Job Description
Salary : $47,712.00 - $51,382.00 Annually
Location : Laurinburg, NC
Job Type: Full Time
Job Number: 00485
Department: Health Administration
Opening Date: 08/28/2024
Closing Date: 9/25/2024 11:59 PM Eastern
Description Join Our Team as a Public Health Nurse I About Us: At the Scotland County Health Department, our mission is to
promote wellness and
prevent the spread of communicable diseases . We're dedicated to providing
optimal health care to our community, and we're looking for passionate individuals to join our team!
Position Overview: This is an
entry-level professional nursing role focused on promoting wellness and disease prevention in various clinical and community settings. You'll provide primary staff support across programs including
Adult Health, Family Planning, Maternal Health , and
Infectious Disease Clinics , with a special emphasis on
Sexually Transmitted Disease (STD) prevention .
Location: Scotland County, NC
Schedule: Monday - Friday, 8:00 a.m. - 5:00 p.m. (with occasional extended clinic hours), May be designated as an Essential Employee and required to work during emergencies.
Salary Inform ation: Salary depends on direct work related experience; Semi-monthly pay-period.
Why Join Us? Scotland County Health Department offers
flexible schedules ,
training and development opportunities , and the chance to
make a community impact . Our supportive environment provides a platform for professional growth and the opportunity to be part of a team dedicated to public health excellence.
Additionally, we are a qualified employer for the
Public Service Loan Forgiveness (PSLF) program . For more information about PSLF, please visit the official PSLF program page. If you're ready to make a meaningful impact and grow in your nursing career, we want to hear from you!
Examples of Duties Maternal Health - Performs duties staff nurse in the Maternal Health program.
- Admits patients into the Maternal Health Program.
- Completes and reviews personal/family, medical, surgical, menstrual, obstetrical, sexual, psychosocial, and dietary self-history.
- Records significant information about the father of the baby's medical history.
- Record blood pressure, vital signs, weight, and height.
- Computes EDC (Estimated Date of Confinement) from the last menstrual period.
- Administers prenatal vitamins and instructions on usage.
- Checks the admission and completion of follow-up labs and the availability of results are documented and recorded.
- Counsels patients about healthy pregnancy, warning signs for complications and preterm labor. HIV counseling.
- Reviews "Informed Consent for Maternal Health Services" with patients.
- Refers patient to Maternal Health Provider for physical assessment.
- Screens return Maternal Health patients.
- Computes gestational age from best expected date of confinement (EDC).
- Completes the Maternal Health flow sheet, review record for services and needed labs according to Maternal Health Protocol.
- Refers patient to Physician Extender or Enhanced Maternal Health Role Nurse to complete prenatal assessment.
- Assists Physician/Physician Extender with prenatal assessment by scheduling ultrasound or other appointments.
- Provides counseling and education according to the Maternal Health Education Form.
- Update Tdap at appropriate time in pregnancy.
- Administer Tuberculosis Screening. Skin test (PPD) ACCORDING TO Maternal Health Protocol.
- Offers flu vaccine during flu season.
Family Planning Program - Screens patients for physical assessment in the Family Planning Program.
- Measures patient's weight body mass index (BMI), temperature, pulse, respiration and blood pressure of each visit.
- Measures patient's height at the initial, annual and/or postpartum visit.
- Documents the chief complaint, history or present illness, review of systems, age, allergies, last menstrual period (LMP) and last Pap test report on the Family Planning Assessment Form at each patient visit.
- Updates the patient's personal, family and social history at interval visits.
- Reviews lab work and notifies the physician extender of abnormal findings.
- Assesses and provides care for patients returning for interval Family Planning services following the physician assistant/physician extender orders and standing orders from the Scotland County Health Department's medical director.
- Updates immunizations as needed in the Family Planning program.
- Counsels patient regarding abnormal Pap test findings and plan of care.
- Schedules a patient's return appointment if follow-up can be done within the Family Planning Program. Refers patients to OB/GYN providers if follow-up requires colposcopic evaluation (i.e.- recurrent atypia, dysplasia, cancer-in-situ, invasive carcinoma).
- Counseling includes informing patients of the Pap test findings and follow-up needed. Enhanced counseling includes pre-colposcopic/biopsy instructions. Special counseling with minors (under 18) and their parent(s) or guardian may be necessary.
- Evaluates the patient's socio-economic resources for OB/GYN referral.
- Coordinates referral with Carolina Access provider if a patient has Medicaid or personal care physician.
- Obtains patients permission through a Release of Information form to send abnormal Pap Test report to OB/GYN and Carolina Access provider. Acquire an additional Release of Information form from the patient to receive record of follow-up care from the OB/GYN provider.
- Send referral form, abnormal Pap test report and Release of Information form for records to providers.
- Send reminder letters to patients about follow-up in the Family Planning Program and OB/GYN offices.
- Documents all contacts and attempted contacts with patients in the electronic medical record regarding Pap Test follow-up, counseling and referral.
- Communicates with OB/GYN providers by phone or mail to check on patient's follow-up of abnormal Pap test.
- Documents follow-up in the electronic medical record notes and problem list.
- Home visits may be necessary to notify, counsel and refer patients for abnormal pap smear follow-up.
- May prepare registered letters/correspondences to patients who do not respond or have missed repeated appointments for follow-up.
- Collaborates with Family Planning Coordinator/Supervisor, physician extenders and nursing staff regarding Pap test follow-up needs for patients.
- Reviews and updates the Scotland County Health Department Pap Test Guidelines according to Pap Screening Manual "A Guide for Health Department" and providers from the Division of Public Health and the NC Department of health and Human Services.
- Assists the physician extender in assessing the patient.
- Provides counseling to the patient on methods of contraception, vaginal infection, medication precautions/side effects or other health issues.
- Completes the physician assistant/physician extender's orders.
- Collaborates with the Family Planning Program Coordinator/Supervisor, Physician Assistant/Physician Extender, Nurses, Social Worker, Medical Laboratory Technicians and Management Support personnel to improve the quality of care for patients in the Family Planning Program.
- Provides counseling and education on the following, but not limited to, topics:
- Method(s) of contraception (Abstinence, Barrier Methods, Depo Provera Intrauterine Device, Natural Family Planning, Oral contraceptives, Ortho Evra Patch, NuvaRing, Permanent Contraception, Spermicides, and Emergency Contraceptive Services)
- Informed Consent and Minor Confidentiality
- Menstrual Cycle
- Self- Breast Exam
- Pre-conceptual Health (Folic Acid, Short Birth Intervals, Rubella Protection, Smoking Cessation, Pregnancy, Risks of Alcohol, Drugs and Medications)
- Pap Test Screening - normal and abnormal
- Sexual Coercion
- Vaginal Infections - yeast, bacterial, trichomonas
- Sexually Transmitted Diseases - Chlamydia, Gonorrhea, Genital Warts (HPV), Herpes, Hepatitis, Syphilis
- Pre/Post HIV Counseling
- Immunizations
- Healthy Weight Information for patient with BMI less than 18.5, or 25 or greater
- Perform follow-up calls on Family Planning patients that have positive STD test results and record information in the log book.
Pap Test Case Management - Review and verify Family Planning Pap test reports with patient's name, date of birth and social security number and signs and dates Pap test reports and review.
- Notify patients regarding their Pap test reports by mail. Abnormal results or inadequate specimens call for letters to be sent to patients. Documents Pap test report findings and correspondence mailed in the SCHD Problem List in CureMD.
- Develops plan of care for abnormal Pap test findings, following the Scotland County health Department Pap Test Guidelines and the Pap Screening Manual, A Guide for health Departments and Providers from the Division of Public Health and the NC Department of Health and Human Services. Records plan of care in the SCHD Problem List in CureMD.
- Maintains a tracking system to follow case management. This may be a tickler system, log book or computer program.
- Provides written reports regarding the Pap follow-up program to the Family Planning Coordinator/Supervisor monthly.
- Medical matter letters are mailed to Family Planning patients with sexually transmitted diseases. Maintains a tracking system to follow case management. This may be a tickler system log book or by use of a computerized program.
- Maintains a log book of medical referrals/ mammograms ordered by the Family Planning providers. Follow-up is documented in the log book as well as in the patient's medical record.
Adult Health Program - Screens patients for physical assessment in the Adult Health Program by the physician assistant/physician extender.
- Documents medical history, allergies, medications, immunizations, chief complaint, chronic illnesses, history or present illness and review of systems.
- Measure weight, height, temperature, pulse, respiration, body mass index (BMI) and blood pressure.
- Performs vision and hearing tests as indicated for school/work physical examinations.
- Updates immunizations and gives PPD skin tests as indicated for school or work physical examination.
- Assists the physician assistant/physician extender as needed in the care of the Adult Health patient.
Other - General Clinic including adult/childhood immunizations, PPD skin tests, pregnancy tests and counseling blood pressure measurements and test results
- Sexually Transmitted Disease (STD) Program staff support that includes history documentation HIV counseling, immunization updates and assistance to the STD clinicians.
- Maintenance of supplies and education materials in the clinical area.
- Complete Pharmacy inventory sheet weekly, monthly, yearly and give a copy to Pharmacist, as assigned.
- Disaster Shelter Assignment/American Red Cross
- Public Health Month Activities
- Participation in outreach activities as directed by supervisor
- Work as the Lead Nurse in Clinical, as assigned
- Other special assignments requested by the Director of Nursing, Health Director or Board of Health.
Typical Qualifications Qualifications: - Graduation from an accredited school of professional nursing.
- Current Registered Nurse (RN) license in North Carolina by the NC Board of Nursing.
- Basic knowledge of public health nursing and the ability to work effectively with a diverse patient population.
- Strong communication and computer skills.
Individuals employed in a local Health Department without a B.S. Degree which includes a Public Health Nursing rotation or a Master's in Public Health, will be required to complete the "Introduction to Principles and Practices of Public Health Nursing" course within one year of employment as a condition of continued employment in accordance with Health Services Commission Rule.
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. Any licenses or certificates must be included in the appropriate section of the application form
Due to the volume of applications received, we are unable to provide information regarding the status of your application over the phone.
Scotland County offers a wide range of benefits, including healthcare, supplemental plans and retirement programs.
Health We offer a high-deductible health plan with a $3000 deductible (Single). This program includes a Health Savings Account (HSA). Employee only coverage is completely funded by the County, PLUS the County contributes $1000 to the HSA annually.
Dental Our dental plan provides for preventive services, such as cleanings each year, at 100%. There is a $25 deductible for other services. Basic services pays at 80% and other major services at 50%. The County contributes $14.47 per month for employee coverage.
Voluntary Plans Employees may choose from a variety of plans arranged through Mark III Benefits. These include AFLAC Accident, Critical Illness and Hospital Indemnity plans; Allstate Cancer; Texas Life Whole Life; and Superior Vision plans. In addition we offer Short-term and Long-term disability.
Life Insurance The County provides $10,000 Basic Life insurance for employees. An employee may choose to purchase additional voluntary term life insurance.
Retirement Pension is offered through the N.C. Local Government Employees' Retirement System. Employees are required to contribute 6% of gross wages toward their account. The County also contributes at 7.58% (law enforcement 8.25%).
401(k) and 457 are supplemental retirement plans administered by Empower. For the 401(k) plan, employees contributing a minimum of 1% are eligible for the County contribution of 2.5% toward their account. Employees contributing at least 3% or greater are eligible for a County Contribution of 3%. Law Enforcement Officers receive a 5% County contribution. The 401(k) plan offers both pre-tax and Roth after-tax contributions. The 457 plan is tax-deferred with no minimum contribution requirements.
Longevity Pay The County offers longevity pay to employees with at least 5 years of continuous service.
01
Please select level of education.
- High School Diploma or GED
- Associates Degree
- Bachelor's Degree
- Master's Degree
- None of the above
02
Did you graduate from an accredited school of professional nursing?
03
Are you currently licensed to practice as a Registered Nurse in North Carolina?
04
How many years of public health nursing experience do you have?
- Less than 6 months
- Six months to 1 year
- One less than two years
- Two less than three years
- Three or more years
- No experience
05
I understand that my application will be considered "incomplete" if an unofficial copy of the undergraduate or graduate transcript is not uploaded as an attachment with my application. Please note: We will require an official, certified copy of the highest degree transcript or diploma prior to hiring.
Required Question
Job Tags
Permanent employment, Full time, Temporary work, Local area, Flexible hours, Monday to Friday,