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Douglas County  7450
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Pay Range MSCMX5


This classification provides psychiatric nursing services as an extension of a physician which include assessment; prescribing psychoactive medication (under the supervision of a licensed physician); individual or group crisis and psychotherapeutic interventions; consult with staff, families, other providers of services, medical professionals; counsel clients on the effects of medication.

This classification is distinguished by an advanced level of competency in nursing through additional education and training as well as a Nurse Practitioner License.


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

1. Prescribe a wide range of medications for psychiatric, developmentally disabled and addicted patients referred from all units in the mental health division. Assess client mental and physical status, identify a plan of care, implement and evaluate plan. Order and evaluate laboratory and medical reports.

2. Maintain an ongoing network of communication with numerous pharmacies. Medications are ordered by telephone for clients who run out before the next visit. Receive inquiries and reports of medication effectiveness of clients.

3. Operate weekly clinics where patients who are on injectable medications, require lab testing or medications refilled are seen; assess and evaluate effectiveness of medications. Medications are prescribed, lab tests ordered and results evaluated.

4. Conduct crisis walk-in assessment for applicants seeking mental health services. Complete necessary documentation or screening/assessment. Provide face-to-face intervention and/or telephone consultation with Mercy Medical Center ER to determine hospital admission. Provide follow-up crisis intervention or brief therapy for clients who are not anticipated to need or qualify for longer term services. Provide emergency assessment of allegedly mentally ill inmates at County Correction Facility.

5. Conduct child custody evaluations. Provide pre-commitment investigations.

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

7. Serve as member of therapy team; attend crisis and evaluation program meetings; consult with physicians, pharmacists, providers and client's family. Provide after-hours crisis coverage as scheduled.


Knowledge of: Thorough knowledge of nursing theories, principles, practices, and procedures as applied to mental disorders; thorough knowledge of DSM IV diagnosis; thorough knowledge of medical 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 medications. Ability to: Communicate effectively in oral and written forms; accurately diagnosis functional and organic mental disorders and medication side effects; establish relationships and set boundaries with diverse client population; provide risk assessment, crisis intervention and resource mobilization; 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; utilize problem identification and resolution techniques; remain calm and use good judgment during confrontational or high pressure situations; participate within a team unit; courteously meet and deal effectively with employees, clients and families, physicians, pharmacists, public agencies, medical facilities, vendors, community groups and the public.

Education, experience and training: Master's degree in nursing, current Oregon Registered Nurse license and Oregon Nurse Practitioner license with prescriptive privileges and pre-commitment investigator certification with work related experience in a psychiatric care setting. At time of appointment, must possess a valid Oregon driver's license.


Work is performed under the guidance of a mental health specialist 4. 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 policy and procedures, federal and state statutes, rules, regulations and protocols; physician protocols, medical references. The Nurse Practitioner functions are governed by Oregon Nurse Practice Act. The employee exercises 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.  Work is performed in a office/clinic environment; may involve bending, color identification, hearing voice conversation, keyboarding, lifting up to 15 pounds, sitting, standing, walking. Employees share common exposure to communicable disease. A reasonable amount of driving is required.

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