Under general supervision performs pre-employment health assessments on all incoming UMMS employees; order, perform and interpret routine serologic testing; perform and interpret TB skin tests; administer vaccines as needed; appropriately screen and refer Worker’s Compensation patients; assist in the monitoring of employees with blood/body fluid exposures, including counseling of employees, investigating exposures to ensure appropriate testing is conducted, identification and reporting of safety issues and appropriate consultation with physicians. Conduct investigations of employee exposures to other infectious illnesses. All registered nurses working within UMMS shall follow the guidelines for professional practice promulgated by the Maryland Nursing Board. Any need for interpretation of the guidelines will be the responsibility of the UMMS Vice President of Nursing or his/her designee.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

1. Conducts pre-employment health reviews on all incoming UMMS employees.
   • Review Health History Questionnaire with all incoming employees.
   • Ensures that appropriate forms are completed and placed in the confidential employee health record.
2. Performs and interprets routine serologic testing (for pre-employment and employee exposure purposes) including but not limited to Measles, Mumps, Rubella and Varicella titres, Hepatitis B Antibody and Antigen, Hepatitis C Antibody, HIV Antibody and drug testing.
   • Administers Hepatitis B vaccine to all corporate employees who request tie vaccinations or have them sign a Declination Form after education about the disease and vaccine as required by OSHA/MOSHA. Administer other vaccines as appropriate.
   • Ensures that appropriate forms/consents are placed in the employee’s confidential medical record and, if needed, appropriate forms are submitted for Worker’s Compensation claim processing.
   • Records test results appropriately.
3. Performs TB skin tests as part of pre-employment health assessment and annual skin testing program.
   • Performs TB skin tests on all employees having contact in direct patient care areas or because of an exposure per TB exposure policy.
   • Ensures appropriate documentation is placed in the confidential employee health record.
4. Appropriately screens and refers all employees being seen for Worker’s Compensation claims.
   • Screens employees who have been referred for Worker’s Compensation visits.
   • Ensures adequate documentation for each visit and that all forms are complete and accurate prior to being placed in the employee’s confidential medical record.
5. Assists in the investigation of employee exposures, including communicable diseases and recommends proper handling of exposed/non-exposed persons to such diseases. Assists with counseling employees after blood/body fluid exposures and obtaining proper legal consent necessary to perform HIV testing in accordance with departmental procedures and Maryland law.
   • Consults with employees via telephone and/or in person concerning employee health issues.
   • Conducts educational meetings on employee health topics.
6. Assists with the administration of treatment after exposures which may include immune globulin, Hepatitis B vaccine, PPD skin testing and/or tetanus in accordance with US Public Health Service Guidelines and the CDC.
7. Assist with the maintenance of the computerized database of information containing the information in the confidential employee health record.
8. Attends and participates in in-service/outside educational training for professional development.
   • Attends departmental meetings and participates on other committees as assigned.
9. Performs related duties as required.

Renowned as the academic flagship of the University of Maryland Medical System, our Magnet®-designated facility is a nationally recognized, academic medical center with opportunities across the continuum of care. Come join UMMC and discover the atmosphere where talents and ideas come together to enhance patient care and advance the science of nursing. Located in downtown Baltimore near the Inner Harbor and Camden Yards, you won’t find a more vibrant place to work! 

Education & Qualifications:

1. A Bachelor's degree from an accredited School of Nursing or enrollment in BSN program is preferred, or equivalent education and experience which demonstrates the ability to successfully perform the functions described in this description. Current licensure in the State of Maryland, or eligibility for licensure, is required.
2. A minimum of three years of direct patient care experience as an RN is required.
3. Demonstrated skills in performing assessments and health history reviews required.
4. Knowledge of computer applications and of personal computer systems is recommended.
5. Knowledge and ability to provide interpretation of laboratory results and infectious disease processes to employees.
6. Ability to respond, investigate, identify and problem-solve Employee Health issues that require immediate and decisive action pertinent to employee job activities.
7. Ability to demonstrate knowledge and skills necessary to provide care to the age of the patients served on the assigned unit. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s requirements relative to his or her age-specific needs, and to provide the care needed as described in unit or division policies and procedures.
8. Highly effective verbal and written communication skills are required to interact with patients, departmental units and medical staff regarding employee health procedures.

Working Conditions

1. Weekend, shift work, on-call, holiday and overtime may be required.
2. Work is performed in a clinical/hospital environment.
3. There is potential for regular exposure to employees possessing infectious diseases in the work environment; requires observance of "Universal Precautions" by wearing gloves, goggles, and mask, as required.

Patient Safety

Ensures patient safety in the performance of job functions and through participation in hospital, department or unit patient safety initiatives.

1. Takes action to correct observed risks to patient safety.
2. Reports adverse events and near misses to appropriate management authority.
3. Implements policies, procedure, and standards consistently in the performance of assigned duties.
4. Develops effective working relationships and maintains good communication with other team members.
5. Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.

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