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Human Resources Division
115 South Andrews Avenue, Room 508
Fort Lauderdale, Florida 33301


Class Code:P6234

REGISTERED NURSE II

NATURE OF WORK

 

This is supervisory and professional registered nursing work in a County health facility or County health program.

 

Duties include supervising subordinate nursing staff providing care and treatment for patients in a County health clinic, residential center, and/or nursing home or for a County health program.

 

Work is performed in accordance with established general registered nursing standards, state and federal rules and regulations, and established County and division policies and procedures. Considerable judgment and initiative are required in supervising subordinate staff, attending to patients' needs, working with other clinical and support staff, and administering prescribed medications and treatments.

 

This classification reports to a clinical or administrative superior, depending upon the area of assignment, who will assess, evaluate, and monitor job performance through observation and monitoring of job performance and review of medical records.

 

 

DISTINGUISHING CHARACTERISTICS

 

This classification is distinguished from Registered Nurse I by the greater experience required and by the supervisory responsibilities.

 

 

ILLUSTRATIVE TASKS           

(May vary slightly based on area of assignment. Presented in no particular order).

 

Accounts for narcotics in the assigned unit. May order and maintain established inventory procedures for medicines, solutions, supplies and equipment.

 

Administers or assigns administration of prescribed medications and treatments to patients.

 

Assesses and appropriately responds to client or patient medical emergencies.

 

Communicates effectively orally and in writing.

 

Confers with clients or patients, their caregivers, and family members regarding issues of care and treatment.

 

Enters nursing notes, treatment notes, and other related information in patient medical records or other files which may involve entering data to an agency computer-based application.

 

Evaluates patients’ medical needs.

 

Evaluates the performance of subordinate health service workers.

 

Files patient charts and prepares periodic reports as required.

 

Gives instructions and work assignments to subordinate nursing staff.

 

May accompany physician on rounds to answer questions and receive instructions

 

May administer comprehensive nursing assessments.

 

May assist with linking clients or patients with appropriate resources in the community.

 

May assist in preparing clinics.

 

May assist patients and families in planning for home care and the acceptance of limitations imposed by illness or disability.

 

May assist physicians conducting examination and obtain specimens.

 

May assist with making staffing assignments.

 

May complete admissions and discharge/transfer procedures.

 

May initiate health education on specific conditions.

 

May perform intake interviews for patient admissions.

 

May review medical records in connection with allegations of child abuse and neglect.

 

May supervise or participate in the sterilization of instruments and equipment.

 

May visit patients in nursing homes or other venues to insure that services and care are carried out as directed and that treatments are administered in accordance with physician's instructions and to ascertain the need for additional or modified services.

 

Monitors medication compliance and response and patient behavior. Documents observations and treatments appropriately on patient's chart.

 

Observes, evaluates, monitors and reports client health status.

 

Prepares reports and documents using basic computer-based office software.

 

Provides direct supervision to professional and nonprofessional nursing personnel; attends meetings of supervisory and administrative staff to discuss operations, activities and problems.

 

Records physician's notes and takes medical history information.

 

Refers patients to other clinics, physicians or hospitals as directed.

 

Renders comprehensive general and registered nursing care to program patients or clients.

 

Sets up equipment; assists physicians conducting examinations and obtains specimens; records physician's notes and takes medical history information.

 

Supervises the work of subordinate staff and assists with training and staff development.

 

Performs related work as required.

 

 

KNOWLEDGE, ABILITIES AND SKILLS

(May vary slightly based on area of assignment. Presented in no particular order).

 

Considerable knowledge of clinical and institutional sanitation and personal hygiene.

 

Considerable knowledge of infection control practices and procedures.

 

Considerable knowledge of the medications required for the area of assignment, including proper dosages and expected results.

 

Considerable knowledge of prevention of communicable diseases and health problems.

 

Considerable knowledge of professional nursing and health services techniques, practices and procedures.

 

Considerable knowledge of public health laws, JCAHO standards, federal confidentiality laws (42CFR, 45CFR), and state regulations (65D-30) and others as required for the area of assignment.

 

Knowledge of nursing practices specific to the area of assignment, e.g., pediatrics, treating abused and/or neglected children, substance abuse, etc.

 

Knowledge of the functions of community health and social services agencies.

 

Ability to effectively instruct clients and patients in health services procedures and techniques.

 

Ability to effectively work in an inter-disciplinary team.

 

Ability to establish and maintain a variety of clinical records and prepare required reports.

 

Ability to exercise sound judgment and react quickly in emergency situations.

 

Ability to learn the County, Division, and program nursing protocols.

 

Ability to plan, organize and supervise the work of subordinates.

 

Ability to recognize and identify health symptoms.

 

Ability to supervise staff in a manner to promote effectiveness and teamwork.

 

Ability to understand and carry out detailed instructions of a technical and professional nature.

 

Ability to understand and interpret public health laws and regulations.

 

Ability to use a personal computer.

 

Ability to serve the public and fellow employees with honesty and integrity in full accord with the letter and spirit of BrowardCounty's Ethics and Conflict of Interest policies.

 

Ability to establish and maintain effective working relationships with the general public, co-workers, elected and appointed officials and members of diverse cultural and linguistic backgrounds, regardless of race, color, ethnicity, religion, age, gender, disability, sexual orientation, marital status, or political affiliation.

 

Skill in basic word processing and computer data entry.

 

Skill in the use and application of medical instruments and equipment.

 

REQUIRED EXPERIENCE AND TRAINING

 

Graduation from an accredited registered nurse program; four years of experience as a registered nurse in general or public health nursing work which includes one year of supervisory experience; or any equivalent combination of relevant training and experience.

 

 

NECESSARY SPECIAL REQUIREMENT

 

Licensed as a registered nurse in the State of Florida. Depending upon area of assignment, may be required to possess a valid Florida driver’s license and be able to drive and to obtain and maintain authority to drive on County business. May be required to obtain and maintain CPR certification.

 

 

GENERAL INFORMATION

 

Bargaining Unit:                  To 10/2000, unrepresented.

                                  After 9/30/2000, GSA Professional Unit.

FLSA Status:                      Non exempt

Code of Ethics Certification:     No

Class Spec. Estab./Revised:        E12/77; R01/91; R05/00; R06/05


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