JOB TITLE: Public Health Nurse
DEPARTMENT: Board of Health
REPORTS TO: Health Agent
FLSA STATUS: Non-exempt - Not Benefit Eligible
POSITION GRADE: Personnel Plan (non-union), Schedule R
RATE RANGE: Pay commensurate with qualifications
WORK SCHEDULE: Variable as needed (approx.13 hours per week/up to 60 hours per month)
Nature of Work:
The purpose of this position is to promote and protect health and prevent of
disease in the Town’s population, by conducting investigations of communicable
diseases, performing professional nursing work, administering various public
health programs and providing administrative and informational support services
to the Board of Health, emergency management department, local officials,
residents, members of the medical community and all other related work as
Supervision Received: Under administrative direction of the Health Agent
this position performs detailed, complicated and responsible functions
requiring judgment and initiative in applying or demonstrating nursing skills
and techniques, particularly in situations not clearly defined by precedent or
established procedures. The Public Health Nurse operates within the scope of Board of Health
regulations, Massachusetts General Laws, and nursing
scope of practice/licensure. Employee refers unusual situations, policy questions, regulatory decisions, and
budgetary determinations to the Health Agent and in accordance with established
department rules, regulations, policies and procedures; only unusual problems
or concerns are referred to supervisor.
The Public Health Nurse is also expected to resolve all conflicts, which
may arise and coordinate with others as necessary. Due to the nature of the
position, a portion of work is performed out of the office without direct
Responsibility: Employee does not supervise other employees.
Confidentiality: Employee has
access to department-related confidential information including communicable
diseases and other sensitive medical information about citizens, which requires
the application of appropriate judgment, discretion and professional
protocols. Employee handles this
information in accordance with the State Public Records law including official
files, department and client records as well as law suits. Confidentiality must
be maintained with regard to this information in accordance with the
Departmental Policy and Public Records Act.
Accountability: Consequences of errors, missed deadlines or poor
judgment such as failure to use proper medical and nursing techniques and
medications, could result in injury/death, seriously endanger public health and
safety, personal injury, danger to public safety, legal repercussions or
adverse public relations.
The work requires examining, analyzing and evaluating facts and
circumstances surrounding individual problems, situations, or transactions, and
determining actions to be taken within the limits of standard or accepted
practices. Guidelines include a large body of policies, practices, and
precedents, which may be complex or conflicting, at times. Judgment is used in
analyzing specific situations to determine appropriate actions. Employee is
expected to weigh efficiency and relative priorities in conjunction with
procedural concerns in decision making. Requires understanding, interpreting
and enforcing state and local laws.
The work consists of the practical application of a variety of concepts,
practices and specialized techniques relating to a professional or technical
field. Assignments typically involve evaluation and interpretation of factors,
conditions or unusual circumstances; inspecting, testing or evaluating
compliance with established standards or criteria; gathering, analyzing and
evaluating facts or data using specialized fact finding techniques; or
determining the methods to accomplish the work.
Nature and Purpose of Contact: Makes regular contact with co-workers, the public,
groups and/or individuals such as civic leaders, peers from other
organizations, representatives from professional organizations, and news media
requiring patience, tact, diplomacy and discretion with children, adults,
relatives of patients, members of the medical community, state/local government
agencies, community agencies, schools, daycare facilities, and other town
departments. Most contacts involve an information exchange dialogue. The
employee serves as a spokesperson or recognized authority in matters of
substance or considerable importance. The employee deals with the public and
other individuals on behalf of the department to communicate departmental
practices, procedure, regulations or guidelines. Employee may encounter
individuals who have conflicting opinions or objectives, diverse points of view
or differences where skillful negotiating and achieving compromise is required
to secure support, concurrence and acceptance or compliance; or one-on-one
relationships with a person who may be under severe stress, where gaining a
high degree of persuasion may be required to obtain the desired effect. The
employee represents to the public a functional area of the municipality on
matters of procedures or policy where perceptiveness is required to analyze
circumstances in order to act appropriately. Excellent communication and
customer service skills are required involving courtesy, tact, and diplomacy in
resolving complaints and concerns of the public.
Essential Functions: The essential functions or duties listed
below are intended only as illustrations of the various type of work that may
be performed. The omission of specific statements of duties does not exclude
them from the position if the work is similar, related, or a logical assignment
to the position.
1. Maintains variety of files,
documents and data systems; prepares, maintains and updates client records,
vendor invoices, billing statements, including billing for vaccines, supplies,
reports; remains compliant with HIPAA/state laws and regulations.
2. Is trained in and familiar with
NIMS 700, ICS 100 through 300.
3. Monitors state communicable disease
information system (MAVEN), and conducts investigations, surveillance, and case
management in accordance with state laws and regulations. Conducts isolation
and quarantine as necessary to protect community at large. Investigates outbreaks and conducts epidemiological surveys of all cases of diseases dangerous to the public health.
These efforts are undertaken in concert with the Massachusetts Department of Public Health
(MDPH) using the Massachusetts Virtual Epidemiologic Network (MAVEN), and may
occur on a “24-7” basis in emergency circumstances. These efforts involve the maintenance
and revision of electronic records in MAVEN for communicable disease
investigation, surveillance, and case management. Communicates with nursing
homes, schools, daycares, hospital and other organizations on disease control
4. Receives reports of food poisoning and carries out activities necessary for protection of the community,
working with the Health Agent if the outbreak is traced to a public eating
5. May inspect and issue
licenses for a variety
of recreational summer camps or
other establishments in accordance with appropriate laws, regulations and procedures, and
additionally coordinates with the Health Agent.
6. Receives and records reports of
pulmonary and extra pulmonary tuberculosis. Investigates reported cases. Identifies contacts of infected persons and
reports these to the Department of Public Health. Screens high-risk groups within the general
population. Assists in the
identification, transportation and hospitalization of patients eligible for
admission to a hospital. Assumes
responsibility for the medical case management of tuberculosis and the
uninterrupted treatment of patients.
Provides appropriate nursing services as necessary. Manages all cases of tuberculosis; provides
daily Directly Observed Therapy (DOT) for all multi-drug resistant cases. Acquires sputum specimens and submits to lab
for testing. Proceeds with compulsory
hospitalization as necessary.
7. Updates Massachusetts Immunization
Registry, which requires entry of immunizations into database within seven days
of vaccination as necessary.
8. May assist with planning,
organizing, conducting influenza vaccination clinics, as well as pop-up clinics
in response to disease outbreaks. And manages vaccine administration through
the MDPH MIIS system.
9. Coordinates presentations,
trainings, programs, services and other activities to community groups to promote wellness, prevent disease and
support individual and community health efforts. May write
articles for newspapers and community publications
covering a broad range of topics, including general wellness, safety from
mosquito and tick-borne illnesses, and mental health promotion and prepare
reports, maintain confidential records,
and research public health and medical data and evidence-based practices.
10. Is an active member of the Region 5
MRC (Medical Reserve Corps) and assists in emergency preparedness training
exercises and drills and collaborates with first responder agencies and
municipal departments as an active member of the Town’s emergency management
11. Is familiar with EDS (Emergency
Dispensing Site) and Emergency Preparedness planning, exercises and drills and
participates in the dispensing site as needed.
12. Coordinates with local physicians,
community hospitals, and with the school nurses, may attend and present reports to the Board of Health at monthly
meetings or as requested , and
represents the Health Agent as needed on town-wide, regional, and state
committees, task forces, and working groups.
13. Attends public meetings as necessary.
14. Performs similar or related work as required.
and Experience: Current license to practice as
registered professional nurse in Commonwealth of Massachusetts, immunization record
and proof of immunizations, driver’s license and CPR certification required.
Bachelor of Science in Nursing, degree from accredited institution preferred,
and from one to up to three years of experience in public or community health
nursing or a related field or any
equivalent combination of education, training and experience which provides the
required knowledge, skills and abilities to perform the essential functions of
Valid Class D Motor Vehicle Operator’s License, CPR Certification
Knowledge, Abilities and
Knowledge: Knowledge of current nursing and public health
nursing principles, practices and procedures; knowledge of drug and
immunization dosages, mechanisms of action, interactions and adverse side
effects; knowledge of federal, state and local laws, rules and regulations;
knowledge of social media and virtual collaboration environments; knowledge of
Microsoft Word and Excel.
Abilities: Ability to
interpret and apply regulations firmly, tactfully, and impartially; ability to
operate standard office equipment; ability to work independently and as part of
a team; ability to be self-motivated, flexible and able to effectively
prioritize, multi-task and meet deadlines; ability to learn and utilize
department specific computer programs.
Abilities: Ability to interpret and apply regulations firmly,
tactfully, and impartially local, state and federal guidelines and laws;
ability to operate standard office equipment; ability to work independently and
as part of a team; ability to be self-motivated, flexible and able to
effectively prioritize, multi-task in a detailed and effective manner and meet
deadlines; ability to learn and utilize department specific computer programs.
Ability to communicate effectively, orally and in writing. Ability to deal
tactfully with disgruntled members of the public; ability to establish
effective working relationships with department staff, property owners, residents,
subcontractors and other enforcement or regulatory agencies.
Skill: Math skills; cultural competency, interpersonal,
organizational, time management and listening skills. Skill in the operation of
all above mentioned tools and equipment. Proficient organizational oral and written
communication skills; effective negotiation skills; proficient data processing
Work is generally performed under varying
office, home and work site conditions. Performance of duties may involve
exposure to noise and a combination of unpleasant elements such as odors, dust,
heat and cold and requires continuous concentration and composure during
emergencies and/or high incident volume periods. Employee may be required to work beyond
normal business hours to attend evening meetings and/or in response to
Occupational Risk: Duties
generally do not generally present occupational risk, with only occasional
exposure to risk due to exposure to hazardous fluids such as blood and bodily
fluids and infectious diseases. However, risk is mitigated by properly following
safety precautions or procedures. Employee
is exposed to various weather conditions when traveling to work sites. Work may
also involve occasional mental stress, such as completing several unrelated
tasks within a relatively short period of time.
and Mental Requirements
The physical demands described here are representative
of those that must be met by an employee to successfully perform the essential
functions of this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the position’s essential functions.
Physical Skills: Minimal physical demands are required to
perform most of the work. The work principally involves sitting, with
intermittent periods of stooping, walking, and standing. While performing the
duties of this position, the employee is regularly required to talk, use hands
to finger, handle, feel or operate objects and reach with hands and arms;, May
be required to lift objects such as files, boxes of papers, office supplies,
and office equipment weighing up to 30 pounds. Motor Skills Duties are largely
mental rather than physical, but the job may occasionally require minimal motor
skills for activities such as moving objects, using office equipment, including
but not limited to telephones, personal computers, handheld technology, and
other office equipment.
Skills: Duties involve assignments
requiring application of hand and eye coordination with finger dexterity and
motor coordination. Examples include moving objects, operating a telephone
system, and/or most other office equipment, using a personal computer, typing
filing, sorting, operating an automobile, medical equipment including
diagnostic testing equipment, computers, and other standard office equipment.
Skills: Visual demands require routinely
reading documents for general understanding and analytical purposes, ability to
administer medications and immunizations, conduct physical assessments; ability
to operate automobile, computers, office machines and equipment. Perception and
the ability to adjust focus.
(This job description does
not constitute an employment agreement between the employer and employee and it
subject to change by the employer as the needs of the employer and requirements
of the job change.)
This job will be posted June 25, 2020 and will remain open until filled