Clinic - Registered Nurse

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

Job Information

Title:

Clinic - Registered Nurse

Market Range:

HS18

Approved Date:

6/1/2021 1:17:09 PM

FLSA:

Non-Exempt

EEO Code:

PROFESSIONALS

Career Level:

P2

Career Level Description:

Professional Level 2

Job Code:

100140

Job Family:

Health Services

Sub Family:

Nursing

Primary Purpose

Provides quality nursing services in outpatient clinical settings to prevent illness, promote optimal physical and social health and protect individuals and communities from potential harm.

•

Assesses client's physical, mental and social health status. Administers standardized screening tools as indicated and draws conclusions for referrals based on results. Compares client results with normal values and findings. Determines if additional information is needed. Completes procedures and medical orders as requested by the Provider. 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.

1

30%

•

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. 

2

25%

•

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

25%

•

Determines need for immunizations based on Immunization Policy and State Guidelines. Provides anticipatory guidance regarding vaccine efficacy and necessity.  Promotes all vaccines as indicated by client need or state mandates. Records all vaccine information in the record according to policy and procedures.

4

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.

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.

•

Accepts additional duties as assigned to meet the work area goals and/or Wake County Human Services goals.

*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:

P2

Career Level Description:

Professional Level 2

•

Works independently on projects/assignments that impact Work Group results.

•

Work is generally supervised and involves periodic process checks.

•

Responsible for making adjustments or recommended enhancements in systems and processes to solve problems or improve effectiveness of the Work Group.

•

Typically communicates within or outside the Work Group to provide information requiring some explanation or interpretation to reach agreement.

•

May provide guidance and assistance to entry level professionals or support staff.

•

Requires practical knowledge of the Work Group typically obtained through advanced education combined with experience.

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

•

Valid Driver's License and "safe" driving record

•

Equivalent education and experience are 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.

•

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

•

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, immunization 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.

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

Understand and apply routine verbal and/or written instructions

Organization

Organize and prioritize individual work schedule to manage multiple tasks and/or projects

Decision Making

Make decisions that have an impact on the immediate work unit's operations and/or services

Communication

Communicate and explain a variety of information

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