Enhanced Role Registered Nurse

J  o  b    D  e  s  c  r  i  p  t  i  o  n

Job Information

Title:

Enhanced Role Registered Nurse

Market Range:

HS18

Approved Date:

2/21/2024 10:34:39 AM

FLSA:

Non-Exempt

EEO Code:

PROFESSIONALS

Career Level:

P3

Career Level Description:

Professional Level 3

Job Code:

100301

Job Family:

Health Services

Sub Family:

Nursing

Primary Purpose

Provides quality nursing service in outpatient clinical, mental health, or community setting to prevent illness, promote optimal health and protect individuals and communities from potential harm.

Functions as a Category II nurse and must rely upon standing orders to perform STD examinations, order lab and provide treatments independently in the public health setting. This position does not allow the ERRN to make independent medical judgments or medical diagnosis.

Plans, directs, or coordinates the daily patient care activities in a clinical practice and ensures adherence to established clinical policies, protocols, regulations, and standards. Provides client-centered counseling based on the state-approved Counseling, Testing, and Referral (CTR) training curriculum to clients who are HIV positive and to any other client who requests this service.

•

Provides essential STD services which are defined as taking a medical history including sexual risk assessment, a physical examination inclusive of the upper and lower body, laboratory testing, treatment, counseling, and referral necessary for the evaluation of individuals with an exposure to or symptoms suggestive of a sexually transmitted infection

 in accordance with current Centers for Disease Control and Prevention (CDC) STD Treatment Guidelines and the Division of Public Health STD Treatment Guidelines as published in the current North Carolina Sexually Transmitted Diseases Public Health Program Manual

1

40%

•

Assesses client's physical, mental and social health status. Compares client results with normal values and findings. Determines if additional information is needed. Triages individual symptoms to provide guidance to client or caretaker based on approved Standing Orders or approved Medical Guidelines.  Determines need for referral to provider. Identifies patterns of cause and effect related to client’s health status, including relevant factors in the family and community. Reassesses as indicated and monitor for changes in health status.

2

30%

•

Teaches and counsels client and significant others regarding the client's health care status for the purpose of increased knowledge to promote optimum level of health functioning, participation in self care and ability to make informed decisions. Adapts content and teaching method as appropriate for the learner's needs, abilities and knowledge level. Refers to additional resources as indicated by response to teaching and identified needs.

3

10%

•

Documents all pertinent client information on the appropriate record in accordance with policy, procedure, and regulations; completes within a time period consistent with the client's need for care. Describes accurately all aspects of nursing care including assessment, planning, implementation and evaluation; reflects the communication of client information to other persons. Reports relevant information to other persons responsible for, or involved in, the care of the client to facilitate collaborative continuity of care.

4

10%

•

Plans and implements nursing care activities based on client needs and resources available. Initiates or participates in multidisciplinary planning when appropriate.  Verifies competencies of Licensed Practical Nurses (LPNs) and unlicensed assistive personnel (UAP) that will perform delegated nursing activities. Evaluates and modifies the plan of care as indicated based on client's response to interventions, changes in health status or alteration of client goals. Communicates new information to others involved in the client's care as appropriate. 

5

10%

Position(s) may perform other duties in addition to the above as assigned by management.

•

Ensures own knowledge and understanding of the state and county regulations governing nursing practice and relevant specialty areas. Obtains required continuing professional education and maintains required current licensure and certifications.

•

Participates in quality assessment and improvement activities.

*IMPORTANT* In the event of an emergency, as determined by the County Manager or designee, participation in preparedness and response operations should be expected. Employee may be required to fill a temporary assignment in a role different from standard duties, work hours and/or work location in preparation for, during and after the emergency. Employee may also be required to participate in relevant exercises and regular preparedness training.

Career Level Dimensions

Career Level:

P3

Career Level Description:

Professional Level 3

•

Plans and manages projects that have significant impact on Work Group and Division results OR works as a technical expert within a Medical or Scientific Discipline.

•

Shares insights and analyses that inform new processes, and/or operational plans.

•

Responsible for making improvements in processes, systems, or standards to enhance performance of the Work Group.

•

Works to influence parties within and outside of the Work Group and Division regarding projects and procedures.

•

May be responsible for providing guidance, coaching and training to other employees within the Work Group.

•

Requires advanced knowledge of the Work Group and Division typically obtained through advanced education combined with experience. May have practical knowledge of project management.

•

Within Medical or Scientific Disciplines, typically requires a doctoral degree.

Qualifications

•

Graduation from an accredited school of Nursing

•

No specific experience required

•

Eligibility for licensure to practice as a Registered Nurse as issued by the North Carolina Board of Nursing

•

Enhanced Role Registered Nurse certification required within 18 months of employment

•

Valid Driver's License and "safe" driving record

•

Equivalent education and experience are NOT accepted

•

Bachelor's Degree

Nursing

Or

•

Associate's Degree

Nursing. Must successfully complete mandatory course Principles and Practices of Public Health Nursing within first year of employment or other specified time period.

•

1 Year

Providing nursing care in outpatient clinical or community based health services.

•

Enhanced Role Registered Nurse certification

•

RN - Registered Nurse

North Carolina Board of Nursing or Compact state

Upon Hire

•

BPT - Bloodborne Pathogens Training

Training module in eWakeTalent

Within 30 Days

•

CPR - Cardiac Pulmonary Resuscitation

American Heart Association or American Red Cross certificate

Within 90 Days

•

AED - Automated External Defibrillator

American Heart Association or American Red Cross certificate

Within 90 Days

•

Health Insurance Portability and Accountability Act (HIPAA) .Training module in eWakeTalent

Within 30 Days

and

•

The North Carolina HIV Counseling, Testing & Referral Training must be completed prior to completion of the clinical practicum. Students can obtain the required training by completing one of the trainings offered through Whetstone Consultations

Within 180 Days

and

•

Physical Assessment of Adults and STD Nurse Clinician Training Combined Practicum Course

Within 1 Year

•

Conducts client or parent/guardian interview to obtain medical/developmental/social/environmental history, current health concerns, symptoms, and goals.

•

Performs physical examination within the Registered Nurse scope of practice and specialty certifications.

•

Reads, analyzes and interprets medical records, standardized screening tools and related documentation. Synthesizes with nursing knowledge to form a plan of care based on subjective and objective information to reach positive client outcomes.

•

Performs, teaches and delegates nursing and medical procedures in accordance with NC Board of Nursing guidelines and medical provider orders.

•

Documents clients records in paper and electronic systems. Participates in periodic audit and review of client records for quality assurance.

•

Communicates with clients, colleagues and others through multiple channels including but not limited to email, video conferencing and telehealth platforms. Ability to communicate with clients from various cultures, backgrounds, belief systems and languages when interpreters are available.

•

Contributes nursing knowledge and expertise as member of interdisciplinary teams; advocate for needed services and entitlements that promote and protect the health of a client and/or specific population.

•

 After completion of initial STD ERRN training, the skill level of each nurse must be maintained through an acceptable level of practice and observation. An acceptable level of practice is assessment and management of at least 50 STD male and female clients per calendar year and 10 hours of relevant clinical continuing education per calendar year.

An individual must be able to perform each essential duty satisfactorily to perform this job successfully. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Competencies

Interpersonal Skills

Treats others with courtesy, sensitivity, and respect.  Considers and responds appropriately to the needs and feelings of different people in different situations.  Perceives, assesses, and positively influences one's own and other individuals’ emotions.

Problem Solving

Builds a logical approach to address problems or opportunities or manage the situation at hand by drawing on one's knowledge and experience base, and calling on other references and resources as necessary.

Good Judgment

Makes decisions authoritatively and wisely, after adequately contemplating various available courses of action.

Professionalism

Thinks carefully about the likely effects on others of one's words, actions, appearance, and mode of behavior. Selects the words or actions most likely to have the desired effect on the individual or group in question. Maintains calmness in stressful or adverse situations. Diplomatically handles challenging or tense interpersonal situations.

Adaptability & Flexibility

Changes behavioral style or method of approach when necessary to achieve a goal; adjusts style as appropriate to the needs of the situation. Responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives.

Relationship Building

Builds constructive working relationships characterized by a high level of acceptance, cooperation, and mutual respect.

Integrity

Act with honesty, transparency and respect in our interactions with co-workers and those we serve. Adhere, without exception, to laws, policies, procedures and professional standards.

Accountability

Establish high-quality standards for work. Add value. Measure results and hold self and others accountable for making progress toward desired outcomes. Take a logical and data-driven approach to decision-making.

Diversity

Believe that different backgrounds and experiences strengthen the organization and produce better results. Value inclusion across race, gender, age, religion, identity and experience, and strive to reflect in our workforce the diversity of our community.

Collaboration

Foster a work culture in which different ideas and opinions are encouraged and expected. Listen carefully and speak thoughtfully. Work together toward shared goals with mutual respect and cooperation.

Continuous Improvement

Continuously improve work processes and products. Provide a safe environment to be innovative and creative and try new things. When things don't go as planned, use it as an opportunity to learn, regroup and begin again. Provide time and resources for individuals to grow and develop both personally and professionally.

Wellness

Take proactive steps to be physically fit and healthy, emotionally strong, financially secure and socially fulfilled, while inspiring and empowering others to do the same.

Service Orientation

Commit to making a difference within the community. Actively engage in and enjoy our work. Deliver services that exceed expectations, with courtesy, politeness and sensitivity to the experiences, concerns and feelings of all co-workers and customers.

ADA Checklist

The physical demands described here 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

Standard ADA Selection:

Office Environment

Standing

X

Walking

X

Sitting

X

Lifting/Carrying 0-10 pounds

X

Lifting/Carrying 10-20 pounds

X

Lifting/Carrying 20-50 pounds

X

Lifting/Carrying 50-100 pounds

X

Pushing

X

Pulling

X

Climbing

X

Balancing

X

Stooping

X

Kneeling

X

Crouching

X

Crawling

X

Reaching

X

Handling

X

Grasping

X

Fingering

X

Feeling

X

Talking

X

Hearing

X

Visual Perception

X

Repetitive Motions

X

Eye/Hand/Foot Coordination

X

Memorization/Concentration

X

Learning/Knowledge Retention

X

Preparing/Analyzing Numerical Figures

X

Use of Interfaced Commmunication Devices (Phone, Computer, Radio etc.)

X

Analyzing/Examining/Testing Data

X

Emotional/Behavioral Self-Regulation

X

Interacting with Others

X

Comprehension

X

Organization

X

Decision Making

X

Comprehension

Organization

Decision Making

Communication

Extreme cold

X

Extreme heat

X

Humid

X

Wet

X

Noise

X

Hazards

X

Temperature Change

X

Atmospheric Conditions

X

Vibration

X

Computers/Monitors

X