City and County of San Francisco

The Nurse Practitioner provides comprehensive team based patient centered care to patients in a clinical or hospital setting, both independently and in collaboration with provider colleagues and Supervising Physician. Responsibilities include management of acute and chronic conditions as well as routine health care maintenance.

A Nurse Practitioner is distinguished from a 2320 Registered Nurse by the advanced degree, Nurse Practitioner board certification, and higher level of responsibilities. Nurse Practitioners assess, diagnose, and practice independently and collaboratively within the scope of standardized procedures.

A Nurse Practitioner is distinguished from a 2323 Clinical Nurse Specialist in that the Nurse Practitioner's training and approach to patient care is broad in scope, while the Clinical Nurse Specialist's approach is more specific and in depth within the area of specialization.

May supervise or direct the work of medical staff and clinical auxiliary personnel according to hospital, health center, and/or clinic structure.

According to Civil Service Commission Rule 109, the duties specified below are representative of the range of duties assigned to this job code/class and are not intended to be an inclusive list.

1. Provides routine preventative and continuity care to adult and/or pediatric patients; this may include complete history and physical examinations.
2. Orders diagnostic tests, which may include laboratory tests, X-rays and other imaging, E.K.G.’s, and other disease or condition specific diagnostic tests.
3. Identifies and manages patients with unstable chronic diseases appropriate to clinical specialty.
4. Provides urgent care to acutely ill patients.
5. Acute care planning for patients in an inpatient setting.
6. Assesses and diagnosis, develops treatment plans, and furnishes medications.
7. Counsels and educates patients, and collaborates with healthcare team.
8. Consults with physicians on the diagnosis and treatment of unstable and complex patient conditions.
9. Documents medical records, and adheres to patient privacy.
10. Participates in staff meetings and conferences regarding patient care, as well as quality improvement/control activities.

Knowledge of: the role and scope of practice of the Nurse Practitioner; epidemiology, anatomy, pathophysiology, psychology, growth and development, sociology, nutrition, pharmacology, health maintenance and promotion, screening, prevention and education; diagnosis and treatment of acute, chronic, and emergent illnesses, conditions or disease as appropriate to the clinical specialty; community resources and health care delivery systems, such as referral agencies for disease prevention; various communities, including cultural/ethnic, LGBT and gender non-conforming, and socioeconomically diverse.

Ability and Skill to: Perform various diagnostic evaluations, which include effective patient interviewing techniques, obtaining health histories, and performing assessments; determine health status by identifying specific problems; execute rational decisions about diagnostic procedures, tests, and treatment plans under both normal and stressful conditions; plan and direct a coordinated effort of quality patient care activities; develop and follow protocols; seek consultation and/or provide direction to other members of the health care team; counsel and provide health education to patients; participate in family counseling, and establish rapport with patients.

These minimum qualifications establish the education, training, experience, special skills and/or license(s) which are required for employment in the classification.  Please note, additional qualifications (i.e., special conditions) may apply to a particular position and will be stated on the exam/job announcement.

Education:

Possession of a Master’s Degree or higher in Nursing from an accredited college or university.

License and Certification:

License: Requires possession of a valid license as a Registered Nurse issued by the California Board of Registered Nursing (BRN).

AND;

License: Requires possession of a valid California Nurse Practitioner (NP) license issued by the California Board of Registered Nursing (BRN).

AND;

License: California Nurse Practitioner Furnishing License issued by the California Board of Registered Nursing (BRN).

AND;

Possession of a national board certification (or eligibility) as a nurse practitioner issued by a national certifying body or organization recognized by Medicare.

ORIGINATION DATE:

AMENDED DATE: 09/09/2015

REASON FOR AMENDMENT

To accurately reflect the current tasks, knowledge, skills and abilities defined in the most recent job analysis conducted for this job code.

BUSINESS UNIT(S): COMMN

All City and County of San Francisco employees are designated Disaster Service Workers through state and local law (California Government Code Section 3100-3109). Employment with the City requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.