School Base RN

Position: Contract School Base RN
Wilson County Health Department is seeking a qualified and dedicated Registered Nurse to serve full-time inside of Wilson County School Based Health Centers as part of our School Health Program. This position is responsible for providing nursing services that promote the health and safety of students and staff in the assigned school(s).

Please note: This is a contracted role with no benefits, paid leave, or holiday pay. This position will follow the school district calendar and work a 8 hour shift, Monday through Friday working the school base schedule..This is beginning level professional nursing work in providing primary, preventive, and rehabilitative care to individuals and families in a Public Health program. Employees demonstrate and implement techniques of nursing care and counsel for promotion of health and prevention of disease in clinics and other standard settings within an assigned area.

Work involves considerable contact with other community agencies, and at times direct oversight of non-professional staff (e.g. clerical, community health assistant, interpreter, etc.). In addition to providing direct patient care, employees must be able to collect and report basic patient data, and be aware of the uses and misuses of health data. Employees will generally serve at the staff nurse level in clinics or similar settings where there is higher-level staff available for consultation (direct eyes-on supervision is not required).

In small agencies, an individual employee might be assigned to a variety of different clinics at different times; in larger agencies, the employee might be assigned permanently to a particular clinic or set of clinics. Employees might, on a regular or occasional basis, be assigned to an outreach clinic assignment that is similar to their regular in-house assignment. Employees are expected to participate in program or agency-wide planning and quality assurance activities.

In this capacity, they will contribute observations or data related to patient or community trends or practices, ideas for improved program performance, and will participate in record audits and other program reviews. Employees will participate in Public Health Preparedness activities as directed by agency management. They will usually be expected to perform staff nursing duties in the event of a natural or induced disaster or in related practice drills.
I. DIFFICULTY OF WORK:
Variety and Scope - Work is performed in clinics and other standard settings in an assigned area; employees assess patient needs, provide nursing interventions according to established protocols, explain medical provider's findings, determine whether there are barriers to obtaining care or following a plan of care, and assist the patient with alternatives if necessary. Work might include oversight of non-professional staff.
Intricacy - Work processes are related and understood. Based on nursing assessment, knowledge of work, patient input, and medical provider's instructions or prescription, employees provide care as appropriate, and make referrals to other community or professional groups as needed.
Subject Matter Complexity - Work requires a basic understanding of public health concepts, nursing theory and practice.
Guidelines – The North Carolina Nurse Practice Act, public health nursing standards, clinic protocols, agency work standards and program protocols. Work requires a basic level of professional judgment. Staff at this level are expected to have higher-level staff to consult with during most of their work assignment (higher-level staff do not have to be physically present at all times).
II. RESPONSIBILITY:
Nature of Instructions - Daily and weekly work is usually performed in an assigned clinic area, or in another setting where work is overseen by a higher level nurse. Agency goals and patient care goals are understood; the employees can make short range changes in patient care plans as needed, usually based on established protocols.
Nature of Review - Work is reviewed frequently for adherence to established public health nursing standards by a higher level nurse or nurse supervisor through review of patient chart…