Nurse Practitioner - Woman's Health

SUMMARY: This evolving position is in the Operations Division with the Oklahoma City-County Health Department (OCCHD). The employee provides advanced registered nursing care within their certified specialty area including the assessment, medical diagnosis, and treatment of patients. A supervising physician is required for the purposes of prescribing as part of patient management. These various job duties and responsibilities may be performed for the main and satellite clinics. PRINCIPLE DUTIES AND RESPONSIBILITIES: This is a summary of the duties and responsibilities commonly found within this classification. All employees must maintain a commitment to the OCCHD's mission, vision, and strategic goals. This summary is not meant to be all-inclusive, thus, other related activities or tasks may be assigned. This position functions at the program management level (Tier 2) as defined by the Council on Linkages Core Competencies for Public Health Professionals. An emphasis on the following domains is important in this role: Data Analytics and Assessment Skills Policy Development and Program Planning Skills Communication Skills Health Equity Skills Community Partnership Skills Public Health Sciences Skills This position also functions at an advanced public health nursing level (competency level Tier 2) and encompasses the 18 national standards of public health nursing practice and professional performance, as defined by the American Nurses Association Public Health Nursing Scope and Standards of Practice (2022). These standards, organized by the nursing process, include: Assessment Diagnosis Outcomes identification Planning Implementation Evaluation ESSENTIAL JOB FUNCTIONS: Perform physical examination, health history, review laboratory tests and conduct other appropriate procedures to assess the health status and administer care with the scope of the program. Diagnosing and treating minor acute illnesses and chronic diseases within the defined scope of practice and the defined OCCHD standards of care. Review and analyze laboratory tests, determine diagnoses, prescribe pharmaceuticals within the scope of the program. Developing and updating specialty-specific protocols for health promotion, disease prevention, medical intervention, and treatment. Providing professional expertise to public health nurses, and other ancillary staff regarding specific clinical concerns identified in health department clinics within designated scope of practice. Provide continuity of care for patients by referring to or collaborating with physicians, other health care providers, and social service agencies. Counsel patient, family members and others involved in the care of the patient on health promotion, disease prevention, health problems, procedures, prescribed treatments, use of medications, plan of care and other matters. Documenting client clinical service records. Performing venipuncture. Administer immunizations. Driving to off-site locations to perform job duties. Precepting nurse practitioner students within the advanced practice specialty area. Provides STI testing to family planning clients. Only prescribes within specified programmatic parameters per OCCHD direction. Understands population health care as opposed to primary care services. Identifies health care needs and makes recommendations for comprehensive health care and education to the community. Able to see a high volume of clients per day. Under the direction of the clinic supervisor or management, will function as a registered nurse as needed, including but not limited to STI and immunization services when short staffed or as needed to aid clinic flow. Is adaptable to clinic flow, staff changes, and needs of the clinic. Completes all required training in support of duties and responsibilities of this position. In addition, at the direction of OCCHD Chief Executive Officer and Chief Health Officer or designee, the employee will be assigned a variety of specific job duties and responsibilities as a member of the OCCHD Emergency Preparedness and Response Program Team (i.e., Bioterrorism Response Program). As a member of the Emergency Preparedness and Response Program Team, the employee is required to complete all necessary emergency responder training and may be designated as a member of the first-responder team. In accordance with our designation of a PHAB accredited health department and explicit commitment to a culture of continuous quality improvement, employees will receive quality improvement (QI) training deemed necessary by their supervisor. QUALIFICATIONS/REQUIREMENTS:

• Master's degree in nursing required, doctoral degree preferred

• Experience in specialized area of practice preferred

• Three years of professional registered nursing experience required

• One year of advanced registered nurse practice (ARNP) experience preferred

• Oklahoma registered nurse license and advance registered nurse practice (ARNP) recognition required to include prescriptive authority

• Valid Oklahoma driver license required

• Certified in CPR SKILLS AND ABILITIES:

• Skill in performing physical examinations within the defined scope of practice

• Skill in using appropriate medical tools and equipment

• Skill in obtaining and recording client information accurately

• Knowledge of nursing practice legal issues

• Knowledge of laboratory methods and investigative techniques

• Ability and willingness to use a personal computer and software

• Ability and willingness to maintain confidentiality and observe data protection and associated guidelines

• Ability and willingness to communicate with persons of diverse backgrounds both orally and in writing using tact and diplomacy

• Ability and willingness to develop and maintain effective working relationships

• Ability and willingness to follow safe working practices and procedures

• Ability and willingness to follow established policies, procedures, guidelines, and orders

• Ability and willingness to assume responsibility for work product

• Ability and willingness to have a positive outlook and respect for immediate supervisor, OCCHD leadership, and chain of command WORKING CONDITIONS: -Primarily indoors in climate-controlled building

• No smoking or use of non-smoking tobacco products is allowed at any time while conducting OCCHD business or in OCCHD vehicles

• No use of cell phones or the use of electronic wireless communications devices used to write, send, or read a text-based communication while driving a motor vehicle on OCCHD business

• Subject to driving to off-site locations in varying weather to perform job duties

• Subject to exposure to infectious diseases

• Subject to prolonged periods of standing and/or walking

• May be required to wear protective equipment

• May be required to wear a HEPA Filter Mask if working in the TB Control Clinic; in which case, limited facial hair is allowed

• OSHA category: performs tasks that involve exposure to blood, body fluids or tissues PHYSICAL REQUIREMENTS:

• Arm/hand steadiness and digital dexterity enough to perform procedures such as venipuncture and injections, to draft documents and to fill out forms such as reports, make entries in charts, etc.; by hand or by operating a keyboard

• Vision enough to read written communications such as computer printouts, instructions, hand- or machine-generated documents, etc., as well as print on a computer monitor and gradation markings on syringes

• Flexibility and coordination enough to operate a motor vehicle

• Speech and hearing enough to communicate face-to-face and via telephone

• Flexibility and strength enough to lift objects weighing up to 30 pounds, and move and carry equipment and supplies weighing up to 35 pounds

• Flexibility enough to bend over exam table, stoop to pick up objects from floor etc.

• Ability and willingness to be fitted for and wear a HEPA Filter Mask, if required WORKING RELATIONSHIPS: This position requires frequent contact with various OCCHD personnel to give and receive information, as well as with clients/caregivers to provide services. The employee also may have contact with state and community agency employees, hospital, and clinic personnel, and with physicians. The employee interacts with a broad spectrum of socio-economic groups. Tact and diplomacy are required in the performance of duties. The employee may be required to deal with hostile persons on occasion. SUPERVISION GIVEN AND RECEIVED/ACCOUNTABILITY: The employee performs job duties under the supervision of an immediate supervisor. The work product is subject to both specific and general review. The employee has no direct supervisory duties or responsibilities. Although this position has no direct accountability for any money or materials, the employee may make recommendations which result in the expenditure of significant funds. CONDITIONAL: Employees who fall into the following categories are in conditional employment positions: a) Chief Executive Officer and Public Health Officer; b) Senior Executive Team, Executive Team and Leadership Team employees who serve at the pleasure of the OCCHD Chief Executive Officer and Public Health Officer; c) certain other OCCHD employees whose salaries, benefits, and/or overhead are based on available funds such as, but not limited to, revenue generating contracts, grants, or fee-for-service revenue. In other words, this means that if the funding or the program is terminated, cancelled, or non-renewed, your employment terminates automatically. This position is conditional. OTHER DUTIES AND RESPONSIBILITIES:

• Must have an operating vehicle available for use when field duties are required

• Will be compliant on recommended immunizations required by the CDC as a healthcare worker and as defined within the scope of Emergency Response within 30 days of hire. Exceptions accepted with documented medical or religious accommodation. OCCHD will provide vaccinations at no charge to employees.

• May be required to work outside of regular business hours or assigned shift hours due to job responsibilities BENEFITS: As an employee of the Oklahoma City-County Health Department, you will enjoy comprehensive benefits which consists of: 15 days per year of annual leave 15 days per year of sick leave 15 paid holidays annually A comprehensive health insurance package - medical, dental, vision, life insurance, dependent life insurance, and flexible medical spending account A generous benefit allowance to offset the cost of insurance premiums for employees and their eligible dependents. Retirement plans: Defined Contribution Plan and 457 Deferred Compensation Plan Interested candidates should apply online at www.occhd.org . Select Careers at the top of the web page, select Current Jobs, select the position you are applying for, and select "apply". You will be directed to our Career Center. Get started by uploading your resume with your profile. Otherwise, click "skip" to continue. The first step is to register with the Career Center, again you will click on apply for an active position. You may search for open positions by name or select "show all positions." You may select "view" to read the details regarding the position. Again, you will click on "apply now". You will be directed to the second step of the application process. Please complete the entire application. Do not substitute a resume for your employment history. You may attach a cover letter, resume, and an official transcript, if applicable. You will save and complete your application. You will be directed to the final step of answering job specific questions, if applicable. Once you have finished the process, you should receive a message stating, "Successfully applied". You will also receive an email stating your application has been received for the position you selected. If you do not receive this message, then there has been a step not completed. You will need to review your record. The position will be open for 30 days or until filled. Please be advised that applications will periodically be considered, as such this position could be filled any time before the closing date. Successful candidate subject to background check, reference verification and drug screening. AA/EOE