CORRECTIONS HEALTH NURSE

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CORRECTIONS HEALTH NURSE

Salary

$37.46 - $52.28 Hourly

Location

Newport, OR

Job Type

Full-Time

Job Number

22-82 (101)

Department

Sheriff's Office

Division

CORRECTIONS

Opening Date

08/03/2023

Closing Date

Continuous

• Description

• Benefits

Position Summary

$5,000 Hiring Bonus

Compensation 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: $37.46 - $50.33 hourly

With Bachelors Degree: $38.90 -$52.28 hourly

Your 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.

Essential Functions/Major Responsibilities

JOB FUNCTIONS

ESSENTIAL 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.

Typical Qualifications

Minimum Education Level

Associates and/or Professional Certification

Specifics: Bachelor of Science degree in Nursing from an accredited school of nursing; or an Associate degree in Nursing from an accredited school of nursing.

Minimum Experience Level

None

Specifics: Experience as a RN is not required however, 3 years’ experience as a non-licensed or licensed care giver preferred.

Compensation Note: Added financial incentive will be given to RNs with an AA or BS degree from an accredited university. Those with verified translation abilities are also eligible for additional incentive.

Substitution Note: Any satisfactory combination of experience and training which demonstrates the ability to perform the job.

Certifications

Certification(s) required

Specifics: Current Basic Life Support (BLS) Certification is required .

Driver’s License:

Oregon Driver's License required

Specifics: Position requires use of county vehicles.

Other Licenses:

Professional License required

Specifics: Must possess a current unencumbered license to practice nursing in the State of Oregon as a Registered Professional Nurse, in accordance with ORS 678.010 to 678.360 at the time of appointment. Must possess a valid insurable Oregon motor vehicle license with good driving record, or ability to obtain within 30 days date of hire.

Desirable Qualifications: Must be free of conviction of a crime designated under the law where the conviction occurred as being punishable as a felony or as a crime for which a maximum term of imprisonment of more than one (1) year may be imposed; or of violating any law involving the unlawful use, possession, delivery, or manufacture of a controlled substance, narcotic, or dangerous drug. Dishonorable or undesirable discharge from the military is cause for disqualification. Must be able to pass a law enforcement background check. A psychological assessment will also be administered. Reside within two hours of the Lincoln County Sheriff’s Office.

Knowledge of:

• All areas of general healthcare services, including medical record keeping practices.

• The principles, practices, methods and procedures of nursing as applied to primary care.

• The uses and effects of medications, narcotics, and immunizations provided in a correctional facility; considerable knowledge of issues related to alcohol and drug abuse and psychopathology.

• All clinical skills, including physical assessment and interpretation of lab tests.

• Public health laws and regulations.

Skill or ability to:

• Exercise considerable judgment, to recognize problems outside of this role and refer appropriately.

• Work with a diverse population from pediatrics to geriatrics and analyze health problems.

• Utilize community resources.

• Identify community and individual health problems and to plan and administer solutions.

• Plan and evaluate for a wide variety of health issues.

• Administer medications and immunizations.

• Interpret and apply written policies, procedures, protocols, directives, and guidelines.

• Establish and maintain accurate, legible, and complete records of patient care, including chart documentation, objective data collection, treatment provided, evaluation of treatment effectiveness, patient education provided.

• Learn new information quickly and adapt to changing situations.

• Provide professional nursing care independently and courteously meet and deal with patients.

• Prioritize work within the Corrections Health Service office to meet numerous deadlines.

• Function as a member of the healthcare team to collaborate in the development, implementation and evaluation of integrated client-centered plans of care.

• Carry out physicians/dentists/nurse practitioners, and physicians’ assistant orders.

• Maintain the confidentiality of privileged information including confidentiality of records as well as deal with sensitive issues, such as HIV testing and counseling, pregnancy testing and counseling.

• Prioritize work within the Corrections Health Service office to meet numerous deadlines.

• Interact with others, be aware of safety and security issues, be cognizant of surroundings and possible dangerous situations, and perform mobility requirements of the position.

• Respond to medical emergencies in a potentially hazardous and life-threatening environment.

• Perform multiple tasks simultaneously and thrive in dynamic fast-paced environments and under pressure.

• Work alone in satellite offices.

• Prepare information for and testify in court cases.

• Maintain awareness of safety regulations and procedures at all times. And the ability to work with inmates.

• 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.

Job Conditions and Physical Demands

WORKING CONDITIONS

Job 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 DEMANDS

Requires 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 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.

Lincoln County offers a comprehensive benefit package including vacation, holiday, and sick leave as well as medical, dental, vision, life, AD&D, long-term disability insurance. Other optional insurances are availablE. PERS retirement plan is provided to employees who are required to carry a gun. For other employees in the LCDA unit, there is a 401K retirement plan with a current County contribution of 11%.

Regular and Trial Service employees working between 20 - 39 hours per week on a regular basis are eligible for pro-rated employee benefits.

Agency

Lincoln County

Address

210 SW Second St. Newport, Oregon, 97365

Phone

541-265-4157 541-265-0375

Website

http://www.co.lincoln.or.us