A nurse is preparing a community health program on communicable diseases

A nurse is preparing a community health program on communicable diseases

1.A community health nurse observes the accumulation of garbage at a neighborhood

playground. Which of the following actions should the nurse take to promote a clean and

safe environment?

2.Work with local businesses to sponsor more trash receptacles in the playground

3.Meet with community members to discuss methods of playground maintenance

4. Partner City officials with community members to improve the playgrounds condition

5.Engage neighborhood families to monitor the playground for further trash build up

2.Nurse is planning the initial home visit for a client who has dementia and lives with his adult

Sons family. Which of the following actions should the nurse take first during the visit?

1. Educate the family regarding the progression of dementia

2. engage the family in informal conversation

3. provide the family with information about respite care

4. encourage the family to join a support group

3.A community health nurse is providing teaching to a group of clients who have alcohol use

disorder. Which of the following findings should the nurse include in the teaching as a

manifestation of alcohol withdrawal?

1. Bradycardia

2. Hypothermia

3. Insomnia

4. increased appetite

4.A nurse is counseling a client who is to undergo enzyme-linked immunosorbent assay testing

for HIV. Which of the following information should the nurse include?

1.The test measures antibodies to the virus

2. the test results are accurate 24 hours after exposure to the virus

3. a positive result requires initiating immunoglobulin Administration

4. the test monitors progression of the disease

5.A nurse is working with a Community Health Care team to devise strategies for preventing

violence in the community. Which of the following interventions is example of tertiary

prevention?

1.Assessing for risk factors of intimate partner abuse during Health examinations

2. presenting Community Education programs about Stress Management

3. Urging community leaders to make nonviolence a priority

4.Developing resources for victims of abuse

6.A faith-based organization ask a community health nurse to develop on mobile meal program

for older adults who are no longer driving. Which of the following actions should the nurse plan

to take first?

1. perform a needs assessment

2. inquire about the availability of volunteers

3. identify alternative solutions to address concerns

4. determine potential funding sources for the program

7.A nurse is planning a primary prevention strategy for reducing obesity in the community.

Which of the following strategies should the nurse use?

CLACKAMAS COUNTY

CLASSIFICATION NO. 715
Established: 4/11
FLSA: Exempt
EEO: 2

Class Characteristics

Under direction, to perform complex duties, consultation and case management to prevent and monitor communicable diseases within the community; to investigate public health outbreaks and conduct research related to communicable diseases; to educate citizens and other health care professionals regarding disease prevention practices and control measures; to monitor and contribute surveillance data to identify emerging public health concerns; and to do other work as required.   

Distinguishing Characteristics

The Communicable Disease Registered Nurse provides specialized professional nursing expertise related to epidemiological trends and the transmission, treatment, and containment of communicable diseases within the community.Duties require independent judgment, working knowledge of epidemiology that includes current clinical knowledge, treatment requirements, risk factors, infectious disease management and, current nursing techniques and case management related to treatment of public health outbreaks.   

The Communicable Disease Registered Nurse differs from Community Health Nurse 2, which provides the full range of general, professional nursing duties under the direction of a clinic/program coordinator or a physician.Assignments and duties are of a general nature offering direct patient treatment and differ from the Communicable Disease RN classification which focuses on epidemiology, surveillance, and specialized communicable disease investigation and prevention and case management treatment responsibilities.    

Typical Tasks

Duties may include but are not limited to the following:

  1. Monitors and provides case management services to individuals with communicable diseases such as tuberculosis, HIV or hepatitis; assesses health status and plans treatment regimens, using established medical protocols and prevention control measures; communicates details of treatment plans with client; coordinates patient care with other health care providers; orders tests and medications, and monitors client response; maintains records related to treatment plan and ensures proper medical regimen is followed and documented.
  2. Collects, analyzes and reports communicable disease and epidemiological data; investigates reports of communicable disease and surveys occurrences of reportable disease in individuals and groups, following medical protocols, guidelines, and procedures; develops reports and communicates findings to other medical and professional partners including recommendations regarding control measures; monitors status of outbreaks; maintains databases and compliance with program standards and legal requirements.    
  3. Conducts communicable disease, epidemiological, and other related studies under direction and collaboration with the Health Officer and the Communicable Disease Manager; manages data related to communicable disease; collects, compiles and analyzes statistics used to develop epidemiological reports for use by the county and other entities.
  4. Acts as a resource and provides consultation and health information to individuals, families, health care providers, community agencies, schools, and other agencies regarding communicable diseases; collaborates with other jurisdictions in program planning, infection control management, coordination and integration to improve and standardize services.
  5. Enforces communicable disease codes in accordance with Health Authority guidelines and in consultation with the Health Officer; identifies and communicates exclusions from public facilities according to state or local guidelines.
  6. Coordinates programs under assigned specialty area of public health; participates in health team planning activities; develops and updates policies and procedures related to communicable disease services in conjunction management; participates on internal and external communicable disease related committees; works closely with Health Officer and CD Manager to develop and maintain standing-orders and protocols.

Required Knowledge and Skills

Thorough Knowledge of: Principles, methods, and procedures of nursing as applied to health practice; preventative medicine and sanitation; community health aspects of nursing programs including continuity of patient care and nursing services in public health programs; cause, treatment, prevention and/or early detection of communicable diseases.

Working Knowledge of: Principles of epidemiology and health related research; disease transmission, risk factors, treatment, and the investigation techniques used to investigate a disease outbreak and data; community resources available for assistance in public health programs; current trends and concepts relative to professional nursing practice related to public health conditions; principles of public health education and adult education principles.   

Skill to: Maintain professional communication with a variety of individuals, groups and agencies during stressful situations; communicate effectively, both orally and in writing; provide consultation on complex and sensitive public health issues; work effectively with individuals and families to provide effective treatment of health problems; analyze situations accurately from multiple perspectives and take effective action; plan and conduct research projects; establish and maintain effective working relationships with the general public, and other departments and agencies; communicate effectively including preparation of clear and concise records and reports; provide high quality nursing care; plan and coordinate the activities of other individuals who will provide care; instruct in the prevention of diseases, promotion of health and nursing care of an ill or injured person; analyze and interpret epi information and maintain data systems.

Other Requirements

Possession of a license to practice as a registered professional nurse in the State of Oregon at the time of appointment.

Must possess and maintain a Basic Life Support (BLS) certificate.

Must successfully pass a criminal history check which may include national or state fingerprint records check.

Must pass a pre-employment drug test.

Driving may be necessary for County business. For position(s) with occasional/incidental driving, incumbents must possess a valid driver's license. Accommodation requests for an acceptable alternative method of transportation will be reviewed on an individual basis in compliance with State and Federal legislation. For position(s) with regular driving, incumbent(s) must also possess and maintain an acceptable driving record throughout the course of employment.

Minimum Recruiting Standards

Any satisfactory combination of experience and training that demonstrates possession of the required knowledge and skills.

Edited: 11/17