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Health Care Practitioner

Salary: $36.69-$44.80 hourly / $6,382-$7,791 monthly / Range: 6556

DEFINITION: Under supervision of a physician, to perform examinations and evaluations of patient health; in the care and treatment of patients, to perform diagnostic and therapeutic tasks appropriate to licensure; and performs related duties as required.

DISTINGUISHING CHARACTERISTICS: Incumbents perform specified diagnostic and treatment tasks under the supervision of a licensed physician. Incumbents are either: 1) registered nurses who have completed an approved nurse practitioner training program in family practice, family planning, pediatrics or other specialty, or 2) licensed physician assistants assigned to areas of clinical specialty. Incumbents typically perform general primary work in clinics; however, incumbents may also be assigned to specialty areas.

EXAMPLES OF DUTIES: Takes complete and detailed patient histories; performs physical examinations, records pertinent data, and makes evaluations; identifies abnormalities and develops treatment plans or makes referrals for further diagnosis and/or treatment; instructs and counsels patients and their families regarding matters pertaining to their physical and/or mental health; orders and interprets laboratory tests under the supervision of a physician; identifies patients who require the immediate attention of a physician; performs routine screening and laboratory techniques; assists physicians in providing services to patients requiring continuing care, including reviewing and implementing treatment and therapy plans: gives technical direction to and works with the nursing staff of treatment team; performs emergency medical treatment; evaluates medical conditions of patients in a clinical setting; participates with other disciplines in case management of individuals and families who present multiple health problems; evaluates client's needs for other departmental services and refers patients to other community resources; works with other agencies to plan for the patient's continuity of care; under the supervision of a physician, performs routine therapeutic and minor surgical procedures such as applying casts for simple fractures, administering injections, incising and draining superficial skin infections, removing impacted ear wax, debridement and care of superficial wounds and burns, removal of foreign bodies from the skin, suturing, and administering of subcutaneous local anesthesia; participates in medical staff peer review and quality assurance procedures; provides follow-up to patients with continuing health care needs, which may include counseling, health teaching, and home visits to patients and families.

Nurse practitioners may furnish drugs and devices according to State regulations. Physician assistants may assist physicians in ordering drugs and supplies.

EMPLOYMENT STANDARDS:

1. Possession of valid license to practice as a Physician Assistant issued by the State Board of Medical Quality Assurance, as required by State law; or,
2. possession of a valid California Registered Nurse License and possession of a valid California Nurse Practitioner Certificate.

Additional Qualifications: Possession of a valid California Class C Driver's License.

Knowledge of: techniques and procedures and used in diagnosis and treatment of personal health problems; ethics and laws under which medicine is practiced and governed; services commonly provided by local health agencies; roles of the various health occupations; social economic and cultural factors which influence public health.

Ability to: identify abnormal health conditions; gather complete, detailed and accurate medical histories; communicate effectively with physicians, patients, and other health professionals; follow established procedures and protocols; recognize and evaluate situations which require the immediate attention of a physician; develop and maintain therapeutic plans for the control of identified health problems; interview, instruct and counsel patients on health care matters.



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