Public Health Nurse II (Clinical & CAP)

Nash County•Nashville, NC

72d•Hybrid

About The 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. To provide the nursing portion of the annual multidisciplinary assessments for target patients as required per the most current NC Medicaid Community Alternatives Program for Disabled Adults and Children (CAP/DA and CAP/C) Clinical Coverage policies. The Community Alternative Program for Disabled Adults (CAP/DA) is a Medicaid Home and Community-Based Services (HCBS) Waiver authorized under section 1915(c) of the Social Security Act and complies with 42 CFR § 440.180, Home and community-based waiver services. This waiver program provides a cost-effective alternative to institutionalization for a beneficiary, in a specified target population, who is at risk for institutionalization if specialized waiver services were not available. These services allow this targeted individual to remain in or return to a home and community-based setting. The Community Alternative Program for Children (CAP/C) is a Medicaid Home and Community-based Services (HCBS) program authorized under section 1915(c) of the Social Security Act and complies with 42 CFR § 440.180, Home and Community-based Waiver Services. This waiver program provides a cost-effective alternative to institutionalization for a Medicaid beneficiary who is medically fragile and at risk for institutionalization if home- and community- based services approved in the CAP/C waiver were not available. These services allow the beneficiary to remain in or return to a home and community-based setting. This waiver supplements, rather than replaces, the formal and informal services and supports already available to an approved Medicaid beneficiary.

Requirements

Graduation from an accredited school of professional nursing and one year of professional nursing experience
Current license to practice as Registered Nurse in North Carolina by the North Carolina Board of Nursing.
Valid North Carolina Driver's License.

Nice To Haves

NC Credentialed Public Health Nursing Course (NCCPHN)
Introductions to Public Health in North Carolina Online Training Series, Certificate of Public Health Nursing in North Carolina
ICS Training 100, 200 and 700
Red Cross Disaster I and 11
CPR Certificate
CPR/Defibrillator training
HIV counseling and testing program
OAE Training
Breast exam Assessment Training

Responsibilities

Performs nursing assessments on patient at time of annual reassessments.
Reviews patient's current medications.
Enters data into EHR (eCap).
Documents date RN assessment completed in CAP/DA – CAP/C spreadsheet as notification to patient’s CAP Case Manager that visit has been completed.
Completes an initial or interim medical and psychosocial history.
Takes blood pressure and orders appropriate lab tests.
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 Procedure and Family Planning Policy and 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.
Takes blood pressure and orders appropriate lab test per standing orders and guidance from clinician.
Assists physician with exam.
Dispenses appropriate medications and/or vitamins and iron according to the Department's Pharmacy Policy and Procedures and Maternity Policy and Procedures.
Completes an initial or interim medical and sexual history.
Orders appropriate lab tests.
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.
Fills in as necessary to receive referrals from other health care facilities.
Contacts patients needing medical treatment.
Performs visual acuity and hearing screening and takes blood pressure on children four years and older.
Orders appropriate lab work.
Counsels parent regarding nutrition, growth and development, medical concerns, immunizations, care of the newborn and older child, etc.
Dispenses or administers medications and immunizations according to the Standing Orders of the Child Health Program and the Pharmacy Policy and Procedures.
Issues prescription according to the Standing Orders of the Child Health Program.
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.
Administers immunizations per Standing Orders.
Provides education and counseling.
Participates in disaster services as required.
Assists with department wide community activities, i.e.: community flu/pneumonia programs, COVID-19 vaccine and//or testing clinics, health fairs, etc.
Assists other Department staff with school activities; i.e.: immunizations, communicable disease services, etc.
Assist with Red Cross disaster sites/shelters as needed
Assists with general clinic patients; i.e.: those presenting for pregnancy tests, TB medications, hepatitis B vaccine, blood pressure checks, B12 injections, 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.
Performs other duties as assigned by the supervisor or health director.