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