Your job in the department is to . . .
Work in a community setting, providing quality nursing care in the Lincoln Community Health Center Veterans Administration (VA) program.
Your job also involves . . .
Providing direct patient care as the RN for the Office Based Addiction Treatment (OBAT), School Based Health Center and VA as assigned. Promotes health through education, care coordination and health maintenance.
JOB FUNCTIONS
ESSENTIAL FUNCTIONS
Essential functions are critical and fundamental responsibilities of the position of all CHN2s. The incumbent must be able to perform these functions with or without reasonable accommodation. Community Health Nurses will follow the six standards of practice:
- Assessment – Collects comprehensive data related to the health of the population served. Documents assessment data in terms that are understandable to all involved in the care process.
- Diagnosis and Priorities – Analysis of the assessment data to derive a nursing diagnosis and priorities. Document diagnoses or concerns in a manner that facilitates the population’s involvement in developing a plan of care.
- Outcomes identification – Based on the diagnosis the CHN will identify outcomes that are culturally relevant, health literate, based in evidence and attainable through local resources and policies. Document expected outcomes and measurable objectives.
- Planning – Develop a plan that is client-centered and reflects best practices by identifying strategies, action plans and alternatives to meeting expected outcomes. Document the plan using health literate and culturally competent language that can be understood by care team and population being served.
- Implementation – The CHN oversees the implementation of the plan through treatment, case management, referrals to community partners, collaboration with community resources, health promotion and education. Documents activities and status of care coordination.
- Evaluation – Applies ongoing assessment data to revise plans, interventions and activities as appropriate for ultimate health outcomes for the population. Documents changes to enhance effectiveness of interventions.
For Primary Care and School-based Health Center CHN2 will perform additional job responsibilities:
- Applies theories and principles of primary care nursing practices. This includes services in the two VA Clinics.
- Consistently sets appropriate priorities in providing quality patient care that is organized and time efficient. Utilizes staff feedback in patient care. Maintains and ensures confidentiality of patient’s conditions, records, and other data on a consistent basis.
- Perform direct care activities by administering medications, observing, and documenting patient responses and side effects. Administers interventions according to established standing orders and protocols.
- Provide an environment that demonstrates caring, compassion, and respect for all patients and families. Creates and maintains a high-performance clinic environment characterized by positive role model, leadership, and a strong team orientation.
- Communicate, as necessary, with other clinic and departmental personnel to coordinate efforts, resolve operational problems, and provide high quality, comprehensive patient care.
- Meets training requirements and practices according to HRSA, HHS and VA guidelines.
- Participates in ongoing quality improvement and reports from data systems to guide and improve practice.
- Establishes professional rapport with clients, community, and health care partners to promote health.
OTHER JOB FUNCTIONS
Other job functions are those duties that are performed either very infrequently or could be performed by others without altering the underlying reason the job exists:
- Attend and participate in team meetings, trainings, and activities to further the health of the community.
MINIMUM QUALIFICATIONS
Minimum Education Level
Associates and/or Professional Certification
Specifics: Associate degree in Nursing from an accredited school of nursing.
Minimum Experience Level
Two-Three years
Specifics: Three years of nursing experience.
Substitution Note: Practicums in Nursing programs and lived experience may substitute for years of experience.
Driver’s License
Oregon Driver's License required.
Specifics: A valid, insurable State of Oregon driver's license at the time of appointment.
Other Licenses
Professional License required.
Specifics: Must possess a valid license to practice in the State of Oregon as a Registered Nurse.
Desirable Qualifications: Bachelor of Science degree in Nursing (BSN) from an accredited school of nursing with one year of nursing experience, preferably in a primary care position. Bilingual and/or bicultural competencies for the Latino population are preferred.
KNOWLEDGE, SKILLS AND/OR ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The required knowledge, skills and/or abilities are listed below:
Knowledge of:
- The principles, practices, methods, and procedures of nursing as applied to community and public health.
- The uses and effects of medications, immunizations.
- Issues of alcohol and drug abuse; the 'strength-based' model of behavior change.
- Problem-solving techniques and negotiation skills in accordance with motivational interviewing and behavior change theory.
- Utilization of community resources; medical record keeping practices.
- Functions and resources of private and public agencies.
- Electronic Health Record.
Skill or ability to:
- Build therapeutic relationships and maintain therapeutic boundaries.
- Engage clients in mutual goal setting; provide professional nursing care independently.
- Identify community and individual health problems and to plan and administer solutions.
- Administer medications and immunizations.
- Interpret and apply written policies, procedures, and guidelines.
- Establish and maintain records; learn new information quickly and adapt to changing situations.
- Use research, data, and evidence-based practices to inform and improve nursing practice.
- Courteously meet and deal with patients; act in a professional manner and to understand and commit to a professional code of ethics.
- Maintain the confidentiality of privileged information in accordance with HIPAA and Lincoln County policies.
- Maintain effective working relationships with staff, supervisors, physicians, other agencies and the public; create a positive work environment that promotes productivity, mentoring, teamwork and cooperation; elicit and consider differing viewpoints when analyzing issues; recognize the accomplishments of team members.
- Convey information, ideas, and facts both orally and in writing to supervisors, colleagues, and individuals, inside and outside the county, using language and a format the audience will best understand.
- Utilize computers and other technology to communicate in written and verbal forms (e.g., word processing, texts, emails, spreadsheets, department-specific software).
- Effectively relate well with others, including supervisors, colleagues, and individuals inside and outside the county. Exhibit a professional manner in dealing with others and working to maintain constructive working relationships.
- Take personal responsibility for the quality and timeliness of work. Show up to work on time, and follows instructions, policies, and procedures. Meet productivity standards, deadlines, and work schedules.
WORKING CONDITIONS
Job Conditions: Normal working hours. Exposure to potentially hazardous conditions due to frequent drawing of blood.
Work Location: Lincoln County
Travel: Some driving between clinics may be required.
PHYSICAL DEMANDS
The physical demands are typical 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.
ADA COMPLIANCE:
Physical capability to handle high mobility demands and complex personal interactions.
- Physical Ability: Tasks involve the ability to exert very moderate physical effort in light work, typically involving some combination of stooping, kneeling, crouching and crawling, and which may involve some lifting, carrying, pushing and/or pulling of objects and materials of moderate weight (12-20 pounds).
- Sensory Requirements: Some tasks require visual perception and discrimination. Some tasks require oral communications ability. Some tasks require the ability to perceive and discriminate sounds.
- Environmental Factors: Tasks are regularly performed with exposure to adverse environmental conditions, such as dirt, pollen, odors, wetness, humidity, rain, fumes, temperature and noise extremes, machinery, vibrations, electric currents, traffic hazards, animals/wildlife, toxic/poisonous agents, violence, disease, or pathogenic substances.
REASONABLE ACCOMMODATIONS
Lincoln County is committed to providing reasonable accommodations as required by the Americans with Disabilities Act (ADA). This job description indicates, in general, the nature and levels of work, knowledge, skills, abilities, and essential functions expected of the position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential functions.
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