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Public Health Nurse, Bremerton, WA


Kitsap Public Health District

Nurse

Bremerton, WA

October 17, 2017


PUBLIC HEALTH NURSE
CLINICAL SERVICES

Salary Range: $ 4,514 - $ 6,350 per month, DOEQ
Hours: 40 hours a week (1.0 FTE), 8:00 a.m. – 4:30 p.m., Monday through Friday
– requires occasional evening and weekend hours.
Status: Regular, full-time, plus a generous benefits package which includes
participation in the Public Employees Retirement Systems (PERS)
Closing Date: Open Until Filled

The Position

Definition: Under the direction of the Clinical Services Public Health Nurse Supervisor, in coordination with the Director of Community Health, the incumbent provides nursing services related to immunizations and other communicable diseases including direct patient care, epidemiological surveillance, and community health education for the public and for private providers.

Within state and agency policies, the incumbent provides professional nursing and counseling to clinic patients including health assessment, phlebotomy, and immunization assessment and administration. The incumbent is expected to have a comprehensive working knowledge of immunization practices, communicable disease control, and public health emergency preparedness.

Essential Functions:

  • Provides childhood and adult immunizations per ACIP, AAP, and CDC recommendations following clinic procedures for necessary education, signed consents, and completion of electronic medical records.
  • Provides coordination and distribution of vaccines supplied through VFC and the Washington Vaccine Association to private providers through Kitsap County. Updates immunization protocols when changes occur in the ACIP recommendations and communicates these changes to all providers administering these vaccines in Kitsap County. Trains new staff on immunization practices, as needed.
  • Provides guidance to District staff, private medical providers, community partners and the citizens of Kitsap County in the areas of immunizations and communicable disease, as needed.
  • Provides consultation and training on vaccine administration and safety to providers and health care professionals. Provides site visits as required by DOH.
  • Responsible for case management of patients with active tuberculosis, and latent tuberculosis infection. Responsibilities include maintaining patient medical records, directly observed therapy, participating in Department of Health’s (DOH) quarterly cohort case review, completing and submitting appropriate case reports to DOH.
  • Maintains clinical and pharmaceutical supplies, completes necessary paper work, maintains accurate database, and oversees the flow of patients through the clinic.
  • Provides tuberculin skin testing (PPD) per regulations and physicians recommendations. Completes risk assessment and medical history as indicated. Provides oral medication for TB as order by the medical provider.
  • Instructs patients regarding clinic procedures, and provides education on prevention of STI/HIV per clinical guidelines. Performs medical lab work per clinical guidelines.
  • Assists with disease surveillance, conducts communicable disease investigations and implements disease-control strategies. Provides backup and assists with coordination of epidemiological activities, provides guidance to clinical staff pertaining to communicable disease investigation and immunizations. Collaborates with health care providers of prevention and control of communicable disease.
  • Responsible for providing ongoing surveillance of influenza in our community. Obtains vaccine, conducts investigations and collects specimens when indicated. Collaborates with health care providers regarding current CDC recommendations and provides leadership in implementation.
  • May provide nursing and counseling services to patients in the weekly Madison Clinic which provides medical services to person living with HIV/AIDS per clinical guidelines and standing orders, assists physicians and other providers when necessary, performs medical laboratory work, maintains quality assurance in the laboratory, maintains clinical and pharmaceutical supplies, completes necessary paper work, oversees the flow of patients through the clinic.
  • Participates in special projects and educational presentations related to communicable disease, including tuberculosis, public health emergency preparedness and immunizations. Provides public health support to community-based programs.
  • Provides cross-coverage for all other clinical services as needed.
  • Attends appropriate continuing education courses. Reviews education materials to keep current in communicable disease and public health emergency preparedness.
  • Assists with the development of news release for public information concerning issues relating to communicable disease and immunizations.
  • Serves as liaison between the Health District and other members of the community, specifically through routine visits to health care providers and other community health care partners.
  • Participates in and contributes to ad hoc special activities and assignments.
  • Participates in public, internal, and state meetings in the completion of job duties. Collects, validates, and enters data as needed in support of program related activities.
  • Prepares written reports, and programmatic documents as required.
  • Represents the District at local and statewide meetings and conferences.
  • Completes timely and accurate random moments to comply with contractual requirements of Medicaid Administrative Match.
  • Participates in a weekly on-call rotation providing Communicable Disease subject matter expertise during off-duty hours for response to Duty Officer inquiries during evenings, weekends, and holidays.
  • Keeps current on and complies with HIPAA and other privacy regulations.
  • Establishes and maintains cooperative, effective working relationships with coworkers, other District employees, and the public using principles of excellent customer service.
  • Models a lean organizational culture that promotes the practice of respect for people, openness, trust, safety, transparency, collaborative problem solving, managing with data, incremental continuous improvement.
  • Completes electronic timecard on a weekly basis.
  • Responds to public health emergencies as required by the District. Assists in coordinating with other agencies and emergency providers.
  • Reports for scheduled work with regular, reliable and punctual attendance.
  • Performs other duties as assigned.

The statements contained herein reflect general details as necessary to describe the principal functions for this job, the level of knowledge, skills and abilities typically required and the scope of responsibility, but should not be considered an all-inclusive listing of work requirements. Individuals may perform other duties as assigned including work in other functional areas to cover absences or relief, to equalize peak work periods, or to balance the workload.

Requirements

Education & Experience:

  • Bachelor’s degree in nursing from a school with NLN accreditation that includes a Community Health component: OR
  • The combination of a bachelor’s degree in a related field, such as public health or health education, and at least four years of public health nursing experience, or a master’s degree in nursing may be substituted for the BSN requirement, provided the candidate graduated from a school of nursing accredited by the NLN (diploma, AA or AS).
  • Experience in Communicable Disease Management is preferred.
  • Experience in a public health setting preferred.

Licenses, Certificates & Other Requirements:

  • Possession of a valid license to practice as a Registered Nurse in the State of Washington is required.
  • Performance of job duties requires driving on a regular basis, a valid Washington State driver’s license, the use of the incumbent’s personal motor vehicle, and proof of appropriate auto insurance.

The ability to speak conversational Spanish is also preferred.

Knowledge of:

  • Professional nursing principles, practices and techniques.
  • Public health issues, characteristics, and trends affecting health care, social conditions, and population groups.
  • Dynamics of interpersonal relationships.
  • Normal and abnormal patterns of growth and development.
  • Emotional and behavioral health patterns of abuse and intervention.
  • Elements of substance misuse recognition and intervention.
  • Symptoms, treatment and control of disease processes.
  • Mental health concepts.
  • Health facilities, community resources, and social and economic forces in the area of assignment.
  • Correct English usage including grammar, spelling, and punctuation.
  • Communication business practices including electronic, telephone or direct public contact.
  • Computer operation and a variety of software including word processing, database and other applications related to the area of assignment.
  • Practice within the scope of nursing licensure.

Ability to:

  • Work with difficult, angry or upset clients professionally and respectfully and work collaboratively and cooperatively with coworkers and the public.
  • Exercise professional judgment in the application of public health principles.
  • Advise clients and family members on care and treatment of diseases and disorders.
  • Analyze, compile, record and assess data, i.e., nursing plans of action, medical records, etc.
  • Demonstrate cultural competency, interacting sensitively, effectively, and professionally with persons from diverse cultural, socioeconomic, educational, racial, ethnic and professional backgrounds, and persons of all ages and lifestyle preferences.
  • Communicate orally using tact and diplomacy to gain concurrence and cooperation.
  • Assume responsibility for professional growth and development;
  • Listen attentively and communicate effectively and persuasively, both orally and in writing, in clear, concise language appropriate for the purpose and parties addressed, concerning complex or sensitive matters, including making presentations to diverse audiences.
  • Use tact, discretion, respect and courtesy to gain the cooperation and concurrence of clients, and to establish and maintain effective working relationships with co-workers, representatives of other agencies, and other District personnel.
  • Assure that absolute confidentiality is maintained as required and sensitive information is handled appropriately.
  • Fulfill the commitment of the District to provide outstanding customer service.
  • Proficiently and accurately operate office and other equipment standard to the area of assignment.
  • Utilize computers, databases and related software and automated equipment to produce worksheets and reports, typing with sufficient speed and accuracy to accomplish assignments in a timely manner.
  • Exercise discretion and sound independent judgment in decision making.
  • Work both independently and cooperatively within a collaborative teamoriented environment.
  • Practice within the scope of nursing licensure.

Physical Demands & Working Conditions

  • Work is performed primarily in a clinic setting, with occasional travel to attend meetings, conferences, seminars, etc. Work may also be performed in the community (provider updates, educational presentations, etc.).
  • Requires the ability to communicate with others orally, face to face, and by telephone. Requires manual and finger dexterity and hand-eye-arm coordination to write and to operate computers and a variety of general office equipment. Requires mobility to accomplish other desktop work, retrieve files, and to move to various District locations. Requires visual acuity to read computer screens, printed materials, and detailed information.
  • May occasionally be required to work a varying schedule which may include evenings and weekends.
  • Exposure to individuals from the public who are upset, angry, agitated and sometimes hostile, requiring the use of conflict management and coping skills.
  • Frequently required to perform work in confidence and under pressure for deadlines, and to main professional composure and tact, patience and courtesy and all times.
  • The incumbent is required to use the combined senses to touch, sight, smell and hearing during on-going client assessment. Duties require the ability to read typewritten and/or handwritten orders and notes in patient charts; measure medications; distinguish colors; observe changes in a patient’s skin color and condition; hear through a stethoscope to measure patient’s blood pressure and listen for heart and lung sounds.
  • Ability to move freely throughout the work setting and respond to emergency situations quickly.
  • Off-site visits require the incumbent to carry supplies and/or equipment up and down stairs as well as into and out of a vehicle on a daily basis.
  • While performing field visits, the incumbent encounters unsanitary conditions, animals (pets), and clients and/or family members who are smoking, exposing the incumbent to second-hand smoke which may cause allergic reactions and/or illness.
  • The incumbent is exposed to emotionally disturbing experiences. The incumbent is expected to remain calm, controlled, and professional regardless of the situation and to demonstrate care and compassion to the client, family member and other members of the health care team.
  • Regularly the incumbent will be required the ability to lift/and or carry objects and materials up to ten pounds. Occasionally, the incumbent in this position may be required to lift/ carry objects up to twenty pounds; rarely the incumbent may be required to lift/carry objects up to fifty pounds.
  • May be required to stay at or return to work during public health incidents and/or 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 nontraditional work schedule or working outside normal assigned duties during the incident and/or emergency.

What Public Health Does

  • Essential programs for improving health: immunizations, communicable disease prevention, and chronic disease and injury prevention.
  • Information that works: Educational programs on everything from infant mortality to healthy aging, information on community health trends.
  • Protecting you and your family every day: Services such as drinking water and recreational water quality monitoring, septic system inspections, restaurant inspections, hazardous waste control, disease prevention, and emergency planning.

Kitsap Public Health District

QUALITY BENEFITS

Our benefit package is strong, and driven by our commitment to provide comprehensive, affordable health insurance for our employees and their families. We design our benefit package to be flexible, so employees can choose the benefit package that best suits their needs. Employees who work a regular schedule of at least 20 hours per week are eligible for health benefits.

MEDICAL, DENTAL AND VISION INSURANCE

For full-time employees, we pay 85 to 100 percent of the average premium for our comprehensive group medical and dental insurance plans for employees and their dependents depending on the number of persons they choose to cover. Employees with other coverage may elect to waive medical and/or dental coverage and instead receive a monthly deposit to either a Flexible Spending Account for dependent/child care costs or a Health Reimbursement Account for out-of-pocket medical, dental and vision expenses. Parttime employees receive pro-rated benefits contributions.

LIFE AND DISABILITY INSURANCE

We also provide other benefits, such as a $48,000 term life insurance policy and a long-term disability policy. Employees may choose to purchase additional life and disability insurance. Employees may, at their option, purchase additional life or long-term disability insurance, dependent life insurance, accidental death and dismemberment insurance and, short-term disability coverage.

RETIREMENT AND SAVINGS PLANS

Eligible employees participate in the Public Employees Retirement System (PERS) a defined benefit retirement plan managed by the Washington State Department of Retirement Systems. The plan is funded by a combination of employer and employee contributions. In addition, we offer a choice of three 457 Deferred Compensation retirement plans that allow individuals to set aside a portion of their income for retirement on a tax-deferred basis. These plans are similar to 401-K plans offered by for-profit employers. We provide a continuing education allowance and paid time off for training so employees can pursue their professional goals and take responsibility for career advancement by learning new skills.

PAID TIME OFF

We offer generous paid time off, with “general leave” that begins with 18 days per year for eligible full-time employees and increases to 31 days per year after 25 years of service. “General leave” is used for vacation, personal appointments, minor illnesses, etc. For longer term illnesses, injury or pregnancy, we also provide 6 days of “extended leave” per year. In addition, we have 11 paid holidays per year, including the day after Thanksgiving and a personal floating holiday. We offer bereavement leave, all state and federally mandated leaves such as family medical leave, military leave, and other leave categories that help our employees manage significant life events.

Other Information

To Apply:

For more information and to complete the electronic application available online, please visit the Careers section of our website at kitsappublichealth.org.

Application Review: Applications are evaluated solely on the information provided by the applicant; PLEASE BE THOROUGH and pay particular attention to completion of the NUMBER OF HOURS WORKED for each position held.

Equal Opportunity: The Kitsap Public Health District is an Equal Opportunity Employer and does not unlawfully discriminate on the basis of race, sex, age, color, religion, national origin, marital status, sexual orientation, veteran status, disability status,* or any other basis prohibited by federal, state, or local law.

Reasonable Accommodation: In compliance with the Americans with Disabilities Act, disability will be considered only in the context of an applicant’s ability to perform essential functions of the job and to determine reasonable accommodation. Accommodation to participate in the job application and/or selection process will be made upon request with reasonable notice. The physical demands described above are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Identification: Applicants who are offered employment with the District are required to provide proof of identity and authorization to work in the United States by the employee’s third day of employment, as required by the U. S. Citizenship and Immigration Services.

Use of Automobile: Persons whose positions require the use of an automobile will be expected to use their own private vehicle, and will be asked to provide proof of appropriate auto insurance. It is also necessary that such employees to have and maintain a current, valid Washington State driver's license.

Disclaimer: The provisions of this job announcement do not constitute an expressed or implied contract. Any provision contained herein may be modified and/or revoked without notice.

Drug-Free Workplace: The Kitsap Public Health District is a drug-free, tobacco-free workplace.

Examination Procedure: The examination for positions will consist of either verification or evaluation of the applicant's experience and training based upon information contained in the application AND/OR, oral test (panel interview) to evaluate the applicant's suitability for the position; PLUS, skills testing may be administered, PLUS, references will be obtained from former employers, etc.

Note: A criminal background check through law enforcement agencies will be conducted on all successful applicants prior to their being appointed to this position.


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