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Employment Type:
Part time
Job Category:
Public Health Nurse 1 - Registered Nurse (Part Time) #17-36
(This job is no longer available)
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Job Description

Job #17-36 Public Health Nurse 1 - Registered Nurse(Part Time)

Position Description:

Public Health Nurse 1 - Opioid Treatment Program Responsible for daily dispensing of medication as directed by the Medical Director, Medical Manager, or Administrator.  The dispensing nurse will follow the essential functions and basic duties of the clinic and will participate in the weekly staffing for the care and function of the Opioid Treatment Program client.  Clinic duties include but are not limited to client ECG and blood draws and preparing the client to be seen by either the ARNP or MD.  Back up for Tuberculosis program as needed  The Public Health Nurse is expected to participate in trips to County Jail to provide prescribed methadone or buprenorphine/naloxone doses(s) to inmates who are also clients of the Opioid Treatment Program clinic.


Major Responsibilities:  Opens and closes dispensary clinic. Appropriately dispenses Methadone or Buprenorphine/Naloxone and other medications including Antabuse to registered patients as required.  Note, record and monitor dosing for clients who are courtesy dosing at SRHD OTP clinic.  Complete Jail dosing when needed, by walking to the jail to dose individuals during the week and on weekends.  Accounts for and accurately records all Methadone or Buprenorphine/Naloxone dispensed. Records and accounts all Methadone or Buprenorphine/Naloxone received and dispensed.  Order Methadone or Buprenorphine/Naloxone and maintain an adequate supply to meet demands including adjustment for emergencies  Utilizes nursing judgment during the stabilization process and during daily dispensing to all clinic clients.  Assesses clients with complaints or concerns, who appear to be unstable and may require further assessment by ARNPs or MD.  Assesses and records client use of other prescriptive medications, especially controlled medications (benzodiazepines, narcotics, muscle relaxers, stimulants, etc.) and reports results regularly to counselors and medical providers.  Lab draws as ordered for new clients, for clients receiving Antabuse and for clients needing testing.  ECGs for intakes, annuals and as needed for unusual events or findings.  Records changes in dosing frequency in the clinic and carries including detoxes; those clients requiring breathalyzer testing.  Participate in weekly staffing for the care and function of the Opioid Treatment Program client. Functions include the following:  Report abnormal results and usage of other mediations (controlled) prescribed to clients  Compile and report to staff requested changes in clients’ carries, discontinuation of breathalyzer tests, etc.  Participate in discussions r/t client care needs and care plans.  Participation in SRHD activities (joint staff meetings, celebrations, etc.)  Out of facility training  In facility, annual training requirements (Blood Borne Pathogens, ECG Refreshers, Cultural Competency, etc.)

Environmental Factors:

Indoors, sedentary with 9 hrs./day sitting/standing.  5-6 hrs./day keyboarding.  Ability to navigate client sites (unpaved walkways, stairs, narrow hallways, etc.)  Communication skills to interact effectively with people  Comprehend and process verbal communication  Visual acuity to read small print  Ability to discern colors and odors  Ability to bend, twist, stoop on an occasional basis  Strong written, verbal, and listening skills.  Must be able to bend twist and stoop, and lift/carry up to 25 lbs. on an occasional basis.  Ability to type, file, and complete forms with or without accommodation.

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About Spokane Regional Health District

The Spokane Regional Health District is one of 34 local public health agencies that work to promote and protect the health of Washington citizens. The agency was originally established as the Spokane County Health District in January 1970, when the City of Spokane and Spokane County merged their health departments into one agency. In 1994, the Health District's official name was changed to the Spokane Regional Health District to reflect the increased scope of public health services and geographic coverage. The Spokane Regional Health District now has approximately 250 employees at five different sites and serves a population of more than 400,000 in Spokane County.