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Public Health Nurse 2 - Communicable Disease Control

at Marion County

Pay: $28.99 to $37/hour
$28.99 - $37
Posted: 1/1/2020
Job Status: Full Time
Job Reference #: 2642047

Job Description

Overall Job Objective

This recruitment has been reopened for additional applicants.  If you have already applied for recruitment #511-2019-7, you do not need to reapply.

Have you experienced working in a fast paced setting as a critical part of a committed team of health professionals and enjoy working towards a vision of, "A thriving community where all can live healthy and purposeful lives?" Are you an excellent communicator who is committed to lifelong learning?
Marion County Health and Human Services (MCHHS) is in search of a Public Health Nurse to join its Public Health Communicable Disease and Tuberculosis Team. The Public Health Division's mission is to work collaboratively with our community partners to promote and protect the health of the public. The ideal candidate will enjoy serving a diverse client population in a busy setting to assure that:
  • TB cases both active and latent are case managed appropriately.
  • Marion county residents are protected from Communicable disease including sexually transmitted infections.

If this sounds like you please submit your application.  This could be the beginning of a great career in public health!

GENERAL STATEMENT OF DUTIES
Provides comprehensive nursing assessments, develops intervention strategies, and provides nursing services to individuals, families, groups, and communities; provides case management for high-risk clients.
 
SUPERVISION RECEIVED
Works under the general supervision of a manager or supervisor, who assigns work, establishes goals and reviews results obtained; may perform nursing duties as set forth in the medical standing orders established for a specialty area.
 
SUPERVISION EXERCISED
Supervision of other employees is not a responsibility of positions in this class.

Typical Duties - Duties include, but are not limited to the following

The nurse in this position provides services across the spectrum of communicable disease investigation and TB case management, and provides occasional back-up to sexually transmitted infection clinic.
 
Share in General Program Duties with Communicable Disease (CD) team Coordinator:
Participates and/or provides 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 Coordinator and/or Program Supervisor.
  • Participate in planning, implementation and evaluation of CDE program activities.
  • Participates in and may provide evaluation and monitoring of CD program services and activities including quality improvement initiatives and program performance management measurement and tracking.
Provide Direct Communicable Disease Client and/or Employee Services
Demonstrates flexibility in adapting as program and/or service needs change.
 
Works to prevent and control the spread of communicable disease through provision of services to individuals, families, groups and communities including investigation, control and case management activities and provision of nursing leadership to the program paraprofessionals.  Related duties include but are not limited to:
  • Participates in communicable disease surveillance and service activities including, but not limited to reportable communicable diseases and outbreak response.
  • Provides investigation and follow-up of reportable conditions and communicable diseases according or Oregon Communicable Disease Guidelines and reporting requirements.
  • Encourages and provides means for reporting, monitoring, investigating and controlling communicable diseases and other health hazards through coordinated population based environmental and individual medical interventions.
  • Participates in weekly case review and documents summary of case review to maintain a basic knowledge of all clients on caseload.
  • Nursing assessments of client physical, emotional, developmental and environmental status.
  • Determining nursing diagnosis through use of screening tools and nursing assessment.
  • Monitoring client health status and keeping Health Officer informed of health issues, including services received through other providers.
  • Identifies need and makes appropriate timely referrals.
  • Develops and implements comprehensive plans of nursing care including:
    • Makes/plans home visits for TB program Directly Observed Therapy (DOT).
    • Routine medication assessment, refill and monitoring.
    • Immunizations and TB screening.
    • Collects sputum specimens, draws blood and administers TB tests and vaccinations per the patient treatment plan.
    • Contact investigation and follow-up.
    • Prepares for and participates in TB chest clinic.
    • Educates, counsels and coaches clients regarding disease process, risk behavior, healthy lifestyles, prophylaxis, medication management and treatment goals.
    • Evaluates and revises treatment goals with clients to assure effective plans.
    • Coordinates and consults on plan of care with Health Department Health Officer and outside providers/agencies.
    • Evaluation and appropriate follow-up of x-ray/lab/sputum.
  • Provides sexually transmitted infection (STI) services including case management, contact follow-up and investigation and may also provide back-up to STI clinic nurse, including phlebotomy.
  • Drives to client home or other sites to provide services, attend off-site meetings, pick up specimens/x-rays or conduct field investigation of communicable disease.
  • Maintains open communications with and provides nurse guidance and oversight to PHW-3 paraprofessionals providing TB and sexually transmitted infections services.
  • Utilizes computer and internet to access information and document activities.
  • Performs accurate and timely documentation in Orpheus data base.
  • Performs accurate and timely documentation of all nursing actions in Subjective, Objective, Analysis, Plan (SOAP) format, using appropriate forms and/or computer programs.
  • Provides services to non-English speaking clients via telephonic or in-person interpreter.
  •   May provide nursing assistance in immunizations clinic
Is a Professional/Technical Resource to Others
  • Provides information and referral services to clients, professional providers and the public.
  • Provides consultation to co-workers on client work related communicable disease concerns.
  • Seeks and incorporates target audience input into educational materials and pamphlets.
  • May provide consultation to health facilities via telephone or on site.
 
May flex schedule to provide services outside of normal MondayFriday, 08001700 hours
May work late clinic; occasional after hours or weekends to meet business need.   

Other job duties as assigned. May include, but is not limited to response to public health emergencies to provide essential MCHHS nursing or non-nursing services, including mass clinics to provide immunizations/mediation, or outbreak response, or other functions. 

Response Level 2: 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.

Requirements for the Position

MINIMUM QUALIFICATIONS

  1. Associate degree, or diploma, in nursing, plus two years of experience as a nurse in a public health, social services, or community health setting; OR
  2. Completion of a Baccalaureate degree in nursing.
NECESSARY 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.  Marion County will obtain a copy of the driving record for all qualified applicants from Driver and Motor Vehicle Services and review the driving record according to the Marion County policy and procedure for Driving on County Business.  The policy can be found at:  http://apps.co.marion.or.us/APAP/.
  • The finalist for this position may 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. The Marion County Drug and Alcohol Use and Testing Policy can be found at: http://apps.co.marion.or.us/APAP/policy.aspx?p=policy&pid=518.
  • 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. 12549).
  • 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, may work late clinic or occasional after hours or weekends to meet business needs.
KNOWLEDGE, SKILLS AND ABILITY
Knowledge of the practice of public health nursing and the use of community resources; skill in interdisciplinary team work; working knowledge of public health sciences and services; skill in making 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.

PHYSICAL REQUIREMENTS
Operates a motor vehicle and maintains an acceptable driving history; sees with depth perception; stands; sits; moves about the work area; bends forward; stoops; climbs 1 floor of stairs; reaches overhead; lifts, pushes, pulls, carries items and moves carts weighing up to 20 lbs.; operates a keyboard; speaks with a clear and audible voice; reads a 6 pt font on med vials;  distinguishes colors and shades; able to administer TB test and draw blood; hears a normal speech level and through a stethoscope; able to take blood pressure; may encounter heat, cold or uneven surfaces at community sites and home visits; occasional exposure to alcohol antiseptic and bleach based disinfectant; occasional driving to home visits or off-site clinics; administer Ishihara color vision test; uses fine motor skills to administer PPD's and draw blood.