Public Health Clinic Nurse - Clinical Preventive Services

Marion County•Salem, OR

1d•Onsite

About The Position

Marion County Health and Human Services is seeking a qualified RN to provide TB case management and Public Health Clinic services. This role supports the promotion and provision of vaccines, promotes STI screening and treatment, and helps treat Tuberculosis and prevent new cases. The nurse will provide comprehensive nursing assessments, develop intervention strategies, and provide nursing services to individuals, families, groups, and communities, including case management for high-risk clients.

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.
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.
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.
Must not be excluded from participation in the federal health care programs (Medicaid, Medicare and other federally funded programs that provide health benefits).
Must not be excluded from participating in federal procurement (Federal Acquisition Regulation) and non-procurement activities (Executive Order No. 12549).
Knowledge of the practice of public health nursing and the use of community resources; 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.

Nice To Haves

Operates a motor vehicle; sees using depth perception; stands; sits; moves about the work area; bends forward; climbs 1 floor of stairs; reaches overhead; lifts, pushes, pulls, carries and moves carts weighing up to 20 lbs. for up to 50 feet; operates a keyboard; speaks with a clear and audible voice; reads a 12-pt. font and 6-pt. medication vials; able to take blood pressure; administer PPD's and draw blood; hears a normal speech level; and uses a stethoscope.
Works in areas that may be exposed to heat, mold, cold, dust, smoke, humidity, mold, antiseptic, disinfectant, noise, and chemicals; reaches forward to get items from desk or worktop; exposure to alcohol antiseptic and disinfectant.

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.
Provide Tuberculosis (TB) Case Management and Public Health Clinic 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.
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).
Perform routine medication assessment, refill and monitoring.
Perform TB screening.
Collect sputum specimens, draw blood and administer tests and vaccinations per the patient treatment plan.
Conduct contact investigation and follow-up.
Educate, counsel and coach clients regarding disease process, risk behavior, healthy lifestyles, prophylaxis, medication management and treatment goals.
Evaluate and revise treatment goals with clients.
Coordinate and consult on plan of care with MCHHS Health Officer and outside providers/agencies.
Evaluate and provide appropriate follow-up of x-ray/lab/sputum.
Drive to client home 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.
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 or non-Spanish speaking clients via telephonic or in-person interpreter.
Provide direct service to clients, including administration of injections.
Follow policies and procedures specific to the services provided.
Provide health information and education relevant to the services sought by the individual, per policy.
Provide timely, accurate & complete documentation and billing of services.
Obtain and transport supplies from storage areas.
Greet client in waiting area, escort to clinic service area and back to front desk.
Document services provided accurately and completely at the time of service.
Check and record refrigerator and freezer temperatures each AM and PM and inform Supervisor and/or Coordinator of temperature falling outside the 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 the intake, screening, nursing history, and assessment of clients for Sexually Transmitted Infections (STI) Clinic Services, per MCHHS standing orders.
Assure and provide appropriate treatment for STI clients, to include administration of medications and immunizations, and provision of current and appropriate medication information.
Initiate a plan with STI clients for follow up and treatment.
Triage walk-in clients and those phoning in with questions or requests for exam.
Review lab results and process appropriately.
Phone in prescriptions as ordered by the Health Officer.
Conduct Immunity Assessment, TB screening, and provide immunizations to employees per policy.
Draw blood for post vaccine titer per policy.
Provide timely, accurate & complete documentation of services in confidential digital & paper files.
Maintain PPD, fit test solution and vaccine medication inventory for employees.
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.
Other duties as assigned by your supervisor.
May flex schedule to provide services outside of normal Monday–Friday, 8:00 am – 5:00 pm hours.
May work late clinic; occasional after hours or weekends to meet business need.
May include but is not limited to response to public health emergencies to provide essential nursing or non-nursing services, including mass clinics to provide immunizations/medication, or outbreak response, or other functions.
In the event of an emergency, employee makes a reasonable effort to report to work.
Employee may be required to perform duties outside of their regularly assigned duties.
Employee may be requested to work an extended or flexible schedule.
Staff at this response level must complete Incident Command System 100 and 700 on-line or in-person training.