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Douglas County  7160
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Pay Range GC25


This classification independently, and/or jointly with a physician, performs specialized public health nursing duties in providing primary health care to clients in a specialty area, within legal scope of practice, within a community health clinic program or correctional facility.  Includes providing assessment, treatment, counseling, guidance, and instruction to clients. This position may supervise the medical support staff and the operations of a medical entity. This classification is distinguished by advanced level of competency in nursing through additional education/training as well as a Nurse Practitioner License.

EXAMPLES OF PRINCIPAL DUTIES (Duties assigned to this classification include, but are not limited to, the following examples.  Any one position may not perform all listed tasks.)

1. Obtain and record patient health history; perform basic comprehensive physical assessment; assess needs and determine appropriate health care plan.  Counsel patient/family in preventative care, health education, and promote physical and emotional health and prevention of disease.

2. Provide/prescribe medications within specialty area.

3. Perform laboratory procedures; interpret lab test results; plan and implement routine immunizations.

4. Establish and maintain client record keeping, as well as other departmental record keeping.

5. Manage certain common, acute illnesses within the scope of practice.

6. Assist in drafting practice procedures, policies, and treatment protocols for patients.

7. Assist in community health education programs.

8. Direct, supervise, assign work to, set priorities and monitor work performance of medical support staff. 


Knowledge of: Thorough knowledge of nursing theories, principles, practices, and procedures as applied to specialty area within a community health clinic program; thorough knowledge of operation of medical/lab equipment and testing procedures performed in specialty area; thorough knowledge of pharmacology related to program area; thorough knowledge of rules and regulations that govern nurse practitioner functions. Skill in:  Interviewing and counseling techniques; administering various contraceptives; planning and implementing immunizations. Ability to: Communicate effectively in oral and written forms establish and maintain records, reports, and statistical data; plan/consult with physicians, source agencies, department employees; make decisions independently in accordance with established policies, establish new policies when applicable, and use initiative and judgment in carrying out tasks and responsibilities; participate within a team unit; courteously meet and deal effectively with employees, clients and families, physicians, Federal and State agencies, health care provider groups, schools, community groups and the public.

Education, experience and training:  Current Oregon Registered Nurse License and current Oregon Nurse Practitioner License with work related experience in a public health care setting.  At time of appointment, must possess a valid Oregon driver's license.


Work is performed under the guidance of the community health division director.  The employee works independently in administering a complex area of responsibility and confers with supervisor for professional advice.  Discretion is required in applying general goal and policy statements, in development of recommendations, policies and procedures and in resolving program problems.  Work is accomplished within a broad framework, with authority and responsibility in area of service.  Periodic reviews of work performance are conducted in terms of expected results.


Work is performed within established department policies and procedures, federal and state statutes, rules and regulations; Health Officer protocols, medical references; Nurse Practitioner functions are governed by Oregon Nurse Practice Act.  The employee uses seasoned judgment in interpreting and adapting guidelines as well as directly involved in establishing and maintaining new policies, procedures, and protocols.


Regular and consistent attendance is required.  The work involves bending, hearing voice conversations, keyboarding, lifting up to 50 pounds, reaching, standing, twisting and walking.  Employees share common exposure to communicable disease.  A considerable amount of driving is required.

  To submit comments or suggestions
please email the Human Resources department.