Instructions:
Rate your knowledge performing specific job-related tasks, knowledge skill or ability.
Tasks:
1. Plan and evaluate health care services to provide appropriate treatment and resources that allows the patient to achieve their health plans and goals utilizing appropriate instruments, tools (e.g., stethoscope, reflex hammer, otoscope, ophthalmoscope), and chart reviews.
2. Interpret patients’ medical history and physical exam in order to determine the need for early intervention, appropriateness of treatment plans, and consideration for housing needs or transfers to a higher level of care.
3. Perform physical examination related to admissions, clinic visits and/or urgent treatment visits, including noting patients’ general appearance, reviewing vital signs, palpation, percussion, auscultation, and reflexes in order to identify and diagnose new health problems, and evaluate status of acute and chronic health problems.
4. Evaluate and/or treat forensic patients behavior (e.g., results of objective and subjective findings) to determine their medical and environmental needs utilizing appropriate tools and instruments (e.g., stethoscope, reflex hammer, otoscope, ophthalmoscope), medical knowledge, training, experience, standardized procedures, communication skills, and chart reviews.
5. Develop and implement treatment plans (e.g., incorporating presenting complaints, history of present illness, chronic care illnesses) for patients during various visits (e.g., admissions, clinic, treatment, urgent care), of which the plans include, but are not limited to: medications (based on facility formulary), diagnostic testing (e.g., EKGs, pulmonary function tests, X-Rays, labs), health education, disease prevention, and appropriate referrals.
6. Account for all utensils, tools, equipment, and medications in order to prevent use by patients as weapons or bartering tools and to prevent physical harm to patients utilizing inventory lists.
7. Provide health care instruction to the appropriate staff as it relates to patient needs utilizing individual and/or group educational sessions.
8. Provide counseling and education to the patient pertinent to the clinic visits and/or any healthcare contacts (e.g., smoking and alcohol cessation, weight reduction, nutrition choices, blood-borne pathogens, personal hygiene, contraband) to allow patients to make responsible decisions regarding the risks and benefits of behavior and how it impacts their health and life.
9. Provide education to the patients about the interactions and side effects of pain treatments related to pain management.
10. Perform pre-employment physical examinations of applicants to identify health risk factors and/or determine their fitness to perform the duties indicated utilizing appropriate tools and instruments (e.g., stethoscope, reflex hammer, otoscope, ophthalmoscope).
11. Prescribe, order, discontinue, and/or renew medications, treatments, procedures, and diagnostics to patients to ensure timely and appropriate evidence-based care.
12. Create and maintain accurate documentation for patient records (e.g., entries, dictations, verbal, and transcribed orders) to ensure quality and safety of patient care.
KSAPCs:
1. Knowledge of nursing practice professional requirements (e.g., Continuing Education (CEU) requirements, certifications) to meet professional standards.
2. Knowledge of laws and regulations relating to medicine and nursing in order to safely and legally practice within the scope of practice.
3. Knowledge of focused and/or clinical assessment to provide accurate and timely identification/diagnosis of medical and/or psychiatric issues.
4. Knowledge of the appropriate process for making referrals and requesting clinical consultation as indicated for further diagnosis, diagnostic clarification, and treatment.
5. Knowledge of fundamentals of research and levels of evidence to maintain evidence-based foundational practice.
6. Knowledge of assessment of the physical, psychosocial, and psychiatric status of the patients.
7. Knowledge of the principles of mental health for effectively and therapeutically communicating with patients with psychiatric disorders.
8. Knowledge of the prevention and treatment of communicable diseases, acute and chronic diseases, disability, mental illness, and other conditions to identify, diagnose, and form a treatment plan.
9. Knowledge of the principles of medical care continuity to provide appropriate care throughout the continuum of care including discharge and/or transfer.
10. Knowledge of principles of community aspects of health services to ensure continuity of patient care upon discharge, parole, and/or transfer to a community acute-care facility.
11. Knowledge of diagnosis and treatment of common podiatry problems (i.e. corns, calluses, nail disorders) or initiate referrals.
12. Ability to provide education to patients regarding the etiology, prevention, and treatment of diseases to optimize the health and minimize the onset of acute and chronic conditions.
13. Ability to assess (i.e., physical, psychiatric), diagnose (e.g., XRays, laboratory tests), and interpret medical history.
14. Ability to perform physical assessment, interpret lab tests and/or other diagnostic tools to develop and implement treatment plans.
15. Ability to apply correct methods for controlling the spread of pathogens appropriate to job class and assignment.
16. Ability to provide site-specific and age-appropriate services incorporating the established protocols.
