Advanced Practice Registered Nurse - Per Diem

Consolidated Municipality of Carson City; Carson City (NV); Vor Ort; USD 48.000 - 76.000; Teilzeit

Zusammenfassung

Consolidated Municipality of Carson City is seeking an experienced Advanced Practice Registered Nurse for a part-time, non-exempt role within Health & Human Services in Carson City, NV. The nurse will perform advanced nursing duties, including physical examinations, patient assessments, and medication administration, under supervision.

Responsibilities include collaborating with the health care team, counseling patients, and maintaining accurate medical records.

Qualifikationen

• Current APRN certificate with Nevada recognition.
• At least 1 year of nursing experience.
• Nevada RN license is required.
• CPR certification is required.
• ICS 100 and 700 certifications within 3 months of employment.
• A valid driver’s license is required.

Aufgaben

• Collaborate with health care team and follow written protocols.
• Perform physical examinations including heart, neck, pulmonary chest and abdominal exams; conduct pelvic and breast exams; order tests as needed.
• Identify illnesses through observations, labs, and charts; prescribe and administer medications.
• Counsel patients and develop treatment plans; assess progress and modify plans as needed.
• Interview patients to gather medical history and determine care needs; document observations.

Kenntnisse

Advanced nursing

Patient assessment

Counseling patients

Medical record keeping

Emergency response

Communication skills

Ausbildung

APRN Certificate of Recognition (Nevada)

Nevada RN License

CPR Certification

ICS 100/700

Driver's license

Jobbeschreibung

This is a part-time, FLSA non-exempt position with Health & Human Services, located in Carson City, NV.

Under general supervision, perform a variety of advanced nursing duties involved in assessing, treating, controlling and preventing patient illness and disease; perform physical examinations; to identify patients with physical and emotional illness; and to administer medications as prescribed.

This class specification lists the major duties and requirements of the job and is not all-inclusive. Incumbent(s) may be expected to perform job-related duties other than those contained in this document and may be required to have specific job-related knowledge and skills.

• Collaborate with health care team and follow written protocols in all nursing practices.
• Perform general physical examinations including heart, neck, pulmonary chest, cardiovascular, abdominal, and other routine exams; perform pelvic and breast examinations; initiate and perform selected diagnostic tests.
• Identify physical and emotional illnesses through observations, interpretations of laboratory findings, and analysis of patient charts; analysis of diagnostic tests and physical exam; prescribe and administer medications; provide or assist in providing appropriate medical, hospital, or other health care as needed.
• Counsel patients under medical treatment programs in order to assess their health progress; identify reoccurring problem areas; establish written and verbal treatment plans to solve specific problem areas; evaluate compliance with the treatment program and modify the treatment program based on the response of the person or family to treatment.
• Interview patients prior to examinations to obtain a variety of information including medical history and background; determine the type of nursing care or community service the patient will need; observe patients for signs of intoxication or possible use of illegal drug; refer patients to the proper community service agency if necessary; document observations.
• Meet with patients in order to discuss and inform them of their laboratory test and exam results; educate patients regarding their illness; make and provide appropriate referrals.
• Counsel patients regarding their choice of contraceptives; prescribe and dispense birth control pills; dispense and fit diaphragms and cervical caps; insert, examine and remove IUD and Norplant devices
• Provide health related counseling on the prevention of communicable diseases; coordinate health programs with outside organizations and agencies; provide general health related information and instruction to individuals and families.
• Follow up, by telephone, with patients with infections and other illnesses; ensure that they return for follow up testing or treatments as necessary.
• Assist with medical emergencies; administer first aid for minor injuries and health problems including fainting, seizures, vomiting, and other minor injuries or health problems.
• Participates in the implementation and development of continuous quality improvement objectives.
• Maintain the operational activities and patient care for assigned clinic or health care program; participate in a variety of nursing responsibilities including administering immunizations, performing pregnancy and tuberculosis tests, and diagnosing and treating clients for drug addiction, sexually transmitted disease and other illnesses.
• Keep accurate patient records regarding immunizations and prescribed dosages of medications; maintain and update files as necessary; make changes regarding employment, address and phone number changes, weight, height, and medical problems.
• Contributes to the overall quality of the department's service provision by developing and coordinating work teams and by reviewing, recommending and implementing improved policies and procedures.
• Prepares a variety of technical, statistical, and narrative written reports, correspondence, procedures,and other written materials.
• Uses standard office equipment, including a computer, in the course of the work.
• Demonstrates courteous and cooperative behavior when interacting with patients, family members, visitors, and staff; acts in a manner that promotes a harmonious and effective workplace environment
• Maintains absolute confidentiality of work-related issues, records and information.
• At times may be required to work outside normal business hours and work extended hours to accomplish requirements of the position.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Education and Experience

A current Advanced Practice Registered Nurse Certificate of Recognition from the Nevada State Board of Nursing, supplemented by additional training from a program recognized by the Nevada State Board of Nursing in the specialty required for the position (NRS 632.237); AND one (1) year of nursing experience; OR an equivalent combination of education, training and experience as determined by Human Resources.

Required Certificates, Licenses, and Registrations

• Nevada State Advanced Practitioner of Nursing Certificate of Recognition.
• Nevada State Registered Nursing License.
• Current CPR certification.
• ICS 100 and 700 certification within 3 months of employment.
• A valid driver’s license.

Required Knowledge and Skills

Knowledge of:

• Advanced principles, procedures, methods and techniques of nursing and health care.
• Advanced principles and practices of nursing diagnosis.
• Approved medical treatments for a variety of health status.
• Normal growth patterns of newborns and infants.
• A variety of contagious and transmittable diseases, how they are contracted and spread, and their proper treatments and immunizations.
• A variety of possible reactions or side effects to vaccines and immunizations.
• Procedures and methods of laboratory testing and interpretation.
• Community agencies and other outside resources available to patients.
• Medical Terminology.
• Principles and procedures of medical record keeping.
• Principles and procedures of medical report preparation.
• Universal precautions and infection control practices.
• Pertinent Federal, State, and local laws, codes and regulations regarding health care.
• Computer applications related to the work.
• Business mathematics, including statistics and financial analysis techniques.
• Techniques for dealing with a variety of individuals, at all levels of responsibility, in person and over the telephone, often where relations may be confrontational or strained.
• Communicating effectively in oral and written forms.

Skill in

• Performing general physical examinations.
• Preparing and performing diagnostic tests in order to evaluate treatments for patients with a variety of infections and illnesses.
• Systematically assessing the health status of persons and families.
• Providing responsible and advanced nursing and health care.
• Administering a variety of prescribed medications, proper vaccines and immunizations.
• Inserting, fitting, examining, and removing a variety of female contraceptives.
• Teaching patients the proper uses of birth control.
• Performing selected diagnostic procedures.
• Responding to emergency situations.
• Administering first aid.
• Interviewing patients prior to examinations in order to assess their health statues.
• Counseling patients on a variety of health care related issues.
• Operating standard medical testing equipment.
• Preparing, performing and interpreting laboratory tests.
• Preparing and maintaining confidentiality and security of medical records and reports.
• Communicate clearly and concisely, both orally and in writing.
• Using initiative and independent judgment within established procedural guidelines.
• Contributing effectively to the accomplishment of team or work unit goals, objectives and activities.
• Demonstrating courteous and cooperative behavior when interacting with patients, patients, family members, visitors, and staff; acts in a manner that promotes a harmonious and effective workplace environment.

SUPERVISION RECEIVED AND EXERCISED

Under General Supervision- Incumbents at this level are given assignments and objectives that are governed by specifically outlined work methods and a sequence of steps, which are explained in general terms. The responsibility for achieving the work objectives, however, rests with a superior. Immediate supervision is not consistent, but checks are integrated into work processes and/or reviews are frequent enough to ensure compliance with instructions.

PHYSICAL DEMANDS & WORKING ENVIRONMENT

The physical demands described herein are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Mobility to work in a typical office setting, use standard office equipment and stamina to sit for extended periods of time; strength to lift and carry up to 20 pounds; vision to read printed materials; and hearing and speech to communicate in person or over the telephone; exposure to exposure to potentially hazardous medications and bodily fluids.

CONDITIONS OF EMPLOYMENT

1. Continued employment is contingent upon all required licenses and certificates being maintained in active status without suspension or revocation.
2. Any City employee may be required to stay at or return to work during emergencies to perform duties specific to this classification or to perform other duties as requested in an assigned response position. This may require working a non-traditional work schedule or working outside normal assigned duties during the incident and/or emergency.
3. This is a grant funded position therefore required to know and abide by rules of the grant they function under. Position is contingent upon grant funding continuing to be renewed and approved. Carson City part-time employees cannot exceed 1039 hours in a fiscal year (July 1 through June 30).
4. Employees may be required to complete Incident Command System training as a condition of continuing employment.
5. New employees are required to submit to a fingerprint based background investigation and a drug screen. The fee associated with the background check and drug test must be paid by the employee prior to the beginning of employment. Employment is contingent upon passing the background and drug screen.
6. Carson City participates in E-Verify and will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each applicant's Form I-9 to confirm work authorization. All candidates who are offered employment with Carson City must complete Section 1 of the Form I-9 along with the required proof of their right to work in the United States and proof of their identity prior to starting employment. Please be prepared to provide required documentation as soon as possible after the job offer is made. For additional information regarding acceptable documents for this purpose, please contact Human Resources at 775.887.2103 or go to the U.S. Citizenship and Immigration Services web page at www.uscis.gov.
7. Carson City is an Equal Opportunity Employer.