4C43

PAY RANGE:  EP28

CERTIFIED REGISTERED NURSE PRACTITIONER

(Bilingual)

(Adult Care/Family Health)

 (Pediatrics)

(Women’s Health)

GENERAL DEFINITION

        This is advanced level nursing work, providing comprehensive patient care in the area of specialization.  Employees in this class perform physical examinations and assessments within the parameters of licensure and program protocols. Work includes medical diagnosis and prescription of medical therapeutic or corrective measures in collaboration with and under the direction of a licensed physician, educating patients in general health care practices within the area of specialization, and securing and maintaining cooperation of patients.  Formulating plans and prognoses and prescribing or recommending drugs or other forms of treatment are significant aspects of the work.  Work is performed under the technical supervision of a physician. 

ALLOCATING FACTORS: (The following conditions must be met for a position to be approved for this class.)

1.  Positions in this class must perform duties in accordance with medical standing orders and program protocols.

2.   Positions in this class must report to a licensed physician.

TYPICAL EXAMPLES OF WORK (ILLUSTRATIVE ONLY)

BILINGUAL SPECIALTY

Performs the duties described below with English speaking and designated non-English speaking populations.

ALL SPECIALTIES

ADULT CARE, FAMILY HEALTH, PEDIATRICS SPECIALTIES

Diagnoses medical conditions of patients under the general supervision of a medical superior; manages and applies principles of preventive and therapeutic medicine for patients with acute and/or chronic medical conditions; performs physical examinations; develops treatment plans and behavior modification plans for health maintenance activities; orders appropriate laboratory tests and x-rays; prescribes medications as permitted by law; prescribes special diets; discusses findings with patient and family; examines patients for clinical symptoms of disease; orders specimens such as blood or sputum taken for laboratory analysis; reviews case histories and reports of laboratory findings; prescribes and administers treatment; refers patients with complications to other clinics, hospitals, or mental health agencies; prepares reports of findings; re-examines patients for recurrence of disease; supervises extended care providers engaged in examining and treating patients; conducts case conferences to present unusual or interesting cases to other medical personnel.

WOMEN’S HEALTH SPECIALTY

Diagnoses medical conditions related to the reproductive system of adolescents and adults under the supervision of a medical superior; orders appropriate laboratory tests and x-rays including cervical cytology and STD testing; performs physical examinations, including pelvic and breast examinations; identifies and diagnoses problems pertaining to the reproductive system; dispenses appropriate methods of birth control and prescribes medications, as permitted by law, in accordance with medical standing orders; educates patients to types of family planning methods; advises patient as to suitability of methods based on results of physical examinations and patient’s choice; instructs patients in the use of contraceptives; educates and counsels patients in regard to need for personal hygiene, general health maintenance, and protection from sexually transmitted diseases; teaches patients breast self-examination; identifies deviations from norms in the physical condition of the patients; changes medication or birth control method based on patient's physical reactions; evaluates patient on follow-up visits to determine general health status and presence of adverse reactions to medication, other medical problems and family planning techniques; evaluates patients on an ongoing basis to determine the need to change the treatment plan following program protocols, medical standing orders or direct medical orders; refers complex cases to specialist physicians; provides postpartum counseling and physical examinations; orients, instructs and supervises during training other nursing or patient service staff in program protocol and clinical procedures; speaks at schools and to community groups on issues related to family planning, personal hygiene, and general health maintenance; disseminates informational materials at health fairs; maintains records and reports of service; collects data required for studies of sexually transmitted diseases and Pap smears; reviews case histories and reports of laboratory findings; prescribes and administers treatment; refers patients with complications to other clinics, hospitals, or mental health agencies; prepares reports of findings; re-examines patients for recurrence of disease; supervises extended care providers engaged in examining and treating patients; conducts case conferences to present unusual or interesting cases to other medical personnel. 

ALL ASSIGNMENTS

Performs related work as required.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES

KNOWLEDGE OF:

• principles, practices and current developments in the area of specialization
• principles, practices and current developments of general nursing
• principles and practices of preventive medicine, as they apply to the appropriate nursing specialty
• medical jurisprudence

ABILITY TO:

• work collaboratively with other health care team providers
• prescribe and administer treatment in the field of nursing specialization
• direct the work of extended care providers engaged in examining and treating patients
• critically analyze and solve patient care problems.
• interpret laboratory data
• perform diagnostic and therapeutic procedures
• communicate effectively, both orally and in writing

MINIMUM ACCEPTABLE TRAINING AND EXPERIENCE  (The following statement represents the minimum training and experience standards which will be used to admit or reject applicants for tests. Applications submitted by candidates for this class will be reviewed based on training and experience requirements as approved on 9/19.)

ALL SPECIALTIES

EDUCATION

Possession of Licensure as a Certified Registered Nurse Practitioner as issued by the Pennsylvania State Board of Nursing Education in the area of specialization:

· Adult Care or

· Family Health

· Pediatrics

· Women’s Health

AND

BILINGUAL SPECIALTY

Sufficient training and/or experience to be able to understand and speak fluently and clearly in English and a designated non-English language.

PHYSICAL AND MEDICAL REQUIREMENTS

Ability to physically perform the duties and to work in the environmental conditions required of a position in this class.

LICENSES, REGISTRATIONS, AND/OR CERTIFICATES

Possession of a valid, unrestricted license as a Registered Nurse at the time of application, at the time of appointment, and during tenure of employment and Licensure as a Certified Registered Nurse Practitioner as issued by the Pennsylvania State Board of Nursing Education at the time of application, appointment and during tenure of employment.

Eligibility for a valid, unrestricted Prescription Authority Certification or Number from the Pennsylvania State Board of Nursing and the State Board of Medicine within six months of the date of appointment and during tenure of employment.

Class Established: CSC -11/04; Ad. Board -01/05

Change in Pay Rate: CSC – 2/07; Ad. Board – 4/07

Spec Revision: CSC - 7/08; Ad. Board – 8/08

CSC - 6/10; Ad. Board – 7/10

Spec Revision: CSC - 5/11; Ad. Board – 6/11

Change in Pay Rate: CSC – 3/12; Ad. Board – 4/12

Change in Pay Rate: CSC – 9/13; Ad. Board – 11/13

Spec. Revision:

CSC – 7/14

Ad. Board – 9/14

Spec. Revision:

CSC – 10/15

Ad. Board – 10/15

Latest Spec. Revision:

CSC – 07/19

Ad. Board – 09/19

Change in pay rate:

CSC – 10/23

Ad. Board – 11/23

JL