CLACKAMAS COUNTY

CLASSIFICATION NO. 721
Established: 09/92
FLSA: Exempt
EEO: 2

COMMUNITY HEALTH NURSE, SENIOR

CLASS CHARACTERISTICS

Under direction, to lead the work of a team of nursing personnel and support staff within a health program or clinic; to perform a variety of nursing services in the home, clinics, schools and other institutions; and to do other work as required.

DISTINGUISHING CHARACTERISTICS

The Community Health Nurse series is used for positions which provide direct patient care and treatment, promote good hygiene and health, and teach preventive and rehabilitative health care. Most positions are in the Public Health Division within the Department of Human Services. Programs and clinics include health care treatment and referral, immunizations, prenatal care, family planning, nutrition education and counseling, and monitoring communicable diseases.

The Community Health Nurse, Senior is the advanced journey level in the series. These positions assist program supervisors with the coordination of program activities and staff. Incumbents perform and oversee professional nursing duties and recommend changes to clinic or program operations to improve the quality of patient care.

The Community Health Nurse, Senior differs from the Community Health Nurse 2 which does not have lead work or staff coordination responsibilities. It also differs from the Public Health Nursing Supervisor which has full supervisory authority for staff within a health program or clinic.

TYPICAL TASKS

Duties may include but are not limited to the following:

  1. Assists in the coordination and operation of a health program or clinic; participates in program planning, problem solving and policy and procedure development; schedules staff coverage and services; oversees maintenance of inventory of medications, supplies and materials.
  2. Participates in the hiring, orientation and performance evaluations of assigned nursing and support staff; provides advice and assistance in resolving work problems; recommends and provides continuing education and in-service training.
  3. Reviews and oversees quality control standards for patient care; ensures compliance with professional standards and legal requirements; coordinates peer review and quality assurance process.
  4. Conducts comprehensive health assessments; obtains medical histories and identifies symptoms of physical and emotional illness; performs diagnostic tests; implements treatment plans established by physicians; administers medications and immunizations; maintains patient charts and related records.
  5. Develops and implements nursing care plans; coordinates with other health care workers to provide services; plans for continuity of patient care at home, work, hospitals, clinics and schools; makes referrals to medical, social and mental health agencies.
  6. Provides health education and outreach to families, individuals and community groups; provides instruction and information on diseases, medical conditions and health maintenance, prevention and rehabilitation; provides consultation to community agencies.
  7. Compiles and prepares records, reports and clinical statistics; assists in conducting epidemiological studies; creates teaching aids and presentation materials.

REQUIRED KNOWLEDGE AND SKILLS

Working knowledge of: Principles, methods and procedures of nursing as applied to public health practice; causes, treatment, prevention and/or early detection of communicable diseases, chronic diseases, handicapping conditions, mental illness and other disabling conditions; preventive medicine and sanitation; community nursing programs, including school nursing services and home nursing care; techniques of teaching preventive health care; sociological, psychological and physical problems affecting public health clients; community resources available for assistance in public health programs; office equipment, including personal computers and software programs.

Some knowledge of: Principles and techniques of supervision.

Skill to: Work cooperatively as a member of a professional health care team to provide effective treatment to patients; evaluate and implement nursing care plans; monitor patient progress toward established goals; analyze and evaluate social and psychological factors affecting clients; educate clients and their families to enhance their social, psychological and physical functioning; plan, coordinate and oversee the work of professional, paraprofessional technical and clerical support staff; communicate effectively, both orally and in writing; prepare and deliver presentations to the public, community groups and other health professionals; establish and maintain effective working relationships with other departments, agencies and the public; prepare and maintain accurate medical records; operate computer software and other office equipment.

WORKING CONDITIONS

This position involves exposure to bodily fluids and routine contact with individuals who have communicable diseases.

OTHER REQUIREMENTS

Possession of a license to practice as a registered professional nurse in the State of Oregon.

Must successfully pass a criminal history check which may include national or state fingerprint records check.

Must pass a pre-employment drug test.

Driving may be necessary for County business. For position(s) with occasional/incidental driving, incumbents must possess a valid driver's license. Accommodation requests for an acceptable alternative method of transportation will be reviewed on an individual basis in compliance with State and Federal legislation. For position(s) with regular driving, incumbent(s) must also possess and maintain an acceptable driving record throughout the course of employment.

MINIMUM RECRUITING STANDARDS

Any satisfactory combination of experience and training that demonstrates possession of the required knowledge and skills.