#CJ24-1175 Registered Nurse

Basic Function of Position

This position functions as the Post's clinic charge nurse and/or primary health care provider. The position will provide the full range of professional nursing services to clients. The position is located in the Embassy Moscow Health Unit (HU) and is under the direct supervision of the FSMP from the Embassy Moscow Health Unit (HU) and the Regional Medical Officer for Mission Russia.

All EFMS hired on an FMA by the US Mission in Russia must be U.S. Registered Professional Nurses, or Western European equivalent trained Registered Professional Nurses with comparable licensure. All nurses hired and paid under the local compensation plan.

Major Duties and Responsibilities

A. Responsible for the Health Orientation of New Arrivals

• Complete the Patient Registration Form and obtain and download medical clearances for all eligible beneficiaries
• Provide orientation to public health risks and recommend preventive health behaviors to minimize risk
• Assess family health and immunization needs
• Describe services provided by the Health Unit and the Bureau of Medical Describe the various roles of health care personnel at post.
• Orient new arrivals to the local health care system
• Distribute an updated copy of the Health and Medical Information Booklet to all new
• Complete age appropriate health promotion reviews
• Have all adult patients sign the "Acknowledgment Regarding Terms of Medical Care" and the MED Privacy Policy receipt forms and file in each chart.

B. Coordinate Medical Clearance Examinations

• Prepare cables for fund cite requests
• Schedule medical appointments, labs, and special tests as required by Washington (e.g., colon screening, mammogram)
• Request consultations and additional studies to complete the clearance
• Assist medical personnel with clinical examinations performed in the Health Unit and perform basic diagnostic assessment tests as approved by the RMO or FSHP.
• Verify and approve medical and laboratory bills for payment (based on authorization) related to the clearance exam.
  • Translate or arrange translation of medical reports to
  • Review completed clearance exams for thoroughness and pouch to Medical Clearances
  • Package and ship lab specimens to MED lab as necessary
  B. Coordinate Medical Evacuations
  
  • Arrange medical evacuations through FSMP/RMO in coordination with MED/Foreign Programs, the Florida Regional Center (FRC), or other Regional Medical Evacuation Site.
  • Draft MED Channel evacuation and other cables with appropriate ICD-9 and CPT Coding
  • Complete referral form associated with each evacuation and send to FSMP/RMO for review
  • Coordinate requests for specialty appointments with MED/Washington or overseas Medevac
  • Collaborate with Consulate Administrative office to coordinate medical evacuations
  • Request fund cites from MED or appropriate agency
  • Liaison between local providers and MED during emergency evacuations
  • Assist patient with medical services access in interval prior to evacuation
  • Accompany patient as a medical attendant as
  C. Coordinate local hospitalizations of Foreign Service personnel
  
  • Initiate Form FS-3067, Authorization for Medical Services for Employees and Dependents, for urgent/emergency or elective hospitalizations.
  • Request fund cites from MED or appropriate agency
  • Conduct regular visits to assess the course of care while hospitalized
  • Inform MED Foreign Programs and RMO by MED Channel cable of all hospitalizations and
  • Visits patient at home or in the hospital as necessary to evaluate health status and monitor care
  • Provides follow-up care to patients once discharged from the hospital
  D. Maintain an Immunization Clinic for Routine and Travel Immunizations
  
  • Assess each new patient's immunization needs and make recommendations
  • Follow current CDC and ACIP guidelines for immunization of adults and children
  • Maintain correct procedures for storage and handling of all
  • Follow MED policy at all times regarding proper administration of vaccines
  • Maintain logs and/or databases with Federal Requirements for record
  
  keeping of administered vaccines
  
  • Budget, order, and rotate vaccine stock
  • Knowledge of recommended immunization schedules and management/reporting of adverse events
  1. Serves as point of contact for Regional Medical Officers/Foreign Service Health Practitioners and Office of Medical Services
     • Serve as Control Officer for regional medical visits of MED staff
     • Coordinates transmission of electronic and other medication prescriptions with RMO/FSMP
     • Regular communication by phone and E-mail with RMO/FSMP. Immediate notification of FSMP/RMO in any medical emergency or hospitalization
  1. Maintains Health Unit Operations during assigned work hours
     • Maintains custody and proper internal controls for the Health This includes ordering and inventory control and management of medical supplies and medications using the MED-X system in ILMS.
     • Utilizes the nursing process in providing patient care (assessment, nursing diagnosis, plan, intervention, and evaluation) to employees: USDH, EFMs and LES (for emergencies and occupational illness only); or
     • Evaluate and assess patients within the scope of training and expertise by means of health history, observation, interview, physical examination, and other selected diagnostic Interprets, reviews, and records history and clinical findings. Selects appropriate action and initiates treatment or referral if indicated according to the nurse's scope of practice. This will include triage.
     • Maintains a complete overseas medical record (paper or electronic) of all employee visits to the HU according to MED guidelines.
     • Dispenses medications according to protocols approved by the RMO/FSMP and MED-
     • Provides recommendations for referral to local facilities or Coordinate and monitor care received.
     • Tests and maintains all emergency and non-emergency medical equipment at Keeps electronic logs of testing and maintenance of said equipment.
     • Maintains and teaches first responders at post how to use operational medicine equipment and supplies in coordination with RSO and the RMO/FSMP.
  1. Manages Occupational Medicine duties during working hours
     • Renders firstaid and emergency treatment to the sick and injured
  • anywhere on the consulate compound if needed
  • Conducts workplace health and safety surveys with the Train staff as requested in blood-borne pathogens
  • Maintain accident log/accident reporting per MED/SHEM
  • Perform periodic sanitation inspections as directed by the RMO/FSMP/MO
  • Maintains a file of medical reports from the local occupational medicine contractor for local employees
  B. Maintains current working knowledge and relationship with the local providers and facilities.
  
  • Maintains a list of acceptable local medical consultants and a copy of their credentials with updates every two years
  • Identifies quality providers and facilities in area and works with FSMP/RMO to develop a referral network of best providers/facilities based on training, currency of knowledge and access to best facilities
  • Establishes effective relationships with local physicians and health care facilities to maximize access, coordinate care and resolve conflicts
  • Monitors local public health issues that may have a potential impact on the consulate community and coordinate with the RMO/FSMP/MO
  • Works with the RMO/FSMP and post medical advisor to assess level of care at clinics, laboratories, blood banks, hospitals and individual physicians and sends regular updates of the Post Medical Capability Index to MED
  • Communicates regularly with the post medical advisor
  1. Must be available outside of normal consulate working hours
     • Participates in Consulate medical duty call rotation as appropriate
     • Responds to urgent telephone requests for medical information from the duty officer during off- duty hours
     • May be required to travel as a medical attendant during a medical evacuation
     • Attends continuing medical education conferences held outside of country as scheduled
     • May be required to make hospital visits during off-duty hours to monitor an individual's care
     • Available to respond to the consulate on an emergency basis
  D. Reporting requirements:
  
  • Daily Electronic Daily Disease and Demographic report for MED, and in conjunction with RMO/FSMP provides input to:
    1. Post Medical Capability Index database
    2. Annual Post Health and Safety Report
    3. Medical portion of Post Differential Report
    4. Annual Update of Health and Medical Information Guide with distribution to MED
  1. Maintains or contributes to an Accident Report Log
  2. Updates medical portion of the CEPA annually in conjunction with the RSO
  B. Health Promotion Program
  
  • Writes health promotion/education articles for the consulate newsletter
  • Provides health promotion and safety activities at the consulate
  • Conducts health education programs to include (but not limited to) BLS/First Aid, HIV/STD prevention, smoking cessation and weight control
  • Documents health promotion activities on DOS health promotions flow sheet
  C. Additional Administrative Duties
  
  • Regular use and update as appropriate of State Department medical regulations as delineated in 3 Foreign Affairs Manual (FAM)
  • May serve (as appropriate) as Alcohol/Drug Abuse Counselor for post and/or be a member of the Family Advocacy Program. Serves on other committees as appointed
  • Maintains written or electronic record of policies and procedures for the health unit
  • Assist HR/ER and MED in obtaining medical information and completing documentation for local OWCP claims when necessary
  • Maintains a file of post drivers' physical examinations and Works with HR to send and receive the certifications, once signed by the FSMP/RMO
  • Other duties and training as assigned by the MO, FSMP or the RMO
  
  Education
  
  • Applicant must be a graduate of an accredited Nursing program with a minimum of an associate degree.
  • Current and active license as a Registered Nurse in a state, the District of Columbia, or a territory of the United States, and
  • Basic Life Support certification
  
  Qualifications
  
  • Be a U.S. citizen
  • Be at least 21 years of age.
  • Be able to obtain a Top Secret Security Clearance.
  • A minimum of five years of experience within the last six years providing direct patient care as a Registered Nurse.
  • Prior emergency and/or critical care experience with other U.S. agencies working abroad is desirable, but not required.
  
  Must have strong interpersonal skills and a client-oriented disposition for dealing with complex
  
  Interactive challenges in difficult and emotional situations.
  
  • Must be able to perform basic word processing on a computer.
  
  Note: "This position description in no way states or implies that these are the only duties to be performed by incumbent.
  
  Incumbent will be required to perform other duties as assigned by the agency."
• Must be a U.S. Citizen.