Job Specification
ADVANCED PRACTICE NURSE
DEFINITION:
Under direction, provides primary health care to patients by
assessing their physical, developmental, and psycho-social status
by means of obtaining their health history and conducting physical
examinations and diagnostic tests; interprets test results data,
develops and implements plans of health care management and
follow through on the continuum of care of patients; implements
health care plans through independent action, appropriate referrals,
health counseling, guidance, and instruction of patients and
collaboration with a physician and other members of the health
care team; does related work as required.
NOTE: The definition and examples of work for this title are
for illustrative purposes only. A particular position using this title
may not perform all duties listed in this job specification.
Conversely, all duties performed on the job may not be listed.
EXAMPLES OF WORK:
Manages specific common deviations from wellness, including
stabilized long term illnesses.
Assess the physical, developmental, and psycho-social health
status of individuals in a variety of settings through collection of
health data.
Interviews and counsels patient and/or parents and families in
order to compile a complete medical history, and counsels patients
and/or parents and families on any problems which may arise during
interview.
Performs complete physical examinations which includes but is
not limited to observation, taking blood pressure, weight, height,
and blood samples, palpation, percussion and auscultation, utilizing
the appropriate tools and instruments.
Performs inspection of the patients eyes including the testing of
the eyes by eye chart, illiterate eye chart, and titmus machine.
Performs inspection of the cervix through internal examinations
including obtaining cytological specimens for study to determine
development of disease.
Performs inspection of the rectum and colon including obtaining
cytological and/or stool samples for study to determine abnormalities
and/or disease.
Performs inspection of the genital organs and abdomen to determine
the presence of hydrocele, inquinal hernias as well as other hernias,
undescended testicles, hypospadia and malformation of the prepuce.
Performs examination of the ear in order to detect ear infections or
other disease and abnormalities
Performs hearing screens for deafness or hearing impairment
including tone tests and V.A.S.C. audiometers and tuning forks.
Performs throat and nose examinations for the identification of
infections, growths, irregular tonsils and adenoids including the
gathering of throat cultures for identification of disease.
Performs examination of the chest, including auscultation of the
heart for detection of heart murmur and other irregularities as
well as examination by auscultation of the lungs and bronchial
tubes to determine asthma, bronchitis, pneumonia, and other
pulmonary diseases.
Makes accurate identification of problems/diagnosis based
upon correct interpretation of findings.
Evaluates patient need for immediate nursing intervention,
consultation, and other health team referrals.
Monitors all aspects of the therapeutic regimen.
Records patients responses and progress.
Advises patient/or parent/guardian and family regarding
nursing needs.
Provides for these needs as appropriate.
Advises patient and/or parent/guardian and family on other
therapeutic measures.
Counsels patients and/or parent/guardian and family as to
findings; refers patient to licensed physician for necessary
followup and treatment.
Performs, orders, and interprets routine laboratory tests.
Develops a health maintenance plan for patient including health
education, disease prevention, and general anticipatory guidance.
Provides periodic health supervision of well baby primary
preventive health care and examinations.
Provides clinical management within medical protocols
of children with uncomplicated childhood diseases.
Provides care of infants including regulation of nutrition,
cleanliness, and environmental surroundings through the
education of parents and families.
Provides health education and counseling to children,
parents, and families including the psycho-social dimensions
in the area of nutrition, psycho-motor development, and family
life and the cultural and social implications.
Performs routine examination of the skeletal system for
abnormalities or diseases of the bone.
Will be required to learn to utilize various types of electronic
and/or manual recording and computerized information
systems used by the agency, office, or related units.
REQUIREMENTS:
LICENSE:
Current and valid certification as an Advanced Nurse Practitioner,
issued by the New Jersey Board of Nursing, in that category of
advanced practice which is appropriate to the position, as
determined by the appointing authority. (Some of these categories
are: adult health, community health, family health, gerontology,
obstetrics/gynecology, pediatrics, or psychiatric/mental health.)
Appointees will be required to possess a driver's license valid
in New Jersey only if the operation of a vehicle, rather than
employee mobility, is necessary to perform the essential duties
of the position.
KNOWLEDGE AND ABILITIES:
Knowledge of the normal pediatric care of infants and children
from post natal care to adulthood.
Knowledge of normal physical and psycho-sexual development
among children and adults.
Knowledge of appropriate management and interpretation of
diagnostic studies and tests.
Ability to conduct physical examinations which include eye,
ear, nose, throat, thorax, abdomen, pelvic, rectal, colon,
and orthopedic and general physical development.
Ability to observe and report symptoms and conditions of patients.
Ability to administer medications.
Ability to analyze and interpret test and examination results
and to communicate those results effectively with agency clients.
Ability to prepare clear, informative, and accurate medical and
other reports.
Ability to establish and maintain suitable records and files.
Ability to secure and interpret a general health history from
patient, parents, or families.
Ability to recognize common medical problems or deviations
from normality.
Ability to make an assessment of psychological, social, and
cultural aspects and behavioral aspects of parenting.
Ability to assess, plan, implement, and evaluate patient
care collectively with other health care professionals.
Ability to interpret data obtained through a systematic
assessment of all body systems in order to differentiate
normal from abnormal states.
Ability to obtain clinical, laboratory, and diagnostic
information, and interpret the resultant data.
Ability to institute appropriate biophysical monitoring
techniques and interpret the resultant data.
Ability to utilize historical, clinical, and biophysical data in
collaboration with physicians to formulate a diagnosis.
Ability to initiate appropriate diagnostic, therapeutic, and
educational interventions including consultations and referrals.
Ability to evaluate and document responses to interventions
and modify the plan of care as indicated.
Ability to interpret current research findings to determine
appropriateness for application to practice and standards of care.
Ability to learn to utilize various types of electronic and/or manual
recording and information systems used by the agency, office, or
related units.
Ability to read, write, speak, understand, or communicate in
English sufficiently to perform the duties of this position.
American Sign Language or Braille may also be considered
as acceptable forms of communication.
Persons with mental or physical disabilities are eligible as long
as they can perform essential functions of the job with or without
reasonable accommodation. If the accommodation cannot be
made because it would cause the employer undue hardship,
such persons may not be eligible.
This job specification is applicable to the following title code(s) which
are different work week or work month and/or variants of the job class title: | | Job
Spec
Code | Variant | State,
Local or
Common | Class of
Service | Work
Week | State
Class
Code | Local
Class
Code | Salary
Range | Note | | 51200 | | C | N | NL | 26 | 25 | P31 | - | | 51201 | | S | N | NL | 26 | N/A | P28 | 10 Month |
This job specification is for state and local government use.
Salary range is only applicable to state government.
Local salaries are established by individual local jurisdictions.
6/21/2008 |
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