Job description

Scotland County Health Department functions as a Public Health agency for the prevention of communicable and infectious disease, and for the promotion of wellness and good health practices. Priority is placed on serving county residents and providing quality nursing and medical care.

Position performs duties in the clinics, makes home visits and performs follow-up as needed. The nurse in this position also works in the STD/Communicable Disease clinic to screen and treat patients following program guidelines and standing orders. Provides patient education, counseling and follow-up care as required. Functions to provide community outreach and education (i.e., schools, hospital, private organizations, local senior citizens' sites) and other areas as may be assigned. Employee is also required to work in the Family Planning, Maternity, General Services and the Early Intervention Clinic (EIC) as assigned.

****Salary for this position depends on qualifications and experience****

"Scotland County Health Department is a qualified employer under the Public Service Loan Forgiveness_ (PSLF) program"._

Examples of Duties

STD Clinic

• Works STD Clinic under the direct supervision of the PHN Nursing Supervisor and/or Communicable Disease Supervisor when immediate supervisor is absent or for special projects and outbreaks.
• Obtains health history and range of symptoms for current problems.
• Performs vital signs as per clinic policy and procedure.
• Performs venipuncture or labs using appropriate equipment as per clinic policy and procedure.
• Performs physical exams on male clients to assess complaints and/or problems.
• Collects urethral specimens as needed for diagnostic purposes per STD Clinic policy and procedure.
• Performs physical exam on female clients to include a pelvic exam to assess for complaints and/or problems.
• Collects specimens for GC, Chlamydia and Wet mounts using appropriate equipment as per STD Clinic policy and procedure.
• Reviews collected specimen results to determine presence or absence of disease using microscope and other diagnostic procedures as per protocol.
• Collects cultures and/or serum on both male and female clients for Herpes as needed to evaluate complaints or problems identified through physical exam and other diagnostic procedures.
• Responsible for dispensing appropriate medication to treat existing disease processes determined by physical exam, culture reports and lab results as per standing orders and STD treatment guidelines.
• Provides HIV Prevention Counseling and testing for clients coming to clinics requesting HIV Testing. Provide counseling to assist clients with determining risk factors for becoming infected with the HIV virus.
• Provides HIV Post-Test Counseling for non-reactive and reactive results to clients who received HIV Testing.
• Responsible for follow-up of all positive STD test results via telephone or home visit as needed to comply with health department and State Public Health requirements.
• Works closely with the State Public Health Disease Intervention Specialist for recommendations related to positive Syphilis and HIV cases in all health department clinics.
• Responsible for monitoring all positive Syphilis serology reports.
• Responsible for the follow-up on infants born to mothers with positive Syphilis in collaboration with primary medical doctors and /or OB/GYN providers.
• Responsible for follow-up of communicable disease reports from other facilities to determine whether clients have been treated appropriately per CDC recommendations for positive STD results through review of records and telephone calls to health care providers or clients.
• Performs follow-up with those clients who have not been treated per CDC recommendations through phone call, letter or home visit, and assures that clients are appropriately treated.
• Responsible for coordinating education sessions/presentations per request by community organizations, public schools, college and residents related to STD, HIV and Communicable Diseases.
• Maintains general nursing knowledge and professional competency related to STD/HIV/Communicable Disease through attendance at required and elective workshops, in-services and continuing education.
• Participates in committees and staff meetings as required.
• Assists as needed with the updating of Policies and Procedures for STD/Communicable Disease.
• Makes recommendations through Director of Nursing, PHN Nursing Supervisor and County Attorney to the Health Director in the solicitations of Isolation Orders for clients not adhering to plan of care for individuals with known Communicable Diseases, STDs or HIV positive status.

Family Planning Clinic and Maternity Clinic

• Performs other related duties as assigned by the Clinical Supervisor.

Communicable Disease

• Responsible for follow-up for Shigellosis, Salmonella, E. coli and Campylobacter, and /or any other reportable disease.
• Responsible for the provision of patient/parent teaching, telephone management, letters or home visits.
• Responsible for completion of Communicable Disease Report and/or surveillance report as required by NC State Guidelines.
• Provides and coordinates educational sessions/presentations as requested by community, organizations, and Scotland County residents related to Communicable Disease.
• Responsible for follow-up for Hepatitis A, B, and C.
• Consults with NC State Communicable Disease Branch as needed. Educates patients and family through home visits or scheduled health department visits on Hepatitis, including discussion of disease control measures.
• Serves as a member of the Scotland County EPI Team to assist with any disease outbreaks that may occur in Scotland County.

Infectious Disease Clinic

• Serves as Lead Registered Nurse.
• Obtains health history, ID clinic client agreement, Release of Information, Nutrition, mental health, substance abuse and any other assessment necessary at patient’s initial nurse visit.
• Orders lab work as per standing orders at initial visit and periodically every three to four months.
• Performs Blood pressure, temperature, height and weight as per clinic policy and procedure.
• Screen patient for Provider for physical assessment in ID clinic, documenting on ID form chief complaint, history of illnesses, review of system, medication list and medication compliance.
• Assist Provider in assessing the patient during physical exam and complete Provider orders.
• Provide education on informed consents, medication, nutrition, safe sex and medication compliance.
• Responsible for scheduling appointments and follow-up on all external referrals through telephone calls and letters.
• Responsible for coordinating patient care with the patient's case manager at Scotland County Health Department.
• Administer immunizations and TB skin test per standing orders.
• Responsible for input in the computer software, “Care Ware Management” for ID patients, which includes entering each clinic visit, vital signs, medications, referrals appointments, labs, notes, immunizations, test results, x-ray results and any other pertinent information that is essential to the care of ID patients.
• ID clinics are usually held every 3rd Tuesday of the month, but patients may be placed on the Provider schedule at any time for a problem visit.
• Follow-up work usually requires about 4-6 hours per week on off clinic week, but usually requires an additional 8-10 hours of follow- up the week the ID clinic held.
• Responsible for reviewing and signing each client’s initial and annual assessment after completion by the case manager.

Tuberculosis

• Assess patients with positive PPD’s.
• Schedule chest x-rays through Scotland Memorial Hospital.
• Dispense TB meds per standing and/or MD orders to clients.
• Perform Direct Observed Therapy as needed.
• Responsible for assessment of TB patients on medication for complications of medication.
• Follow-up diagnosis (i.e., blood pressure, weight, blood work) and effectiveness of medication.
• Collects sputum specimens as per NC TB Control recommendations until sputum conversion is verified.
• Performs venipuncture as needed in the field to assess for complications of TB medications.
• Attend TB 101 provided by the NC TB Branch and continuing education, in-services and updates as required.

General Clinic Services

• Lab work as ordered.
• Administer other injections as directed by physician orders (i.e., Haldol).
• Give TB skin tests and check reactions within 48 hours to 72 hours
• Refer clients to appropriate clinics or primary physicians as indicated.
• Provide Childhood and Adult Immunizations
• Provide FP Services (i.e., pill pick-up) and Pregnancy Testing and Counseling.

Other Duties As Assigned

• Participates on committees, staff meetings, in-services and continued education as often as scheduling and time permits to maintain professional competency.
• Responsible for completing mandatory Annual Respiratory Training and Fit testing for all health department employees as mandated by OSHA.

Typical Qualifications

Minimum Education and Experience Requirements: Graduation from an accredited school of professional nursing and one year of professional nursing experience.

Necessary Special Qualifications: Current license to practice as a Registered Nurse in North Carolina.

Chosen nurse applicant will be required to successfully complete the NC Institute for Public Health STD Enhanced Role training course titled “Physical Assessment of Adults and STD Nurse Clinician Training Combined Practicum Course”. Course pre-requisites include Principles and Practices of Public Health Nursingfor non-BSN prepared nurses, and HIV Counseling, Testing and Referral Training

Supplemental Information

Scotland County Health Department is an Equal Opportunity Employer and encourages qualified individuals to apply. Recruitment range will be based on direct work related experience, relevant qualification and education, internal equity and budgetary considerations pertinent to the advertised position.

Resumes will not be accepted in lieu of the application. Embedded or attached resumes are not accepted as a substitution for a completed application.

To receive credit for all of your work history and credentials, you must list the information on the application. Any information omitted cannot be considered for qualifying credit.

Degrees must be received from appropriately accredited institutions. Applicants must upload unofficial copies of undergraduate/graduate transcripts with application submission. Applications will be considered "incomplete" without unofficial copies of undergraduate/graduate transcripts attached.

Due to the volume of applications received, we are unable to provide information regarding the status of your application over the phone.

Job Type: Full-time

Pay: $51,971.00 - $66,263.00 per year

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Laurinburg, NC 28352: Reliably commute or planning to relocate before starting work (Required)

License/Certification:

• Driver's License (Preferred)

Work Location: In person

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