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CS-214 1. Position Code

REV 8/2007





STATE OF MICHIGAN

Civil Service Commission

Capitol Commons Center, P.O. Box 30002

Lansing, MI 48909

Federal privacy laws and/or state confidentiality POSITION DESCRIPTION

requirements protect a portion of this information.







This form is to be completed by the person that occupies the position being described and reviewed by the

supervisor and appointing authority to ensure its accuracy. It is important that each of the parties sign and date

the form. If the position is vacant, the supervisor and appointing authority should complete the form.

This form will serve as the official classification document of record for this position. Please take the time to

complete this form as accurately as you can since the information in this form is used to determine the proper

classification of the position. THE SUPERVISOR AND/OR APPOINTING AUTHORITY SHOULD

COMPLETE THIS PAGE.

2. Employee’s Name (Last, First, M.I.) 8. Department/Agency

Corrections/Mound Correctional Facility





3. Employee Identification Number 9. Bureau (Institution, Board, or Commission)

Bureau of Health Care





4. Civil Service Classification of Position 10. Division

RN 12 Region 111 Health Care





5. Working Title of Position (What the agency titles the position) 11. Section

Staff Nurse Nursing







6. Name and Classification of Direct Supervisor 12. Unit







7. Name and Classification of Next Higher Level Supervisor 13. Work Location (City and Address)/Hours of Work

17601 Mound Road, Detroit/40 Hours per week





14. General Summary of Function/Purpose of Position



This is a senior registered professional nurse position which requires advanced clinical decision making skills and

judgment. The senior level registered nurse is first, and sometimes the only, health care professional to assess and/or

treat correctional prisoners. It is the senior level registered nurse who determines the need for and timeliness of an

appropriate referral to the physician or other provider. He/she is the only health care professional expected to

independently perform the full range of their duties in any setting, including housing units, camps, transport vehicles,

ambulances, etc. In any and all settings, the senior level registered nurse is expected to initiate and sustain life-saving

care and measures as appropriate, as well as perform the full range of clinical nursing duties. The complexity of the

work exceeds written, established methods and procedures often available and therefore the senior level registered

nurse is expected to exercise considerable independent judgment in selecting the most appropriate course of action. The

nurse at this level works as an emergency clinic nurse, an inpatient staff nurse, a mental health nurse, or as an

ambulatory clinic nurse. The employee may be hired for a specific area, but may be held responsible to move to any or

all ambulatory or inpatient settings within the complex or facility.



For Civil Service Use Only

15. Please describe your assigned duties, percent of time spent performing each duty, and explain what is

done to complete each duty.

List your duties in the order of importance, from most important to least important. The total percentage of

all duties performed must equal 100 percent.

Duty 1

General Summary of Duty 1 % of Time 10



The senior level registered nurse is always the front line intervener in any psychiatric emergency. He/she provides life-

sustaining, life-stabilizing emergency medical or psychiatric treatment in the event of a patient crisis or medical emergency.

Uses emergency standing orders to use prescription emergency medication and treatment in life-threatening situations.

Makes appropriate and timely referrals or recommendations based on professional judgment and knowledge of scientific

rationale. Advanced clinical judgment skills are utilized in patient care situations behaviors and/or those experiencing

acute psychotic episodes. Makes recommendations for suicide prevention and/or physical restraint when necessary and

recommends off-site health care consultations and/or transport. The senior level registered nurse performs their work

outside of the clinical setting, i.e. in the block, in the segregation units, etc.





Individual tasks related to the duty.



 1. Performs emergent physical and mental status assessments.

 2. Makes nursing diagnosis of emergency situations.

 3. Develops a plan of car for emergency situations.

 4. Implements emergency nursing interventions.

 5. Evaluates emergency plan of care and changes plan as necessary.









Duty 2

General Summary of Duty 2 % of Time 50



As a senior level registered professional nurse, responsible for total health care delivery and the establishment of therapeutic

relationship of an assigned caseload of acutely or chronically ill medical, surgical, and psychiatric patients. Prepares and

implements the plan for each of these patients. Makes appropriate and timely referrals and recommendations for patient

care to the physician, psychiatrist, psychologist, or dentist based on knowledge of scientific principles. Provides on-going

individualized group and individual patient education. Shares and receives information from other health care providers,

i.e. psychologists, physician, and correctional staff such as Resident Unit Managers, Assistant Resident Unit Supervisors, and

corrections officers.

Individual tasks related to the duty.



 1. Performs routine physical and mental status assessments.

 2. Makes nursing diagnosis.

 3. Develops plan of care.

 4. Implements nursing interventions.

 5. Evaluates plan of care and changes plan as necessary.

 6. Provides group and individual patient education.

 7. Works as team member with other health care professionals.

 8. Participates in quality improvement studies and programs.

 9. Performs annual health screening.

 10. Performs intake health screening.

 11. Direct patient care to infirmary inmates

 12. Supervises operations of infirmary









Duty 3

General Summary of Duty 3 % of Time 15



Documents in the health record in a professional legal manner. Completes a variety of documents and forms used in the

clinical complex. Completes necessary documents and reports in a professional manner. Conducts or attends inservice

training programs and maintains professional knowledge base. Leads or attends staff meetings and committee meetings as

assigned. Makes recommendations for changes in the clinic. As assigned, is the lead worker to other RNs and LPNs, when

necessary. Attends meetings and is a committee member. Performs related duties as assigned.







Individual tasks related to the duty.



 1. Documents findings in a professional and legal manner and according to department policy, procedure, and

practice.

 2. Completes written and verbal reports as required.

 3. Attends and/or conducts inservice education.

 4. Leads and/or attends staff meetings and committees.

 5. Makes recommendations for and implements change.

 6. Is the lead worker to other RNs and LPNs.

 7. Orients new employees.

 8. Performs other duties as assigned.

 9. Attends meetings and is a member of committees.

 10. Documents in Department Log Books as required.









Duty 4

General Summary of Duty 4 % of Time 15



Following physician orders assures that prescription medications are obtained and administered to patients. Orders over the

counter medications following appropriate guidelines. Coordinates physician orders for diagnostic tests or specialty services.

Individual tasks related to the duty.



 1. Notes physician orders for medications, diagnostic tests, or specialty services.

 2. Receives medication from the pharmacy or obtains OTCs from stock.

 3. Administers OTC and prescription medication to patients.

 4. Obtains and administers medication from physician drug box or emergency box.

 5. Maintains perpetual inventory of narcotics critical tools, and other items as required.

 6. Inventories and orders non-narcotic medication.









Duty 5

General Summary of Duty 5 % of Time 10



Draws blood, prepares and obtains laboratory specimens. Performs routine lab tests, i.e. Hemoccult slides, dipstick

urinalysis. Starts and maintains IV lines, Steri-Strip lacerations, performs visual acuity exams and fluorescent staining,

dressing changes, venipunctures, EKGS, intradermal TB tests, etc. Inventories supplies, recommends ordering of supplies

and equipment. Participates in all institutional security procedures and practices.





Individual tasks related to the duty.



 1. Performs nursing procedures.

 2. Assists in maintaining the clinic environment.

 3. Participates in security procedures and practices.









Duty 6

General Summary of Duty 6 % of Time

Individual tasks related to the duty.









16. Describe the types of decisions you make independently in your position and tell who and/or what is affected by those decisions.

Use additional sheets, if necessary.



Decisions involving independent nursing judgment.









17. Describe the types of decisions that require your supervisor’s review.



Decisions having potential legal or financial impact.









18. What kind of physical effort do you use in your position? What environmental conditions are you physically exposed to in your

position? Indicate the amount of time and intensity of each activity and condition. Refer to instructions on page 2.



Hazards associated with work within a correctional institution and with prisoners. Considerable bending. Walking, and

sitting. There is some running involved to respond to emergencies and some lifting of heavy objects up to thirty (30) pounds.

Work involves shift, weekend, and holiday assignments as well as mandatory or voluntary overtime on any shift. Position is

located within the secure perimeter of a correctional facility.







19. List the names and classification titles of classified employees whom you immediately supervise or oversee on a full-time, on-going

basis. (If more than 10, list only classification titles and the number of employees in each classification.)



NAME CLASS TITLE NAME CLASS TITLE

20. Responsibility for the above-listed employees includes the following (check as many as apply):

Complete and sign service ratings. Assign work.

Provide formal written counseling. Approve work.

Approve leave requests. Review work.

Approve time and attendance. Provide guidance on work methods.

Orally reprimand. Train employees in the work.









21. I certify that the above answers are my own and are accurate and complete.







______________

Signature Date



NOTE: Make a copy of this form for your records.

TO BE COMPLETED BY DIRECT SUPERVISOR

22. Do you agree with the responses from the employee for Items 1 through 20? If not, which items do you disagree with and why?



Yes.









23. What are the essential duties of this position?



Nursing care that includes complete physician assessment, development of a nursing (patient) care plan,

implementation and evaluation of the plan. Throughout this process, the patient is monitored and supervised to

anticipate and prevent complications and/or any preventable untoward event.

24. Indicate specifically how the position’s duties and responsibilities have changed since the position was last reviewed.



The prison populations have increased in size and the complexity of services offered. The federal actions against the state

mandate and sometimes exceed contemporary private standards of care. The nurse’s role is an expanded practitioner role, and

therefore, the Bureau of Health Care Services requires advanced educational training, i.e. Physical Assessment, Mental

Assessment, and Basic Cardiac Life Support.









25. What is the function of the work area and how does this position fit into that function?



The nurse works as a team member with other health care professionals.









26. In your opinion, what are the minimum education and experience qualifications needed to perform the essential functions of this

position.



EDUCATION:

Possession of a diploma, associate's, bachelor’s, or master’s degree in nursing accepted for licensure by the Michigan Board

of Nursing.









EXPERIENCE:

One year of experience equivalent to a Registered Nurse P11.



Alternate Education and Experience.

Possession of a master’s degree in nursing or possession of a bachelor’s degree in nursing and six months of experience

equivalent to a Registered Nurse P11 may be substituted for the experience requirement.







KNOWLEDGE, SKILLS, AND ABILITIES:

Knowledge of general nursing principles and practices; scientific principles and specialized techniques used in the practice

nursing; and current nursing technology and methods. Skill in the application of nursing techniques. Ability to assess the

effectiveness of nursing care, and to recommend changes to nursing care programs or methods; carry out detailed

instructions; administer medications and implement treatment plans; instruct others on promotion of health and prevention of

disease; provide nursing and health care direction to nursing support personnel; maintain composure under stressful

situations; maintain records, and prepare reports and correspondence related to the work; communicate effectively with

others; and maintain favorable public relations.

CERTIFICATES, LICENSES, REGISTRATIONS:



Possession of a Michigan license in good standing as a registered nurse.









NOTE: Civil Service approval of this position does not constitute agreement with or acceptance of the desirable qualifications for this position.



27. I certify that the information presented in this position description provides a complete and accurate depiction

of the duties and responsibilities assigned to this position.







____________________

Supervisor’s Signature Date



TO BE FILLED OUT BY APPOINTING AUTHORITY

28. Indicate any exceptions or additions to the statements of the employee(s) or supervisor.









29. I certify that the entries on these pages are accurate and complete.





____________________________ ___________________

Appointing Authority’s Signature Date



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