• Assessment – Conduct and document initial and ongoing comprehensive and focused nursing assessments of the health status of patients by:
• Collecting objective and subjective data from observations, examinations, interviews, and written records in an accurate and timely manner as appropriate to the patient’s health care needs and context of care. Distinguishing abnormal from normal data, analyzing, recording, and reporting the data. Detecting inaccurate, incomplete, or missing patient information and reporting such. Recognizing changes in patient status. Assesses patients’ physical and emotional condition to assure patients of a safe, sanitary, and therapeutic environment according to established procedures, especially for patients in restraints, seclusion, protective devices, or on special observation precautions.
• Diagnosis and Priorities – Analysis of the assessment data to derive a nursing diagnosis and priorities. Documents diagnoses or concerns in a manner that facilitates the patient’s involvement in developing a plan of care.
• Outcomes Identification – Based on the diagnosis the Corrections Health Nurse will identify culturally relevant outcomes, health literate, based on evidence and attainable through local resources and policies. Document expected outcomes and measurable objectives.
• Planning – Develop and coordinate a comprehensive plan of nursing care to maintain continuity of treatment and develop focused plans of nursing care, including selecting appropriate nursing interventions and strategies, especially for patients with chronic medical problems or serious and persistent mental illness. Develop nursing orders. Document the plan using health literate and culturally competent language that can be understood by the care team and patient.
• Implementation – The Corrections Health Nurse oversees the implementation of the plan through treatment, case management, referrals to community partners, collaboration with community resources, health promotion and educates patients concerning diet, hygiene, long-term effects of alcohol and drug abuse, and methods of prevention of disease. Implement the plan of care by administering medical and nursing treatments including giving medications, titrating medications, daily detox assessments, and handling dressing changes; also monitors and evaluates vital signs.

• Documentation – The Corrections Health Nurse will document medical history including current medical problems, allergies, ongoing medications, and treatment of patients, using an electronic medical records program. As well as nursing interventions and responses to care in an accurate, timely, thorough, and clear manner. All prescription drug use for patients will be documented according to established drug recordkeeping practices in an electronic medical records program. Documents activities and status of care coordination.
• Medication - Provides sound pharmacology dispensing practices, including drug identification, drug action, side effects, and proper dosage.
• Equipment - Evaluate and monitor medical supplies to ensure availability of appropriate supplies, accurate accounting, and secure storage, including maintenance of narcotic, needle, and syringe counts. Evaluate new and replacement medical equipment; operates equipment necessary for the provision of patient care, and monitor equipment to ensure that it is in good working condition. Prepares equipment and assists physicians and/or physicians’ assistants during examination and treatment. Maintains equipment for use.
• Emergencies - Respond to emergencies and takes charge of scene until EMT arrives if physician/physician’s assistant is not on scene. Implements emergency measures and interpretation of medical orders and ensures follow-up on any referrals made.

• Attend and participate in team meetings, training, and activities to further the health of the community.
• Provide training to staff of the Lincoln County Sheriff’s Office, Lincoln County Juvenile Detention Center, and the Pretrial TAPS house on various topics such as First Aid/AED/CPR, Narcan, and other patient-specific health care training to Corrections Deputies such as medication administration, detox issues, labor and birth symptoms.

• All areas of general healthcare services, including medical record-keeping practices.
• The principles, practices, methods, and procedures of nursing as applied to primary care.
• The uses and effects of medications, narcotics, and immunizations provided in a correctional facility; considerable knowledge of issues related to alcohol and drug abuse and psychopathology.
• All clinical skills, including physical assessment and interpretation of lab tests.
• Public health laws and regulations.

• Exercise considerable judgment, to recognize problems outside of this role and refer appropriately.
• Work with a diverse population from pediatrics to geriatrics and analyze health problems.
• Utilize community resources.
• Identify community and individual health problems and plan and administer solutions.
• Plan and evaluate for a wide variety of health issues.
• Administer medications and immunizations.
• Interpret and apply written policies, procedures, protocols, directives, and guidelines.
• Establish and maintain accurate, legible, and complete records of patient care, including chart documentation, objective data collection, treatment provided, evaluation of treatment effectiveness, and patient education provided.
• Learn new information quickly and adapt to changing situations.
• Provide professional nursing care independently and courteously meet and deal with patients.
• Prioritize work within the Corrections Health Service office to meet numerous deadlines.
• Function as a member of the healthcare team to collaborate in the development, implementation, and evaluation of integrated client-centered plans of care.
• Carry out physicians/dentists/nurse practitioners, and physicians’ assistant orders.
• Maintain the confidentiality of privileged information including confidentiality of records as well as deal with sensitive issues, such as HIV testing and counseling, pregnancy testing and counseling.
• Prioritize work within the Corrections Health Service office to meet numerous deadlines.
• Interact with others, be aware of safety and security issues, be cognizant of surroundings and possibly dangerous situations, and perform mobility requirements of the position.
• Respond to medical emergencies in a potentially hazardous and life-threatening environment.
• Perform multiple tasks simultaneously and thrive in dynamic fast-paced environments and under pressure.
• Work alone in satellite offices.
• Prepare information for and testify in court cases.
• Maintain awareness of safety regulations and procedures at all times. And the ability to work with inmates.
• Convey information, ideas, and facts both orally and in writing to supervisors, colleagues, and individuals, inside and outside the county, using language and a format the audience will best understand.
• Utilize computers and other technology to communicate in written and verbal forms (e.g., word processing, texts, emails, spreadsheets, department-specific software).
• Effectively relate well with others, including supervisors, colleagues, and individuals inside and outside the county. Exhibit a professional manner in dealing with others and working to maintain constructive working relationships.
• Take personal responsibility for the quality and timeliness of work. Show up to work on time, and follows instructions, policies, and procedures. Meet productivity standards, deadlines, and work schedules.

• Physical Ability: Tasks involve the ability to exert moderate physical effort in light to heavy work, typically involving some combination of stooping, kneeling, crouching, and crawling, and which may involve some lifting, carrying, pushing, and/or pulling of objects and materials of moderate to heavy weight (12-75 pounds).
• Sensory Requirements: Most tasks require visual perception and discrimination. Most tasks require oral communication ability. Most tasks require the ability to perceive and discriminate sounds.
• Environmental Factors: Tasks are regularly performed with exposure to adverse environmental conditions, such as dirt, pollen, odors, wetness, humidity, rain, fumes, temperature and noise extremes, machinery, vibrations, electric currents, traffic hazards, animals/wildlife, toxic/poisonous agents, violence, disease, or pathogenic substances.

With miles of beach and coastline, Lincoln County is one of the most popular visitor destinations on the Oregon Coast. Is Lincoln County the perfect place to live? It certainly is for many that live in Lincoln County and we have some professionals that agree with us. Newport has been awarded with SelectCity.com’s Smart Choice Seal of Approval for those wanting to find a perfect place to live. In addition, Newport has been named one of the top 10 Best Small Towns in America and one of the 100 Best Small Art Towns in America. Like outdoor adventures? Lincoln County has activities such as hiking, cycling, kayaking, and surfing. Prefer to take it easy? Lincoln County not only has amazing sunsets overlooking the Pacific Ocean, we also have a vibrant arts community, beach combing, fishing, golfing, and a vast array of expert cuisine, wineries, and breweries. At Lincoln County, we provide essential services in an efficient, effective, and respectful manner. County governments provide the essential building blocks to create healthy, vibrant and safe communities. At Lincoln County, we are making a difference....with an ocean view.