To perform a variety of advanced clinical duties involved in assessing, treating, controlling, and preventing patient illness and disease within the assigned public health nursing program; to perform physical examinations; to identify patients with physical and emotional illness; and to administer medications as prescribed.
SUPERVISION RECEIVED AND EXERCISED • Receives direction from supervising physician and higher level supervisory or management staff. • Exercises technical and functional supervision over clerical and professional staff.
EXAMPLES OF ESSENTIAL RESPONSIBILITIES AND DUTIES – 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.
• Follow written protocols in all clinical 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 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 person or family response to treatment. • Interview patients prior to examinations to obtain a variety of information including medical history and background; determine the type of care or community service the patient will need; observe patients for signs of intoxication or possible use of illegal drugs; refer patients to 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 the prevention of STD’s and dispense appropriate STD medications. • 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 their 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. • Maintain the operational activities and patient care for assigned clinic or health care program; (participate in a variety of responsibilities including administering immunizations, performing pregnancy and tuberculosis tests, and diagnosing and treating clients for drug addiction, and other illnesses.) • Keep accurate patient records and maintain and update files as necessary. • Perform related duties and responsibilities as required.
QUALIFICATIONS Knowledge of: • Advanced principles, procedures, methods, and techniques of medical and health care. • Advanced principles and practices of medical 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. • A variety of 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.
Ability to: • Perform general physical examinations. • Prepare and perform diagnostic tests in order to evaluate treatments for patients with a variety of infections and illnesses. • Systematically assess the health status of persons and families. • Provide responsible medical care within the scope of practice of physician’s assistant. • Administer a variety of prescribed medications. • Administer proper vaccines and immunizations. • Perform male and female exams. • Draw blood form adults and children. • Perform selected diagnostic procedures. • Respond to emergency situations. • Administer first aid. • Interview patients prior to examination in order to assess their health status. • Counsel patients on a variety of health care related issues. • Operate standard medical testing equipment. • Prepare, perform, and interpret laboratory tests. • Prepare medical records and reports. • Understand and follow oral and written instructions. • Communicate clearly and concisely, both orally and in writing. • Establish and maintain cooperative working relationships with those contacted in the course of work.