Public Health Nurse - II Supplemental Questionnaire
This supplemental questionnaire is the examination for this recruitment. The supplemental questionnaire is the only item used to determine your examination score.
Please note: Resumes, letters, and other attached materials will not be evaluated or taken into consideration as responses to this supplemental questionnaire. In addition, responses to this questionnaire will not be used for determining minimum qualifications for this position.
By continuing in this examination process, you are certifying that all information provided in the supplemental questionnaire is true to the best of your knowledge. If selected for an interview, you may be required to display and respond to questions to validate your responses to this examination.
This section will not be scored but may assist with determining how the applicant reports meeting the minimum qualifications for this classification.
1.
Do you possess a bachelor's degree from an accredited college or university with major course work in nursing?
Yes
No
2.
Do you possess a valid license as a Registered Nurse issued by the California Board of Registered Nursing? If no, you are encouraged to review the job posting and the minimum qualifications for this position. If yes, please be sure to complete the license/certificate section of your application.
Yes
No
3.
Do you possess a valid certificate as a Certified Public Health Nurse issued by the California Board of Registered Nursing? If no, you are encouraged to review the job posting and the minimum qualifications for this position. If yes, please be sure to complete the license/certificate section of your application.
Yes
No
4.
Do you possess two years of responsible nursing experience performing duties similar to a Public Health Nurse I with Placer County? If no, you are encouraged to review the job posting and the minimum qualifications for this position.
Yes
No
SECTION II: SPECIALIZED SKILLS (NOT SCORED)
1.
Are you English/Spanish bilingual?
Yes
No
2.
Are you English/Russian bilingual?
Yes
No
3.
Mark the box(es) that correspond with the software programs and/or healthcare systems/programs with which you have experience using:
MS Word
MS Excel
MS Outlook
Other word processing program(s) and/or healthcare software/system(s)
None of the above
3a.
If you indicated experience above, please describe your level of proficiency and the frequency of use for each program.
For proficiency, use the following:
Basic
Intermediate
Proficient
For frequency, use the following:
Rarely during the workday
Less than half during theworkday
Regularly during the workday
Please also include any other software programs and/or healthcare software/system(s) with which you have experience using while performing your duties as a nurse.
If you do not have this experience, please type "none."
SECTION III: TRAINING AND EXPERIENCE (SCORED)
Based on your responses to the questions in Part II of this supplemental questionnaire, your job-related experience and training will be evaluated using a pre-determined formula. Scores from this evaluation will determine applicant ranking and placement on the eligible list. Please note that narrative responses provided in this section will not be scored but may be used by the hiring authority to determine which applicants they will invite to their hiring interviews.
For the following questions, select the response that best corresponds with your relevant training and/or experience.
1.
Providing nursing care services in a public or private clinic, medical center or health and social service agency/provider.
No experience
Less than 2 years of experience
2 to 3 years of experience
3 to 4 years of experience
More than 4 years of experience
1a.
If you indicated experience, please describe below:
2.
Providing or overseeing training for new staff, nursing students, and volunteers.
No experience
Less than 2 years of experience
2 to 3 years of experience
3 to 4 years of experience
More than 4 years of experience
2a.
If you indicated experience, please describe below:
3.
Identifying and assessing health needs; providing advice, counsel and instruction related to health maintenance, preventative practices, treatment and rehabilitation for at-risk, ill or injured individuals.
No experience
Less than 2 years of experience
2 to 3 years of experience
3 to 4 years of experience
More than 4 years of experience
3a.
If you indicated experience, please describe below:
4.
Making home or other field site visits to provide families and/or individuals with professional health supervision and guidance:
No experience
Less than 2 years of experience
2 to 3 years of experience
3 to 4 years of experience
More than 4 years of experience
4a.
If you indicated experience, please describe below:
5.
Working with special population groups such as: pregnant women, parenting families with young children, infants, children in foster care, or children with special needs:
No experience
Less than 2 years of experience
2 to 3 years of experience
3 to 4 years of experience
More than 4 years of experience
5a.
If you indicated experience, please describe below:
6.
Performing independent case management through observation, obtaining history, physical examination, analysis, documentation of findings, development of nursing plan, making referrals and conducting follow-up:
No experience
Less than 2 years of experience
2 to 3 years of experience
3 to 4 years of experience
More than 4 years of experience
6a.
If you indicated experience, please describe below:
7.
Maintaining patient charts, case management records, medical records and reports, and documentation of findings:
No experience
Less than 2 years of experience
2 to 3 years of experience
3 to 4 years of experience
More than 4 years of experience
7a.
If you indicated experience, please describe below:
8.
Identifying and assessing client settings for contributing conditions and/or causes of health or socially-related health problems.
No experience
Less than 2 years of experience
2 to 3 years of experience
3 to 4 years of experience
More than 4 years of experience
8a.
If you indicated experience, please describe below:
Thank you for completing the examination portion of the application process. Please Save & Continue to move forward to the next tab. Be sure to select the "Submit" button once the application has been completed. You will receive confirmation that the application has been submitted.
