Advanced Practice Registered Nurse

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Please Note: Human Resources determines whether or not you meet the minimum qualifications for the job based on your experience as you describe it on your application. Do not substitute a resume for your application or write "See Attached Resume" on your application. We do not review resumes, unless specifically stated on the job announcement. Qualifying education and experience must be clearly documented in the "Education and Work Experience" section of the application. Applicants not meeting these requirements will not be considered for employment.

** This recruitment will remain open until recruitment needs are satisfied. Individuals are encouraged to apply immediately, as hiring may occur early in the recruiting process. Recruitment will close without notice when a sufficient number of applications are received or a hiring decision has been made. **

• Collaborate with health care team and follow written protocols in all nursing practices.
• Perform general physical examinations including heart, neck, pulmonary chest, cardiovascular, abdominal, and other routine exams; perform pelvic and breast examinations; initiate and perform selected diagnostic tests.
• Identify physical and emotional illnesses through observations, interpretations of laboratory findings, and analysis of patient charts; analysis of diagnostic tests and physical exam; prescribe and administer medications; provide or assist in providing appropriate medical, hospital, or other health care as needed.
• Counsel patients under medical treatment programs in order to assess their health progress; identify reoccurring problem areas; establish written and verbal treatment plans to solve specific problem areas; evaluate compliance with the treatment program and modify the treatment program based on the response of the person or family to treatment.
• Interview patients prior to examinations to obtain a variety of information including medical history and background; determine the type of nursing care or community service the patient will need; observe patients for signs of intoxication or possible use of illegal drug; refer patients to the proper community service agency if necessary; document observations.
• Meet with patients in order to discuss and inform them of their laboratory test and exam results; educate patients regarding their illness; make and provide appropriate referrals.
• Counsel patients regarding their choice of contraceptives; prescribe and dispense birth control pills; dispense and fit diaphragms and cervical caps; insert, examine and remove IUD and Norplant devices.
• Provide health related counseling on the prevention of communicable diseases; coordinate health programs with outside organizations and agencies; provide general health related information and instruction to individuals and families.
• Follow up, by telephone, with patients with infections and other illnesses; ensure that they return for follow up testing or treatments as necessary.
• Assist with medical emergencies; administer first aid for minor injuries and health problems including fainting, seizures, vomiting, and other minor injuries or health problems.
• Participates in the implementation and development of continuous quality improvement objectives.
• Maintain the operational activities and patient care for assigned clinic or health care program; participate in a variety of nursing responsibilities including administering immunizations, performing pregnancy and tuberculosis tests, and diagnosing and treating clients for drug addiction, sexually transmitted disease and other illnesses.
• Keep accurate patient records regarding immunizations and prescribed dosages of medications; maintain and update files as necessary; make changes regarding employment, address and phone number changes, weight, height, and medical problems.
• Contributes to the overall quality of the department's service provision by developing and coordinating work teams and by reviewing, recommending and implementing improved policies and procedures.
• Prepares a variety of technical, statistical and narrative written reports, correspondence, procedures and other written materials. 
• Uses standard office equipment, including a computer, in the course of the work.
• Demonstrates courteous and cooperative behavior when interacting with patients, family members, visitors, and staff; acts in a manner that promotes a harmonious and effective workplace environment 
• Maintains absolute confidentiality of work-related issues, records and information.
• At times may be required to work outside normal business hours and work extended hours to accomplish requirements of the position.

• Nevada State Advanced Practitioner of Nursing Certificate of Recognition.
• Nevada State Registered Nursing License.
• Current CPR certification
• ICS 100, 200, and 700 certification within 3 months of employment.
• A valid driver's license.

• Advanced principles, procedures, methods and techniques of nursing and health care.
• Advanced principles and practices of nursing diagnosis.
• Approved medical treatments for a variety of health status.
• Normal growth patterns of newborns and infants.
• A variety of contagious and transmittable diseases, how they are contracted and spread, and their proper treatments and immunizations.
• A variety of possible reactions or side effects to vaccines and immunizations.
• Procedures and methods of laboratory testing and interpretation.
• Community agencies and other outside resources available to patients.
• Medical Terminology.
• Principles and procedures of medical record keeping.
• Principles and procedures of medical report preparation.
• Universal precautions and infection control practices.
• Pertinent Federal, State, and local laws, codes and regulations regarding health care.
• Computer applications related to the work.
• Business mathematics, including statistics and financial analysis techniques.
• Techniques for dealing with a variety of individuals, at all levels of responsibility, in person and over the telephone, often where relations may be confrontational or strained.
• Communicating effectively in oral and written forms.

• Performing general physical examinations.
• Preparing and performing diagnostic tests in order to evaluate treatments for patients with a variety of infections and illnesses.
• Systematically assessing the health status of persons and families.
• Providing responsible and advanced nursing and health care.
• Administering a variety of prescribed medications, proper vaccines and immunizations.
• Inserting, fitting, examining, and removing a variety of female contraceptives.
• Teaching patients the proper uses of birth control.
• Performing selected diagnostic procedures.
• Responding to emergency situations.
• Administering first aid.
• Interviewing patients prior to examinations in order to assess their health statues.
• Counseling patients on a variety of health care related issues.
• Operating standard medical testing equipment.
• Preparing, performing and interpreting laboratory tests.
• Preparing and maintaining confidentiality and security of medical records and reports.
• Communicate clearly and concisely, both orally and in writing.
• Using initiative and independent judgment within established procedural guidelines.
• Contributing effectively to the accomplishment of team or work unit goals, objectives and activities.
• Demonstrating courteous and cooperative behavior when interacting with patients, patients, family members, visitors, and staff; acts in a manner that promotes a harmonious and effective workplace environment.

1. Unclassified employees are "At Will" and as such, may be terminated at any time for any reason, or no reason.
2. Continued employment is contingent upon all required licenses and certificates being maintained in active status without suspension or revocation.
3. Any City employee may be required to stay at or return to work during emergencies to perform duties specific to this classification or to perform other duties as requested in an assigned response position. This may require working a non-traditional work schedule or working outside normal assigned duties during the incident and/or emergency.
4. Employees may be required to complete Incident Command System training as a condition of continuing employment.
5. New employees are required to submit to a fingerprint based background investigation which cost the new employee $47.00 and a drug screen which costs $36.50. Employment is contingent upon passing the background and the drug screen.
6. Carson City participates in E-Verify and will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each applicant's Form I-9 to confirm work authorization. All candidates who are offered employment with Carson City must complete Section 1 of the Form I-9 along with the required proof of their right to work in the United States and proof of their identity prior to starting employment. Please be prepared to provide required documentation as soon as possible after the job offer is made. For additional information regarding acceptable documents for this purpose, please contact Human Resources at 775.887.2103 or go to the U.S. Citizenship and Immigration Services web page at www.uscis.gov.
7. Carson City is an Equal Opportunity Employer.
    

Salary : $85,918 - $137,468