Community Health Nurse 2 - Maternal, Child And Family Health

Lincoln County Public Health is looking for a highly motivated individual to be a part of a diverse team to provide healthcare services to pregnant and postpartum clients and their babies in our community.

Your job in the department is to . . . Work in a community setting, providing quality nursing care in Public Health's General Field program, this includes Babies First!, CaCoon and Family Connects.

Your job also involves . . .Responsibility for the health of pregnant and postpartum clients and their babies in Lincoln County through home visiting services. The nurse will use the standards of practice for Community Health Nurses and assigned program models as guidelines to practice.

• Assessment - Collects comprehensive data related to the health of the population served. Document 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 client's participation in developing a plan of care.
• Outcome identification - Based on the diagnosis the CHN2 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. Participate in and leads quality improvement measures.
• 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 the 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.
• Document activities and status of care coordination.
• Evaluation - Apply on-going assessment data to revise plans, interventions, and activities as appropriate for ultimate health outcomes for the population. Document changes to enhance effectiveness of interventions.

• Apply theories and principles integral to the Babies First, CaCoon and evidence-based Family Connects programs.
• Use the nursing process to deliver individualized client care by means of home, telehealth, office, or hospital visits, provide professional Community Health nursing services in areas such as Maternal, Child & Family Health family planning, and communicable disease control. Assist in planning and operating clinics as needed.
• Provide ongoing case management to at-risk clients such as pregnant clients, clients using substances and high-risk infants. As part of case management functions, observes family dynamics as well as assesses food, shelter and transportation needs.
• Set personal schedule, track clients who are often very difficult to find, and perform visits on a drop-in basis if needed.
• Meet training requirements and practices with fidelity to the assigned programs.
• Establish therapeutic relationships with clients.
• Participate in on-going quality improvement and reports from data systems to guide and improve practice.
• Use reflective supervision to evaluate and improve practice and takes part in self-care activities.

• Participate in epidemiological investigations in homes, schools, or other locations in the community; order immunizations and tests as needed and make recommendations to prevent and control the spread of disease.
• Interact and convene with community partners and resources as necessary to assure population needs are being met.
• 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: An Associate's Degree in Nursing with at least 2 years of experience in a Maternal Child Health home visiting program.

Minimum Experience Level

Two- Three years

Specifics: Nursing.

Substitution Note: Practicums in Nursing programs and lived experience may substitute for years of experience.

Driver's License

Oregon Driver's License required.

Other Licenses

Professional License required.

Specifics: Must possess a current unencumbered license to practice in the State of Oregon as a Registered Nurse. A valid, insurable State of Oregon driver's license at the time of appointment.

Desirable Qualifications: Bachelor of Science degree in Nursing (BSN) from an accredited school of nursing with one year of nursing experience, preferably in a maternal child health position. Bilingual and/or bicultural competencies for the Latino population are preferred.

KNOWLEDGE, SKILLS AND/OR ABILITIES

Knowledge of:

• The principles, practices, methods, and procedures of nursing as applied to community and public health.
• The uses and effects of medications and 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.
• Health inequities among LGBTQIA+ and BIPOC (black, indigenous and people of color) communities.

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: Majority of work time is spent providing services in private residences. May be exposed to hazardous conditions due to potential handling of body fluids. May be in contact with clients that could be potentially violent. May be required to lift heavy supplies in and out of homes or clinics on a daily basis.

Work Location: Lincoln County

Travel:Daily travel required to client homes, community settings and some travel outside of Lincoln County necessary for this position.

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.