Guilford County Schools
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Nurse Specialist II (Clinical) - Greensboro
at Guilford County Schools
GENERAL STATEMENT OF DUTIES
The nurse in this position functions independently under state and agency guidelines and policies in specialty roles and generally without onsite supervision. Work is performed under the direction of a Nurse Services Supervisor or Nurse Services Manager.
DISTINGUISHING FEATURES OF THE CLASS
The Nurse Specialist II has acquired all competencies of Nurse Specialist I. Nurse is performing in a lead role on a regular basis in a clinical or community setting. Specialist II works closely with the Nurse Manager or Nurse Services Supervisor in the review of clinical/community services and needs. . Additional training in area of specialty may be required. Work is distinguished at this level from the Nurse Specialist I by regular lead roles and coordination/accountability of services provided during clinic and community operations. In the community setting it is distinguished due to the autonomous roles of the nurse working independently in the community setting making critical decisions with no onsite supervision. The Nurse Spec. II plans and implements services to meet physical, mental and social needs of the client. In the clinical setting, the nurse performs duties autonomously which require specialized training.
DUTIES AND RESPONSIBILITIES
Essential Duties and Tasks
• Serves as a regular charge nurse in clinical setting. Works in the community setting.
• Triages clients to determine needs/priorities, utilizing independent judgment, and critical thinking skills
• Coordinates and assures clinic flow. During clinical operations, Specialist II directs and evaluates the work of ancillary staff.
• Provides training to new staff members assigned to clinical/community area in developing and planning of on-going nursing health care programs in areas of specialization.
• Provides input into training needs of other RN's and ancillary staff.
• Provides input into evaluations of subordinates.
• Works closely with the Nurse Services Manager or Nurse Service Supervisor in the review of clinical services and needs.
Serves on Community Based committees and advisory boards
• Serves on review committees at the end of clinics to evaluate client assessment and treatment plans and follow up.
• 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. Must maintain roster status as Enhanced Role Register Nurse.
• Attends meetings of agencies and organizations whose work is related to the public health program.
• Practices autonomously under approved medical protocol, which include State and Nationally recognized guidelines. Practices autonomously out in the community and in the schools.
• Administers treatments as ordered by M.D.
• Teaches groups and patients.
• Establishes clinic goals, policies, procedures, and guidelines with the supervisor.
Required Knowledge, Skills, and Abilities
- Considerable knowledge of the principles and practices of public health nursing, of measures and techniques used in the prevention of communicable diseases, and of the scope and general purpose of the program of health education and administration.
- Considerable knowledge of the sociological aspects of community life.
- Considerable knowledge of epidemiology and preventive measures for disease.
- Ability to establish and maintain effective working relationships with the public and with other professional personnel and ancillary staff.
- Ability to interpret and explain the value of public health nursing services and to obtain individual and collective public cooperation.
- Ability to make independent nursing assessments and judgments.
- Ability to perform physical assessment skills if assigned to clinic. THIS COULD BE COMMUNITY OR CLINICAL.
- Ability to plan, coordinate the work of others, and display strong interpersonal skills.
- Highly motivated and independent in decision making.
- Ability to perform Non-Stress Testing/Fetal Monitoring on a maternity client after certification.
- Ability to perform well physical exams for adults or children; and also sexual health exams on adults/teens.
- Ability to lead clinical and ancillary staff to perform duties efficiently.
- Ability to investigate communicable diseases in the community setting
- Ability to case manage clients with active tuberculosis and latent TB infection
- Ability to collaborate and have knowledge of community resources for clients and their families.
- Counseling, mediation techniques and crisis intervention skills
- Case finding, case management and advocacy skills
- Knowledge and implications of Social Determinates of Health
- Ethnic and cultural sensitivity
- Competent of healthcare delivery systems and concepts of primary care
- Examples of Duties
- The primary function of this position is to provide case management services on all reported clients with suspected or confirmed TB disease by conducting targeted testing (LTBI), investigative visits developing a plan of care (which includes but is not limited to by providing diagnostic monitoring and screening tests, including radiology services), and treatment services with ongoing evaluation and surveillance monitoring activities following the CDC/NC and Guilford County guidelines/protocols. Assist in assuring TB outbreak control by conducting contact investigation using the general epidemiologic framework (covered in the contact investigation guidelines) and the specific state-required forms. Assist in providing TB education and training to healthcare providers in the community with TB specialty resources using printed TB materials, videotape presentations and demonstrations as indicated. Extensive State training in TB and Communicable Disease is provided by Public Health.
- Typical Qualifications
Graduation from an accredited four-year college or university with a BS Degree in Nursing (BSN), which includes a Public Health nursing rotation and 6-12 months of professional nursing experience in a public health setting or related environment, preferable with 12 months demonstrated experience in specialty area; OR, an Associate's Degree (ADN) with 3 years experience in a public health setting or related environment; Experience may include education in the form of workshops, certification, and/or graduate programs related to the clinical area of specialty.
NECESSARY SPECIAL QUALIFICATIONPREFERRED 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.
Documentation of immunity to: measles, mumps, rubella, and chickenpox, per CDC recommendations. Screening/proof of Hepatitis B immunity, as recommended by the CDC.
Nursing experience in general medicine setting--hospital or medical office. Experience in a public health clinical setting is a plus.
- Supplemental Information
Physical Demands and Work Conditions
Sits, walks and stands during a workday.
Practices good body mechanics.
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, may be exposed to infection from disease-bearing patients, and specimens, and 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.