Job Summary:
Under direction, performs professional nursing to clients in their homes, at clinic sites, correctional health, school settings, etc. as part of a comprehensive public health program and to employees in the occupational health program including assessments, treatment plan development and education. Carries out programs and provides services to protect and preserve the health of the population through application of public health principles. Plans and provides direct care, makes referrals to providers and evaluates services.

Scope of Responsibility:
Responsible for the quality and accuracy of his or her own work. Complies with current ND Nurse Practice Act and scope of practice. Work is performed independently under general supervision. Provides direction to Home Health Aides, LPNs, other ancillary staff, and students. Responsible for the care and safe operation of equipment.
Essential Duties and Responsibilities:

1. Communicates courteously and professionally and maintains working relationships with others in carrying out job functions.
   1. Frequently interacts with others in the work unit, the public, vendors or across departments to exchange detailed and/or technical information;
   2. Interaction with the public, vendors/ community partners or across departments occasionally includes negotiations involving convincing the other party to do something to achieve a basic work-related objective.
2. Responds to Public Health Emergencies.
   1. Has a working knowledge of the National Incident Management System for emergency preparedness and has completed the courses required for their job;
   2. Fulfills roles within the Department’s Emergency Operations Plan as determined by Emergency Preparedness and Management staff;
   3. During an actual emergency, is accessible 24/7 with an established family contingency plan in place.
3. Performs all job duties in compliance with safety guidelines and with an ongoing awareness of safety practices.
   1. Knows and follows department and city rules as well as sound work and safety practices in order to accomplish the job objectives and avoid injury or loss;
   2. Wears proper protective equipment when policy requires or conditions indicate a need exists and utilizes proper body mechanics and ergonomics while performing work;
   3. When potentially unsafe conditions are observed makes efforts to avoid or correct them if they are controllable and draws them to the attention of the responsible supervisor or safety representative in a timely manner.
4. Provides nursing care for clients.
   1. Assesses clients needs and identifies physical and/or psychosocial health issues;
   2. Formulates plan of care with the client and/or family;
   3. Administers immunizations, treatments, and other diagnostic and therapeutic procedures;
   4. Participates in multidisciplinary approach to providing care;
   5. Makes client referrals as needed to appropriate providers and community services.
5. Provides culturally sensitive health care instruction/health education within the home, community, clinic, and school settings.
6. Delegates or assigns duties to Home Health Aides, ancillary personnel, and students within scope of practice.
   1. Demonstrates necessary procedures to staff and monitors staff to ensure procedures are performed properly.
7. Completes and maintains necessary records, maintaining confidentiality and complying with regulations regarding client confidentiality.
8. Determines eligibility for programs and grants.
9. Serves as local or state representative on various committees.
10. Performs other duties and activities as assigned.

Bachelor's degree in nursing and two or more years of previous professional nursing experience; or an equivalent combination of education and experience sufficient to successfully perform the essential duties of the job such as those listed above. Occupational Health program experience is preferred for the Occupational Health assignment. A valid State of North Dakota license as a registered nurse and driver's license or evidence of equivalent mobility are also required.

Knowledge, skills, and abilities:

• Knowledge of principles, practices and techniques of performing professional nursing functions including physical assessment and counseling;
• Knowledge of community resources;
• Knowledge of nursing process
• Skill in administering medically related treatments/procedures;
• Skill in general medical/nursing procedures;
• Skill in written English sufficient to read manuals, instructions, care plans and to write reports and complete documentation, etc.;
• Skill in communication, interpersonal skills as applied to interaction with coworkers, supervisor, patients, the general public, etc. sufficient to exchange or convey information and to receive work direction;
• Ability to communicate effectively in both verbal and written forms, and have strong public relations skills;
• Ability to communicate across cultures and socio-economic levels;
• Ability to establish and maintain effective working relationships with others.

Physical Demands & Working Conditions:

Work is performed in a variety of settings such as clinics, schools, correctional sites, and homes. Activities are varied including patient care and similar work with moderate physical demands, as well as computer and telephone use, reading, and other work of a light nature. There is regular lifting, pushing or pulling such as when transferring patients, and moving supplies and equipment. There is considerable attention to detail. Regular driving is required for home visits and school coverage in all types of weather conditions.

Activities include stooping, kneeling, crouching, reaching, standing, walking, pushing, pulling, lifting, digital dexterity, grasping, feeling, talking, hearing/listening, seeing/observing, repetitive motions.

Medium Work: Physical demands are normally those associated with medium work: Exerting up to 50 pounds of force occasionally, up to 20 pounds of force frequently, and/or 10 pounds of force frequently or constantly.

The job may require dealing with individuals who are emotionally charged. There is regular exposure to potential hazards such as body fluids, contagious diseases and environmental hazards.

Some requirements in this job description may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves or other employees. All requirements are subject to modification to reasonably accommodate individuals with disabilities.

Requirements are representative of minimum levels of knowledge, skills, and experience required. To perform this job successfully, the worker must possess the abilities and aptitudes to perform each duty proficiently.

This document does not create an employment contract, implied or otherwise, other than an "at will" employment relationship. The City Administrator retains the discretion to add duties or change the duties of this position at any time.

Agency Summary:

Fargo Cass Public Health strives to provide the Essential Public Health Services to achieve equity and actively promote policies, systems, and overall community conditions that enable optimal health for all and seek to remove systemic and structural barriers that have resulted in health inequities. Such barriers include poverty, racism, gender discrimination, ableism, and other forms of oppression. Everyone should have a fair and just opportunity to achieve optimal health and well-being.

Fargo Cass Public Health is a politically neutral organization focused on evidence-based and fundamental public health practices that reflect the mission of Public Health to prevent, promote, and protect. Staff of Public Health are expected to represent these principles and be advocates of public health practices within the community and state.

Special Assignment – School Nurse:

Assignments in addition to previously listed (1-10) essential duties and responsibilities

1. Maintains confidential health records for students at each school following both HIPPA and FERPA guidelines.
2. Administers medications based on doctor’s orders/standing orders as well as on an emergency basis, such as epi-pens.
3. Serves as a resource to school staff and parents.
   1. Serves on school committees;
   2. Conducts home visits as requested by school administration.
4. May plan and implement health fairs at schools.

Special Assignment – Maternal Child Health:

Assignments in addition to previously listed (1-10) essential duties and responsibilities:

1. Provides professional nursing care through Maternal Child Health home visits.
   1. Provides professional nursing care to Maternal Child Health clients as directed by a physician, community service agency or self-referral.
2. Provides professional nursing care through Nurse Family Partnership (NFP) visits.
   1. Utilizes nursing skills to accomplish three NFP goals:
      1. Improve pregnancy outcomes
      2. Improve child health and development
      3. Improve families’ economic self-sufficiency.
   2. Completes the necessary NFP education requirements for training and service provision;
   3. Complies with specific National NFP guidelines.
3. Employment may include evening home visits based on client need and schedule.
4. Under the direct guidance and protocols of the Family Health Care Center, provides professional nursing care and perinatal coordination for pregnant women within the clinic setting.

Special Assignment – Immunization/Disease Control:

Assignments in addition to previously listed (1-10) essential duties and responsibilities:

1. Plans and organizes immunization clinics throughout the community and oversees the operation of various clinics including flu and other immunizations following CDC recommendations and requirements.
2. Plans and organizes all tuberculosis control and international travel activities for the Public Health department.
3. Provides education and orientation on immunizations, TB and international travel for the general public, private and public healthcare providers, and others in the clinic or community setting.
4. Develops and delivers formal presentations, develops and obtains handout materials.
5. Provides AFIX services to counties as assigned. Complies with ND AFIX guidelines and requirements.
6. Serves as a Regional Resource for immunization related questions.

Special Assignment - Adult Health

Assignments in addition to previously listed (1-10) essential duties and responsibilities:

1. Performs professional nursing and client case management functions primarily in home based or community settings.
2. Coordinates and staffs community clinic settings.
3. Advocates on client behalf to assure appropriate healthy and safe home environment.

Special Assignment – Clinic Nursing

Assignments in addition to previously listed (1-10) essential duties and responsibilities:

1. Performs professional nursing care and duties in the clinic or community setting.
2. Provides Nurse of the Day services within the clinic setting, such as HIV counseling & testing, and pregnancy testing and other family planning related services.

1. Performs triage of walk-in clients to determine appropriate level of care.

Special Assignment – Occupational Health

Assignments in addition to previously listed (1-10) essential duties and responsibilities:

Special Assignment Summary

Provides occupational health care to employees including health assessments, return-to-work and periodic assessments as well as providing case management education following prescribed guidelines.

Special Assignment Scope

1. Coordinates the Occupational Health Program development, assessment and continuous improvement of the program.
2. Performs health assessments for new employees, employees returning to work and periodic assessments per policy and/or department regulations.
3. Actively participates in safety and wellness committees and assists departments with health promotion and wellness activities.
4. Collaborates with the Safety Coordinator on the Workers’ Compensation Program and OSHA requirements.
5. Performs return to work case management functions.
6. Coordinate OSHA compliance programs.
7. Assess, triage, counsel, and provide first aid to injured employees.
8. Participates in health risk assessments and ergonomic assessments for departments throughout the city.

Special Assignment – Quality Assurance/HIPAA

Assignments in addition to previously listed (1-10) essential duties and responsibilities:

1. Works with Public Health Analyst, Program Managers, and staff to assist with quality improvement activities within the programs/divisions.
   1. Collects and compiles qualitative and quantitative data.
   2. Coordinate the development and implementation of program/division quality improvement plan.
2. Performs routine documentation audits.
3. Assists in the coordination and serves as staff at community clinic settings (i.e. seasonal influenza clinics, mass vaccination clinics).
4. Serves as a secondary support to the Communicable Disease programs within the agency as deemed necessary.
5. Works with PH Director and Management team for HIPAA compliance measures and assurance for the agency.
6. Provides/researches professional development opportunities to staff (i.e. annual bloodborne pathogen training, HIPAA training, continuing education, etc.).

Special Assignment – Women’s Way

Assignments in addition to previously listed (1-10) essential duties and responsibilities:

1. Attend bi-monthly teleconferences and annual face-to-face coordinating unit meeting and/or any mandatory training required by the Women’s Way state office.
2. Provide community outreach to meet the minimum screening goal in the service area.
3. Recruit and enroll new women who meet the Women’s Way eligibility criteria.
4. Ensures all healthcare professionals, clinics, and facilities that submit claims for Women’s Way clients sign a Provider Cooperative Agreement before providing services.
5. Assist the State Office in ensuring all enrolled healthcare providers have the current Women’s Way “What’s Covered” list.
6. Remind healthcare providers to inform Women’s Way clients if they are going to perform a procedure not covered by the program.
7. Conduct at least six provider-clinic consultations annually in person.
8. Conduct community outreach, educate patients about risk factors and preventive health behaviors, identify eligible women for screening, and address barriers to care.
9. Navigate women to community resources, medical homes, or healthcare systems for cancer screening, diagnostic, and/or treatment resources.
10. Work with community partners to reach disparate populations.
11. Facilitate or refer to Medicaid Expansion or health insurance enrollment, if applicable.