SAMPLE Job Description for IDHS NFP HV

SAMPLE Job Description: Nurse Home Visitor/Nurse Family Partnership
Taken from: Implementing Agency Orientation Packet
Fall 2008
© Copyright 2008 Nurse-Family Partnership. All rights reserved.


This job description is intended to serve as a guideline for local agencies implementing the Nurse-Family Partnership (NFP) Program. It is designed to address the essentials of this important role as they relate to the role of the Nurse Supervisor in assuring implementation of the program and not those agency-specific responsibilities.

Job Summary

The Nurse-Family Partnership (NFP) Nurse Home Visitor is responsible for providing comprehensive nursing services to women and their families eligible for the NFP Program. The Nurse Home Visitor is responsible for maintaining the highest standards in clinical nursing practice and adherence to the NFP model, and to policies, procedures, guidelines and standards of NFP and of the lead agency. The Nurse Home Visitor reports to the NFP

Nurse Home Visitor

Basic Job Functions:

Provides home visits to women and their families eligible for the NFP Program.

  • Adheres to nursing process and the NFP model of home visitation.
  • Carries a case load of up to 25 clients.

Administrative

  • Supports policies, procedures, guidelines and standards of NFP and the lead agency.
  • As requested/required, participates in community coalition in support of NFP.
  • As requested/required, promotes public awareness of NFP.
  • Develops and maintains community relationships to support client referrals.

Clinical

  • Completes all required NFP education.
  • Attends and participates in NCAST Feeding and Teaching Scales training.
  • Develops therapeutic relationships, utilize concepts of reflection and motivational interviewing with women and their families in a home visiting environment.
  • Performs home visiting in accordance with the NFP model and guidelines.
  • Follows nursing process in implementing NFP into nursing practice
  • Assesses physical, emotional, social and environmental needs of women and their families as they relate to the NFP domains.
  • Assists women and their families in establishing goals and outcomes.
  • Provides education, support and referral resources in assisting women and their families in attaining their targeted goals.
  • Consults and collaborates with other professionals involved in providing services to women and families.
  • Formulates nursing diagnosis based on nursing assessment and client goals
  • Evaluates client progress toward stated goals and NFP outcomes. Plans home visits in accordance with client goals and NFP outcomes
  • Actively engages in professional development to meet all NFP Nurse Home Visitor competency requirements.
  • Meet with NFP Nurse Supervisor weekly for clinical supervision.
  • Utilize reflective practice in supervisory sessions.
  • Schedule joint home visits with NFP Nurse Supervisor every four months.
  • Attend and participate in bi-weekly case conferences.
  • Attend and participate in bi-weekly staff meetings.
  • Provide information to support staff for timely and accurate data input to the NFP CIS.
  • Participate in review and analysis of the CIS reports for achievements and areas for improvement.
  • Participate in quality improvement efforts.
  • Maintain confidentiality.
  • Document appropriately.
  • Perform related duties as assigned or required.

Team

  • Understands, supports, and coaches others in the NFP vision, mission and model.
  • Represents the NFP vision, mission and model in actions and verbally to both internal and external customers and colleagues.
  • Assists in creating a positive work environment that promotes productivity, mentoring, teamwork and cooperation.
  • Elicits and considers differing viewpoints when analyzing issues.
  • Recognizes accomplishments of team members.

Communication

  • Maintains clear, effective, open, honest communication with both internal and external customers and colleagues.
  • Creates, maintains and supports a safe environment for open discussion.
  • Maintains confidentiality.
  • Seeks and responds appropriately to feedback.

Professional Development

  • Accurately assesses own learning needs and develops strategies to meet them.

Motivated to utilize computer for distance learning.

  • Stays informed of current health care developments to provide safe, quality nurse home visiting services.
  • Establishes and records progress toward annual goals.

Job Qualifications

  • BSN required.
  • Current RN license (in good standing) required.
  • Current CPR required.
  • Two years recent experience in maternal/child health, public health, home visiting or mental/behavioral nursing preferred.
  • Home visiting experience preferred.
  • Excellent written and verbal communication skills.
  • Basic computer skills.
  • Valid drivers license and insured automobile required.
  • Must be able to work a flexible schedule including some evenings and weekends.

© Copyright 2008 Nurse-Family Partnership. All rights reserved.


Sample Job Description: Nurse Supervisor/Nurse Family Partnership
Taken from: Implementing Agency Orientation Packet
Fall 2008
© Copyright 2008 Nurse-Family Partnership. All rights reserved.

This job description is intended to serve as a guideline for local agencies implementing the Nurse-Family Partnership (NFP) Program. It is designed to address the essentials of this important role as they relate to the role of the Nurse Supervisor in assuring implementation of the program and not those agency-specific responsibilities.

Purpose:

Nurse-Family Partnership is a research-based program that has been demonstrated to significantly improve critical outcomes for at-risk women and their children who receive services in local communities as specified in the NFP guidelines. One primary purpose of the NFP Nurse Supervisor role is to work within the local community and lead agency structure to assure that the NFP Program is implemented in accordance with established guidelines and contract requirements. Another primary purpose of the NFP Nurse Supervisor is using principles of supervision, reflective practice, and staff development, to provide primary support and appropriate oversight to the Nurse Home Visitors, and to build and model a strengths-based, client-centered culture.

Administrative Responsibilities

Staffing and Education

  • Oversee the recruitment and hiring of all Nurse Home Visitors and administrative data support staff ensuring that they can implement the NFP philosophy and model.
  • Ensure that all staff, including supervisor, attend all required NFP education sessions as outlined in the orientation materials and your contract with the Nurse-Family Partnership National Service Office.
  • Assess and develop strategies to address knowledge and skill gaps of home visitors and support staff.
  • Provide adequate orientation, professional development opportunities and study time to remediate gaps in necessary knowledge and skill.
  • Assign client caseloads and monitor home visitor's ability to build and manage caseload.
  • Provide useful developmental feedback, and confront and develop a plan with staff to address performance and resolve issues.
  • Build confidence and skill of home visitors.
  • Provide supervision and evaluation of NFP home visitors and administrative data support staff (including annual leave, annual review, disciplinary action, etc.). Budget and Contracts (could be responsibility of manager level above Nurse Supervisor)
  • Become familiar with and actively participate in the preparation and monitoring of the NFP budget to ensure appropriate use of funds.
  • Plan and expend budget to ensure compliance with fidelity to NFP model and contract agreements.
  • Understand and actively participate in monitoring NFP contract with the agency.
  • Proactive with local, state, and national issues that may affect sustainability of program.
Community awareness, support and referrals, and referral systems (could be responsibility of manager level above Nurse Supervisor)
  • Based on agency policy, actively participate in, chair, or coordinate all NFP community coalition/advisory board meetings.
  • Develop and maintain community referral sources for the NFP Program.
  • Develop and implement external and internal systems to assure timely receipt and disposition of referrals to and from the NFP.
  • Develop and implement strategies for using local print and electronic media to "showcase" the NFP.
NFP Infrastructure (delegate to support staff as appropriate)
  • Utilize agency policies and procedures or develop needed policy and procedure to guide implementation.
  • Working within agency and within budget and contract specifications, ensure that NFP staff have infrastructure of space, computers, furniture, phones, etc., in place as quickly as possible.
  • Develop and maintain appropriate materials for the community and client.
  • Oversee the allocation and design of space for NFP materials to be stored.
  • Ensure that all NFP forms and other materials are ordered in a timely manner, organized and available for use by home visitors.
  • Develop an adequate budget for appropriate materials, gifts, and incentives for program clients. Order supplies as necessary to maintain inventory.
  • Manage organizational structure and systems adequately so that home visitors may stay focused on clients.
Quality Improvement and Evaluation
  • Oversee and ensure timely and accurate data input and utilization of the web-based CIS reports and other reports available through NFP.
  • Read and interpret CIS reports; shares appropriately with team and partners.
  • Ensure implementation of Quality Improvement and strategies.
  • Develop methods for ongoing assessment of staff development needs; compare available data to structure appropriate continuing education and guidance of staff.
  • Provide routine surveillance of potential client care incidents.
  • Evaluate implementing agency outcomes and interventions.
Create and Maintain NFP Culture (Examples)
  • Ability to maintain relationship based on trust, support and growth with team colleagues and community members.
  • Ensure that supervision of NFP home visitors utilizes principles and concepts of motivational interviewing, coaching and reflective practice (modeling therapeutic relationships, change theory, self efficacy, client-centered, strength based, and solution focused approaches).
  • Become familiar and comfortable with principles and concepts of motivational interviewing, coaching and reflective practice.
  • Develop and implement regular reflective practice supervision within the program and conduct field visits, both with frequency recommended by NFP.
  • Ensure that own reflective practice and ongoing professional and personal development needs are addressed.
  • Provide regular case conferences and team meetings as recommended by NFP.
  • Ensure rewards and incentives are aligned with goals of program.
  • Effectively assist home visitors in analyzing complex problems and case situations.

Qualifications for NFP Nurse Supervisor :

  • Bachelor's Degree in Nursing required.
  • Master's Degree in Nursing or closely related field preferred.
  • Current nursing license (in good standing).

Experience (desired)

  • Worked in public/community health, including home visitation.
  • Provided maternal/child health services, particularly in community setting.
  • Program management and one-on-one supervision.
  • Worked with diverse populations, communities, and organizations.

Desirable Qualities for Nurse Supervisors :

The NFP Program requires that a supervisor with the right balance of education, experience, knowledge, skill, attitudes, and values support a successful NFP implementation within your agency. Preferably, a supervisor has a Master's in Nursing (Bachelor's in Nursing is required). A nurse who is very directive and controlling is less likely to be successful in NFP than a nurse who leads by example, invites reflection and discovery, is open to differences, and has credible clinical experience and skill.

Desired experience:

  • You are looking for solid relevant experience that will promote credibility with the staff. There is sufficient knowledge, skill, and support in some agencies in community health and home visiting so that a supervisor with an emphasis in maternal child or mental health may be an advantage. If there is little ability to provide daily community health and home visiting expertise, home visiting experience will likely be most desirable. While community health, home visiting, maternal child, and mental health nursing experience are all desirable and needed on the team, it is not necessary for the supervisor to have expertise in all these areas. Hopefully, the supervisor will hire staff that will complement her and each others' clinical expertise.
Desired values and beliefs:
  • People do the best that they can given what they have and how they see things.
  • A nurse is a guest in a family's home.
  • A nurse does not give up on clients.
  • Interest and gratitude for clients who participate is essential.
  • Everyone's time is valuable.
  • Listening without judgment will open the way for deeper relationships.
  • A client has a fundamental right to privacy and does not have to disclose.
  • The way to see the kind of relationship we want to see is to model it.
  • Clients are the best judge of how changes fit into the context of their lives.
  • People learn and change when and where they are ready.
  • People are more motivated to achieve, work, and persist when they are encouraged rather than told what to do or pressured to comply.
  • People are more likely to become socially, emotionally, and economically successful when they are supported in building skills and pursing goals that are important to them.
  • Teenagers respond to the world, their pregnancies and their babies from their own developmental perspective; they need support based on where they are developmentally.
  • Single mothers make better decisions and have more energy for productive endeavors when they are encouraged, supported, and not judged.
  • All clients have the right to balanced and accurate presentation of all contraceptive options and family planning choices.
  • Generational poverty will guide choices and cultural adaptations to how life is approached, how decisions are made, how others are viewed. Understanding this will guide better nursing interventions.
  • Diverse populations do better when they guide their own goals and when they are heard. Adapted interventions, handouts, etc. may be needed.
  • Early intervention requires a safe, trusting, long term relationship out of which the interventions evolve. The client leads the way.
Desired knowledge and skill:
  • Standards of nursing practice: Understands status of nurses' licenses and the implications; appreciates the nature of home visiting and need for competent and reliable home visitors who can function independently in the field; understands requirements of Nurse Practice Act and complies with national standards of nursing practice, knows and complies with state and federal rules such as mandatory reporting and HIPPA, understands need for policies and procedures; if agency has policies and procedures in place, is comfortable supporting them, and has the experience to establish additional policy related to NFP home visiting.
  • Administration: Strong time management and organizational skills; flexible work style and approach; able to identify and address needs of self and staff; ability to assess situations, set priorities, and problem-solve quickly and effectively; willingness to work collaboratively with all NFP "partners" in a community of practice environment; understands prevention models and implementation; models the theories and principles of NFP.
  • Clinical: Utilizes nursing process, initiates and maintains effective therapeutic relationships, practices mutual goal setting, is client centered, is strengths based, understands own limitations, pursues own professional growth, has knowledge and skill in current maternal and child health theory and practice, has experience in working in public health/community health programs, has ability to articulate key characteristics of public health/community nursing practice and programs, has ability to mentor, support and motivate staff.
  • Communication: Ability to communicate clearly and succinctly both verbally and in writing; ability to listen and reflect with staff and others; ability to work effectively with diverse groups and situations; good receptive communication (clarifies, asks good questions, etc.).
  • Personal Qualities: Sincere, warm, committed, empathetic, self-aware, independent, flexible, reflective, reliable, balanced, good boundaries, resourceful, has enthusiasm for working with children and families, understands the difference between "fix-it" mode and "strength-based" mode.
Level of experience in:
  • Home visiting
  • Community health
  • Maternal child health
  • Psychiatric nursing, especially community based
  • Prevention work
  • Establishing new programs, program management
  • Administration

For each area you may want to find out what was good or motivating, why the nurse chose to stay with it, and why the nurse chose to leave; also, what drew the nurse to those areas and what was challenging?