Guilford County Schools
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Nurse Specialist I - CAP/DA/C Program
at Guilford County Schools
GENERAL STATEMENT OF DUTIES
The Nurse Specialist provides intermediate level professional nursing work in providing primary and preventive care to individuals in a public health clinical or community setting. Work is performed under the direction of a Nurse Services Supervisor or higher level medical staff.
DISTINGUISHING FEATURES OF THE CLASS
The Nurse Specialist I independently assesses patient needs for nursing care or medical intervention. Work is performed in a clinical/community setting. Employee assesses needs, develops basic nursing care plans and patient goals, explains physician findings and ascertains that instructions are being followed. Employees must differentiate levels of patient criticality to identify crisis situations requiring physician or agency intervention. Nurse may occasionally be assigned as a lead worker in clinic.
- Examples of Duties
- Employees will generally serve at the staff nurse level in clinics/community or similar settings where there is higher-level staff available for consultation (direct eyes-on supervision is not required). Employees might, on a regular or occasional basis be assigned to an outreach clinic assignment that is similar to their regular in house assignment
• Gathers patient data (history, vital signs, etc.). Uses the nursing process to assess, plan, implement, and evaluate patient care using nursing theory.
• Manages client caseload for assigned geographical area under the direction of a Nurse Specialist II or Nurse Services Supervisor.
• May have input into the staffing patterns/work flow of assigned clinics.
• May serve on audit committees.
• Teaches groups and patients and families. May assist in orientation of new nurses.
• Attends meetings of agencies and organizations whose work is related to the public health program.
• Attends in-service education programs at the Public Health Department and workshops in other facilities to keep abreast of current knowledge in nursing and related fields.
• Coordinates follow up of abnormal findings, under the direction of a Nurse Consultant or Nurse Supervisor.
• Differentiates levels of patient criticality to identify crisis situations requiring physician or agency intervention.
Other duties as assigned to include preparedness and response activities. This includes participation in disaster shelters and other public health responses.
Required Knowledge, Skills, and Abilities
• Good knowledge of the methods and techniques of general nursing care and their relation to medical and surgical practice.
• Good knowledge of methods and techniques used in the prevention of communicable diseases.
• Ability to establish and maintain effective working relationships with recipients of public health care, other public employees and the general public.
• Ability to understand and carry out detailed instructions of a technical or professional nature.
• Ability to interpret and explain public health laws and regulations.
• Ability to keep records and complete reports.
• Ability to make independent assessments and nursing judgments.
• Ability to apply nursing theory principles, and techniques employed in the field of public health and related programs.
• Good individual patient and family teaching skills.
Working knowledge of social and economic problems relating to public health, including social determinates of health and health equity.
Adequate computer skills to allow communication, patient record documentation and accessing information.
- Typical Qualifications
Graduation from an accredited four-year college or university with a Bachelor's degree (BSN), which includes 0-6 months of professional nursing experience in a public health setting or related environment; OR an Associate's degree (ADN) with two years experience in a public health setting or related environment. Additional training in specialty area may be required.
Necessary Special Qualifications
Possession of a current license to practice as a Registered Nurse issued by the North Carolina Board of Nursing or another Enhanced Nurse Licensure Compact State (eNLC) and such other qualifications which may be prescribed by the State Department of Public Health.
Individuals, employed in a local health department, without a BS Degree which includes a Public Health Nursing rotation will be required to complete a Public Health Nurse training program as a condition of continued employment in accordance with Health Services Commission Rule.
Documentation of immunity to: measles, mumps, rubella, and chickenpox, per CDC recommendations. Screening/proof of Hepatitis B immunity, as recommended by the CDC.
BSN Applicants with geriatric and a minimum of one year of pediatric experience or a Division of Medical Assistance (DMA) approved pediatric training curriculum requires completion within 90 days of hire. Ability to organize and manage multiple functions: assessments, care planning, referrals and linkage, monitoring of service and communication with diverse population and multiple provider agencies. Have experience in a public health community setting with advanced technology knowledge of Microsoft office products; web based programs such as E-CAP which is the state electronic medical record for CAP client's.
- Supplemental Information
Physical Demands And Work Condition
Sits, walks and stands during a workday.
Must be able to physically perform the basic life support functions of walking, fingering, grasping, talking, hearing, and repetitive motions.
Must be able to lift patients (children) and objects up to 30 pounds as required for some positions.
Must have the visual acuity to record observations and physical assessments of clients, to read and interpret test results, administer immunizations/prescription dosages, and record medical findings.
Nurse may occasionally be in contact with difficult patients.
Nurses may be exposed to infection from disease-bearing patients, and specimens.
Employees will have periodic exposure to hazards in the field (driving, rural or inner-city settings, inclement weather, clients).
Work conditions may be mildly disagreeable if working in poor home environments or with difficult patients.
This generic class description gives an overview of the job class, its essential job functions, and recommended job requirements. However, for each individual position assigned to this class, there is available a completed job description with a physical abilities checklist which can give further details about that one specific position. These documents should be reviewed before initiating a selection process. They can provide additional detailed information on which to base various personnel actions and can assist management in making legal defensible personnel decisions.