• Assessment – Collects comprehensive data related to the health of the population served. Documents assessment data in terms that are understandable to all involved in the care process.
• Diagnosis and Priorities – Analysis of the assessment data to derive a nursing diagnosis and priorities. Document diagnoses or concerns in a manner that facilitates the population’s involvement in developing a plan of care.
• Outcomes identification – Based on the diagnosis the CHN will identify outcomes that are culturally relevant, health literate, based in evidence and attainable through local resources and policies. Document expected outcomes and measurable objectives.
• Planning – Develop a plan that is client-centered and reflects best practices by identifying strategies, action plans and alternatives to meeting expected outcomes. Document the plan using health literate and culturally competent language that can be understood by care team and population being served.
• Implementation – The CHN oversees the implementation of the plan through treatment, case management, referrals to community partners, collaboration with community resources, health promotion and education. Documents activities and status of care coordination.
• Evaluation – Applies on-going assessment data to revise plans, interventions and activities as appropriate for ultimate health outcomes for the population. Documents changes to enhance effectiveness of interventions.

• Applies theories and principles of primary care nursing practices. This includes services in the two VA Clinics.
• Consistently sets appropriate priorities in providing quality patient care that is organized and time efficient. Utilizes staff feedback in patient care. Maintains and ensures confidentiality of patient’s conditions, records, and other data on a consistent basis.
• Perform direct care activities by administering medications, observing, and documenting patient responses and side effects. Administers interventions according to established standing orders and protocols.
• Provide an environment that demonstrates caring, compassion, and respect for all patients and families. Creates and maintains a high-performance clinic environment characterized by positive role model, leadership, and a strong team orientation.
• Communicate, as necessary, with other clinic and departmental personnel to coordinate efforts, resolve operational problems, and provide high quality, comprehensive patient care.
• Meets training requirements and practices according to HRSA, HHS and VA guidelines.
• Participates in on-going quality improvement and reports from data systems to guide and improve practice.
• Establishes professional rapport with clients, community, and health care partners to promote health.

• Attend and participates in team meetings, trainings, and activities to further the health of the community.

• The principles, practices, methods, and procedures of nursing as applied to community and public health.
• The uses and effects of medications, immunizations.
• Issues of alcohol and drug abuse; the "strength-based" model of behavior change.
• Problem-solving techniques and negotiation skills in accordance with motivational interviewing and behavior change theory.
• Utilization of community resources; medical record keeping practices.
• Functions and resources of private and public agencies.
• Electronic Health Record.

• Build therapeutic relationships and maintain therapeutic boundaries.
• Engage clients in mutual goal setting; provide professional nursing care independently.
• Identify community and individual health problems and to plan and administer solutions.
• Administer medications and immunizations.
• Interpret and apply written policies, procedures, and guidelines.
• Establish and maintain records; learn new information quickly and adapt to changing situations.
• Use research, data, and evidence-based practices to inform and improve nursing practice.
• Courteously meet and deal with patients; act in a professional manner and to understand and commit to a professional code of ethics.
• Maintain the confidentiality of privileged information in accordance with HIPAA and Lincoln County policies.
• Maintain effective working relationships with staff, supervisors, physicians, other agencies and the public; create a positive work environment that promotes productivity, mentoring, teamwork and cooperation; elicit and consider differing viewpoints when analyzing issues; recognize the accomplishments of team members.
• 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 very moderate physical effort in light 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 weight (12-20 pounds).
• Sensory Requirements: Some tasks require visual perception and discrimination. Some tasks require oral communications ability. Some 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.