth control pills; dispense and fit diaphragms and cervical caps; insert, examine and remove IUD and Norplant devices.
Provide health related counseling on the prevention of communicable diseases; coordinate health programs with outside organizations and agencies; provide general health related information and instruction to individuals and families.
Follow up, by telephone, with patients with infections and other illnesses; ensure that they return for follow up testing or treatments as necessary.
Assist with medical emergencies; administer first aid for minor injuries and health problems including fainting, seizures, vomiting, and other minor injuries or health problems.
Participates in the implementation and development of continuous quality improvement objectives.
Maintain the operational activities and patient care for assigned clinic or health care program; participate in a variety of nursing responsibilities including administering immunizations, performing pregnancy and tuberculosis tests, and diagnosing and treating clients for drug addiction, sexually transmitted disease and other illnesses.
Keep accurate patient records regarding immunizations and prescribed dosages of medications; maintain and update files as necessary; make changes regarding employment, address and phone number changes, weight, height, and medical problems.
Contributes to the overall quality of the department's service provision by developing and coordinating work teams and by reviewing, recommending and implementing improved policies and procedures.
Prepares a variety of technical, statistical, and narrative written reports, correspondence, procedures,and other written materials.
Uses standard office equipment, including a computer, in the course of the work.
Demonstrates courteous and cooperative behavior when interacting with patients, family members, visitors, and staff; acts in a manner that promotes a harmonious and effective workplace environment.
Maintains absolute confidentiality of work-related issues, records and information.
At times may be required to work outside normal business hours and work extended hours to accomplish requirements of the position.