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Public Health Nurse

Employer
City and County of Butte Silver Bow, MT
Location
Butte, MT
Closing date
Sep 16, 2021

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Sector
Nursing, General Nursing
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Description

General Statement of Duties

The public health nurse provides public health nursing services to individuals, families and population groups. Nursing actions are directed toward the goals of prevention, assessment, risk reduction, and health status improvement for individuals, families and communities. Nursing activities include, but are not limited to, systematic analysis of health data, care plan development, health education and advocacy, coalition building, and collaborating with community partners to promote the health of a population. Public health nurses often collaborate and consult within multi-disciplinary and multi-agency teams in order to achieve desirable outcomes for families and communities. Public health nursing interventions occur at individual, family, community and system levels depending upon the responsibilities of the position and the issues involved.

This position is covered under a Collective Bargaining Agreement between the City-County of Butte-Silver Bow and the Montana Nurses Association, Local No. 37.

https://www.co.silverbow.mt.us/189/Human-Resources

Distinguishing Features of the Class

The public health nurse:
  • Aids in the prevention and control of communicable diseases
  • Counsels and guides individuals, families and communities toward self-help and recognition and solutions of physical, emotional and health problems
  • Teaches classes, addresses groups and participates in community planning related to population health
  • Participates in the planning, implementation and evaluation of surveys and studies related to community and population health matters
  • Compiles, uses and reports data for planning, implementing and evaluation of assigned program(s)
  • Manages assigned program(s) to comply with regulatory requirements and guidelines
  • Maintains records, prepares reports, and participates in quality improvement activities to include quality assurance, process improvement, and performance management for assigned program(s) and the department
  • Assists in the assessment of the health of the community; promotes the wellness of the individual, family, and community; participates in community activities and public relations, as needed
  • May assist with writing clinical nursing public health policies and procedures
  • May precept new staff, nursing students, and other students from allied professional health areas
  • May play an active role in providing basic healthcare needs in the event of a public health emergency
  • May be assigned to serve as a member of an Incident Response Team/ Disaster Recovery or similar public health response team, which may include the development, implementation and oversight of a 24/7 emergency response operation at remote locations

Duties/Responsibilities

Examples of Essential Work (Illustrative Only)

Under general supervision and/or as part of various workgroups and teams, the public health nurse performs the following essential functions within the framework of the Butte-Silver Bow Health Department's provision of the core functions and essential services of public health:

Public Health Sciences Skills
  • Performs comprehensive individual and family assessments, which include health history, physical assessment, growth monitoring, developmental assessment, psycho-social assessment, assessment of family functioning, assessment for substance abuse or domestic violence issues, and assessment of basic needs, including food, housing, income, resources and supports, and access to health care.
  • Provides care coordination, referral and follow-up to individuals and families who are members of a vulnerable population and/or high-risk groups. Evaluates outcomes and effectiveness of plan, and makes changes as necessary.
  • Uses public health surveillance/disease investigation methods in community outreach, screening and case-finding of communicable and infectious diseases that threaten the health of the community.
  • Investigates complaints regarding public health problems and public health hazards and initiates enforcement or corrective actions as required.
  • Provides education and counseling to individuals, families and community groups that are adapted to their unique needs and lifestyles, and cultural and socio-economic situations.
  • Obtains and completes appropriate patient "Consent for Care" forms, ensures patient confidentiality and maintains orderly medical records. Follows established public health medical records policies and procedures as well as state and federal law governing the release of healthcare information.
  • Documents patient assessment and intervention data in medical records. Uses established medical record forms, databases and documentation practices.
  • Responds to individual client emergency situations in the clinical or home setting with basic life support and first aid skills. Summons other healthcare providers and emergency response personnel in a timely and appropriate manner.
  • Collaborates in development and delivery of programs and activities for individuals, families and population groups that promote health and prevent disease, in settings including, but not limited to, the Health Department facility, homes, community organizations and businesses, schools, and the community in general.
  • Evaluates outcomes of public health nursing interventions; works with others (clients and other professionals) to makes changes as necessary.
  • Participates in response teams to prevent, minimize and contain adverse health events and conditions resulting from communicable diseases; food-, water- and vector-borne outbreaks; chronic diseases; environmental hazards; injuries; and health disparities.
  • Collaborates in the development of and contributes to individual, team and departmental quality improvement, performance management and evaluation activities.

Community Dimensions of Practice Skills
  • Collaborates in the Butte-Silver Bow Health Department's community health assessment and health improvement planning and intervention activities.
  • Delivers targeted, culturally appropriate information to help individuals and groups understand health promotion and disease prevention information, policies, regulations and local code.
  • Actively participates in and acts as a liaison with other community agencies and professionals in collaborative efforts to address community health priorities
  • Advocates on behalf of vulnerable individuals and populations; participates in assessing and evaluating healthcare services to ensure that people are informed of available health department and community programs and services and are assisted in the use of those services.
  • Participates in Butte-Silver Bow Health Department research and demonstration projects that seek to improve the health of communities and determine new ways to address health issues.
  • Contributes to a work environment that fosters ongoing educational experiences regarding public health nursing for colleagues, nursing and other health-related students, healthcare professionals and members of the community.

Analytical/Assessment Skills
  • Participates in community assessment; can distinguish between quantitative and qualitative community assessment data; understands incidence and prevalence data; knows how to access basic community epidemiological data.
  • Participates in the analysis of data to identify trends, health problems, environmental health hazards, and social and economic conditions that adversely affect the public's health.

Leadership and Systems Thinking Skills
  • Demonstrates knowledge of applicable state professional practice guidelines for registered professional nurses, the American Nurses Association's Scope and Standards of Practice for Public Health Nursingany other federal and state laws and regulations applicable to practice as a public health nursing professional.
  • Adheres to applicable Occupational Safety and Health Administration standards, such as those concerning exposure to blood borne pathogens, toxic substances, airborne pathogens or exposure to other hazards during routine assignments or assignments during public health emergencies.
  • Collaborates in developing a work environment where performance management and continuous quality improvements in professional practice are pursued.
  • Assumes responsibility for own professional growth and development by pursuing education, participating in professional committees and work groups.

Policy Development/Program Planning Skills
  • Coordinates public health activities with environmental and public health professionals and investigators from other agencies and jurisdictions, including, but not limited to, the Montana Department of Public Health and Human Services and the U.S. Centers for Disease Control and Prevention.
  • Coordinates activities among and between other governmental agencies, such as DPHHS, that enforce laws and regulations that protect the public's health.
  • Collaborates in the development of evidence-based public health nursing practices and programs in collaboration with universities, other nursing agencies, businesses, trade associations, other staff and the public.
  • Collaborates in the development, implementation and evaluation of long- and short-range policies, plans and programs for public health and public health nursing in Butte-Silver Bow.
  • Collaborates in and contributes to individual, team and departmental performance management, quality improvement and evaluation activities.

Communication/Cultural Competency Skills
  • Delivers targeted, culturally appropriate information to help individuals and groups understand local public health policies, regulations and code.
  • Uses appropriate methods for interacting effectively and professionally with people of all ages and from diverse cultural, socioeconomic, educational, racial and ethnic backgrounds, sexual orientations, lifestyles and physical abilities. Examples of methods may be: one-on-one, group sessions, media interviews, story boards, Web sites and social media.
  • Educates local and state policy makers and community stakeholders on public health issues.
  • Adheres to ethical principles and Butte-Silver Bow Health Department policy in the collection, maintenance, use and dissemination of data and information.

Financial Planning/Management Skills
  • Collaborates in activities such as time studies that contribute to the development of budgets and the efficient use of resources.

Other
  • Performs public health emergency response duties as assigned and consistent with job classification and training provided, in response to threats to the public's health.
  • Participates in department and community emergency response training and drills consistent with job classification in support of public health emergency and disaster preparedness.
  • This position is responsible for using quality improvement (QI) and performance management (PM) processes and/or techniques to improve the effectiveness of public health programs. This includes, but is not limited to: Creating, implementing and evaluating performance standards and identifying, implementing, and assessing program quality improvement processes.
  • Assumes responsibility for own professional growth and development by pursuing education, participating in professional committees and work groups and contributing to a work environment where continual improvements in practice are pursued.
  • Performs other duties as assigned consistent with job classification.
  • Performs all duties and work assignments in a safe, healthy, and environmentally sound manner. Specifically, complies with the Health & Safety Program; maintains work area in a safe and orderly manner; identifies and reports unsafe conditions; reports all accidents; wears required personal protective equipment; and attends safety-related meetings, training sessions, fit testing, etc.
  • Performs all duties and work assignments in compliance with project quality requirements.
  • Acts responsibly and ethically, and in conformance with generally accepted business, occupational, and professional standards.
  • Performs other duties as assigned.

Behavior Expectations
  • Treats others with courtesy and respect in all interactions.
  • Responds with flexibility to changing needs.
  • Manages multiple tasks and deadlines.
  • Supports and promotes the department's mission, vision and core values.
  • Promotes team and organizational learning.

Qualifications

Required Knowledge, Skills and Abilities
  • Knowledge of the core functions and essential services of public health.
  • Knowledge of current public health nursing principles and processes.
  • Knowledge of anatomy, physiology, pathophysiology, epidemiology, physical assessment and basic pharmacology.
  • Knowledge of human systems (wellness, illness, growth and development, basic nutrition, human behavior, psychosocial development, family and community systems).
  • Knowledge of prescribed treatments and medical interventions; ability to effectively monitor and document the patient's treatment progress and response; ability to refer to appropriate providers as indicated.
  • Knowledge of healthcare technology, equipment, supplies and materials needed for medical treatment.
  • Knowledge of chart documentation requirements, medical record forms, state and federal laws that govern release of healthcare information, patient consent.
  • Knowledge of population-based health status indicators, determinants of health and illness, factors contributing to health promotion and disease prevention, and factors influencing the use of health services.
  • Knowledge of relevant OSHA standards.
  • Knowledge of healthcare systems structure and function; ability to make appropriate client referrals based upon patient need, program guidelines and community resources.
  • Knowledge of current epidemiological data analysis and surveillance methods used in the management of communicable and infectious disease.
  • Knowledge of Montana law relating to professional nursing practice and the American Nurses Association Scope of Practice for Public Health Nursing.
  • Knowledge of adult learning and health education techniques and principles including: reproductive health education, related services information, option counseling and emergency contraception services.
  • Knowledge of group processes, including facilitation, collaboration, negotiation and conflict resolution.
  • Knowledge of research techniques and principles as well as quality assurance/improvement systems.
  • Knowledge of data collection, analysis and interpretation techniques.
  • Knowledge of emergency preparedness, at home, work and in the community.
  • Knowledge of incident command structure and its use.
  • Knowledge of current recommendations of the Advisory Committee on Immunization Practices (ACIP) for vaccination of infants, children and adults.
  • Demonstrates knowledge of ACIP guidelines to determine which immunizations are needed for an individual based on individual demographics and medical history.
  • Demonstrates knowledge of administration of immunizations to infants, children and adults.
  • Demonstrates knowledge of a systematic approach to client care that includes assessment, diagnosis, planning, intervention, evaluation, consultation, referral and follow up.
  • Demonstrates ability to maintain working relationships with diverse populations and cultures; ability to engage clients and families in a care plan.
  • Demonstrates ability to provide options counseling and referral for terminations.
  • Demonstrates ability to work collaboratively with multi-disciplinary teams to improve patient outcomes.
  • Demonstrates communication skills (oral and written).
  • Demonstrates knowledge of the leadership skills required to delegate tasks, coordinate patient and family care, and mobilize community resources.

Due to the need for all Health Department personnel to respond to public health emergencies, the employee must be assessed for his/her ability to meet the physical demands of performing the following activities:
  • Must be able to be fitted and wear NIOSH 95 mask.
  • Engage in the following movements: Climbing, balancing, stooping, kneeling, crouching, reaching, standing, walking, lifting, grasping, feeling and writing and repetitive motions.
  • Exert up to 30 pounds of force occasionally, and/or a negligible amount of force constantly to move objects.
  • Hearing ability sufficient enough to communicate with others effectively in person and over the phone.
  • Visual ability must be sufficient enough to read typewritten documents and computer screens and drive a vehicle.

If unable to demonstrate these abilities based upon a standardized, objective assessment, all reasonable accommodations will be made, in compliance with the Americans with Disabilities Act and any other applicable federal and Montana law.

Working Conditions While Performing Essential Functions
  • General office setting in the Health Department facility, as well as community sites, including clients' homes and workplaces.
  • Work performed in the community is sometimes subject to conditions that range from inclement weather to dangerous conditions, such as snow/ice, cold, heat, noise, wetness/humidity, vibration, sudden temperature changes, and poor illumination at the job site or due to travel on the job. Travel to and from field locations may subject worker to increased risk of driving hazards. Community locations may subject worker to communicable diseases, insects and other disease vectors, toxins, hazardous materials, chemicals and animals.
  • In all settings, employees in this classification may occasionally need to relate to members of the public who exhibit challenging, atypical or hostile behaviors and/or communication.

Equipment used to perform essential functions
  • Computer, fax, copier, personal or county vehicle, public health and medical equipment and supplies related to duties.

Reports to:

Community Health Division Director

Directs work of:

None

Blood borne Pathogen Risk Code: None Low Medium x High

Acceptable Experience and Training
  • Possession of a degree in nursing from an accredited college or university; bachelor's degree preferred.
  • Montana registered nurse licensure.
  • National Incident Management System (NIMS)/Incident Command System (ICS) 100, 200 and 700 certification within four (4) months of employment.
  • CPR certification within four (4) months of employment.
  • Valid Montana driver's license, current certificate of vehicle insurance, and access to reliable transportation to all assigned work locations.

Required Special Qualifications

Must be a resident of Butte-Silver Bow during employment, according to Butte-Silver Bow Ordinance: "2.08.010 Residence during employment.From and after October 1, 1979, all employees of the local government of Butte-Silver Bow shall be bona fide residents within the boundaries of Butte-Silver Bow during the period of their employment by the government of Butte-Silver Bow.(Ord. 85 1, 1979)"

Essential Physical Abilities

Due to the need for all Health Department personnel to respond to public health emergencies, the employee must be assessed for his/her ability to meet the physical demands of performing the following activities:
  • Must be able to be fitted and wear NIOSH 95 mask.
  • Engage in the following movements: Climbing, balancing, stooping, kneeling, crouching, reaching, standing, walking, lifting, grasping, feeling and writing and repetitive motions.
  • Exert up to 30 pounds of force occasionally, and/or a negligible amount of force constantly to move objects.
  • Hearing ability sufficient enough to communicate with others effectively in person and over the phone.
  • Visual ability must be sufficient enough to read typewritten documents and computer screens and drive a vehicle.

If unable to demonstrate these abilities based upon a standardized, objective assessment, all reasonable accommodations will be made, in compliance with the Americans with Disabilities Act and any other applicable federal and Montana law.

Additional Knowledge, Skills, and Abilities
  • Adaptability/Flexibility: Ability to meet changing conditions with ease and to learn new duties, methods and procedures.
  • Appearance: Maintains neatness, appropriateness of dress and hygiene per dress code.
  • Attendance/Punctuality: Ability to be on time for work and attend mandatory meetings/in-services.
  • Communication: Ability to convey ideas and information in both oral and written forms; ability to provide information on a timely basis that is concise and easily understood by others; legibility and accuracy of documentation.
  • Cooperation: Attitude toward work and the spirit in which assignments are accepted, inter-disciplinary team functioning, ability to work with others of same or different discipline, and contributions as a team player.
  • Courtesy: Ability to cooperate with others to get the job done; courtesy toward clients, visitors, co-workers and peers.
  • Dependability/Accountability: Degree to which employee accepts responsibility for defined duties; participates in planning for coverage during absences and follows through with agreed-upon tasks and goals within agreed-upon time frames.
  • Energy: Enthusiasm for work, degree of commitment to organization philosophy.
  • Initiative: Ability to be self-starter, demonstrates creativity and offers constructive suggestions/solutions for problem-solving, and performs well independently.
  • Judgment: The degree to which the proper number of facts, commensurate with the problem, is gathered before a decision is made, ability to use discretion and reasoning in problem-solving, appropriateness of decisions.
  • Planning/Organization: Ability to identify issues, set priorities, act efficiently and use resources.
  • Professionalism: Ability to maintain stable performance and behavior when faced with opposition, pressure and/or stressful conditions; ability to demonstrate a non-judgmental attitude and acceptance of patients whose moral, religious or cultural beliefs differ from one's own; adherence to agency policies and procedures; can independently resolve interpersonal conflicts and uses proper chain of command; exhibits discretion and maintains patient confidentiality while discussing patient information only with those directly involved with the patient's care and welfare.
  • Productivity: Ability to meet organization's expectations regarding performance in job area; ability to manage time efficiently.
  • Technical Skills: Maintains and applies the knowledge and technical skills necessary to fulfill the position requirements per skills" inventory self-assessment and professional staff competence assessment (if applicable).
  • Use of Time: Uses work time appropriately for the job; not for personal business.

The City-County is an Equal Employment Opportunity Employer. It does not discriminate on the basis of race, color, religion, sex, age, national origin, physical disability, or veteran status.

This job description is a summary of the typical functions of the job, not an exhaustive or comprehensive list of all possible job responsibilities. Tasks and duties of the employee may differ from those outlined above.
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