CORRECTIONS HEALTH NURSE

JOB $5,000 Hiring BonusCompensation will be dependent on experience based on State of Oregon defined bona fide factors in accordance with Oregon's Pay Equity Act. With Associates Degree: $42.36 - $52.09 hourlyWith Bachelors Degree: $43.98 -$54.10 hourlyYour job in the department is to . . . Provide comprehensive health maintenance, preventive and primary medical care, and treatment for adult inmates in a county corrections facility. Your job also involves . . .Assisting in the operation of the health care unit and in the development, direction, coordination, and evaluation of professional nursing practices under the direction of the Sergeant. Assumes responsibility for operation of the unit in the absence of management staff. EXAMPLE OF DUTIES JOB FUNCTIONSESSENTIAL FUNCTIONS are critical and fundamental responsibilities of the position of all Corrections Health Nurse. The incumbent must be able to perform these functions with or without reasonable accommodation. A Corrections Health Nurses will follow the six standards of practice: Assessment – Conduct and document initial and ongoing comprehensive and focused nursing assessments of the health status of patients by: Collecting objective and subjective data from observations, examinations, interviews, and written records in an accurate and timely manner as appropriate to the patient’s health care needs and context of care. Distinguishing abnormal from normal data, analyzing, recording, and reporting the data. Detecting inaccurate, incomplete, or missing patient information and reporting such. Recognizing changes in patient status. Assesses patients’ physical and emotional condition to assure patients a safe, sanitary, and therapeutic environment according to established procedures, especially patients in restraints, seclusion, protective devices or on special observation precautions.Diagnosis and Priorities – Analysis of the assessment data to derive a nursing diagnosis and priorities. Documents diagnoses or concerns in a manner that facilitates the patient’s involvement in developing a plan of care. Outcomes identification – Based on the diagnosis the Corrections Health Nurse 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. Planning – Develop and coordinate a comprehensive plan of nursing care to maintain continuity of treatment and develop focused plans of nursing care, including selecting appropriate nursing interventions and strategies, especially for patients with chronic medical problems or serious and persistent mental illness. Develop nursing orders. Document the plan using health literate and culturally competent language that can be understood by the care team and patient.Implementation – The Corrections Health Nurse oversees the implementation of the plan through treatment, case management, referrals to community partners, collaboration with community resources, health promotion and educates patients concerning diet, hygiene, long term effects of alcohol and drug abuse, and methods of prevention of disease. Implement the plan of care by administering medical and nursing treatments including giving medications, titrating medications, daily detox assessments and handling dressing changes; also monitors and evaluates vital signs. Additional job responsibilities: Documentation – The Corrections Health Nurse will document medical history including current medical problems, allergies, on-going medications, and treatment of patients, using an electronic medical records program. As well as nursing interventions and responses to care in an accurate, timely, thorough, and clear manner. All prescription drug use for patients will be documented according to established drug recordkeeping practices in an electronic medical records program. Documents activities and status of care coordination.Medication - Provides sound pharmacology dispensing practices, including drug identification, drug action, side effects and proper dosage.Equipment - Evaluate and monitor medical supplies to ensure availability of appropriate supplies, accurate accounting, and secure storage, including maintenance of narcotic, needle, and syringe counts. Evaluate new and replacement medical equipment; operates equipment necessary for the provision of patient care, monitors equipment to ensure that it is in good working condition. Prepares equipment and assists physician and/or physicians’ assistant during examination and treatment. Maintains equipment for use.Emergencies - Respond to emergency situations and takes charge of scene until EMT arrives if physician/physicians’ assistant is not on scene. Implements emergency measures, interpretation of medical orders and ensures follow-up on any referrals made.OTHER JOB FUNCTIONS are those duties that are performed either very infrequently or could be performed by others without altering the underlying reason the job exists: Attend and participate in team meetings, trainings, and activities to further the health of the community.Provide training to staff of the Lincoln County Sheriff’s Office, Lincoln County Juvenile Detention Center and the Pretrial TAPS house on various topics such as First Aid/AED/CPR, Narcan and other patient specific health care training to Corrections Deputies such as medication administration, detox issues, labor and birth symptoms. SUPPLEMENTAL INFORMATION WORKING CONDITIONSJob Conditions: Works with potentially dangerous subjects. May work a varied schedule. Work is primarily indoors, often noisy, confined, crowded, hazardous and potentially high risk. Restricted to work area with violent and combative arrestees/inmates while maintaining composure and professionalism. Exposure to abusive language, personal and familial threats, and possibility of physical assaults. Some risk of exposure to chemical restraint agents, electronic immobilization devices, and other methods or equipment used in a correctional setting to bring patients’ behavior to within acceptable limits. May require sitting for extended periods of time, moderate keyboarding, climbing stairs, and walking from area to area repeatedly. Potential for contact with persons infected with a variety of communicable diseases including Tuberculosis, MRSA, Lice, Hepatitis, HIV and AIDS. Works in an environment with little natural lighting or direct ventilation. Work Location: Lincoln County Travel: Required to travel to within Lincoln County to the Juvenile Corrections Facility, Lab and Pharmacy in county owned vehicle or personal vehicle. Occasional overnight travel for participation in conferences or trainings in county owned vehicle or personal vehicle. PHYSICAL DEMANDSRequires sufficient hand/eye coordination to operate equipment, visual acuity necessary for performing necessary functions of the job; ambulatory ability to walk and run while at work. Requires speech and auditory abilities sufficient to carry on conversations and project voice among large crowds. Sufficient hand/eye coordination to operate a computer keyboard and recognize words and numbers. Applicants must pass a medical exam and physical abilities test prior to appointment. Vision: Corrected vision must be at least 20/30 (Snellen) when tested using both eyes together. Hearing: Achieve a Speech Reception Threshold (SRT) of no greater than 25 dB for each ear. ADA COMPLIANCE: Physical Ability: Tasks involve the ability to exert moderate physical effort in light to heavy 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 to heavy weight (12-75 pounds).Sensory Requirements: Most tasks require visual perception and discrimination. Most tasks require oral communications ability. Most 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 ACCOMMODATIONSLincoln 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.